Request for Applications Under the Environmental Protection Agency's Toxic Substances Control Act and the Office of Community Services' Fiscal Year 1995 Job Opportunities for Low-Income Individuals Program (Demonstration Projects) and the Discretionary Grants Program

[Federal Register Volume 60, Number 72 (Friday, April 14, 1995)]

[Notices]

[Pages 19120-19149]

From the Federal Register Online via the Government Publishing Office [www.gpo.gov]

[FR Doc No: 95-8374]

[[Page 19119]]

_______________________________________________________________________

Part II

Department of Health and Human Services

Administration for Children and Families

Environmental Protection Agency

_______________________________________________________________________

Request for Applications Under the Environmental Protection Agency's

Toxic Substances Control Act; Notice

Federal Register / Vol. 60, No. 72 / Friday, April 14, 1995 / Notices

[[Page 19120]]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program announcement no. 95-06)

ENVIRONMENTAL PROTECTION AGENCY

Request for Applications Under the Environmental Protection

Agency's Toxic Substances Control Act and the Office of Community

Services' Fiscal Year 1995 Job Opportunities for Low-Income Individuals

Program (Demonstration Projects) and the Discretionary Grants Program

AGENCY: Office of Community Services, Administration for Children and

Families, (ACF), DHHS; Office of Prevention Pesticides, and Toxic

Substances Environmental Protection Agency (EPA).

ACTION: Announcement of availability of funds and request for

applications under the Environmental Protection Agency's Toxic

Substances Control Act and the Office of Community Services' FY 1995

Job Opportunities for Low-Income Individuals Program and the Urban and

Rural Community Economic Development Discretionary Grants Program.

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

SUMMARY: The Department of Health and Human Services (DHHS),

Administration for Children and Families (ACF), Office of Community

Services (OCS) and the Environmental Protection Agency (EPA) are

announcing, with this Notice, the availability of FY 1995 grant funds

for a pilot program to develop joint projects between public agencies

and non-profit organizations to form partnerships in the demonstration

of innovative community-based ventures and to reduce the

disproportionate exposure of disadvantaged communities to lead

poisoning in their environment and to provide job and career

opportunities to low-income residents of these communities. These funds

are being provided as a result of the planning work of a Federal

Project Task Force, consisting of officials of the Department of Health

and Human Services, Environmental Protection Agency, Department of

Housing and Urban Development, and Department of Labor, convened to

explore opportunities for joint lead poisoning prevention and

environmental justice programming. EPA and ACF/OCS expect the grantees

to use these funds and other available resources to plan and coordinate

a range of training, business enterprise development, education, and

hazard abatement activities so as to reduce significantly the

deleterious health effects of lead poisoning in their low-income urban

and rural communities and to create new career and economic development

opportunities for low-income residents of those communities.

In order to underwrite these initiatives, the funding agencies

intend to fund up to three (3) projects totaling approximately $3.0

million. Each project will receive two grants totaling up to $1

million. Up to $500,000 will be provided to the project by each of the

two Federal agencies. EPA will award a grant of up to $500,000 to each

of three (3) urban and/or rural public agency partners for training and

education; OCS will award a grant of up to $500,000 to each of three

(3) private non-profit agency partners for job creation and career

development for low-income residents. The grants will be awarded by

ACF/OCS under the authorities of the Family Support and Community

Services Block Grant Acts and by EPA under the authority of the Toxic

Substances Control Act.

CLOSING DATES: The closing date for submission of applications is May

30, 1995.

FOR FURTHER INFORMATION CONTACT: Re: Lead Training and Education

elements of the application:

James Boles, Chemical Management Division, Program Development Branch

(7404), Environmental Protection Agency, 401 M Street, S.W.,

Washington, D.C. 20447 (202) 260-3969

Contacts at Regional EPA Offices are listed under Part VIII, A, of

this notice.

Re: Enterprise Development, Job Creation, and Lead Abatement

elements of the application:

Richard M. Saul, Director, Community Demonstration Programs Division,

Office of Community Services, Administration for Children and Families,

370 L'Enfant Promenade, S.W., Washington, D.C. 20447 (202) 401-9233

This Announcement is accessible on the OCS Electronic Bulletin

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

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

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

401-5309.

Table of Contents

Part I--Background

Part II--Purpose

Part III--Legislative Authorities and Funding

Part IV--Eligible Applicants

A. Public Agencies--EPA

B. Non-Profit Organizations-ACF/OCS

Part V--Eligible Activities

A. Public Agencies--EPA

B. Non-Profit Organizations--ACF/OCS

Part VI--Project Planning/Application Requirements

A. Project Planning

1. Project Organization

2. Project Design

B. Application Requirements

1. Project Periods and Budget Periods

2. Cooperative Partnership Agreements

3. Program Participants/Beneficiaries

4. Prohibition and Restrictions on the Use of Funds

5. Third-Party Project Evaluation

6. Economic Development Strategy

7. Maintenance of Effort

Part VII--Criteria for Review and Evaluation of Applications

A. Environmental Protection Agency Criteria

B. Administration for Children and Families/Office of Community

Services Criteria

Part VIII--Application Procedures and Instructions

A. Application Kit for EPA Federal Assistance to States /EPA

Regional Lead Contacts

B. Application Procedures for ACF/OCS Funding to Private Non-

Profit Partners

1. Availability of Forms

2. Application Submission

3. Intergovernmental Review--ACF/OCS

4. Criteria for Screening Applicants

5. Contents of Application

6. Acknowledgement of Receipt

C. Instructions for Completing ACF/OCS Application Package

Part IX--Post Award Information and Reporting Requirements

SUPPLEMENTARY INFORMATION:

Part I--Background

Lead poisoning is one of the worst environmental threats to

children in the United States. Lead absorbed into the blood from such

sources as gasoline additives, house paint, drinking water, and

consumer products can and does have extremely damaging health

consequences on children. As more and more has been learned about the

adverse effects of lead poisoning, the Centers for Disease Control and

Poisoning Prevention (CDC) have lowered the acceptable blood lead level

three times in the past 20 years.

Fortunately, lead poisoning is entirely preventable. As public

officials have come to realize this, they have begun to address the

problem of exposure to lead at its several sources. Leaded gasoline

was, for many years, one of the major sources of lead absorbed into the

blood, but government-mandated changes in gasoline composition have

greatly reduced the amount of airborne lead. Initiatives such as this

have already resulted in reduced blood lead levels. The major remaining

source of lead in the environment is house paint,

[[Page 19121]] especially types that were commonly used prior to 1978.

Huge amounts of this peeling lead-based paint and paint dust exist in

older homes throughout the country, especially among those inhabited by

people without the financial means or ownership incentive to maintain

and repair them adequately. Several studies show strong correlations

between lead levels in the blood of inner city residents and the large

numbers of dilapidated older houses and apartments in which lower

income people frequently are concentrated. As an unhappy consequence,

the very people who probably can least afford the impacts of lead

poisoning--lower income children and families concentrated in poorer

urban neighborhoods and rural communities--are the ones most at risk

from this threat.

Several Federal agencies have undertaken important initiatives to

attack the problem of household exposure to lead and lead poisoning in

poor, urban communities. The Department of Housing and Urban

Development (HUD) has authorized and funded several programs under

Title X of the Residential Lead-Based Paint Hazard Reduction Act of

1992 designed to stimulate lead abatement activities in both public

housing and privately-owned housing for lower income individuals and

families. EPA has worked to ensure that its public educational efforts

are effective in reaching these audiences and is searching for low cost

methods of reducing risk. CDC has funded screening programs to measure

lead levels in blood in both urban and rural communities which are

judged to be at particularly high risk of lead exposure. ACF/OCS has

supported, and participated in, a California public-private partnership

to develop and implement a model for combining lead abatement with

community-based weatherization programs.

While these early lead abatement activities generally have attacked

the problem of environmental lead from a public health perspective, a

number of public officials with responsibilities for community and

economic development have noted that such initiatives have the

potential to create work and business opportunities for adults living

in the very communities most severely afflicted with the problem. These

officials have reasoned that individuals with practical knowledge of

neighborhood conditions, a willingness to undergo necessary training,

and a desire for gainful employment in community-based ventures have

much to offer to those planning lead and other hazard abatement

initiatives. They have also come to believe that community-based

ventures involving such individuals may possess important advantages in

assessing environmental hazards, building support for abatement

services, and developing community capabilities over larger businesses

based outside the impacted neighborhoods.

As a consequence, providing a significant amount of funding to the

economies of these neighborhoods has come to be seen as both a catalyst

for the creation of, and a resource for the initial support of, a group

of viable new community-based non-profit agencies and contracting

businesses able to capitalize on hazard assessment, lead abatement, and

post-abatement renovation work to create new labor-intensive jobs and

build employment skills in their work force. These officials of

Federal, state, tribal, and local governments have found strong

interest, furthermore, on the part of community leadership in lead

abatement-type initiatives and have engaged during recent months in

considerable discussion and planning of collaborative enterprises such

as the one envisioned with this announcement. As a result, the agencies

funding this initiative have come to share a vision of numerous

community-based partnerships throughout the country working together to

educate, involve, and empower lower income communities to make their

own neighborhoods free from lead poisoning and safe and healthy for

their children.

Part II--Purpose

The purpose of the grants to be funded under this announcement is

to demonstrate the potential advantages that partnerships between

community-based enterprises and state, local, or tribal governments

have for making beneficial impacts, through lead abatement activities,

on both the physical health and economic vitality of the low-income

neighborhoods and citizens that they serve.

Officials of both ACF/OCS and EPA expect the partners in the

project to work together to organize resources and develop coordinated

programs that are effective in removing lead-based paint from their

neighborhoods, thereby improving residents' health, while developing

new and/or expanded locally based housing contractor enterprises with

the capacity for job creation, career development and growth.

Successful applicants will utilize the funds and visibility of this

initiative to create new public/private partnerships, strengthen skills

and knowledge of community residents, create job opportunities and new

business ventures, and impart fresh momentum to local efforts towards

community revitalization.

Part III--Legislative Authorities and Funding Sources

In order to accomplish these distinct but complementary goals, the

funded public agency/non-profit partners must effectively integrate

disparate elements into a single cohesive project. The applicants'

projects must blend training support funding and program guidelines

from the EPA with capacity-building funding and program guidelines from

ACF/OCS in order to launch and implement their projects.

Legislative Authorities

EPA is authorized by the Toxic Substances Control Act to make

grants to States, Federally recognized Native American tribal

governments, and local governmental bodies to support research,

development and training activities capable of developing local

capacity to successfully prevent lead poisoning.

ACF/OCS authority for this joint initiative is contained in two

legislative enactments--the Job Opportunities for Low-Income

Individuals Program authorized under Section 505 of the Family Support

Act of 1988, as amended, and the Office of Community Services'

Discretionary Grants Program under section 681(a)(1) of the Community

Services Block Grant Act of 1981, as amended.

Funding

EPA's funding support is for community education and technical

hazard abatement training provided through local public health

agencies. ACF/OCS funding support is for the organization and/or

expansion of community-based abatement enterprises and the resulting

creation of new jobs with career potential for low-income employees in

these enterprises or the development of their own businesses provided

through local private non-profit organizations.

Each funded project will receive two grants totalling up to $1

Million, up to $500,000 from each agency. EPA will award a grant of up

to $500,000 to a public agency partner for training and education; OCS

will award a grant of up to $500,000 to a private non-profit agency

partner for job creation and career development.

EPA requires, furthermore, that applicants provide either evidence

of a local contribution of 5% of the value of the EPA grant from State,

Foundation or other Federal sources such as [[Page 19122]] Community

Development Block Grant monies, in-kind services, or local cash or a

written justification of its inability to raise such a match. ACF/OCS

does not require a match for its grants but does encourage the

applicant to review and describe ways by which it would plan to

mobilize additional public and private resources to further the

purposes of this announcement if it were to receive a grant. The funded

community-based environmental lead abatement ventures are expected to

add partners and obtain resources from other sources with complementary

interests, when practical.

Part IV--Eligible Applicants

Because of the dual authorities involved with this program

announcement, eligible applicants for the grants will consist of local

partnerships, of which each member must meet the eligibility criteria

of the relevant funding agency:

A. Public Agencies--EPA

Eligible applicants for purposes of the EPA funding under this

notice include any State (including the District of Columbia, the U.S.

Virgin Islands, the Commonwealth of Puerto Rico, and any territory or

possession of the United States), Federally recognized Native American

Tribal government, or local government that has an active, health-based

lead program. For the purposes of this notice, an active, health-based

lead program is defined as health or environmental officials collecting

and analyzing environmental lead data with the assistance of local

health care providers.

Private universities, private non-profit entities, private

businesses, and individuals are not eligible for EPA funds. For

convenience, the term ``State'' in this notice refers to all EPA

eligible applicants.

B. Non-Profit Organizations--ACF/OCS

Organizations eligible to apply for funding under this program are

any non-profit organizations including community development

corporations that are exempt from taxation under Section 501(a) of the

Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of

Section 501(c) of such code and private non-profit community

development corporations governed by a board consisting of residents of

the community and business and civic leaders which has as a principal

purpose planning, developing, or managing low-income housing or

community development projects. At least one OCS grant under this

Announcement will be made to a non-profit partner which is a private,

non-profit community development corporation as defined above.

Applicants must provide documentation of their tax exempt status. The

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

currently valid IRS tax exemption certificate. Failure to provide

evidence of non-profit status will result in rejection of the

application.

Public entities and private non-profit organizations in urban and

rural communities are eligible for funding under this environmental

justice initiative. For purposes of this announcement, applicants will

be considered urban if the target area is within a Metropolitan

Statistical Area. All other applicants will be considered as rural.

Applicants must provide data adequate for the reviewers to determine

whether the project would be urban or rural.

Part V--Eligible Activities

In order to accomplish both the health and economic development

goals of this initiative, grantees will be authorized and encouraged to

undertake a wide range of complementary programmatic activities. Both

ACF/OCS and EPA officials envision a range of organizational

partnership models that could be suitable for the programs initiated

with this announcement. Each will have in common the eligibility of

individual partners for the EPA and ACF/OCS enabling grants and a

demonstrated commitment to successfully achieving the purpose of the

program. Initial activity is likely to be concentrated on the

organization of the project partnership and the development, in

consultation with the targeted community, of a project implementation

plan.

As noted below, grants from EPA to the public partners for

community education and worker training will be of two years duration,

permitting the training and certification of several cycles of

abatement workers. The ACF/OCS grants to the non-profit partners for

job creation and support activities will be for an initial operational

period of three years, to permit the continued provision of support

services beyond the training period of the EPA grant, to assist low-

income workers to strengthen their underlying job skills and advance

their career development.

Public Agencies--EPA activities include:

--Assessing and prioritizing the nature and extent of the target

community's environmental lead problems;

--Planning and conducting a hands-on lead-based paint abatement

training program for community residents who wish to be employed in

abatement project activity;

--Conducting (using community residents) a tailored lead poisoning

education campaign for the targeted community;

--Outreach to other public and private parties with interests in hazard

removal, housing rehabilitation, and community revitalization and

leveraging resources that may complement those provided by EPA and ACF/

OCS;

--Monitoring abatement contractor performance in reducing the amount of

lead-based paint in the target area, protecting the safety of abatement

workers and area residents, and tracking project impacts in terms of

job creation and health improvement.

B. Non-Profit Organizations--ACF/OCS activities include:

--Jobs and/or business/self employment opportunities created under this

program that will contribute to the goal of self-sufficiency. The

employment opportunities should provide hourly wages that exceed the

minimum wage and also provide benefits such as health insurance,

transportation, child care, and career development opportunities;

--Projects that create new jobs and/or business opportunities for

eligible program participants. Projects funded under this program must

demonstrate how the proposed project will enhance the participants'

ability and skills in their progress toward self-sufficiency;

--The creation of a significant number of new full-time permanent jobs

through the expansion of a pre-identified business or new business

development or by providing opportunities for self-employment to

eligible participants. While projected employment in future years may

be included in the application, it is essential that the focus of

employment opportunities concentrate on new full-time, permanent jobs

to be created during the duration of the grant project period and/or on

the creation of new business development opportunities for low-income

individuals;

--Providing assistance to prospective community-based abatement

contractors in preparing project plans and--if necessary--working

capital/financing proposals to support project activity; and

--Launching and overseeing a coordinated program to abate the

community's lead hazards, utilizing the community-based resources

identified and developed during the initial phases of the project.

[[Page 19123]] In keeping with the Federal Government's

environmental justice strategies, grantees are encouraged to undertake

a variety of activities that have proven helpful to the development and

strengthening of community-based hazard abatement and contracting

firms. In particular, grantees should be prepared to initiate the

technical training, help with the certification, business training, and

assist with obtaining the bonding and insurance coverage that

participating contractors are likely to need to participate fully in

the economic activity stimulated by these grants.

Part VI--Project Planning/Application Requirements

A. Project Planning

Successful applications for grants under this announcement shall

describe the nature of the public agency and community-based non-profit

partnerships. The individual private, non-profit partners should have

had successful experience in job creation for low-income individuals

and enterprise development, and project planning and management. While

each of the partners will address its portion of the single joint

application to the agency funding the project activities that it will

undertake, the single combined application should clearly demonstrate

how the members of the partnership will work together in the beginning

stages of the project, and with selected abatement contractors or with

individuals who wish to create new abatement businesses to accomplish

key project milestones and impacts in a targeted community over the

life of the project. The partners will show how the funds to be

received--including funding resources other than those provided by ACF/

OCS and EPA--will be coordinated and used (1) to establish a joint

project management capacity, (2) to contract with training and

abatement specialists, (3) to conduct planned project activities, and

(4) to direct and oversee project activity to a successful conclusion.

While each partner will concentrate on explaining the elements of the

project design and plan for which it is primarily responsible, it will

also show how its investments in health education, abatement training,

community-based business development/self-employment, and/or project-

related jobs will be integrated into continuing efforts to improve the

health and economic vitality of the targeted community.

1. Project Organization

ACF/OCS and EPA officials prescribe no particular model for the

organization of a project partnership or for the design of its program.

While the grant recipients must be qualifying public agencies or

locally based non-profit entities, the abatement ventures themselves

can take a variety of organizational forms, including but not limited

to community-based non-profit ventures, for-profit contractors,

subsidiaries of community development corporations, and worker-owned

cooperatives. Irrespective of organizational form, applications will be

assessed primarily in terms of the amount of lead abatement and

enterprise development/job creation impact that the partners project

and the likelihood that these desirable outcomes will be realized.

2. Project Design

Because of the sponsoring agencies' emphasis on innovative

proposals with significant potential value to both target communities

and the community health and revitalization fields, applicants are

advised to explain their project design and accompanying plans so that

the logic of their project is clear.

The purpose of this initiative is to demonstrate the capacity of

community-based public/private partnerships for reducing the hazard of

environmental lead while providing new jobs and income opportunities

for community residents. Several of the most important outcomes

associated with this purpose include--in addition to a significant

verifiable reduction in the number of dwellings/buildings with lead-

based paint in the target community--established/strengthened community

contractor businesses with the potential for viability, financial and

management resources redirected into this lead hazard abatement field,

and community residents knowledgeable about the techniques of lead

abatement.

It is important to note, that the outcomes and impacts of the

environmental justice project depend upon effective joint planning and

coordination among the members of the project partnership. As a

consequence, project task planning by individual project partners must

take place within the framework of the overall project design.

While applicants may choose to use other project design models to

represent the way that their project will work, they should ensure that

the proposal makes it clear the way in which project management and

contractors will use resources to produce results internal to the

project which will, in turn, lead to beneficial impacts in the targeted

community.

B. Application Requirements

1. Project Periods and Budget Periods

This Environmental Justice Initiative is for a period of up to six

years. The EPA grant will support community education and worker

training for the first two years of the project; the ACF/OCS grant will

support job creation and worker support services which will last one

year beyond the training, with the possibility of continued tracking

and support for a final three years as noted below.

EPA: The Environmental Protection Agency will approve FY 1995

grants for a project period of two (2) years and a budget period of two

(2) years.

ACF/OCS will approve FY 1995 grants for a project period of six (6)

years and an initial budget period of 36-months, or three (3) years.

The initial 36-month budget period will be considered the Operational

Phase of the project, during which the Work Plan described in this

announcement is to be carried out. The second 36 months, or three

years, of the Project Period is to be considered a period of tracking

workers in the newly created jobs, of providing them, as needed, with

modest support and assistance, and of continuing Project evaluation.

Applications for continuation grants funded under these awards beyond

the 36 month budget period will be entertained in subsequent years on a

non-competitive basis, in a modest amount commensurate with the reduced

level of effort, and subject to the availability of funds, satisfactory

progress of the grantee, and determination that this would be in the

best interest of the government.

2. Cooperative Partnership Agreements

Applicants should document their commitment through a Cooperative

Partnership Agreement to work together to successfully achieve the

purposes of this announcement. The agreement should be signed by the

responsible executive officer of each partner and should include, as a

minimum, a written description including organization charts and other

graphical displays as appropriate of the roles and responsibilities of

the officials in the partnering agencies who are responsible for the

administration/management of the project.

ACF/OCS--Cooperative Partnership Agreement with State IV-A Agency

(JOBS Program).

A signed written agreement, or letter of commitment to sign such an

[[Page 19124]] agreement within six months of a grant award, between

the ACF/OCS applicant and the local State IV-A agency (JOBS Program)

must be submitted with the application in order to be reviewed and

evaluated competitively. The agreement/letter must describe the

cooperative relationship and include specific activities and/or

responsibilities that each of the entities proposes to carry out over

the course of the project period in support of the project. (See

Attachment J for for a list of the State JOBS agencies)

3. Program Participants/Beneficiaries

Projects proposed for funding under ACF/OCS must result in direct

benefits to low-income people. Low-income people are those individuals

eligible to receive AFDC under Part A of Title IV of the Social

Security Act, or individuals whose income does not exceed 100% of the

poverty line as defined in the most recent Annual Revisions of Poverty

Income Guidelines published by DHHS.

Attachment A to this announcement is an excerpt from the 1995

Poverty Guidelines now in effect. Annual revisions of these guidelines

are normally published in the Federal Register in February or early

March of each year. Grantees will be required to apply the most recent

guidelines throughout the project period. These revised guidelines also

may be obtained at public libraries, Congressional offices, or by

writing the Superintendent of Documents, U.S. Government Printing

Office, Washington, D.C. 20402. The revised guidelines are also

accessible on the OCS Electronic Bulletin Board for downloading through

your computer modem by calling 1-800-627-8886.

4. Prohibition and Restrictions on the Use of Funds

The use of funds for new construction or the purchase of real

property is prohibited. Costs incurred for rearrangement and alteration

of facilities required specifically for the grant program are allowable

when specifically approved by ACF/OCS in writing.

If the applicant is proposing a project which will affect a

property listed in, or eligible for inclusion in the National Register

of Historic Places, it must identify this property in the narrative and

explain how it has complied with the provisions of section 106 of the

National Historic Preservation Act of 1966 as amended. If there is any

question as to whether the property is listed in or eligible for

inclusion in the National Register of Historic Places, the applicant

should consult with the State Historic Preservation Officer. (See

Attachment B: SF-424B, Item 13 for additional guidelines.) The

applicant should contact OCS early in the development of its

application for instructions regarding compliance with the Act and data

required to be submitted to the Department of Health and Human

Services. Failure to comply with the cited Act will result in the

application being ineligible for funding consideration.

5. Third-Party Project Evaluation

The sponsoring agencies (EPA and ACF/OCS) require that a plan for a

methodologically sound independent evaluation of the project be

included in the application. The evaluative activity to be undertaken

should deal, at a minimum, with the performance of the grantees'

management in implementing the project and other resources to produce

planned outputs, an assessment of the activities carried out in

creating new jobs and business opportunities, and with the

effectiveness of the project design in realizing the outcomes and

impacts sought. The evaluation plan should clearly reflect the project

period, incorporating relatively early assessments of project activity

and production, intermediate assessments of the efficiency and

effectiveness of abatement activity, and later assessments of changes

in blood lead levels and community-based enterprise vitality/viability.

Applicants should consult with an independent third-party entity

with credible program evaluation experience to help develop the

evaluation design and to help prepare the evaluation section of their

applications. Applicants should ensure, however, that the evaluation

methodology presented is consistent with the logic of the project

design. The evaluation methodology should include, but not be limited

to, the key measures of performance and accomplishment set out

elsewhere in the application. Project managers and evaluators should

address the issues relating to project data collection and management,

since most process and outcome measures will be used for both project

management and the evaluation plan. Finally, applicants should express

a firm commitment to support their third-party evaluators with project

data, with management's interpretation of that data as needed, and with

management and contractor time to participate in evaluative activities.

The evaluators should include, in their final report, a

characterization of the organizational and strategy model represented

by the grantee team and of the replicability of these models in similar

settings elsewhere.

6. Economic Development Strategy

In accordance with the legislative reference cited in Part II,

Section A, applicants must include in their proposal an explanation of

how the proposed project is integrated with and supports a larger

economic development strategy within the target community. Where

appropriate, applicants should document how they were involved in the

preparation and planned implementation of a comprehensive community-

based strategic plan to achieve both economic and human development in

an integrated manner.

7. Maintenance of Effort

The application must include an assurance that activities funded

under this program announcement are in addition to, and not in

substitution for, activities previously carried on without Federal

assistance.

Part VII--Criteria for Review and Evaluation of Applications

EPA and ACF/OCS will jointly review applications submitted for each

of the combined projects proposed, with each agency's staff reviewing

the portions of the joint application bearing on the suitability of the

project partner to which it would provide grant funds. Grants will only

be made, however, to project partnerships, each member of which fully

meets the selection criteria employed by the agency providing its grant

funding.

The criteria to be used by the funding agencies to review and score

applications are set forth below. The competitive review of proposals

will be based on the degree to which: (1) each part of the application

incorporates each of the review criterion and sub-criterion; (2) the

applicants describe convincingly a project to reach the stated purpose

of the grants; and (3) the applicants will test and evaluate such

approaches so as to make possible replication of a successful project.

A. Environmental Protection Agency Criteria

Criterion I: Analysis of Need (Maximum: 10 Points)

Applicants should demonstrate, in this section, their understanding

of the extent and nature of both the environmental hazard problem and

the underemployment and underdevelopment problems in the neighborhoods

to be served.

The State partner should primarily address the need for lead

abatement activity from a demographic perspective--data about the size,

age structure, ethnicity, and income [[Page 19125]] characteristics of

the population in the target area should be assembled, using maps,

along with such information about the community's health as is

available.

Criterion II: Partnering Organizations' Capability for Project

(Maximum: 10 Points)

EPA is interested in assessing the capabilities that the members of

the grantee project team bring to this initiative. EPA will ascertain

whether the State has demonstrated, through prior experience with

large, complex environmental and/or public health projects in

disadvantaged communities, that it has the institutional capacity and

staff knowledge to achieve project goals within the specified time

frame. EPA will also review the qualifications and experience of the

proposed project director or manager, looking for evidence of

successful experience managing interdisciplinary projects involving

public health, housing rehabilitation, and/or environmental management

in actual neighborhood settings.

Criterion III: Project Design and Implementation plans (Maximum: 40

Points)

(a) Project Design and Strategy (Maximum: 10 Points)

The applicant should state clearly how its project will work to

create the proposed community outcomes and impacts sought from this

initiative. The applicant should identify the capacity--and condition-

type outcomes that they have established as their goals for the project

and should explain their joint approach, or strategy, for realizing

these outcomes. The State partner should identify the task elements of

the project for which it will be responsible, associating them with

specific outputs (deliverables, events, materials, and other produced

results) important to achieving project goals. Jointly conducted

activity and associated outputs should be identified and the approach

selected for task accomplishment explained. In addition to introducing

the intended results of the project and their relationship to one

another, applicants should stipulate the key assumptions (factors

outside management's control/influence) upon which the project strategy

is based. Applicants should also identify and define the primary

measures of performance and accomplishment that they will use for

project monitoring and management.

Workplan should also describe the nature of the training and

abatement activity that will take place during project implementation.

That description must use the following job titles and

responsibilities:

Inspector Technicians: Responsible for conducting inspection of

target housing for lead-based paint; completing an inspection report;

taking post-abatement soil and dust clearance samples.

Inspector/Risk Assessor: Responsible for same as Inspector

Technicians and conducting a risk assessment in target housing;

completing a risk assessment report; interpreting the results of

inspections and assessments; identifying hazard control strategies;

conducting post-abatement clearance sampling and evaluating results.

Workers: Responsible for conducting abatement activities in

accordance with procedures and requirements of the pre-abatement plan.

Supervisors: Responsible for ensuring that abatement activities are

conducted in accordance with regulatory requirements; maintaining

accessibility at all time during the performance of abatement

activities; ensuring completion of abatement activities in accordance

to regulations.

Planners/Project Designers: Responsible for designing abatement

projects; preparing a written pre-abatement plan for abatement

projects.

Please refer to your State certification standards (or contact EPA)

for further information.

This section need not be long in order to be effective. Several

paragraphs of the sort suggested above, combined with suitable graphic

display(s) where appropriate, should be sufficient to convey the logic

of the proposed project.

(b) Project Partnerships and Cooperative Arrangements (Maximum: 5

Points)

A broad range of community networks and commitments, in addition to

the applicants, will be required to accomplish the purposes of this

initiative. Applicants should show proof they have established these

working relationships, as evidenced by letters of understanding or

other written commitments signed by responsible officials, with such

additional partners as:

--Public and private agencies engaged in environmental health

screening, testing, and education;

--Community development corporations, community action agencies, or

other community-based non-profits with both a credible presence in, and

leadership from, the targeted community;

--Technical resources for such tasks as abatement training, blood

screening, environmental risk assessment, blood and lead data quality

assurance, and large-scale survey design;

--Officials of such public agencies as the Department of Housing and

Urban Development, Department of Labor, and the Small Business

Administration and/or private corporations involved in property

development and management who are willing to collaborate with and

support the project in ways appropriate to their skills and resources.

Applicants should show, in their proposal, that they have thought

out the roles and responsibilities of the partners selected and have

effectively integrated them into the project organization and

management team.

(c) Project Organization and Management (Maximum: 10 Points)

While the prior experience of the organizational partners is

important to project success, the soundness of project organization and

the capabilities of project management are frequently crucial.

Applicants should identify the key leaders of the team and introduce

and describe the director/manager or co-managers who will be

responsible for day-to-day supervision of project resources.

Applications should include resumes/CVs where appropriate, though

applicants should note that relevant and successful experience may be

more important than education and position titles in describing the

capabilities of at least some of the project managers. They should

further specify the relationship of the project manager(s) to the

public officials and private executives who lead the partnering

agencies. The applications should specify the levels of effort

(percentage of time) that the project manager and other key officials

will devote to the project. These level-of-effort factors should be

correlated to the project expense budget, documenting this important

resources-result relationship. Finally, the application should describe

the roles and responsibilities of other key project personnel and show

their places in the project organization.

(d) Project Implementation Plans (Maximum: 15 Points)

With their relevant experience explained and the design,

organization, and management of the project described, the applicant

team should outline its plans for completing the key tasks and reaching

important project milestones successfully. These workplans should

primarily show how, and according to what schedule, the project

managers from each of the [[Page 19126]] project partners expect to use

funding and engage key resources to conduct the activity that leads to

important project outputs for each of the major project elements.

Some of the more important project elements or tasks for which

implementation plans should be presented, either separately or in

combination, include:

--Conducting an assessment of environmental lead hazards in the target

community and a subsequent prioritization of lead hazards;

--Educating residents of the target community about lead hazards and

protection from lead poisoning and involving them in the abatement

project.

Criterion IV: Significant and Beneficial Impact (Maximum: 30 Points)

(a) Potential for Desirable (Significant and Beneficial) Impact

(Maximum: 15 Points)

EPA will review the application with an eye for the value that is

likely to result from the grant. This value, or return on the Federal

grant investment, primarily will be a function of:

--The amount of public health impact that is expected to result from

the abatement activity in the target community and the likelihood,

given the capability of the grantee project team and the soundness of

their design and plans, that this impact will be realized;

--The amount of additional environment enhancing activity that is

expected to be stimulated by project-related investment (Federal grants

and other leveraged resources) and the likelihood, given the capability

of the grantee project team and the soundness of their design and

plans, that this impact will be realized;

--The informational and educational value to the public health that is

likely to result from the project's implementation, given the

innovativeness and soundness of the project design and the capability

of the grantees.

Applicants need not (but may) prepare a separate section in their

application to demonstrate the potential for desirable impact of their

project, as long as these elements of value are persuasively built in

to their project design and plans.

(b) Commitment to Lead (Hazard) Abatement Mission (Maximum: 5 Points)

With these grants, EPA seeks to stimulate a growing commitment to

lead hazard abatement activity and the environmental justice mission

throughout the public health and development communities. The public

agency partner should seek to show the strength and level of their

commitment to continuing work in this field, providing evidence of

their relevant past work and describing their strategies for using this

initiative as a vehicle for engaging in additional hazard abatement

work to improve public health and stimulate economic activity and

empowerment in low-income communities.

(c) Project Evaluation Plan (Maximum: 10 Points)

Applicants should present, with their application, a project

evaluation plan. The third-party evaluator selected for participation

in the project should actively assist in the development of this plan

but should not produce it independently of project management.

Applicants should ensure that the plan submitted with their

application covers both process and impact assessments of the project

and is fully compatible with the project described elsewhere in the

application. The types of results--produced (outputs), outcome, and

impact--most important to the project team should be identified and

defined with measures appropriate to the results. The plan should

further identify the cause-effect relationships of most interest to the

project team and how they will be studied during the evaluative

process. Finally, the evaluation process and schedule should be

described, with key phases, milestones, and reports identified.

Criterion V: Budget Presentation and Justification (Maximum: 10 Points)

The applicant should summarize all of the financial resources--both

Federal and other on-budget resources--that they expect to be able to

use to carry out their project. This information should be presented in

the budget forms required by EPA and should also be summarized and

related to the project staff, contract, and material assets that will

be used to conduct project activity.

Applicants are encouraged to leverage other Federal and non-Federal

resources for the project in addition to the 5% match EPA requires. The

applicant should explain their project budget in the narrative of their

application, seeking to parallel the description of their

implementation plans with their analysis of the resources that they

will use to fund them.

B. Administration for Children and Families/Office of Community

Services Criteria

Criterion I: Analysis of Need (Maximum: 10 Points)

Applicants should include a brief description of the geographic

area and population to be served, indicating what the unemployment

rates are and (to the extent practicable) the jobs available and skills

necessary to fill those vacancies in such areas, and how the proposed

businesses and subsequent jobs will impact on the nature and extent of

the problem. Applicants should also include (with an identification of

the source of the information) the number and percentage of individuals

receiving AFDC, the number of low-income individuals and the total

number of individuals which make up the population in the area where

the project will operate.

Applicants must include an analysis of the identified personal

barriers to employment and greater self-sufficiency faced by the

population to be targeted by the project. (These might include such

problems as illiteracy, substance abuse, family violence, lack of

skills training, health or medical problems, need for childcare, or

poor self-image.) Application also includes an analysis of the

identified community systemic barriers which the project will seek to

overcome. These might include lack of jobs; lack of transportation;

lack of suitable clothing or equipment; lack of markets; unavailability

of financing, insurance or bonding; inadequate municipal services

(water, sewage treatment, street lighting, trash collection,

electricity, traffic control); high incidence of crime; inadequate

health care; or environmental hazards like toxic dumpsites or leaking

underground tanks.) If the jobs to be created by the proposed project

are themselves designed to fill one or more of the needs so identified,

this fact should be included in the discussion.

Criterion II: Partnering Organizations' Capability for Project

(Maximum: 10 Points)

ACF/OCS will assess the capabilities that the non-profit member of

the partnership has in managing abatement-type and/or housing

rehabilitation or weatherization projects in low-income disadvantaged

communities and in building the capacity of small community-based

enterprises to participate in such projects. Applicants should document

such experience, citing references as appropriate, and relate it to the

purposes of this initiative. They should relate their

[[Page 19127]] experience, in particular, to the eligible activities

identified above and to other key tasks identified in their project

strategy.

Criterion III: Project Design and Implementation Plans (Maximum: 40

Points)

(a) Project Design and Strategy (Maximum: 10 Points)

The work plan and business plan(s), where appropriate, must be both

sound and feasible. If the applicant is proposing to use project funds

to provide technical and/or financial assistance for the establishment

of an identified business, or to a third-party private employer to

develop or expand a pre-identified business, the application must

include a complete business plan. An application that does not include

a business plan where one is appropriate may be disqualified and

returned to the applicant.

The project must be responsive to the needs and problems identified

in the Analysis of Need and Problems to be Addressed.

The work plan must describe the proposed project activities, or

interventions, and explain how they are expected to result in outcomes

which will meet the needs of the program participants and assist them

to overcome the identified personal and systemic barriers to employment

and self-sufficiency. In other words, what will the project staff do

with the resources provided to the project and how will what they do

(interventions) assist in the creation of employment and business

opportunities for program participants in the face of the needs and

problems that have been identified. The application should include a

hypothesis or hypotheses that is(are) significant and include(s) the

key interventions, and which permit(s) measurement of the extent to

which the target population can achieve greater self-sufficiency as a

result of its involvement in the project. The key interventions should

include the types and sources of technical and financial assistance to

be provided the participants, as well as any education, training, and

support services and the problems or barriers they are designed to

overcome. If the technical and/or financial assistance is to be

provided to pre-identified businesses that will be expanded or

franchised, written commitments from the businesses specifying their

undertakings and levels of participation must be included with the

application. The work program must set forth realistic quarterly time

targets by which the various work tasks will be completed.

Workplan should also describe the nature of the training and

abatement activity that will take place during project implementation.

That description must use the following job titles and

responsibilities:

Inspector Technicians: Responsible for conducting inspection of

target housing for lead-based paint; completing an inspection report;

taking post-abatement soil and dust clearance samples.

Inspector/Risk Assessor: Responsible for same as Inspector

Technicians and conducting a risk assessment in target housing;

completing a risk assessment report; interpreting the results of

inspections and assessments; identifying hazard control strategies;

conducting post-abatement clearance sampling and evaluating results.

Workers: Responsible for conducting abatement activities in

accordance with procedures and requirements of the pre-abatement plan.

Supervisors: Responsible for ensuring that abatement activities are

conducted in accordance with regulatory requirements; maintaining

accessibility at all time during the performance of abatement

activities; ensuring completion of abatement activities in accordance

to regulations.

Planners/Project Designers: Responsible for designing abatement

projects; preparing a written pre-abatement plan for abatement

projects.

Please refer to your State certification standards (or contact ACF/

OCS) for further information.

The application identifies and defines critical issues or potential

problems that might impact negatively on the project and explains how

they can be overcome and the project objectives reasonably attained

despite such potential problems.

As noted above, a business plan is required whenever the applicant

is proposing to establish a new, specific and identified business, or

will be providing assistance to a private third-party private employer

for the development or expansion of a pre-identified business. In these

cases, the business plan is one of the major components that will be

evaluated by OCS to determine the feasibility of a jobs creation

project.

Because the following guidelines were written to cover a variety of

possibilities, rigid adherence to them is not possible nor even

desirable for all projects. For example, a plan for a service business

would not require a discussion of manufacturing nor product design.

With this understanding, the business plan should be prepared in

accordance with the following guidelines:

1. The business and its industry. This section should describe the

nature and history of the business and provide some background on its

industry.

a. The Business: as a legal entity; the general business category;

b. Description and Discussion of Industry: Current status and

prospects for the industry;

2. Products and Services: This section deals with the following:

a. Description: Describe in detail the products or services to be

sold;

b. Proprietary Position: Describe proprietary features, if any, of

the product, e.g. patents, trade secrets;

c. Potential: Features of the product or service that may give it

an advantage over the competition;

3. Market Research and Evaluation: This section should present

sufficient information to show that the product or service has a

substantial market and can achieve sales in the face of competition;

a. Customers: Describe the actual and potential purchasers for the

product or service by market segment.

b. Market Size and Trends: State the size of the current total

market for the product or service offered;

c. Competition: An assessment of the strengths and weaknesses of

competitive products and services;

d. Estimated Market Share and Sales: Describe the characteristics

of the product or service that will make it competitive in the current

market;

4. Marketing Plan: The marketing plan should detail the product,

pricing, distribution, and promotion strategies that will be used to

achieve the estimated market share and sales projections. The marketing

plan must describe what is to be done, how it will be done and who will

do it. The plan should address the following topics--Overall Marketing

Strategy, Packaging, Service and Warranty, Pricing, Distribution and

Promotion.

5. Design and Development Plans: If the product, process or service

of the proposed venture requires any design and development before it

is ready to be placed on the market, the nature and extent and cost of

this work should be fully discussed. The section should cover items

such as Development Status and Tasks, Difficulties and Risks, Product

Improvement and New Products, and Costs.

6. Manufacturing and Operations Plan: A manufacturing and

operations plan should describe the kind of facilities, plant location,

space, capital equipment and labor force (part and/or full time and

wage structure) that are [[Page 19128]] required to provide the

company's product or service.

7. Management Team: The management team is the key in starting and

operating a successful business. The management team should be

committed with a proper balance of technical, managerial and business

skills, and experience in doing what is proposed. This section must

include a description of: the key management personnel and their

primary duties; compensation and/or ownership; the organizational

structure; Board of Directors; management assistance and training

needs; and supporting professional services.

8. Overall Schedule: A schedule that shows the timing and

interrelationships of the major events necessary to launch the venture

and realize its objectives. Prepare, as part of this section, a month-

by-month schedule that shows the timing of such activities as product

development, market planning, sales programs, and production and

operations. Sufficient detail should be included to show the timing of

the primary tasks required to accomplish each activity.

9. Critical Risks and Assumptions: The development of a business

has risks and problems and the Business Plan should contain some

explicit assumptions about them. Accordingly, identify and discuss the

critical assumptions in the Business Plan and the major problems that

will have to be solved to develop the venture. This should include a

description of the risks and critical assumptions relating to the

industry, the venture, its personnel, the product's market appeal, and

the timing and financing of the venture.

10. Community Benefits: The proposed project must contribute to

economic, community and human development within the project's target

area.

11. The Financial Plan: The Financial Plan is basic to the

development of a Business Plan. Its purpose is to indicate the

project's potential and the timetable for financial self-sufficiency.

In developing the Financial Plan, the following exhibits must be

prepared for the first three years of the business' operation:

a. Profit and Loss Forecasts--quarterly for each year;

b. Cash Flow Projections--quarterly for each year;

c. Pro forma balance sheets--quarterly for each year;

d. Initial sources of project funds;

e. Initial uses of project funds; and

f. Any future capital requirements and sources.

Facilities

If the rearrangement or alteration of facilities will be required

in implementing the project, the applicant has described and justified

such changes.

(b) Project Partnerships and Cooperative Arrangements (Maximum: 5

Points)

The cooperative partnership arrangements are fully described and

clearly relate to the objectives of the proposed project. The

cooperative partnership with the State IV-A agency must include one or

more of the mandatory or optional components of the State's JOBS

program.

The application documents that the applicant will mobilize from

public and/or private sources cash and/or third-party in-kind

contributions. Applications that document that the value of such

contributions will be at least equal to the OCS funds requested, and

demonstrate that the cooperative partnership arrangements clearly

relate to the objectives of the proposed project, will receive the

maximum number of points for this criterion. Lesser contributions will

be given consideration based upon the value documented.

Applicants should note that partnership relationships are not

created via service delivery contracts; partners should be responsible

for substantive project components or activities to be carried out

under the project design.

(c) Project Organization and Management (Maximum: 10 Points)

The application should include documentation which briefly

summarizes two similar projects undertaken by the applicant agency and

the extent to which the stated and achieved performance targets,

including permanent benefits to low-income populations, have been

achieved. Application notes and justifies the priority that this

project will have within the agency including the facilities and

resources that it has available to carry out the project.

(d) Project Implementation Plans (Maximum: 15 Points)

With their relevant experience explained and the design,

organization, and management of the project described, the applicant

team should outline its plans for completing the key tasks and reaching

important project milestones successfully. These workplans should

primarily show how, and according to what schedule, the project

managers from each of the project partners expect to use funding and

engage key resources to conduct the activity that leads to important

project outputs for each of the major project elements.

Some of the more important elements or tasks for which

implementation plans should be presented, either separately or in

combination, include:

--Identifying, screening, and selecting community-based contractors and

other for-profit or nonprofit entities for abatement work and for

training their management and employees in abatement techniques and

safety;

--Recruiting, screening and training low-income and AFDC residents of

the community in project activities in such a way as to build credible

job skills in abatement-type work, housing rehabilitation, property

improvement and management, and business management training; and

--Conducting lead abatement activities on community dwellings in such a

way--effective targeting, cost-effective abatement techniques--as to

maximize desired health and employment outcomes for the Federal

resources being utilized.

Applicants should focus, in their discussion of implementation

plans on what major challenges are expected and how they will be

overcome by the project team, key milestones and contingency plans if

they are not met, and the like. Simple graphic displays (e.g., Gantt

charts) may be useful for showing task schedules.

Criterion IV: Significant and Beneficial Impact (Maximum: 30 Points

(a) Potential for Significant and Beneficial Impact (Maximum: 10

Points)

ACF/OCS will review the applications with an eye for the value that

is likely to result from their grants. This value, or return on the

Federal grant investments, primarily will be a function of:

--The amount of public health impact that is expected to result from

the abatement activity in the target community and the likelihood,

given the capability of the grantee project team and the soundness of

their design and plans, that this impact will be realized;

--The amount of additional community-based economic activity that is

expected to be stimulated by project-related investment (Federal grants

and other leveraged resources)--both for individuals and enterprises--

and the likelihood, given the capability of the grantee project team

and the soundness of their design and plans, that this impact will be

realized;

--The informational and educational value to both the public health and

[[Page 19129]] the community and economic development fields that is

likely to result from the project's implementation, given the

innovativeness and soundness of the project design and the capability

of the grantees;

Applicants need not (but may) prepare a separate section in their

application to demonstrate the potential for desirable impact of their

project, as long as these elements of value are persuasively built in

to their project design and plans.

ACF/OCS Quality of Jobs/Business Opportunities

The proposed project is expected to produce permanent and

measurable results that will reduce the incidence of poverty in the

community. Expected results are quantifiable in terms of the creation

of permanent, full-time jobs or business opportunities developed. In

developing business opportunities and self-employment for AFDC

recipients and low-income individuals the applicant proposes, at a

minimum, to provide basic business planning and management concepts,

and assistance in preparing a business plan and loan package.

(b) Commitment to Lead (Hazard) Abatement Mission (Maximum: 5 Points)

The application documents that:

--The business opportunities to be developed for eligible participants

will contribute significantly to their progress toward self-

sufficiency; and/or

--Jobs to be created for eligible participants will contribute

significantly to their progress toward self-sufficiency; they provide,

for example, wages that exceed the minimum wage, plus benefits such as

health insurance, transportation, child care and career development

opportunities.

Cost-per-Job

--During the project period the proposed project will create new,

permanent jobs through business opportunities or non-traditional

employment opportunities for low-income residents at a cost-per-job

below $15,000 in OCS funds, (e.g. cost per job is calculated by

dividing the total amount of grant funds requested ($420,000) divided

by the number of jobs to be created (60) equals the cost-per-job

($7,000)). If any other calculations are used, please include your

methodology in this section.

Note: Except in those instances where independent reviewers

identify extenuating circumstances related to business development

activities, the maximum number of points will be given only to those

applicants proposing cost-per-job created estimates of $5,000 or

less of OCS requested funds. Higher cost-per-job estimates will

receive correspondingly fewer points.

(c) Project Evaluation Plan (Maximum: 10 Points)

The Evaluation Plan

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

(consistent with the broad definition contained in Part I) that permits

the measurement of incremental progress of eligible individuals and

their families from dependency toward self-sufficiency;

--Clearly defines the changes or benefits (outcomes) to be produced,

the activities (interventions) that will produce the changes, and the

measures of client progress toward self-sufficiency for which

information will be collected (for example: increases in income,

decreases in public assistance payments);

--Provides for the annual compilation of community-level data on the

characteristics of the population in the project area, including

percentage on public assistance, percentage below the poverty line,

unemployment rate, business starts and failures, and major employers;

--Provides for the conduct of a continuing process evaluation. This

should include the periodic assessment of the following: client

characteristics, pertinent policies and procedures; staffing;

cooperative partnerships with state and local agencies; use of other

community resources; client outreach and recruitment; client service

delivery; cost of services; and, level of technical and financial

assistance to employers. The types of data and information, measures

and indicators to be used for the process evaluation, as well as the

methods and timeframe for collecting and analyzing the required data

should be indicated;

--Provides for the completion of two interim evaluation reports and a

final report. The final evaluation report will describe the program

design and any changes from the original workplan, outreach and

recruitment results, interventions, and accomplishments. The

measurement instruments, data collection procedures, and analysis

techniques should be discussed, and the report should yield conclusions

as to how well the program works and why. It should also discuss the

program's potential for replication in other communities; and

--Includes a realistic plan for disseminating the project findings to

other interested organizations and public agencies.

(d) Community Empowerment Consideration (Maximum: 5 Points)

Special consideration will be given to applicants who are located

in areas which are characterized by poverty and other indicators of

socio-economic distress such as a poverty rate of at least 20%,

designation as an Empowerment Zone or Enterprise Community, high levels

of unemployment, and high levels of incidences of violence, gang

activity, crime, or drug use. Applicants should document that they were

involved in the preparation and planned implementation of a

comprehensive community-based strategic plan to achieve both economic

and human development in an integrated manner.

Criterion V: Budget Presentation and Justification (Maximum: 10 Points)

ACF/OCS funds requested are commensurate with the level of effort

necessary to accomplish the goals and objectives of the project.

The application includes a detailed budget break-down for each of

the budget categories in the SF-424A. The applicant presents a

reasonable administrative cost if an indirect cost rate has not been

negotiated with the cognizant Federal agency (See Part VI, Section B,

Line 6j).

The estimated cost to the government of the project also is

reasonable in relation to the anticipated results.

Part VIII: Application Procedures and Instructions

A. Application Kit for EPA Federal Assistance To States (Public

Partners)

To obtain EPA's Application for Federal Assistance Kit, please

write to: U.S. Environmental Protection Agency, Grants Operations

Branch (3903F), Grants Administration Division, 401 M Street, S.W.,

Washington, D.C. 20460.

EPA Regional Lead Contacts

Region 1--Ann Carroll, US EPA, JFK Federal Building, Boston, MA 02203

(617) 565-3411

Region 2--Louis Bevilacqua, US EPA, 2890 Woodbridge Ave., Edison, NJ

08837-3670, (908) 321-6671

Region 3--Gerallyn Valls, US EPA, 841 Chestnut Bldg., Philadelphia, PA

19107, (215) 597-2450

Region 4--Connie Landers-Roberts, US EPA, 345 Courtland St., N.E.,

Atlanta, GA 30365, (404) 347-1033

Region 5--David Turpin, US EPA, 77 W. Jackson St., Chicago, IL 60604,

(312) 886-6003 [[Page 19130]]

Region 6--Jeff Robinson, US EPA, 12th Floor, Ste. 2000, 1445 Ross Ave.,

Dallas TX 75202, (214) 655-7577

Region 7--Mazzie Talley, US EPA, 726 Minnesota Ave., Kansas City, KS

66101, (913) 551-7518

Region 8--David Combs, US EPA, 999--18th St., Ste. 500, Denver, CO

80202, (303) 293-1442

Region 9--Larry Biland, US EPA, 75 Hawthorne St., San Francisco, CA

94105, (415) 744-1121

Region 10--Barbara Ross, US EPA, 1200 Sixth Avenue, Seattle, WA 98101,

(206) 553-1985

B. Application Procedures for ACF/OCS Funding to Private Non-Profit

Partners

1. Availability of Forms

Attachments B contains all of the standard forms necessary for the

application for awards under this OCS program. This attachment and

Parts VI, VII and VIII of this announcement contain all of the

instructions required for submittal of applications. These forms may be

photocopied for submission of the application. Two signed original

applications and three copies should be submitted. (Approved by the

Office of Management and Budget under Control Number 0970-0062.)

Copies of the Federal Register containing this announcement are

available at most local libraries and Congressional District Offices

for reproduction. The announcement also is accessible on the OCS

Electronic Bulletin Board for downloading through your computer modem

by calling 1-800-627-8886. If copies are not available at these

sources, they may be obtained by writing or telephoning the office

listed under the section entitled FOR FURTHER INFORMATION at the

beginning of this announcement.

The applicant must be aware that in signing and submitting the

application for this award, it is certifying that it will comply with

the Federal requirements concerning the drug-free workplace and

debarment regulations set forth in Attachments C and D and

environmental tobacco smoke in Attachment K.

2. Application Submission

The closing date for submission of the combined EPA/ACF-OCS

applications is the date found under ``Closing Date'' at the beginning

of this Announcement.

(a) Deadlines

Application shall be considered as meeting the deadline if they are

either:

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

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

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

b. Sent on or before the deadline date and received by the granting

agency in time for the independent review. (Applicants are cautioned to

request a legibly dated U.S. Postal Service postmark of to obtain a

legibly dated receipt from a commercial carrier or U.S. Postal Service.

Private metered postmarks are not acceptable as proof of timely

mailing.)

(b) Applications Submitted by Other Means

Applications which are not submitted in accordance with the above

criteria shall be considered as meeting the deadline only if they are

physically received before the close of business on or before the

deadline date. Hand delivered applications will be accepted at the ACF

Office of Financial Management, Division of Discretionary Grants, 6th

Floor ACF Guard Station, 901 D Street, S.W. Washington, D. C. during

the normal working hours of 8:00 a.m. to 4:30 p.m., Monday through

Friday.

(c) Late Applications

Applications which do not meet one of these criteria are considered

late applications. The ACF Division of Discretionary Grants will notify

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

competition.

(d) Extension of Deadline

ACF in consultation with the Environmental Protection Agency may

extend the deadline for all applicants due to disasters such as floods,

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

if the Federal agencies do not extend the deadline for all applicants,

they may not waive or extend the deadline for any applicant.

3. Intergovernmental Review--ACF/OCS

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

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, 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 Contact

(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(a)(2), a SPOC has sixty (60) days from the

application deadline 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, DC. 20447. A list of the

Single Points of Contact for each State and Territory is included as

Attachment E of this announcement.

4. Criteria for Screening Applicants

(a) Initial Screening

All timely applicants will receive an acknowledgement card with an

assigned identification number. This number, along with any

identification code, must be referenced in all subsequent

communications concerning the application. If an acknowledgement is not

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

by telephone at (202) 401-9234. All applications that meet the

published deadline for submission will be screened to determine

completeness and conformity to the requirements of this

[[Page 19131]] 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.

(1) The application must contain a Standard Form 424 Application

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

Assurances (SF 424B) completed according to instructions published in

Part VI and Attachments B, C, and D of this Program Announcement.

(2) A project narrative must also accompany the standard forms. OCS

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

pages, double-spaced, typewritten (type size no smaller than 12 pitch)

on one side of the paper only. Charts, exhibits, letters of support and

cooperative agreements are not counted against this page limit. It is

strongly recommended that you follow the format for the narrative in

Part VIII, B, 5.

(3) The SF-424 and the SF-424B must be signed by an official of the

organization applying for the grant who has authority to obligate the

organization legally.

(4) Application must contain documentation of the applicant's tax

exempt status.

(b) Pre-Rating Review

Applications which pass the initial screening will be forwarded to

reviewers and/or OCS staff prior to the programmatic review to verify

that the applications comply with this Program Announcement in the

following areas:

(1) Eligibility: Applicant meets the eligibility requirements

described in Part IV. Proof of non-profit status must be included in

the Appendices to the Project Narrative. Any non-profit organization

submitting an application must submit proof of its non-profit status in

its application at the time of submission. The non-profit agency can

accomplish this by providing a copy of the applicant's listing in the

Internal Revenue'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. Failure to

provide evidence of non-profit status will result in rejection of the

application. Applicants must also be aware that the applicant's legal

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

corresponding to the Employer Identification Number (Item 6).

(2) Target Populations: The application clearly targets the

specific outcomes and benefits of the project to low-income

participants and beneficiaries as defined in Part VI, Section B.3.,

Program Participants/Beneficiaries.

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

limits indicated in Part III.

(4) Cooperative Partnership Agreement. The application contains a

written agreement or letter of commitment that includes, at a minimum,

the activities cited in Part VI,B,2. The agreement must be signed by an

official of the State IV-A agency responsible for administering the

JOBS program in the area to be served.

(5) Third-Party Project Evaluation. A third-party project

evaluation plan is included.

(6) Business Plan. If a CDC or other non-profit partner proposes

establishing a business or if the third-party private employer is part

of the proposed project, a complete business plan is included in the

application.

An application will be disqualified from the competition and

returned if it does not conform to all of the above requirements.

5. Contents of Application

Each application submission should include two signed originals and

three additional copies of the application. (Approved by the Office of

Management and Budget under Control Number 0970-0062. Each application

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

(a) An Abstract of the proposal--very brief, on one page, not to

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

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

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

application has been selected for a grant award;

(b) Table of Contents;

(c) A completed Standard Form 424 which has been signed by an

official of the organization applying for the grant who has authority

to obligate the organization legally; [Note: The original SF-424 must

bear the original signature of the authorizing representative of the

applicant organization];

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

(e) A narrative budget justification for each object class category

required under Section B, SF-424A;

(f) Filled out, signed and dated Assurances--Non-Construction

Programs (SF-424B), Attachment B;

(g) Attachment C and D, setting forth the Federal requirements

concerning the drug-free workplace and debarment regulations with which

the applicant is certifying that it will comply, by signing and

submitting the SF-424.

(h) Certification Regarding Environmental Tobacco Smoke--Public Law

103-227, Part C--Environmental Tobacco Smoke, also known as the Pro-

Children Act of 1994 (Act), requires that smoking not be permitted in

any portion of any indoor facility owned or leased or contracted for by

an entity and used routinely or regularly for the provision of health,

day care, education, or library services to children under the age of

18, if the services are funded by Federal programs either directly or

through State or local governments, by Federal grant, contract, loan,

or loan guarantee. The law does not apply to children's services

provided in private residences, facilities funded solely by Medicare or

Medicaid funds, and portions of facilities used for inpatient drug or

alcohol treatment. Failure to comply with the provisions of the law may

result in the imposition of a civil monetary penalty of up to $1000 per

day and/or the imposition of an administrative compliance order on the

responsibile entity.

By signing and submitting this application the applicant/grantee

certifies that it will comply with the requirements of the Act. The

applicant/grantee further agrees that it will require the language of

this certification be included in any subawards which contain

provisions for children's services and that all subgrantees shall

certify accordingly.

(h) Restrictions on Lobbying--Certification for Contracts, Grants,

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

at Attachment F;

(i) Disclosure of Lobbying Activities, SF-LLL: Fill out, sign and

date form found at Attachment F, if appropriate;

(j) A project narrative that will include all of the following

components:

[Specific information/data required under each component is described

in Part VII, Criteria for Review and Evaluation of Applications.]

(1) Analysis of Need

(2) Organizational History and Management Capability

(3) Project Design

(4) Project Partnerships and Cooperative Arrangements

(5) Project Organization and Management

(6) Project Implementation Plans

(7) Significant and Beneficial Impact

(8) Third Party Project Evaluation Plan

(9) Budget Appropriateness and Match and,

(10) Appendices, including Maintenance of Effort Certification;

[[Page 19132]] partnership agreements signed by the partners; statement

regarding the date of incorporation; IRS letter on non-profit status,

where applicable; Business Plan, if applicable; Single Point of Contact

comments, if applicable and available; resumes; Certification Regarding

Lobbying; letters of match commitment or letters of intent; a current

listing of all sources of funds and projects operated in the

applicant's current operating year

The total number of pages for the narrative portion of the

application package must not exceed 50 pages, excluding Appendices.

Pages should be numbered sequentially throughout the application

package, excluding Appendices, beginning with the Proposal Abstract as

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

collaboration or substantive commitments to the project by

organizations other than partners with committed match. Such letters

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

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

Applications must be uniform in composition since it may be

necessary to duplicate them for review purposes. Therefore,

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

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

include organizational brochures or other promotional materials,

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

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

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

binder clip. The submission of bound applications, or applications

enclosed in binders is specifically discouraged.

6. Acknowledgement of Receipt

Applicants who meet the initial screening criteria outlined in Part

VIII, Section E, will receive an acknowledgement postcard with an

assigned identification number. Applicants are requested to supply a

self-addressed mailing label with their application which can be

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

priority area letter code (JE) must be referred to in all subsequent

communication concerning the application. If an acknowledgement is not

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

by telephone at (202) 401-9234.

C. Instructions for Completing ACF/OCS Application Package

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

0970-0062.]

The standard forms attached to this announcement shall be used to

apply for funds under this program announcement.

It is suggested that you reproduce single-sided copies of the SF-

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

prepare your application in accordance with instructions provided on

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

below:

A. SF-424--Application for Federal Assistance

Top of Page. Please enter the single priority area number (JE)

under which the application is being submitted.

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

considered Applications; there are no Pre-Applications.

Prepare your application in accordance with the standard

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

as well as the OCS specific instructions set forth below:

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

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

applicable.

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

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

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

listed as corresponding to the Employer Identification Number. Where

the applicant is a previous Department of Health and Human Services

grantee, enter the Central Registry System Employee Identification

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

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

right hand corner of the form.

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

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

Proof of non-profit status, such as IRS determination, Articles of

Incorporation, or By-laws, must be included as an appendix to the

project narrative.

Item 8. Type of Application--Please indicate the type of

application.

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

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

programs covered under this announcement are 93.647, the title is

SOCIAL SERVICES RESEARCH AND DEMONSTRATION, and 93.570, the title is

CSBG Discretionary Awards.

Item 11. In addition to a brief descriptive title of the project,

indicate the priority area for which funds are being requested. Use the

following letter designation:

JE--OCS/EPA Environmental Justice Initiative

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

units affected, such as State, county or city.

Item 13. Proposed Project--The ending date should be calculated

based on a 72-month project period.

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.

Item 15a. This amount should be no greater than the amount

specified under Part III, Legislative Authorities and Funding.

Item 15b-e. These items should reflect both cash and third-party,

in-kind contributions for the budget period requested.

Item 15f. N/A.

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

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

See instructions accompanying this form as well as the instructions

set forth below:

In completing these sections, the Federal Funds budget entries will

relate to the requested OCS funds only, and Non-Federal will include

mobilized funds from all other sources--applicant, state, local, and

other. Federal funds other than requested OCS funding should be

included in Non-Federal entries.

Sections A B, C and D of SF-424A should reflect budget estimates

for the first budget period (thirty-six months) of the project.

Section A--Budget Summary

Lines 1-4.

Col. (a):

Line 1--Enter Social Services Research and Demonstration.

Col. (b):

Line 1--Catalog of Federal Domestic Assistance number is 93.647.

Col. (c) and (d):

Columns (c) and (d) are not relevant to this program and should not

be completed.

Column (e)--(g):

For line 1, enter in columns (e), (f) and (g) the appropriate

amounts needed [[Page 19133]] to support the first 36 months of the

project (the operational phase of the program. (Maximum $500,000)

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

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

Section B--Budget Categories

Please Note: This information supersedes the instructions provided

following SF-424A.

Columns (1)--(5):

Column 1: Enter the first budget period of 12 months.

Column 2: Enter the second budget period of 12 months.

Column 3: Enter the third budget period of 12 months.

Column 4: Leave blank.

Column 5: Enter the total requirements for Federal funds by the

Object Class Categories of this section.

Allocability of costs are governed by the cost principles set forth

in OMB Circular A-122 and 45 CFR Part 74.

Budget estimates for national administrative costs must be

supported by adequate detail for the grants officer to perform a cost

analysis and review. Adequately detailed calculations for each budget

object class are those which reflect estimation methods, quantities,

unit costs, salaries, and other similar quantitative detail sufficient

for the calculation to be duplicated. For any additional object class

categories included under the object class other identify the

additional object class(es) and provide supporting calculations.

Supporting narratives and justifications are required for each

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

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

equipment purchases and training programs.

A detailed itemized budget with a separate budget justification for

each major item should be included as indicated below:

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

Justification: Identify the principal investigator or project

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

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

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

project. 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.

Justification: Provide a breakdown of amounts and percentages that

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

retirement insurance, taxes, etc.

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

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

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

number of trips, destinations, number of days, transportation costs and

subsistence allowances. Travel costs to attend two national workshops

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

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

personal property to be acquired by the project. Equipment means

tangible, non-expendable personal property having a useful life of more

than one year and an acquisition cost of $5000 or more per unit.

Justification: Only equipment required to conduct the project may

be purchased with Federal funds. The applicant organization or its

subgrantees must not have such equipment, or a reasonable facsimile,

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

plans for future use or disposal of the equipment after the project

ends. 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 above. (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.

Justification: Specify general categories of supplies and their

costs.

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

including (1) the estimated cost of the third-party evaluation

contract; travel costs for the chief evaluator to attend two national

workshops in Washington, D. C. should be included; (2) procurement

contracts (except those which belong on other lines such as equipment,

supplies, etc.) and (3) contracts with secondary recipient

organizations including delegate agencies and specific project(s) or

businesses to be financed by the applicant.

Justification: Attach a list of contractors, indicating the names

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

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

budget justification. Also provide back-up documentation identifying

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

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

the program to another agency, the applicant/grantee must submit

Sections A and B of this Form SF-424A, completed for each delegate

agency by agency title, along with the required supporting

information referenced in the applicable instructions. The total

costs of all such agencies will be part of the amount shown on Line

6f. Provide draft Request for Proposal in accordance with 45 CFR

Part 74. Free and open competition is encouraged for any procurement

activities planned using ACF grant funds. Prior approval is required

when applicants anticipate evaluation procurements that will exceed

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

(Note: Previous or past experience with contractor is not

sufficient justification for sole source.)

The applicant's procurement procedures should outline the type of

advertisement appropriate to the nature and anticipated value of the

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

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

announcements by professional associations.

Construction-Line 6g. Not applicable.

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 (noncontractual), fees and travel paid

directly to individual consultants, space and equipment rentals,

printing and publication, computer use, training costs, including

tuition and stipends, training service costs including wage payments to

individuals and supportive service payments, and staff development

costs.

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

6h.

Indirect Charges-Line 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 cognizant Federal agency. With the exception of

local governments, applicants should enclose a copy of the current rate

agreement if it was negotiated with a cognizant Federal agency other

than the Department of Health and Human Services. 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. Applicants

awaiting approval of their indirect cost proposals may also request

indirect costs. [[Page 19134]]

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.

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

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

expected program income generated from OCS support and income generated

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

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

narrative statement.

Justification: Describe the nature, source and anticipated use of

program income in the Program Narrative Statement.

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

items.

Section C--Non-Federal Resources

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

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

other than OCS funds. Therefore, mobilized funds from other Federal

programs 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. The

firm commitment of these resources must be documented and submitted

with the application in order to be given credit in the Public-Private

Partnerships criterion.

Except in unusual situations, this documentation must be in the

form of letters of commitment from the organization(s)/individuals from

which funds will be received.

Justification: Describe third-party, in-kind contributions, if

included.

Grant Program-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 (c): Enter the State contribution. If the applicant is a

State agency, enter the non-Federal funds to be contributed by the

State other than the applicant.

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

contributions to be made from all other sources.

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

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

Grant Program-Line 12.

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

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

5, column (f).

Section D--Forecasted Cash Needs

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

this grant, by quarter, during the first 12 month budget period.

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

sources needed by quarter during the first 12-month budget period.

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

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

Project(s)

For new 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).

Section F--Other Budget Information

Direct Charges-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:

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

individuals who are identified in the project narrative;

B. Any foreign travel;

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

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

of nonexpendable personal property provided on Line 6d, Section B. Need

for equipment must be supported in program narrative;

D. Contractual: major items or groups of smaller items; and

E. 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.

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

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 and attach

a copy of the rate agreement.

Remarks-Line 23. Provide any other explanations and continuation

sheets required or deemed necessary to justify or explain the budget

information.

C. SF-424B Assurances-Non-Construction

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

with the application.

Part IX--Post Award Information and Reporting Requirements

Following approval of the applications selected for funding, notice

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

made in writing. The official award document is the Financial

Assistance Award which provides the amount of Federal funds approved

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

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

project period for which support is contemplated.

Project directors and chief evaluators will be required to attend

two national evaluation workshops in Washington, D.C. A program

development and evaluation workshop will be scheduled shortly after the

effective date of the grant. They also will be required to attend, as

presenters, the final evaluation workshop on utilization and

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

Grantees will be required to submit semi-annual progress and

financial reports (SF-269) as well as a final progress and financial

report within 90 days of the expiration of the grant. Interim

evaluation reports, along with a written policies and procedures manual

based on the findings of the process evaluation, will be due 30 days

after the first twelve months, and the second interim evaluation 30

days after the second twelve months, and a final evaluation report will

be due 90 days after the expiration of the grant. This final report

will cover 36 months of activities related to project participants.

Reporting requirements for the remaining 36 months of the project

period will be provided during the solicitation of applications.

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

(non-profit organization) and OMB Circular A-133.

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

1989, imposes new prohibitions and requirements for disclosure and

[[Page 19135]] certification related to lobbying on recipients of

Federal contracts, grants, cooperative agreements, and loans. 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 non-appropriated 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 non-appropriated 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 F for certification and disclosure

forms to be submitted with the applications for this program and the

Discretionary Grants Program.

Attachment G indicates the regulations which apply to all

applicants/grantees under the Job Opportunities for Low-Income

Individuals Program.

Dated: March 29, 1995.

Donald Sykes,

Director, Office of Community Services.

Dated: March 31, 1995.

Lynn R. Goldman,

Assistant Administrator for Prevention, Pesticides, and Toxic

Substances.

Attachment A

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

Poverty

Size of family unit guideline

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

1995 Poverty Income Guidelines for All States (Except Alaska and Hawaii)

and the District of Columbia

1............................................................ $7,470

2............................................................ 10,030

3............................................................ 12,590

4............................................................ 15,150

5............................................................ 17,710

6............................................................ 20,270

7............................................................ 22,830

8............................................................ 25,390

For family units with more than 8 members, add $2,560 for each

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

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

Poverty Income Guidelines for Alaska

1............................................................ 9,340

2............................................................ 12,540

3............................................................ 15,740

4............................................................ 18,940

5............................................................ 22,140

6............................................................ 25,340

7............................................................ 28,540

8............................................................ 31,740

For family units with more than 8 members, add $3,200 for each

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

also, as can be seen in figures above.)

Poverty Guidelines for Hawaii

1............................................................ 8,610

2............................................................ 11,550

3............................................................ 14,490

4............................................................ 17,430

5............................................................ 20,370

6............................................................ 23,310

7............................................................ 26,250

8............................................................ 29,190

For family units with more than 8 members, add $2,940 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

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BILLING CODE 4184-01-C

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Instructions for the SF 424

This is a standard form used by applicants as a required

facesheet for preapplications and applications submitted for Federal

assistance. It will be used by Federal agencies to obtain applicant

certification that States which have established a review and

comment procedure in response to Executive Order 12372 and have

selected the program to be included in their process, have been

given an opportunity to review the applicant's submission.

Item and Entry

1. Self-explanatory.

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

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

3. State use only (if applicable).

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

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

project, leave blank.

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

which will undertake the assistance activity, complete address of

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

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

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency from which assistance is being

requested with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities).

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

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

contributions should be included on appropriate lines as applicable.

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

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

amounts in parentheses. If both basic and supplemental amounts are

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

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

15.

16. Applicants should contact the State Single Point of Contact

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

application is subject to the State intergovernmental review

process.

17. This questions 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-M

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BILLING CODE 4184-01-C

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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 where 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

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

show 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

[[Page 19141]] establish a proper accounting system in accordance

with generally accepted accounting standards or agency directives.

3. Will establish safeguards to prohibit employees from using

their positions for a purpose that constitutes or presents the

appearance of personal or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970

(42 U.S.C. Secs. 4728-4763) relating to prescribed standards for

merit systems for programs funded under one of the nineteen statutes

or regulations specified in Appendix A of OPM's Standards for a

Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).

6. Will comply with all Federal statutes relating to

nondiscrimination. These include but are not limited to: (a) Title

VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits

discrimination on the basis of race, color or national origin; (b)

Title IX of the Education Amendments of 1972, as amended (20 U.S.C.

Secs. 1681-1683, and 1685-1686), which prohibits discrimination on

the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,

as amended (29 U.S.C. Sec. 794), which prohibits discrimination on

the basis of handicaps; (d) the Age Discrimination Act of 1975, as

amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination

on the basis of age; (e) the Drug Abuse Office and Treatment Act of

1972 (P.L. 92-255), as amended, relating to nondiscrimination on the

basis of drug abuse; (f) the Comprehensive Alcohol Abuse and

Alcoholism Prevention, Treatment and Rehabilitation Act of 1970

(P.L. 91-616), as amended, relating to nondiscrimination on the

basis of alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the

Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3,

as amended, relating to confidentiality of alcohol and drug abuse

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

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

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

other nondiscrimination provisions in the specific statute(s) under

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

requirements of any other nondiscrimination statute(s) which may

apply to the application.

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

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

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

provide for fair and equitable treatment of persons displaced or

whose property is acquired as a result of Federal or federally

assisted programs. These requirements apply to all interests in real

property acquired for project purposes regardless of Federal

participation in purchases.

8. Will comply with the provisions of 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.

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

Signature of authorized certifying official

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

Title

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

Applicant organization

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

Date submitted

BILLING CODE 4184-01-M

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[GRAPHIC][TIFF OMITTED]TN14AP95.005

BILLING CODE 4184-01-C

[[Page 19144]]

Attachment D--Certification Regarding Debarment, Suspension, and Other

Responsibility Matters--Primary Covered Transactions

By signing and submitting this proposal, the applicant, defined

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from covered

transactions by any Federal Department or agency;

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

convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with

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

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

violation of Federal or State antitrust statutes or commission of

embezzlement, theft, forgery, bribery, falsification or destruction

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

(c) are not presently indicted or otherwise criminally or

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

with commission of any of the offenses enumerated in paragraph

(1)(b) of this certification; and

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

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

local) terminated for cause or default.

The inability of a person to provide the certification required

above will not necessarily result in denial of participation in this

covered transaction. If necessary, the prospective participant shall

submit an explanation of why it cannot provide the certification.

The certification or explanation will be considered in connection

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

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

prospective primary participant to furnish a certification or an

explanation shall disqualify such person from participation in this

transaction.

The prospective primary participant agrees that by submitting

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

Regarding Debarment, Suspension, Ineligibility, and Voluntary

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

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier proposal, the

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from

participation in this transaction by any federal department or

agency.

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

certify to any of the above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause entitled

``Certification Regarding Debarment, Suspension, Ineligibility, and

Voluntary Exclusion--Lower Tier Covered Transactions'' without

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

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

Arizona

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

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

Arkansas

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

Intergovernmental Services, Department of Finance and

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

Telephone (501) 682-1074

California

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

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

323-7480

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 the

Governor, 107 Stratton Building, Springfield, Illinois 62706,

Telephone (217) 782-1671

Indiana

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

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

Iowa

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

Department of Economic Development, 200 East Grand Avenue, Des

Moines, Iowa 50309, Telephone (515) 281-3725

Kentucky

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

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

Telephone (502) 564-2382

Maine

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

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

Maryland

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

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

2365, Telephone (301) 225-4490

Massachusetts

Karen Arone, State Clearinghouse, Executive Office of Communities

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

Massachusetts 02202, Telephone (617) 727-7001

Michigan

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

Lansing, Michigan 48909, Telephone (517) 373-7356

Mississippi

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

Management and Reporting, 301 West Pearl Street, Jackson,

Mississippi 39203, Telephone (601) 960-2174

Missouri

Ms. Lois Pohl, Federal Assistance Clearinghouse, Office of

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

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

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

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

Sparks, Clearinghouse Coordinator

New Hampshire

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

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

2\1/2\ Beacon Street, Concord, New Hampshire 03301, Telephone (603)

271-2155

New Jersey

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

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

0803, Telephone (609) 292-6613

Please direct correspondence and questions to:

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

Resources, CN 814, [[Page 19145]] Room 609, Trenton, New Jersey

08625-0803, Telephone (609) 292-9025

New Mexico

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

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

(505) 827-3640, FAX (505) 827-3006

New York

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

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

North Carolina

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

N.C. State Clearinghouse, 116 W. Jones Street, Raleigh, North

Carolina 27603-8003, Telephone (919) 733-7232

North Dakota

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

Assistance, Office of Management and Budget, 600 East Boulevard

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

Ohio

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

Coordinator, State Clearinghouse, Office of Budget and Management,

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

Telephone (614) 466-0698

Rhode Island

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

Department of Administration, Division of Planning, 265 Melrose

Street, Providence, Rhode Island 02907, Telephone (401) 277-2656

Please direct correspondence and questions to:

Review Coordinator, Office of Strategic Planning

South Carolina

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

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

South Carolina 29201, Telephone (803) 734-0494

Tennessee

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

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

Tennessee 37219, Telephone (615) 741-1676

Texas

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

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

Utah

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

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

Telephone (801) 538-1535

Vermont

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

Research and Coordination, Pavilion Office Building, 109 State

Street, Montpelier, Vermont 05602, Telephone (802) 828-3326

West Virginia

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

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

Virginia 25305, Telephone (304) 348-4010

Wisconsin

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

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

Wisconsin 53707, Telephone (608) 266-0267

Wyoming

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

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

7574

Guam

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

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

Telephone (671) 472-2285

Northern Mariana Islands

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

the Governor, Saipan, CM, Northern Mariana Islands 96950

Puerto Rico

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

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

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

Virgin Islands

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

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802

Please direct correspondence to:

Linda Clarke, Telephone (809) 774-0750

Attachment F--Certification Regarding Lobbying

Certification for Contracts, Grants, Loans, and Cooperative

Agreements

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

and belief, that:

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

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

influencing or attempting to influence an officer or employee of any

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

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

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

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

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

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

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

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

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

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

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

loan or cooperative agreement, the undersigned shall complete and

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

accordance with its instructions.

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

certification be included in the award documents for all subawards

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

grants, loans, and cooperative agreements) and that all

subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon

which reliance was placed when this transaction was made or entered

into. Submission of this certification is a prerequisite for making

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

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

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

more than $100,000 for each such failure.

State for Loan Guarantee and Loan Insurance

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

belief, that:

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

influencing or attempting to influence an officer or employee of any

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

an employee of a Member of Congress in connection with this

commitment providing for the United States to insure or guarantee a

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

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

instructions.

Submission of this statement is a prerequisite for making or

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

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

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

than $100,000 for each such failure.

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BILLING CODE 4184-01-M

[[Page 19146]]

[GRAPHIC][TIFF OMITTED]TN14AP95.006

BILLING CODE 4188-01-C

[[Page 19147]]

Attachment G--DHHS Regulations Applying to All Applicants/Grantees

Under the Job Opportunities for Low-Income Individuals and the

Discretionary Grants Programs

Title 45 of the Code of Federal Regulations:

Part 16--Department of Grant Appeals Process

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 from Eligibility for Financial

Assistance

Subpart F--Drug Free Workplace Requirements

Part 80--Non Discrimination Under Programs Receiving Federal

Assistance through the Department of Health and Human Services

Effectuation of Title VI of the Civil Rights Act of 1964

Part 81--Practice and Procedures for Hearings Under Part 80 of this

Title

Part 83--Non-discrimination on the basis of sex in the admission of

individuals to training programs

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

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

Services Programs or Activities Receiving Federal Financial

Assistance

Part 92--Uniform Administrative Requirements for Grants and

Cooperative Agreements to States and Local Governments (Federal

Register, March 11, 1988)

Part 93--New Restrictions on Lobbying

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

Services Programs and Activities

Attachment H--Certification Regarding Maintenance of Effort

The undersigned certifies that:

(1) activities funded under this program announcement are in

addition to, and not in substitution for, activities previously

carried on without Federal assistance.

(2) funds or other resources currently devoted to activities

designed to meet the needs of the poor within a community, area, or

State have not been reduced in order to provide the required

matching contributions.

When legislation for a particular block grant permits the use of

its funds as match, the applicant must show that it has received a

real increase in its block grant allotment and must certify that

other anti-poverty programs will not be scaled back to provide the

match required for this project.

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Attachment I--Checklist for Use in Submitting OCS Grant Applications

Job Opportunities for Low-Income Individuals (Optional)

The application should contain:

1. Table of Contents.

2. A completed, signed SF-424, Application for Federal

Assistance. The letter code for the priority area (JO) should be in

the lower right-hand corner of the page.

3. A completed SF-424A, Budget Information--Non-Construction.

4. A narrative budget justification for each object class

category required under Section B, SF-424A;

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

Programs (SF-424B);

6. The applicant should sign Attachments E and F. In so doing,

the applicant is certifying that it will comply with the Federal

requirements concerning the drug-free workplace and debarment

regulations set forth in Attachments E.

7. A signed copy of Certification Regarding Anti-Lobbying

Activities.

8. A completed Disclosure of Lobbying Activities, if applicable.

9. A Executive Summary--not to exceed 300 words;

10. A Project Narrative beginning with a Table of Contents that

describes the project in the following order:

(i) Eligibility Confirmation

(ii) Organization Experience and Staff Responsibilities

(iii) Analysis of Need

(iv) Project Design/Work Program

(v) Business Plan (If appropriate)

(vi) Third-Party Evaluation

(vii) Cooperative Partnership Agreement

(viii) Budget Appropriateness and Reasonableness

11. Appendices, including proof of non-profit status; proof that

the organization is a community development corporation, if applying

under the CDC Set-aside; a signed copy of the Cooperative

Partnership Agreement or letter of commitment with State IV-A agency

(JOBS Program); commitments from officials of businesses that will

be expanded or from franchises, where applicable; Single Point of

Contact comments, if applicable; Maintenance of Effort Certification

and resumes.

12. A self-addressed mailing label which can be affixed to a

postcard to acknowledge receipt of application.

Attachment J--Department of Health and Human Services, Administration

for Children and Families, Office of Family Assistance, Washington, DC

20447

Jobs Program Director

February 1994.

Alabama

Claire Ealy, Director, Office of Work and Training Services, Public

Assistance Division, S. Gordon Persons Building, 50 Ripley Street,

Montgomery, Alabama 36130, (205) 242-1950

Alaska

Charles Knittel, Work Programs Coordinator, Division of Public

Assistance, Department of Health and Social Service, P.O. Box

110640, Juneau, Alaska 99811-0640, (907) 465-3347

Arizona

Gretchen Evans, JOBS Program Director, Dept. of Economic Security,

P.O. Box 6123, Site Code 8011, Phoenix, Arizona 85005, (602) 542-

6310

Arkansas

Ken Whitlock, Deputy Director, Project SUCCESS, Department of Human

Services, P.O. Box 1437, Little Rock, Arkansas 72203, (501) 682-8375

California

Bruce Wagstaff, Chief, Employment and Immigrations Programs Branch,

Department of Social Services, 744 P Street M/S 6-700, Sacramento,

California 95814, (916) 657-2367

Colorado

Bob Henson, Director, Work Programs, Department of Social Services,

1575 Sherman Street, Denver, Colorado 80203, (303) 866-2643

Connecticut

Dawn Homer-Bouthiette, Planning Supervisor, Job Connection,

Department of Social Services, 110 Bartholomew Avenue, Hartford,

Connecticut 06106, (203) 566-7125

Delaware

Rebecca Varella, Chief Administrator, Employment and Training,

Division of Social Services, P.O. Box 906, New Castle, Delaware

19720, (302) 577-4451

District of Columbia

Shari Curtis, Chief, Bureau of Training and Employment, Department

of Human Services, 33 N Street N.E., Washington, D.C. 20001, (202)

727-1293

Florida

Reggis Smith, Chief, Benefit Recovery and Special Programs,

Department of Health and Rehabilitative Services, 1317 Winewood

Boulevard, Bldg 6, Tallahassee, Florida 32399-0700, (904) 487-2966

Georgia

Sylvia Elam, Chief, Employment Services Unit, Division of Family and

Children Services, Department of Human Resources, 2 Peachtree St.,

14th Floor, Room 402, Atlanta, Georgia 30303, (404) 657-3737

Guam

Diana Calvo, Social Services Supervisor, Department of Public Health

and Social Services, P.O. Box 2816, Agana, Guam 96910, (011-671)

734-7286

Hawaii

Garry Kemp, Special Assistant to the Director, Department of Human

Services, P.O. Box 339, Honolulu, Hawaii 96809, (808) 586-

7054 [[Page 19148]]

Idaho

Kathy James, Acting Bureau Chief, Bureau of Family Self Support,

Department of Health and Welfare, 450 West State Street, Boise,

Idaho 83720, (208) 334-5704

Illinois

Karan Maxson, Administrator, Division of Planning and Community

Services, Department of Public Aid, 100 S. Grand, 2nd Floor,

Springfield, Illinois 62762 (217) 785-3300

Indiana

Thomas Reel, Program Manager, IMPACT, Department of Public Welfare,

402 W. Washington, W. 363, Indianapolis, Indiana 46204, (317) 232-

2002

Iowa

Doug Howard, Coordinator, Employment and Training Programs,

Department of Human Services, Fifth Floor, Hoover State Office

Building, Des Moine, Iowa 50319, (515) 281-8629

Kansas

Phyllis Lewin, Director, Employment Preparation Services, Department

of Social and Rehabilitation Services, 300 S.W. Oakley, West Hall,

Topeka, Kansas 66606, (913) 296-4276

Kentucky

Sharon Perry, Assistant Director, Center for Program Development,

Department of Social Insurance, Cabinet for Human Resources, 275 E.

Main Street, Frankfurt, Kentucky 40621, (502) 564-3703

Louisiana

Howard Prejean, Assistant Secretary, Department of Social Services,

Office of Eligibility Determination, P.O. Box 3776, Baton Rouge,

Louisiana 70821, (504) 342-4953

Maine

Barbara Van Burgel, ASPIRE Coordinator, Bureau of Income

Maintenance, Department of Human Services, Statehouse Station #11,

32 Winthrop St., Augusta, Maine 04333, (207) 289-3106

Maryland

Charlene Gallion, Acting Executive Director, Office of Project

Independence Management, Department of Human Services, Room 745, 311

W. Saratoga Street, Baltimore, Maryland 21201, (410) 333-0837

Massachusetts

John Buonomo, Director, Massachusetts JOBS Program, Department of

Public Welfare, 600 Washington St., Boston, Massachusetts 02111,

(617) 348-5931

Michigan

Alex D. Hawkins, Director, Job Skills Development Group, Michigan

Jobs Commission, 201 North Washington Square, Third floor, Victor

Centre, Lansing, Michigan 48913, (517) 373-7382

Minnesota

Bonnie Baker, Supervisor, Program Development, Department of Human

Services, 444 Lafayette Road, St. Paul, Minnesota 55155, (612) 296-

2499

Mississippi

Jean Temple, Director, JOBS Branch, Office of Children and Youth,

Department of Human Services, 421 W. Pascagoula, Jackson,

Mississippi 29302, (601) 359-4855

Missouri

Richard Koon, FUTURES Program Director, Income Maintenance, Division

of Family Services, 72728 Plaza Drive, P.O. Box 88, Jefferson City,

Missouri 65103, (314) 751-3124

Montana

Marylis Filipovich, Bureau Chief, Program and Policy, Department of

Social and Rehabilitation Services, P.O. Box 4210, Helena, Montana

59604, (406) 444-4540

Nebraska

Margaret Hall, Public Assistance Administrator, Public Assistance

Division, Department of Social Services, 301 Centennial Mall South,

P.O. Box 95026, Lincoln, Nebraska 68509, (402) 471-3121

Nevada

John Alexander, Employment and Training Coordinator, Nevada State

Welfare Division, Capitol Complex, 2527 North Carson Street, Carson

City, Nevada 89710, (702) 687-4143

New Hampshire

Arthur Chicaderis, JOBS Administrator, Employment Support Services,

Office of Economic Services, Division of Human Services, Department

of Health and Human Services, 6 Hazen Drive, Concord, New Hampshire

03301-6521, (603) 271-4249

New Jersey

Marion E. Reitz, Director, Division of Family Development,

Department of Human Services, CN 716, Trenton, New Jersey 08625,

(609) 588-2401

New Mexico

Bill Dunbar, Acting Director, Income Support Division, Department of

Human Services, P.O. Box 2348, Santa Fe, New Mexico 87500, (505)

827-7252

New York

Jack Ryan, Director, Bureau of Employment Programs, Department of

Social Services, 40 North Pearl Street, Albany, New York 12243,

(518) 473-8744

North Carolina

Lucy Burgess, Chief, Employment Programs Section, Department of

Human Resources, 325 North Salisbury Street, Raleigh, North Carolina

27611, (919) 733-2873

North Dakota

Gloria House, JOBS Coordinator, Director of Public Assistance,

Department of Human Services, State Capitol, New Wing, 3rd Floor,

Bismark, North Dakota 58505, (701) 224-4001

Ohio

Mary L. Harris, Deputy Director, Family Support and JOBS, Department

of Human Services, State Office Tower, 31st Floor, 30 East Broad

Street, Columbus, Ohio 43266-0423, (614) 466-3196

Oklahoma

Raymond Haddock, Division Administrator, Family Services Division,

Department of Human Services, P.O. Box 25352, Oklahoma City,

Oklahoma 73125, (405) 521-3076

Oregon

Debbi White, JOBS Program Manager, Adult and Family Services

Division, Human Resource Bldg., 2nd Floor, Salem, Oregon 97310-1013,

(503) 945-6127

Pennsylvania

David Florey, Director, Bureau of Employment and Training Program,

Department of Public Welfare, P.O. Box 2675, Harrisburg,

Pennsylvania 17105, (717) 787-8613

Puerto Rico

Migdalia Marrero, Special Asst. to Secretary, SOSEDF, Isla Grande,

Building #10, P.O. Box 11398, Santurce, Puerto Rico 00910, (809)

722-2863

Rhode Island

Sherry Campanelli, Associate Director, Community Services,

Department of Human Services, 600 New London Avenue, Cranston, Rhode

Island 02920, (401) 464-2423

South Carolina

Hiram Spain, Executive Assistant for Self-Sufficiency, Department of

Social Services, P.O. Box 1520, Columbia, South Carolina 29202,

(803) 737-5937

South Dakota

Julie Osnes, Administrator, Office of Family Independence,

Department of Social Services, Richard F. Kneip Building, Pierre,

South Dakota 57501, (605) 773-3493

Tennessee

Wanda Moore, Director of Program Services, Department of Human

Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37219,

(615) 741-6953

Texas

Irma Bermea, Deputy Commissioner, Department of Human Services, Mail

Code 521E, P.O. Box 2960, Austin, Texas 78769, (512) 450-3011

Utah

Helen Thatcher, Assistant Director, Office of Family Support,

Department of Human Services, 120 North 200 West, Salt Lake City,

Utah 84145-0500, (801) 538-8231

Vermont

Steve Gold, Director, REACH-UP Program, Department of Social

Welfare, State Office Building, 103 South Main Street, Waterbury,

Vermont 05676, (802) 241-2800

Virgin Islands

Ermin Boshulte, Director, Public Assistance Programs, Department of

Human Services, [[Page 19149]] Financial Programs Division, Knud

Hansen Complex--Building A, 1303 Hospital Ground, Charlotte Amalie,

V.I. 00802, (809) 774-4673

Virginia

David Olds, Program Manager, Employment Services, Department of

Social Services, 730 E. Broad St., 2nd Floor, Richmond, Virginia

23219-1849, (804) 692-1229

Washington

Lee Todorovich, Acting Assistant Director, Division of Income

Assistance, Department of Social and Health Services, P.O. Box

45400, Olympia, Washington 98504-5400, (206) 438-8350

West Virginia

Sharon Paterno, Director, Division of Work and Training, Department

of Health and Human Services, Building 6, State Office Complex,

Charleston, West Virginia 25305, (304) 558-3186

Wisconsin

Jean Rogers, Administrator, Division of Economic Support, Department

of Health and Social Services, P.O. Box 7935, 1 West Wilson Street,

Madison, Wisconsin 53707-7935, (608) 266-3035

Wyoming

Kirk McKinney, JOBS Coordinator, Self-Sufficiency Division,

Department of Family Services, Hathaway Building, Rm 347, 2300

Capitol Avenue, Cheyenne, Wyoming 82002-0710, (307) 777-6849

Attachment K--Certification Regarding Environmental Tobacco Smoke

Public Law 103-227, Part C--Environmental Tobacco Smoke, also

known as the Pro-Children Act 1994 (Act), requires that smoking not

be permitted in any portion of any indoor routinely owned or leased

or contracted for by an entity and used routinely or regularly for

provision of health, day care, education, or library services to

children under the age of 18, if the services are funded by Federal

programs either directly or through State or local governments, by

Federal grant, contract, loan, or loan guarantee. The law does not

apply to children's services provided in private residences,

facilities funded solely by Medicare or Medicaid funds, and portions

of facilities used for inpatient drug or alcohol treatment. Failure

to comply with the provisions of the law may result in the

imposition of a civil monetary penalty of up to $1000 per day and/or

the imposition of an administrative c

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