Request for Applications Under the Office of Community Services' Fiscal Year 1996 Job Opportunities for Low-Income Individuals Program (Demonstration Projects)

SUMMARY: The Administration for Children and Families (ACF), Office of

Community Services (OCS), announces that, based on availability of

funds, competing applications will be accepted for new grants pursuant

to the Secretary's discretionary authority under section 505 of the

Family Support Act of 1988, as amended.

CLOSING DATE: The closing date for receipt of applications is August 2,

1996. (See Part V B. Application Submission)

FOR FURTHER INFORMATION CONTACT: Office of Community

Services,Administration for Children and Families,370 L'Enfant

Promenade S.W., Washington, D.C. 20447. Contact: Nolan Lewis (202) 401-

5282; Richard Saul (202) 401-9341; Michelle Brookens (202) 401-1466.

This Announcement is accessible on the OCS Electronic Bulletin

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

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

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

401-5309.

Table of Contents

Part I--Preamble

A. Legislative Authority

B. Definition of Terms

C. Purpose

Part II--Background Information and Program Requirements

A. Eligible Applicants

B. Project and Budget Periods

C. Availability of Funds and Grant Amounts

D. Mobilization of Resources

E. Program Participants/Beneficiaries

F. Prohibition and Restrictions on the Use of Funds

G. Multiple Submittals

H. Refunding

I. Sub-Contracting or Delegating Projects

J. Maintenance of Effort

Part III--Application Requirements and Priority Areas

A. Program Focus

B. Creation of Jobs and Employment Opportunities

C. Cooperative Partnership Agreement with State IV-A Agency (JOBS

Program)

D. Third-Party Project Evaluation

E. Economic Development Strategy

F. Training and Support for Micro-Business Development

G. Training for JOBS Eligible Participants

H. Technical Assistance to Employers

I. Applicant Experience and Cost per Job

J. Loan Funds

K. Dissemination of Project Results

L. General Projects 1.0 and Community Development Corporations Set-

aside 2.0

Part IV--Application Elements and Review Criteria

Program Elements and Criteria for Review and Assessment of

Applications in Priority Areas 1.0 and 2.0

Part V--Application Procedures and Selection Process

A. Availability of Forms

B. Application Submission

C. Intergovernmental Review

D. Application Consideration

E. Criteria for Screening Applications

Part VI--Instructions For Completing Application Forms

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

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

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

Part VII--Contents of Application and Receipt Process

A. Contents and Order of Application

B. Acknowledgement of Receipt

Part VIII--Post Award Information and Reporting Requirements

A. Notification of Grant Award

B. Attendance at Evaluation Workshops

C. Reporting Requirements

D. Audit Requirements

E. Prohibitions and Requirements with Regard to Lobbying

F. Applicable Federal Regulations

Part I--Preamble

A. Legislative Authority

The Senate Committee on Appropriations, in Senate Report No. 104-

236, 104th Congress, 2nd Session, to accompany S. 1594, consolidates

funding for job creation demonstration activities authorized under

section 505 of the Family Support Act of 1988, Pub. L. 100-485, as

amended, with the Community Economic Development Program in the Office

of Community Services. Section 505 of the Family Support Act of 1988

authorizes the Secretary of HHS to enter into agreements with not less

than 5 nor more than 10 non-profit organizations (including community

development corporations) for the purpose of conducting demonstration

projects to create employment and business opportunities for certain

low-income individuals. The Social Security Act Amendments of 1994,

Public Law 103-432, reauthorized Section 505 of the Family Support Act

of 1988 through Fiscal Year 1996, and amended subsection (e) so as to

change the project period from three to six years. (See Part II,

below.)

B. Definition of Terms

For purposes of this Program Announcement the following definitions

apply:

--Budget Period: The interval of time into which a multi-year period of

assistance (project period) is divided for budgetary and funding

purposes.

--Community-Level Data: Key information to be collected by each grantee

that will allow for a national-level analysis of common features of

JOLI projects. This includes data on the population of the target area,

including the percentage on AFDC and other public assistance, and the

percentage whose incomes fall below the poverty line; the unemployment

rate; the number of new business starts and business closings; and a

description of the major employers and average wage rates and

employment opportunities with those employers.

--Community Development Corporation: A private, locally initiated,

nonprofit entity, governed by a board consisting of residents of the

community and business, civic leaders, and/or public officials which

has a record of implementing economic development projects or whose

Articles of Incorporation and/or By-Laws indicate that it has a focus

in the area of economic development.

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

should assert a cause-and-effect relationship between a program

intervention and its expected result. Both the intervention and result

must be measured in order to confirm the hypothesis. For example, the

following is a hypothesis: ``Eighty hours of classroom training in

small business planning will be sufficient for participants to prepare

a successful loan application.'' In this example, data would be

obtained on the number of hours of training actually received by

participants (the intervention), and the quality of loan applications

(the result), to determine the validity of the hypothesis (that

[[Page 27951]]

eighty hours of training is sufficient to produce the result).

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

to produce changes in the target population and/or the environment and

that can be formally evaluated. For example, assistance in the

preparation of a business plan and loan package are planned

interventions.

--Job Creation: To bring about, by activities and services funded under

this program, new jobs, that is, jobs that were not in existence before

the start of the project. These activities can include self-employment/

micro-enterprise training, the development of new business ventures or

the expansion of existing businesses.

--Non-profit Organization: Any organization (including a community

development corporation) 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.

--Outcome Evaluation: An assessment of project results as measured by

collected data which define the net effects of the interventions

applied in the project. An outcome evaluation will produce and

interpret findings related to whether the interventions produced

desirable changes and their potential for replicability. It should

answer the question, Did this program work?

--Private employers: Third-party private non-profit organizations or

third-party for-profit businesses operating or proposing to operate in

the same community as the applicant and which are proposed or potential

employers of project participants.

--Process Evaluation: The ongoing examination of the implementation of

a program. It focuses on the effectiveness and efficiency of the

program's activities and interventions (for example, methods of

recruiting participants, quality of training activities, or usefulness

of follow-up procedures). It should answer questions such as: Who is

receiving what services?, and are the services being delivered as

planned? It is also known as formative evaluation because it gathers

information that can be used as a management tool to improve the way a

program operates while the program is in progress. It should also

identify problems that occurred and how they were dealt with and

recommend improved means of future implementation. It should answer the

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

outcome evaluation, it should also help explain, ``Why did this program

work/not work?''

--Program Participant/Beneficiary: Any individual eligible to receive

Aid to Families with Dependent Children under Part A of Title IV of the

Social Security Act and any other individual whose income level does

not exceed 100 percent of the official poverty line as found in the

most recent Annual Revision of Poverty Income Guidelines published by

the Department of Health and Human Services. (See Attachment A.)

--Project Period: The total time a project is approved for support,

including any extensions.

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

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

assistance.

C. Purpose

The purpose of this program is to demonstrate and evaluate ways of

creating new employment and business opportunities for certain low-

income individuals through the provision of technical and financial

assistance to private employers in the community, self-employment/

micro-enterprise programs and/or new business development programs. A

low-income individual eligible to participate in a project conducted

under this program is any individual eligible to receive Aid to

Families with Dependent Children (AFDC) under Part A of Title IV of the

Social Security Act or any other individual whose income level does not

exceed 100 percent of the official poverty line. (See Attachment A.)

Within these categories, emphasis should be on individuals who are

receiving AFDC or its equivalent under State auspices; those who are

unemployed; those residing in public housing or receiving housing

assistance; and those who are homeless.

Part II--Background Information and Program Requirements

A. Eligible Applicants

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. Applicants must provide documentation of

their tax exempt status. The applicant can accomplish this by providing

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

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

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

IRS tax exemption certificate. Failure to provide evidence of Section

501(c) (3) or (4) tax exempt status will result in rejection of the

application.

B. Project and Budget Periods

As noted above, the Social Security Act Amendments of 1994 which

reauthorized the JOLI program also lengthened the project duration from

a 3-year period to a 6-year period. The six year project period applies

only to grant awards made in Fiscal Year 1995 and thereafter. However,

as in Fiscal Year 1995, grants made pursuant to this announcement will

be for ``budget periods of three years'', covering the basic work

program. This 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 but within the six (6) year

project period will be entertained in subsequent years on a non-

competitive basis. Continuation grants will be for a modest amount

commensurate with the reduced level of effort, and subject to: (1) The

availability of funds, (2) satisfactory progress of the grantee, and

(3) determination by OCS that this would be in the best interest of the

government.

C. Availability of Funds and Grant Amounts

Approximately $5,000,000 is available in FY 1996 for new grants

pursuant to this Announcement. The Office of Community Services expects

to award no less than 5 and no more than 10 grants to selected

organizations by September 30, 1996. Grants will be for a maximum of

$500,000 each for the first 36-month budget period.

D. Mobilization of Resources

OCS will give favorable consideration in the review process to

applicants who mobilize cash and/or third-party in-kind contributions

for direct use in the project. (See Part IV, Element V.)

E. Program Participants/Beneficiaries

Projects proposed for funding under this announcement must result

in direct benefits to low-income people as defined in the most recent

Annual Revision of Poverty Income Guidelines

[[Page 27952]]

published by DHHS and individuals eligible to receive AFDC under Part A

of Title IV of the Social Security Act.

Attachment A to this announcement is an excerpt from the guidelines

currently 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. They also are accessible on the OCS Electronic

Bulletin Board for reading and/or downloading. (See For Further

Information at beginning of this announcement.)

No other government agency or privately-defined poverty guidelines

are applicable for the determination of low- income eligibility for

this program.

F. 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 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 D: 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.

G. Multiple Submittals

Due to the limited number of grants that will be made under this

program, only one proposal from an eligible applicant will be funded by

OCS from FY 1996 JOLI funds pursuant to this announcement (Program

areas 1.0 and 2.0).

H. Re-funding

OCS will not re-fund a previously funded grantee to conduct the

same demonstration in the same target area.

I. Sub-Contracting or Delegating Projects

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

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

a third party without performing a substantive role itself. This

prohibition does not bar subcontracting or subgranting for specific

services or activities needed to conduct the project.

J. 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 out without Federal

assistance.

Part III--Application Requirements and Priority Areas

A. Program Focus

The Congressional Conference Report on the FY 1992 appropriations

for the Department of Labor, Health and Human Services, and Education

and related agencies directed the ACF to require economic development

strategies as part of the application process to ensure that highly

qualified organizations participate in the demonstration [H.R. Conf.

Rep. No. 282, 102d Cong., 1st Sess. 39 (1991)].

Priority will be given to applications proposing to serve those

areas containing the highest percentage of individuals receiving Aid to

Families with Dependent Children (AFDC) under Title IV-A of the Social

Security Act.

While projected employment in future years may be included in the

application, it is essential that the focus of the project concentrate

on the creation of new full-time, permanent jobs and/or new business

development opportunities for AFDC recipients and other low-income

individuals during the duration of the grant project period. OCS is

particularly interested in receiving proposals in two areas:

1. Local Initiative. In the spirit of ``local initiative'' OCS

looks forward to innovative proposals that grow out of the experience

and creativity of applicants and the needs of their clientele and

communities.

Applicants should include strategies which seek to integrate

projects financed and jobs created under this program into a larger

effort of broad community revitalization which will promote job and

business opportunities for eligible program participants and impact the

overall economic environment.

OCS will only fund projects that create new employment and/or

business opportunities for eligible program participants. That is, new

full-time permanent jobs through the expansion of a pre-identified

business or new business development, or by providing opportunities for

self-employment. In addition, projects should enhance the participants'

abilities and skills and thus contribute to their progress toward self-

sufficiency.

2. Some Suggested Areas That Can Provide Jobs and Careers for AFDC

Recipients In Response to Welfare Reform. With national Welfare Reform

on the horizon, and many States already implementing ``welfare-to-

work'' programs, the need for well-paying jobs with career potential

for AFDC recipients becomes ever more pressing. In this context, the

role of JOLI as a vehicle for exploring new and promising areas of

employment opportunity for the poor is more important than ever.

Within the JOLI Program framework of job creation through new or

expanding businesses or self-employment, OCS would welcome proposals

offering business or career opportunities to eligible participants in a

variety of fields. For instance, these might include Day Care, which is

not only an opportunity for employment, but when not available can be a

serious barrier to employment for AFDC recipients; Environmental

Justice initiatives involving activities such as toxic waste clean-up,

water quality management, or Brownfields remediation; health-related

jobs such as Home Health Aides or medical support services; and non-

traditional jobs for women and minorities.

For example, as in FY 1995, OCS is again interested in funding

projects which seek to create non-traditional employment opportunities

for women and minorities in highway construction and maintenance, an

industry in which a serious worker shortage is expected in many parts

of the country. As noted below, OCS has determined that these non-

traditional employment opportunities in highway construction meet the

job creation requirements of the JOLI program.

Approximately $20 billion a year goes to States for highway

construction and repair, creating over 270,000 jobs with State Highway

Agencies and more than 500,000 jobs with contractors. The Office of

Civil Rights of the Federal Highway Administration (FHWA), in

conjunction with the Department of

[[Page 27953]]

Labor and the Women's Bureau, is seeking ways to increase participation

by minorities and women in this growing labor market, and is prepared

to assist applicants in contacting appropriate State transportation

officials to explore establishing agreements with State and local

officials, Labor Unions, and Contracting Associations. Applicants

seeking further information about the efforts being undertaken by the

FHWA, such as its training efforts and the OJT supportive services

program, should contact the appropriate FHWA Regional Civil Rights

Director. (See Attachment M.)

B. Creation of Jobs and Employment Opportunities

The requirement for creation of new, full-time permanent employment

opportunities (jobs) applies to all applications. OCS has determined

that creation of non-traditional job opportunities for women and

minorities in highway construction and maintenance meets the

requirements of the JOLI legislation for the creation of new employment

opportunities. OCS continues to solicit other JOLI applications to

propose the creation of jobs through the expansion of existing

businesses, the development of new businesses, or the creation of

employment opportunities through self-employment/microenterprise

development.

Proposed projects must show that the jobs and/or business/self

employment opportunities to be created under this program will

contribute to achieving self-sufficiency among the target population.

The employment opportunities should provide hourly wages that exceed

the minimum wage and also provide benefits such as health insurance,

child care, and career development opportunities.

C. Cooperative Partnership Agreement with State IV-A Agency (JOBS

Program)

A formal, cooperative relationship between the applicant and the

agency responsible for administering the Job Opportunities and Basic

Skills Training (JOBS) program (as provided for under title IV-A of the

Social Security Act) in the area served by the project is a requirement

for funding. The application must include a signed, written agreement

between the applicant and the local State IV-A (public welfare) agency

administering the JOBS program, or a letter of commitment to such an

agreement within 6 months of a grant award (contingent only on receipt

of OCS funds). The agreement must describe the cooperative

relationship, including specific activities and/or actions each of

these entities propose to carry out over the course of the grant period

in support of the project.

The agreement, at a minimum, must cover activities that will be

provided to the target population and which are related to one or more

of the mandatory or optional components offered by the appropriate

State's JOBS program. The mandatory activities offered by the States'

JOBS programs consist of the following components and services: Basic

educational activities (below secondary level i.e. H.S., GED, ESL; job

skills training; job readiness activities; job development and job

placement; childcare; and other supportive services (45 CFR 250.44 and

255.0). The optional services offered by the States' JOBS programs must

include two (2) of the following components of group and individual job

search assistance: on-the-job-training experience; work

supplementation; or community work experience (45 CFR 250.45). (See

Attachment I for a list of the State IV-A agencies.)

D. Third-Party Project Evaluation

Proposals must include provision for an independent,

methodologically sound evaluation of the effectiveness of the

activities carried out with the grant and their efficacy in creating

new jobs and business opportunities. There must be a well defined

Process Evaluation, and an Outcome Evaluation whose design will permit

tracking of project participants throughout the second 36 months of the

project. The evaluation must be conducted by an independent evaluator,

i.e., a person with recognized evaluation skills who is

organizationally distinct from, and not under the control of, the

applicant. It is important that each successful applicant have a third-

party evaluator selected, and performing at the very latest by the time

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

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

program, in order to assure that data necessary for the evaluation will

be collected and available.

E. Economic Development Strategy

As noted above, the Congress, in the Conference Report on the FY

1992 appropriation, directed ACF to require economic development

strategies as part of the application process for JOLI to ensure that

highly qualified organizations participate in the demonstration.

Accordingly, 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, such as that required for applying for

Empowerment Zones/Enterprise Community (EZ/EC) status, to achieve both

economic and human development in an integrated manner, and how the

proposed project supports the goals of that plan. (See Part IV, Sub-

Element III(b).)

F. Training and Support for Micro-Business Development

In the case of proposals for creating self-employment micro-

business opportunities for eligible participants, the applicant must

detail how it will provide training and support services to potential

entrepreneurs. The assistance to be provided to potential entrepreneurs

must include, at a minimum: (1) Technical assistance in basic business

planning and management concepts, (2) assistance in preparing a

business plan and loan application, and (3) access to business loans.

G. Training for JOBS Eligible Participants

Any funds that are used for training participants who are AFDC

recipients and therefore eligible for JOBS support must be limited to

providing specific job-related training to those who have been selected

for employment (expansion of an existing business, new business venture

or non-traditional employment) and/or self-employment business

opportunities. Where participants are not receiving AFDC and are

therefore not eligible for JOBS support, project funds may be used to

provide basic skills training and other support services.

H. Technical Assistance to Employers

Technical assistance should be specifically addressed to the needs

of the private employer in creating new jobs to be filled by eligible

individuals and/or to the individuals themselves in areas such as job-

readiness, literacy and other basic skills training, job preparation,

self-esteem building, etc. Financial assistance may be provided to the

private employer as well as to the individual.

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 to create the planned jobs must be

included with the application.

[[Page 27954]]

I. Applicant Experience and Cost-Per-Job

In the review process, favorable consideration will be given to

applicants with a demonstrated record of achievement in promoting job

and enterprise opportunities for low-income people. Favorable

consideration also will be given to those applicants who show the

lowest cost-per-job created for low-income individuals. For this

program, OCS views $15,000 in OCS funds as the maximum amount for the

creation of a job and, unless there are extenuating circumstances, will

not fund projects where the cost-per-job in OCS funds exceeds this

amount. Only those jobs created and filled by low-income people will be

counted in the cost-per-job formula. (See Part IV, Sub-Element III(c))

J. Loan Funds

The creation of a revolving loan fund with funds received under

this program is an allowable activity. However, OCS encourages the use

of funds from other sources for this purpose. Points will be awarded in

the review process to those applicants who leverage funds from other

sources. (See Part IV, Element V.) Loans made to eligible beneficiaries

for business development activities must be at or below market rate.

(Note: Interest accrued on revolving loan funds may be used to

continue or expand the activities of the approved project.)

K. Dissemination of Project Results

Applications should include a plan for disseminating the results of

the project after expiration of the grant period. Applicants may budget

up to $2,000 for dissemination purposes. Final Project Reports should

include a description of dissemination activities with copies of any

materials produced.

L. General Projects 1.0 and Community Development Corporations Set-

Aside 2.0

The Office of Community Services expects to award approximately $5

million by September 30, 1996 for new grants under this announcement:

$4 million for General Projects 1.0, and $1 million set-aside for

Community Development Corporations 2.0. (For definition of Community

Development Corporation, see Part I, Section B.)

The same purposes, requirements and prohibitions are applicable to

proposals submitted under both General Projects 1.0. and Community

Development Corporations Set-Aside 2.0.

Applications for the set-aside funds which are not funded due to

the limited amount of funds available will also be considered

competitively within the larger pool of eligible applicants.

Part IV--Application Elements and Review Criteria

Applications which pass the pre-rating review will be assessed and

scored by reviewers. Each reviewer will give a numerical score for each

application reviewed. These numerical scores will be supported by

explanatory statements on a formal rating form describing major

strengths and weaknesses under each applicable criterion published in

the announcement.

The in-depth assessment and review process will use the following

criteria coupled with the specific requirements described in Part III.

Scoring will be based on a total of 100 points.

The ultimate goals of the projects to be funded under the JOLI

Program are: (1) To achieve, through project activities and

interventions, the creation of employment opportunities for AFDC

recipients and other low-income individuals which can lead to economic

self-sufficiency of members of the communities served; (2) to evaluate

the effectiveness of these interventions and of the project design

through which they were implemented; and (3) thus to make possible the

replication of successful programs. As noted here, OCS intends to make

the awards of all the above grants on the basis of brief, concise

applications. The elements and format of these applications, along with

the review criteria that will be used to evaluate them, will be

outlined in this Part.

In order to simplify the application preparation and review

process, OCS seeks to keep grant proposals cogent and brief.

Applications with project narratives (excluding appendices) of more

than 30 letter-sized pages of 12 c.p.i. type or equivalent on a single

side will not be reviewed for funding. Applicants should prepare and

assemble their project description using the following outline of

required project elements. They should, furthermore, build their

project concept, plans, and application description upon the guidelines

set forth for each of the project elements.

For each of the Project Elements or Sub-Elements below there is at

the end of the discussion a suggested number of pages to be devoted to

the particular element or sub-element. These are suggestions only; but

the applicant must remember that the overall Project Narrative cannot

be longer than 30 pages.

The competitive review of proposals will be based on the degree to

which applicants:

(1) Incorporate each of the Elements and Sub-Elements below into

their proposals, so as to:

(2) Describe convincingly a project that will develop new

employment or business opportunities for AFDC recipients and other low

income individuals that can lead to a transition from dependency to

economic self-sufficiency; and

(3) Provide for the testing and evaluation of the project design,

implementation, and outcomes so as to make possible replication of a

successful program.

Element I: Organizational Experience in Program Area and Staff Skills,

Resources and Responsibilities

(Total Weight of 0-20 points in proposal review)

Sub-Element I(a). Agency's Experience and Commitment in Program Area

(Weight of 0-10 points in proposal review)

Applicants should cite their organization's capability and relevant

experience in developing and operating programs which deal with poverty

problems similar to those to be addressed by the proposed project. They

should also cite the organization's experience in collaborative

programming and operations which involve evaluations and data

collection. Applicants should identify agency executive leadership in

this section and briefly describe their involvement in the proposed

project and provide assurance of their commitment to its successful

implementation.

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. The application should note and justify the priority that

this project will have within the agency including the facilities and

resources that it has available to carry it out. Applicants should use

no more than 2 pages for this Sub-Element.

[Note: The maximum number of points will be given only to those

organizations with a demonstrated record of achievement in promoting

job creation and enterprise opportunities for low-income people.]

Sub Element I(b). Staff Skills, Resources and Responsibilities

(Weight of 0-10 points in proposal review)

The application must identify the two or three individuals who will

have the

[[Page 27955]]

key responsibility for managing the project, coordinating services and

activities for participants and partners, and for achieving performance

targets. The focus should be on the qualifications, experience,

capacity and commitment to the program of the Executive Officials of

the organization and the key staff persons who will administer and

implement the project. The person identified as Project Director should

have supervisory experience, experience in finance and business, and

experience with the target population. Because this is a demonstration

project within an already-established agency, OCS expects that the key

staff person(s) would be identified, if not hired.

The application must also include a resume of the third party

evaluator, if identified or hired; or the minimum qualifications and a

position description for the third-party evaluator, who must be a

person with recognized evaluation skills who is organizationally

distinct from, and not under the control of, the applicant. [See

Element IV, Project Evaluation, below, for fuller discussion of

Evaluator qualifications.]

Actual resumes of key staff and position descriptions should be

included in an Appendix to the proposal.

Applicants should use no more than 3 pages for this Sub-Element.

Element II. Project Theory, Design, and Plan

(Total Weight of 0-30 points in proposal review)

OCS seeks to learn from the application why and how the project as

proposed is expected to lead to the creation of new employment

opportunities for low-income individuals which can lead to significant

improvements in individual and family self-sufficiency.

Applicants are urged to design and present their project in terms

of a conceptual cause-effect framework. In the following paragraphs a

framework is described that suggests a way to present a project so as

to show the logic of the cause-effect relations between project

activities and project results. Applicants don't have to use the exact

language described; but it is important to present the project in a way

that makes clear the cause-effect relationship between what the project

plans to do and the results it expects to achieve.

Sub-Element II(a). Description of Target Population, Analysis of Need,

and Project Assumptions

(Weight of 0-10 points in application review)

The project design or plan should begin with identifying the

underlying assumptions about the program. These are the beliefs on

which the proposed program is built. The assumptions about the needs of

the population to be served; about the current services available to

that population, and where and how they fail to meet their needs; about

why the proposed services or interventions are appropriate and will

meet those needs; and about the impact the proposed interventions will

have on the project participants.

In other words, the underlying assumptions of the program are the

applicant's analysis of the needs and problems to be addressed by the

project, and the applicant's theory of how its proposed interventions

will address those needs and problems to achieve the desired result.

Thus a strong application is based upon a clear description of the

needs and problems to be addressed and a persuasive understanding of

the causes of those problems.

In this sub-element of the proposal the applicant should precisely

identify the target population to be served. The geographic area to be

impacted should then be briefly highlighted, selectively emphasizing

the socioeconomic/poverty and other data that are relevant to the

project design.

The application should 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, lack

of suitable clothing or equipment, 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 (high unemployment rate); lack of public transportation; lack of

markets; unavailability of financing, insurance or bonding; inadequate

social services (employment service, child care, job training); high

incidence of crime; inadequate health care; or environmental hazards

(such as 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, or remove one or more of the barriers so

identified, this fact should be highlighted in the discussion.

Applicants should use no more than 3 pages for this Sub-Element.

Sub-Element II(b). Project Strategy and Design: Interventions,

Outcomes, and Goals

(Weight of 0-10 points in proposal review)

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 underlying assumptions concerning client needs and the theory

of how they can be effectively addressed, which are discussed above,

lead in the project design to the conduct of a variety of project

activities or interventions, each of which is assumed to result in

immediate changes, or outcomes.

The immediate changes lead to intermediate outcomes; and the

intermediate outcomes lead to the final project goals.

The applicant should describe the major activities, or

interventions, which are to be carried out to address the needs and

problems identified in Sub-Element II(a); and should discuss the

immediate changes, or outcomes, which are expected to result. These are

the results expected from each service or intervention immediately

after it is provided. For example, a job readiness training program

might be expected to result in clients having increased knowledge of

how to apply for a job, improved grooming for job interviews, and

improved job interview skills; or business training and training in

bookkeeping and accounting might be expected to result in project

participants making an informed decision about whether they were suited

for entrepreneurship.

At the next level are the intermediate outcomes which result from

these immediate changes. Often an intermediate project outcome is the

result of several immediate changes resulting from a number of related

interventions such as training and counseling. Intermediate outcomes

should be expressed in measurable changes in knowledge, attitudes,

behavior, or status/condition. In the above examples, the immediate

changes achieved by the job readiness program,

[[Page 27956]]

coupled with technical assistance to an employer in the expansion of a

business could be expected to lead to intermediate outcomes of creation

of new job openings and the participant applying for a job with the

company. The acquisition of business skills, coupled with the

establishment of a loan fund, could be expected to result in the actual

decision to go into a particular business venture or seek the

alternative track of pursuing job readiness and training.

Finally, the application should describe how the achievement of

these intermediate outcomes will be expected to lead to the attainment

of the project goals: employment in newly created jobs, new careers for

women in non-traditional jobs in Highway construction and maintenance,

successful business ventures, or employment in an expanded business,

depending on the project design. Applicants must remember that if the

major focus of the project is to be the development and start-up of a

new business or the expansion of an existing business, then a Business

Plan which follows the outline in Attachment L to this announcement

must be submitted as an Appendix to the Proposal.

Applicants don't have to use the exact terminology described above,

but it is important to describe the project in a way that makes clear

the expected cause-and-effect relationship between what the project

plans to do--the activities or interventions, the changes that are

expected to result, and how those changes will lead to achievement of

the project goals of new employment opportunities and greater self-

sufficiency. The competitive review of this Sub-Element will be based

on the extent to which the application makes a convincing case that the

activities to be undertaken will lead to the projected results.

The Applicant should use no more than 4 pages for this Sub-Element.

Sub-Element II(c). Work Plan

(Weight of 0-10 points in proposal review)

Once the project strategy and design framework are established, the

applicant should present the highlights of a work plan for the project.

The plan should explicitly tie into the project design framework and

should be feasible, i.e., capable of being accomplished with the

resources, staff, and partners available. The plan should briefly

describe the key project tasks, and show the timelines and major

milestones for their implementation. Critical issues or potential

problems that might affect the achievement of project objectives should

be explicitly addressed, with an explanation of how they would be

overcome, and how the objectives will be achieved notwithstanding any

such problems. The plan should be presented in such a way that it can

be correlated with the budget narrative included earlier in the

application.

Applicant may be able to use a simple Gantt or time line chart to

convey the work plan in minimal space.

The applicant should use no more than 3 pages for this Sub-Element.

Element III. Significant and Beneficial Impact

(A total weight of 0-20 points in proposal review)

Sub-Element III(a). Quality of Jobs/Business Opportunities

(Weight of 0-10 points in proposal review)

The proposed project is expected to produce permanent and

measurable results that will reduce the incidence of poverty in the

community and lead welfare recipients from welfare dependency toward

economic self-sufficiency. Results are expected to be quantifiable in

terms of: the creation of permanent, full-time jobs; the development of

business opportunities; the expansion of existing businesses; or the

creation of non-traditional employment opportunities in highway

construction and maintenance. 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.

The application should document 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. For example,

they should provide salaries that exceed the minimum wage, plus

benefits such as health insurance, child care and career development

opportunities.

The applicant should use no more than 3 pages for this Sub-Element.

Sub-Element III(b) Community Empowerment Consideration

(Weight of 0-5 points in proposal review)

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 violence, gang activity, crime, or drug use. (0-3 points)

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; and how the proposed project and the employment

opportunities it will create support the goal(s) of that plan. (0-2

points)

The applicant should use no more than 2 pages for this Sub-Element.

Sub-Element III(c). Cost-per-Job

(Weight of 0-5 points in proposal review)

The application should document that 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. The

cost-per-job should be calculated by dividing the total amount of grant

funds requested (e.g. $420,000) by the number of jobs to be created

(e.g. 60) which would equal the cost-per-job ($7,000)). If any other

calculations are used, include the methodology and rationale in this

section. In making calculations of cost-per-job, only jobs filled by

low-income project participants may be counted. (See Part III, Section

I.)

(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.)

The applicant should use no more than 1 page for this Sub-Element.

Element IV. Project Evaluation

(Weight of 0-15 points in the proposal review)

Sound evaluations are essential to the JOLI Program. OCS requires

applicants to include in their applications a well thought through

outline of an evaluation plan for their project. The outline should

explain how the applicant proposes to answer the key questions about

how effectively the project is being/was implemented (the Process

Evaluation) and whether the project activities, or interventions,

achieved the

[[Page 27957]]

expected outcomes and goals of the project, and what those outcomes

were (the Outcome Evaluation). Together, the Process and Outcome

Evaluations should answer the question ``why did this program work/not

work?''.

Applicants are not being asked to submit a complete and final

Evaluation Plan as part of their proposal; but they must include:

(1) a well thought through outline of an evaluation plan which

identifies the principal cause-and-effect relationships to be tested,

and which demonstrates the applicant's understanding of the role and

purpose of both Process and Outcome Evaluations (see previous

paragraph);

(2) the identity and qualifications of the proposed third-party

evaluator, or if not selected, the qualifications which will be sought

in choosing an evaluator, which must include successful experience in

evaluating social service delivery programs, and the planning and/or

evaluation of programs designed to foster self-sufficiency in low

income populations; and

(3) a commitment to the selection of a third-party evaluator

approved by OCS, and to completion of a final evaluation design and

plan, in collaboration with the approved evaluator and the OCS

Evaluation Technical Assistance Contractor during the six-month start-

up period of the project, if funded.

Applicants should ensure, above all, that the evaluation outline

presented is consistent with their project design. A clear project

framework of the type recommended earlier identifies the key project

assumptions about the target populations and their needs, and the

hypotheses, or expected cause-effect relationships to be tested in the

project: that the proposed project activities, or interventions, will

address those needs in ways that will lead to the achievement of the

project goals of self-sufficiency. It also identifies in advance the

most important process and outcome measures that will be used to

identify performance success and expected changes in individual

participants, the grantee organization, and the community.

For these reasons it is important that each successful applicant

have a third-party evaluator selected and performing at the very latest

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

before that time so that he or she can participate in the final design

of the program, and in order to assure that data necessary for the

evaluation will be collected and available. Plans for selecting an

evaluator should be included in the application narrative. A third-

party evaluator must have knowledge about and have experience in

conducting process and outcome evaluations in the job creation field,

and have a thorough understanding of the range and complexity of the

problems faced by the target population.

The competitive procurement regulations (45 CFR Part 74, Sections

74.40-74.48, esp. 74.43) apply to service contracts such as those for

evaluators.

The applicant should use no more than 3 pages for this proposal

Element, plus the Resume or Position Description for the evaluator,

which should be in an Appendix.

Element V. Public-Private Partnerships

(Weight of 0-10 points in the proposal review)

The proposal should briefly describe the public-private

partnerships which will contribute to the implementation of the

project. Where partners' contributions to the project are a vital part

of the project design and work program, the narrative should describe

undertakings of the partners, and a partnership agreement, specifying

the roles of the partners and making a clear commitment to the

fulfilling of the partnership role, must be included in an Appendix to

the Proposal. The application should meet the following criteria:

--All JOLI applications must include a signed cooperative partnership

agreement with the State IV-A Agency, which administers the JOBS

Program, or a letter of commitment to such an agreement within six

months of a grant award, contingent only on receipt of OCS funds. This

cooperative partnership agreement must fully describe the activities

and services to be provided which must clearly relate to the objectives

of the proposed project. The activities should include one or more of

the mandatory or optional components of the State's JOBS program as

described in Part III, Section C.

--In the case of projects involved in the creation of non-traditional

employment opportunities in highway construction and maintenance, the

agreements with the appropriate partners (e.g., highway departments,

contractors, unions or businesses) should clearly identify the

undertakings of each partner in terms of training, support,

apprenticeships and/or career opportunities, and the like.

--The application should document that public and/or private sources of

cash and/or third-party in-kind contributions will be available through

a letter of commitment from the partner(s). Applications that can

document dollar for dollar contributions equal to the OCS funds and

demonstrate that the partnership agreement clearly relates 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.

--Partners involved in the proposed project should be responsible for

substantive project activities and services. Applicants should note

that partnership relationships are not created via service delivery

contracts.

The applicant should use no more than 4 pages for this proposal

Element.

Element VI. Budget Appropriateness and Reasonableness

(Weight of 0-5 points in proposal review)

Applicants are required to submit Federal budget forms with their

proposals to provide basic applicant and project information (SF 424)

and information about how Federal and other project funds will be used

(424A). (See Part VI) In addition to and immediately following the

completed Federal budget forms, applicants must submit a Budget

Narrative, or explanatory budget information which should include a

detailed budget break-down for each of the budget categories in the SF-

424A. This Budget Narrative is not considered a part of the Project

Narrative, and does not count as part of the thirty pages; but rather

is included in the application following the budget forms. (Attachment

B)

At the same time, applicants may wish to provide a brief highlight

of the Budget and Budget Narrative at this point in the Project

Narrative.

Funds requested in the budget must be reasonably commensurate with

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

the project, and the budget narrative should briefly explain how grant

funds will be expended and show the adequacy of the Federal funds and

any mobilized resources to accomplish project purposes. It should also

identify and briefly explain any imbalances between level of activities

undertaken and project funds expended. The estimated cost to the

government of the project should be reasonable in relation to the

anticipated results; and include reasonable administrative costs, if an

indirect cost rate has not been negotiated with the cognizant Federal

agency.

Resources in addition to OCS grant funds are encouraged both to

augment

[[Page 27958]]

project resources and to strengthen the basis for continuing

partnerships to benefit the target community. The amounts of such

resources, their appropriateness to the project design, and the

likelihood that they will continue beyond the project time frame will

be taken into account in judging the application.

Applicants should include funds in the project budget for travel by

Project Directors and Chief Evaluators to attend two national

evaluation workshops in Washington, DC. (See Part VIII, Evaluation

Workshops.)

Applicant should use no more than 2 pages (in the Project

Narrative) for this Sub-Element.

Part V--Application Procedures and Selection Process

A. Availability of Forms

Attachment C contains all of the standard forms necessary for the

application for awards under this OCS program. These forms may be

photocopied for the application. This announcement and the attachments

to it contain all of the instructions required for submittal of

applications.

Copies of the Federal Register containing this announcement are

available at most local libraries and Congressional District Offices

for reproduction. This announcement is also 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, you may write or telephone the office listed at the beginning

of this announcement under the section entitled FOR FURTHER

INFORMATION.

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 E and F.

Part IV contains instructions for the substance and development of

the project narrative. Part VII, Section A describes the contents and

format of the application as a whole.

B. Application Submission

The closing time and date for receipt of applications is 4:30 p.m.

(Eastern Time Zone) on August 2, 1996. Applications received after 4:30

p.m. will be classified as late.

Deadline: Mailed applications shall be considered as meeting an

announced deadline if they are received on or before the deadline time

and date at the U.S. Department of Health and Human Services,

Administration for Children, and Families, Office of Program Support,

Division of Discretionary Grants, 370 L Enfant Promenade, SW., Mail

Stop 6C-462, Washington, DC 20447; Attention: Application for JOLI

Program. Applicants are responsible for mailing applications well in

advance, when using all mail services, to ensure that the applications

are received on or before the deadline time and date.

Applications hand carried by applicants, applicant couriers, or by

overnight/express mail couriers shall be considered as meeting an

announced deadline if they are received on or before the deadline date,

between the hours of 8:00 a.m. and 4:30 p.m., at the U.S. Department of

Health and Human Services, Administration for Children and Families,

Division of Discretionary Grants, ACF Mail Room, 2nd Floor Loading

Dock, Aerospace Center, 901 D Street, SW., Washington, DC 20024,

between Monday and Friday (excluding Federal holidays). (Applicants are

cautioned that express/overnight mail services do not always deliver as

agreed.)

ACF cannot accommodate transmission of applications by fax or

through other electronic media. Therefore, applications transmitted to

ACF electronically will not be accepted regardless of date or time of

submission and time of receipt.

Late applications: Applications which do not meet the criteria

above are considered late applications. ACF shall notify each late

applicant that its application will not be considered in the current

competition.

Extension of deadline: ACF may extend the deadline for all

applicants because of acts of God such as floods, hurricanes, etc., or

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

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

the deadline for any applicants.

Applications once submitted are considered final and no additional

materials will be accepted. One signed original application and four

copies should be submitted at the time of initial submission.

C. Paperwork Reduction Act of 1980

Under the Paperwork Reduction Act of 1980, Public Law 96-511, the

Department is required to submit to OMB for review and approval any

reporting and record keeping requirements in regulations, including

program announcements. This program announcement does not contain

information collection requirements beyond those approved for ACF grant

applications under OMB Control Number 0970-0062.

D. Intergovernmental Review

This program is covered under Executive Order 12372,

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

``Intergovernmental Review of Department of Health and Human Services

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, Massachusetts,

Minnesota, Montana, Nebraska, Oklahoma, Oregon, Pennsylvania, South

Dakota, Tennessee, 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

twenty-one 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 differentiate clearly 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, 370

L'Enfant Promenade, S.W., 6th Floor, Washington, D.C. 20447.

[[Page 27959]]

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

is included as Attachment G to this announcement.

E. Application Consideration

Applications that meet the screening requirements below will be

reviewed competitively. Such applications will be referred to reviewers

for numerical scoring and explanatory comments based solely on

responsiveness to the guidelines and evaluation criteria published in

this announcement.

Applications will be reviewed by persons outside of the OCS unit.

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

staff in considering competing applications. Reviewers' scores will

weigh heavily in funding decisions, but will not be the only factors

considered. Applications generally will be considered in order of the

average scores assigned by reviewers. However, highly ranked

applications are not guaranteed funding since other factors are taken

into consideration, including, but not limited to, the timely and

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

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

evaluation and input; geographic distribution of applications; previous

program performance of applicants; the limitation on project

continuation or refunding (see Part II, Section H); the number of

previous JOLI grants made to applicant; compliance with grant terms

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

applicant's progress in resolving any final audit disallowances on

previous OCS or other Federal agency grants.

OCS reserves the right to discuss applications with other Federal

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

record and the documents submitted.

F. Criteria for Screening Applicants

All applications that meet the published deadline requirements as

provided in this program announcement will be screened for completeness

and conformity with the requirements. Only complete applications that

meet the requirements listed below will be reviewed and evaluated

competitively. Other applications will be returned to the applicants

with a notation that they were unacceptable and will not be reviewed.

The following requirements must be met by all applications:

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

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

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

in Part VI and Attachment C and D, of this Program Announcement.

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

requires that the narrative portion of the application be limited to 30

pages, typewritten on one side of the paper only with one-inch margins

and type face no smaller than 12 characters per inch (cpi) or

equivalent. The Budget Narrative, Charts, exhibits, resumes, position

descriptions, letters of support, Cooperative Agreements, and Business

Plans (where required) are not counted against this page limit.

It is strongly recommended that applicants follow the format and

content for the narrative set out in Part IV.

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

organization applying for the grant who has authority to obligate the

organization legally.

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).

d. Application must contain documentation of the applicant's tax

exempt status as required under Part II, Section A.

Part VI--Instructions for Completing the SF-424

(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 (Attachments B and C) as modified by the OCS specific

instructions set forth below:

A. SF-424--Application for Federal Assistance

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

which the application is being submitted (1.0 or 2.0). An application

should be submitted under only one priority area.

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 (third line from the top).

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

considered Applications; there are no Pre-Applications.

Item 7. Enter N in the box and specify non-profit corporation on

the line marked Other.

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

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

programs covered under this announcement is 93.593. The title is ``Job

Opportunities for Low-Income Program''.

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 designations:

JO--General Project

JS--Community Development Corporation Set-Aside

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

the basis of a 72-month project period.

Item 15a. This amount should be no greater than $500,000.

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

in-kind contributions for the three year budget period requested.

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

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, and C of SF-424A should reflect budget estimates for

the first three year budget period of the project.

Section A--Budget Summary

You need only fill in lines 1 and 5 (with the same amounts) Col.

(a): Enter Job Opportunities for Low-Income Program. Col. (b): Catalog

of Federal Domestic Assistance number is 93.593. Col. (c) and (d): not

relevant to this program. Column (e)-(g): enter the appropriate amounts

(column e should not be more than $500,000.)

Section B--Budget Categories

(Note that the following information supersedes the instructions

provided with the Form SF-424A in Attachment C.) Columns (1)-(5): For

each of the relevant Object Class Categories:

[[Page 27960]]

Column 1: Enter the OCS grant funds for the first year;

Column 2: Enter the OCS grant funds for the second year;

Column 3: Enter the OCS grant funds for the third year;

Column 4: Leave blank.

Column 5: Enter the total federal OCS grant funds for the three

year budget period by Class Categories, showing a total budget of not

more than $500,000.

Note: With regard to Class Categories, only out-of-town travel

should be entered under Category c. Travel. Local travel costs

should be entered under Category h. Other. Equipment costing less

than $5000 should be included in Category e. Supplies.

Section C Non-Federal Resources should be completed in accordance

with the instructions provided.

Sections D, E, and F may be left blank.

A supporting Budget Narrative must be submitted providing details

of expenditures under each budget category, and justification of dollar

amounts which relate the proposed expenditures to the work program and

goals of the project. (See Part IV, Element VI)

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

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

``Assurances'' with the application. (See Attachment D)

Part VII--Contents of Application and Receipt Process

A. Contents of Application

Each application submission should include a signed original and

four additional copies of the application. Each application should

include the following in the order presented:

1. Table of Contents;

2. 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.)

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

4. A narrative budget justification for each object class category

required under Section B, SF-424A;

5. Certifications and Assurance Required for Non-Construction

Programs, as follows:

Applicants requesting financial assistance for a non-construction

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

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

Form 424B with their applications.

Applicants must provide a certification concerning Lobbying. Prior

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

an executed copy of the lobbying certification. Applicants must sign

and return the certification with their application.

Applicants must make the appropriate certification of their

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

submitting the applications, applicants are providing the certification

and need not mail back the certification with the applications.

Applicants must make the appropriate certification that they are

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

signing and submitting the applications, applicants are providing the

certification and need not mail back the certification with the

applications.

Copies of the certifications and assurance are located at the end

of this announcement.

6. Certification Regarding Environmental Tobacco Smoke--Signature

on the application attests to the applicants intent to comply with the

requirements of the Pro-Children Act of 1994 (no signature required on

form).

7. An Executive Summary--not to exceed 300 words;

8. A Project Narrative of no more than 30 pages, consisting of the

Elements described in Part IV of this Announcement set forth in the

order there presented; preceded by a consecutively numbered Table of

Contents (not to be counted as part of the 30 pages).

9. Appendices--proof of non-profit tax-exempt status as outlined in

Part II, Section A; proof that the organization is a community

development corporation, if applying under the CDC Set-aside;

commitments from officials of businesses that will be expanded or

franchised, where applicable; partnership agreement with State IV-A

(JOBS Program) agency; Single Point of Contact comments, if applicable;

resumes and position descriptions; a Business Plan, where required; and

the Maintenance of Effort Certification.

The total number of pages for the narrative portion of the

application package must not exceed 30 pages, excluding Appendices and

Narrative Table of Contents.

Pages should be numbered sequentially throughout, including

Appendices, beginning with the SF 424 as Page 1.

The application may also contain letters that show collaboration or

substantive commitments to the project by organizations other than the

JOBS agency. Such letters are not part of the narrative and should be

included in the Appendices. These letters are, therefore, not counted

against the 30 page limit.

B. Application Format

Applications must be uniform in composition since OCS may find it

necessary to duplicate them for review purposes. Therefore,

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

Applications must not include colored, oversized or folded materials.

Applications should not include organizational brochures or other

promotional materials, slides, films, clips, etc. in the proposal. Such

materials will not be reviewed and will be discarded if included.

Applications must not be bound or enclosed in loose-leaf binder

notebooks. Preferably, applications should be two-holed punched at the

top center and fastened separately with a compressor slide paper

fastener, or a binder clip.

Attachment O provides a checklist to applicants in preparing a

complete application package.

C. Acknowledgement of Receipt

Applicants who meet the initial screening criteria outlined in Part

V, Section E, 1, will receive within ten days after the deadline date

for submission of applications an acknowledgement 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 notice. This number and the program letter code,

i.e., JO or JS, must be referred to in all subsequent communications

with OCS concerning the application. If an acknowledgement is not

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

by telephone (202) 401-9234.

Part VIII--Post Award Information and Reporting Requirements

A. Notification of Grant Award

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.

B. Attendance at Evaluation Workshops

Project directors and chief evaluators will be required to attend

two national

[[Page 27961]]

evaluation workshops in Washington, D.C. A three-day 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 three-day evaluation workshop on utilization and

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

budgets must include funds for travel to and attendance at these

workshops. (See Part IV, Element VI, Budget Appropriateness and

Reasonableness.)

C. Reporting Requirements

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. An interim

evaluation report, along with a written policies and procedures manual

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

after the first eighteen 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.

D. Audit Requirements

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

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

E. Prohibitions and Requirements with regard to Lobbying

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

1989, imposes prohibitions and requirements for disclosure and

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.

F. Applicable Federal Regulations

Attachment K indicates the regulations which apply to all

applicants/grantees under the Job Opportunities for Low-Income

Individuals Program.

Dated: May 24, 1996.

Thornell Page,

Executive Assistant to the Director, Office of Community Services.

Attachment A

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

and the District of Columbia

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

Poverty

Size of family unit guideline

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

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 $2,580 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

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

Poverty

Size of family unit guideline

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

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 increments applies to smaller family

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

Poverty Guidelines for Hawaii

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

Poverty

Size of family unit guideline

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

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 increments applies to smaller family

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

BILLING CODE 4184-01-P

[[Page 27962]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.002

BILLING CODE 4184-01-C

[[Page 27963]]

Instructions for the SF 424

This is a standard form used by applicants as a required

facesheet for preapplications and applications submitted for Federal

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

certification that States which have established a review and

comment procedure in response to Executive Order 12372 and have

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

given an opportunity to review the applicant's submission.

Item and Entry

1. Self-explanatory.

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

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

3. State use only (if applicable).

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

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

project, leave blank.

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

which will undertake the assistance activity, complete address of

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

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

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency from which assistance is being

requested with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities)

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

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

contributions should be included on appropriate lines as applicable.

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

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

amounts in parentheses. If both basic and supplemental amounts are

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

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

15.

16. Applicants should contact the State Single Point of Contact

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

application is subject to the State intergovernmental review

process.

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

person who signs as the authorized representative. Categories of

debt include delinquent audit disallowances, loans and taxes.

18. To be signed by the authorized representative of the

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

sign this application as official representative must be on file in

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

this authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

[[Page 27964]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.003

[[Page 27965]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.004

BILLING CODE 4184-01-C

[[Page 27966]]

Instructions for the SF-424A

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project except

when applying for assistance which requires Federal authorization in

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

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

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

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary

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

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

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

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

For applications pertaining to a single program requiring budget

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

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

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

multiple programs where none of the programs require a breakdown by

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

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

Column (b).

For applications pertaining to multiple programs where one or

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

separate sheet for each program requiring the breakdown. Additional

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

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

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

programs.

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

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

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

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

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

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

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

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

only if the Federal grantor agency instructions provide for this.

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

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

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

For supplemental grants and changes to existing grants, do not

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

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

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

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

which includes the total previous authorized budgeted amounts plus

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

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

Columns (e) and (f).

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

Section B Budget Categories

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

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

(a), Section A. When additional sheets are prepared for Senate 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, Columns (e) and (f) on Line 5.

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

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

amount from the total project amount. Show under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the federal grantor

agency in determining the total amount of the grant.

Section C. Non-Federal-Resources

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

Line 12--Enter the total for each of Columns (b)-(e). The amount

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

Section A.

Section D. Forecasted Cash Needs

Line 13--Enter the amount of cash needed by quarter from the

grantor agency during the first year.

Line 14--Enter the amount of cash from all other sources needed

by quarter during the first year.

Line 15--Enter the totals of amounts on Lines 13 and 14.

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

the Project

Lines 16-19--Enter in Column (a) the same grant program titles

shown in Column (a), Section A. A breakdown by function or activity

is not necessary. For new applicantions and continuation grant

applications, enter in the proper columns amounts of Federal funds

which will be needed to complete the program or project over the

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

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

funds for the current year of existing grants.

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

submit additional schedules as necessary.

Line 20--Enter the total for each of the Columns (b)-(e). When

additional schedules are prepared for this Section, annotate

accordingly and show the overall totals on this line.

Section F. Other Budget Information

Line 21--Use this space to explain amounts for individual direct

object-class cost categories that may appear to be out of the

ordinary or to explain the details as required by the Federal

grantor agency.

Line 22--Enter the type of indirect rate (provisional,

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

funding period, the estimated amount of the base to which the rate

is applied, and the total indirect expense.

Line 23--Provide any other explanations or comments deemed

necessary.

Attachment D--Assurances--Non-Construction Programs

Note: Certain of these assurances may not be applicable to your

project or program. If you have questions, please contact the

awarding agency. Further, certain Federal awarding agencies may

require applicants to certify to additional assurances. If such is

the case, you will be notified.

As the duly authorized representative of the applicant I certify

that the applicant:

1. Has the legal authority to apply for Federal assistance, and

the institutional, managerial and financial capability (including

funds sufficient to pay the non-Federal share of project costs) to

ensure proper planning, management and completion of the project

described in this application.

2. Will give the awarding agency, the Comptroller General of the

United States, and if appropriate, the State, through any authorized

representative, access to and the right to examine all records,

books, papers,

[[Page 27967]]

or documents related to the award; and will establish a proper

accounting system in accordance with generally accepted accounting

standards or agency directives.

3. Will establish safeguards to prohibit employees from using

their positions for a purpose that constitutes or presents the

appearance of personal or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970

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

merit systems for programs funded under one of the nineteen statutes

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

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

6. Will comply with all Federal statutes relating to

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

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

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

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

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

the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,

as amended (29 U.S.C. Sec. 794), which prohibits discrimination on

the basis of handicaps; (d) the Age Discrimination Act of 1975, as

amended (42 U.S.C. Secs. 6101-6107), which prohibits discrimination

on the basis of age; (e) the Drug Abuse Office and Treatment Act of

1972 (P.L. 92-255), as amended, relating to nondiscrimination on the

basis of drug abuse; (f) the Comprehensive Alcohol Abuse and

Alcholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L.

91-616), as amended, relating to nondiscrimination on the basis of

alcohol abuse or alcoholism; (g) Secs. 523 and 527 of the Public

Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as

amended, relating to confidentiality of alcohol and drug abuse

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

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

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

nondiscrimination provisions in the specific statute(s) under which

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

requirements of any other nondiscrimination statute(s) which may

apply to the application.

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

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

Property Acquisition Policies Act of 1970 (P.L. 92-646) which

provides for fair and equitable treatment of persons displaced or

whose property is acquired as a result of Federal or federally

assisted programs. These requirements apply to all interests in real

property acquired for project purposes regardless of Federal

participation in purchases.

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

Secs. 1501-1508 and 7324-7328) which limit the political activities

of employees whose principal employment activities are funded in

whole or in part with Federal funds.

9. Will comply, as applicable, with the provisions of the Davis-

Bacon Act (40 U.S.C. Secs. 276a to 276a-7), the Copeland Act (40

U.S.C. Sec. 276c and 18 U.S.C. Sec. 874), and the Contract Work

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

labor standards for federally assisted construction subagreements.

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

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

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

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

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

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

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

evaluation of flood hazards in floodplains in accordance with EO

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

management program developed under the Coastal Zone Management Act

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

actions to State (Clear Air) Implementation Plans under Section

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

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

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

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

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

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

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

potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with

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

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

historic properties), and the Archaeological and Historic

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

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

human subjects involved in research, development, and related

activities supported by this award of assistance.

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

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

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

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

assistance.

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

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

based paint in construction or rehabilitation of residence

structures.

17. Will cause to be performed the required financial and

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

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

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

Signature of Authorized Certifying Official

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

Title

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

Applicant Organization

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

Date Submitted

BILLING CODE 4184-01-P

[[Page 27968]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.005

[[Page 27969]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.006

BILLING CODE 4184-01-C

[[Page 27970]]

Attachment F

Certification Regarding Debarment, Suspension, and Other

Responsibility Matters--Primary Covered Transactions

By signing and submitting this proposal, the applicant, defined

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

certifies to the best of its knowledge and belief 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

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 indicated 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 participate 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 Transactions'' provided below without

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier proposal, the

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

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

principals:

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

debarment, declared ineligible, or voluntarily excluded from

participation in this transaction by any federal department or

agency.

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

certify to any of the above, such prospective participant shall

attach an explanation to this proposal.

The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause entitled

``Certification Regarding Debarment, Suspension, Ineligibility, and

Voluntary Exclusion--Lower Tier Covered Transactions'' without

modification in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

Attachment G--OMB State Single Point of Contact Listing

Arizona

Joni Saad, Arizona State Clearinghouse, 3800 N. Central Avenue,

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

FAX: (602) 280-1305

Arkansas

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

Intergovernmental Services, Department of Finance and

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

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

Alabama

Jon C. Strickland, Alabama Department of Economic and Community

Affairs, Planning and Economic Development Division, 401 Adams

Avenue, Montgomery, Alabama 36103-5690, Telephone: (205) 242-5483,

Fax: (205) 242-5515

California

Grants Coordinator, Office of Planning & Research, 1400 Tenth

Street, Room 121, Sacramento, California 95814, Telephone (916) 323-

7480, FAX (916) 323-3018.

Delaware

Francine Booth, State Single Point of Contact Executive Department,

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

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

District of Columbia

Charles Nichols, State Single Point of Contact, Office of Grants

Mgmt. & Dev., 717 14th Street, N.W.--Suite 500, Washington, D.C.

20005, Telephone: (202) 727-6554, FAX: (202) 727-1617

Florida

Florida State Clearinghouse, Department of Community Affairs, 2740

Centerview Drive, Tallahassee, Florida 32399-2100, Telephone: (904)

922-5438, FAX: (904) 487-2899

Georgia

Tom L. Reid, III, Administrator, Georgia State Clearinghouse, 254

Washington Street, S.W.--Room 401J, Atlanta, Georgia 30334,

Telephone: (404) 656-3855 or (404) 656-3829, FAX: (404) 656-7938

Illinois

Barbara Beard, State Single Point of Contact, Department of Commerce

and Community Affairs, 620 East Adams, Springfield, Illinois 62701,

Telephone: (217) 782-1671, FAX: (217) 534-1627

Indiana

Amy Brewer, State Budget Agency, 212 State House, Indianapolis,

Indiana 46204, Telephone: (317) 232-5619, FAX: (317) 233-3323

Iowa

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

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

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

Kentucky

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

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

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

Maine

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

Augusta, Maine 04333, Telephone: (207) 287-3261, FAX: (207) 287-6489

Maryland

William G. Carroll, Manager, State Clearinghouse for,

Intergovernmental Assistance, Maryland Office of Planning, 301 W.

Preston Street--Room 1104, Baltimore, Maryland 21201-2365, Staff

Contact: Linda Janey, Telephone: (410) 225-4490, FAX: (410) 225-4480

Michigan

Richard Pfaff, Southeast Michigan Council of Governments, 1900

Edison Plaza, 660 Plaza Drive, Detroit, Michigan 48226, Telephone:

(313) 961-4266

Mississippi

Cathy Malette, Clearinghouse Officer, Department of Finance and

Administration, 455 North Lamar Street, Jackson, Mississippi 39202-

3087, Telephone: (601) 359-6762, FAX: (601) 359-6764

Missouri

Lois Pohl, Federal Assistance Clearinghouse, Office of

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

City, Missouri 65102, Telephone: (314) 751-4834, FAX: (314) 751-7819

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

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

687-3983

New Hampshire

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

Attn: Intergovernmental Review Process, Mike Blake, 2\1/2\ Beacon

Street, Concord, New Hampshire 03301, Telephone: (603) 271-2155,

FAX: (603) 271-1728

New Jersey

Gregory W. Adkins, Assistant Commissioner, New Jersey Department of

Community

[[Page 27971]]

Affairs. Please direct all correspondence and questions about

intergovernmental review to: Andrew J. Jaskolka, State Review

Process, Intergovernmental Review Unit CN 800, Room 813A, Trenton,

New Jersey 08625-0800, Telephone: (609) 292-9025, FAX: (609) 633-

2132

New Mexico

Robert Peters, State Budget Division, Room 190 Bataan Memorial

Building, Santa Fe, New Mexico 87503, Telephone: (505) 827-3640

New York

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

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

North Carolina

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

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

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

North Dakota

North Dakota Single Point of Contact, Office of Intergovernmental

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

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

Ohio

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

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

Columbus, Ohio 43266-0411. Please direct correspondence and

questions about intergovernmental review to: Linda Wise, Telephone:

(614) 466-0698, FAX: (614) 466-5400

Rhode Island

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

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

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

Please direct correspondence and questions to: Review Coordinator,

Office of Strategic Planning

South Carolina

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

Office of the Governor, 1205 Pendleton Street--Room 477, Columbia,

South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0385

Texas

Tom Adams, Governor's Office, Director, Intergovernmental

Coordination, P.O. Box 12428, Austin, Texas 78711, Telephone: (512)

463-1771, FAX: (512) 463-1880

Utah

Carolyn Wright, Utah State Clearinghouse, Office of Planning and

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

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

Vermont

Nancy McAvoy, State Single Point of Contact, Pavilion Office

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

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

West Virginia

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

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

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

Wisconsin

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

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

P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-2125,

FAX: (608) 267-6931

Wyoming

Sheryl Jeffries, State Single Point of Contact, Herschler Building

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

7574, FAX: (307) 638-8967

Territories

Guam

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

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

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

Puerto Rico

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

Board, Federal Proposals Review Office, Minillas Government Center,

P.O. Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (809)

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

North Mariana Islands

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

the Governor, Saipan, CM, Northern Mariana Islands 96950

Virgin Islands

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

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802. Please direct all questions and correspondence

about intergovernmental review to: Linda Clarke, Telephone: (809)

774-0750, FAX: (809) 776-0069

Attachment H

Certification Regarding Lobbying--Certification for Contracts,

Grants, Loans, and Cooperative Agreements

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

and belief, that:

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

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

influencing or attempting to influence an officer or employee of any

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

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

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

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

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

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

(2) If any funds other 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.

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

Signature

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

Title

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

Organization

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

Date

BILLING CODE 4184-01-P

[[Page 27972]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.007

BILLING CODE 4184-01-C

[[Page 27973]]

February 1996.

Attachment I--Jobs Program Directory

Alabama

Claire Ealy, Director, Office of Work and Training Services, Family

Assistance, S. Gordon Persons Building, 50 Ripley Street,

Montgomery, Alabama 36130, (334) 242-1950, Fax (334) 242-1086

Alaska

Val Horner, JOBS Program Officer, Division of Public Assistance,

Department of Health and Social Services, P.O. Box 110640, Juneau,

Alaska 99811-0640, (907) 465-5844, Fax (907) 456-5154

Arizona

Gretchen Evans, Administrator, JOBS/Food Stamp Employment and

Training Administration, Dept. of Economic Security, P.O. Box 6123-

710A, Phoenix, Arizona 85005, (602) 542-5954, Fax (602) 542-6310

Arkansas

Debbie Bousquet, Manager, Project SUCCESS, Department of Human

Services, P.O. Box 1437, Mail Slot 1230, Little Rock, Arkansas

72203, (501) 682-8264, Fax (501) 682-1469

California

William Jordan, Acting Chief, Employment & Immigrations Programs

Branch, Department of Social Services, 744 P Street M/S 6-700,

Sacramento, California 95814, (916) 657-3442, Fax (916) 654-1516

Colorado

Mary Kay Cook, Program Manager, New Directions/JOBS Coordinator,

Department of Human Services, 1575 Sherman Street, Denver, Colorado

80203, (303) 866-2643, Fax (303) 866-5098

Connecticut

Nancy Wiggett, Program Manager, Planning Supervisor, Family Support

Team, Department of Social Services, 25 Sigourney Street, Hartford,

Connecticut 06106-5033, (860) 424-5329, Fax (860) 424-4966

Delaware

Rebecca Varella, Chief Administrator, Employment and Training,

Division of Social Services, P.O. Box 906, New Castle, Delaware

19720, (302) 577-4451, Fax (302) 577-4405

District of Columbia

Garland Hawkins, Acting Administrator, Bureau of Training and

Employment, Department of Human Services, 33 N Street N.E.,

Washington, D.C. 20001, (202) 727-1293, Fax (202) 727-6589

Florida

Judith Moon, Project Director, Welfare Reform & Project

Independence, Department of Health and Rehabilitative Services, 1317

Winewood Boulevard, Building 45, Room 421, Tallahassee, Florida

32399-0700, (904) 922-9622, Fax (904) 488-2589

Georgia

Sylvia Elam, Chief, Employment Services Unit, Division of Family and

Children Services, Department of Human Resources, 2 Peachtree

Street, 14th Floor, Room 318, Atlanta, Georgia 30303, (404) 657-

3737, Fax (404) 657-3755

Guam

Julia Berg, Administrator, Bureau of Economic Security, P.O. Box

2816, Agana, Guam 96910, (011-671) 734-7286

Hawaii

Garry Kemp, Administrator, Self-Sufficiency & Support Services

Division, Department of Human Services, 1001 Bishop Street, Suite

900, Honolulu, Hawaii 96813, (808) 586-7054, Fax (808) 586-5180

Idaho

Kathy James, Bureau Chief, Bureau of Family Self Support, Department

of Health and Welfare/FACS, P.O. Box 83720, 450 West State Street,

7th Floor, Boise, Idaho 83720-0036, (208) 334-6618, Fax (208) 334-

6664

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, Fax (217) 785-0875

Indiana

Jim Martin, Program Manager, IMPACT, Family Social Service

Administration, 402 W. Washington, Room W 363, Indianapolis, Indiana

46204, (317) 232-2002, Fax (317) 232-4615

Iowa

Doug Howard, Coordinator, Employment and Training Programs,

Department of Human Services, Fifth Floor, Hoover State Office

Building, Des Moines, Iowa 50319, (515) 281-8629, Fax (515) 281-7791

Kansas

Phyllis Lewin, Director, Employment Preparation Services, Department

of Social and Rehabilitation Services, DSOB, 915 SW Harrison,

Topeka, Kansas 66612-1500, (913) 296-3349, Fax (913) 296-0146

Kentucky

Sharon Perry, Staff Assistant, Office for Families and Children,

Department of Social Insurance, Cabinet for Human Resources, 275 E.

Main Street, Frankfurt, Kentucky 40621, (502) 564-3703, Fax (502)

564-6907

Louisiana

John Jett, Director, Project Independence, Department of Social

Services, P.O. Box 94065, Baton Rouge, Louisiana 70804-9065, (504)

342-2511, Fax (504) 342-2536

Maine

Barbara Van Burgel, ASPIRE Coordinator, Bureau of Family

Independence, Department of Human Services, Statehouse Station #11,

32 Winthrop Street, Augusta, Maine 04333, (207) 287-3309, Fax (207)

287-5096

Maryland

Charlene Gallion, Executive Director, Office of Project Independence

Management, Department of Human Resources, Room 714, 311 W. Saratoga

Street, Baltimore, Maryland 21201, (410) 767-7119, Fax (410) 333-

0832

Massachusetts

Dolores Lewis, Director, Employment Services Program, Department of

Transitional Assistance, 600 Washington Street, Boston,

Massachusetts 02111, (617) 348-5931, Fax (617) 727-9153

Michigan

Daniel Cleary, Director, Office of Employ. Policy Coord., Department

of Social Services, 235 S. Grand Avenue, Suite 504, P.O. Box 30037,

Lansing, Michigan 48909, (517) 335-0015, Fax (517) 335-6453

Minnesota

Bonnie Becker, Director, Self-Sufficiency Program, Department of

Human Services, 444 Lafayette Road, St. Paul, Minnesota, 55155 (612)

296-2499, Fax (612) 296-1818

Mississippi

Richard Berry, Director, Office of JOBS, Mississippi Department of

Social Services, 750 North State Street, 5th Floor, Jackson,

Mississippi 39202, (601) 359-4854, Fax (601) 359-4860

Missouri

Denise Cross, Assistant Deputy Director of Welfare Reform, Income

Maintenance, Division of Family Services, P.O. Box 88, Jefferson

City, Missouri 65103, (573) 751-3124, Fax (573) 526-4837

Montana

Linda Currie, JOBS Program Specialist, Self-Sufficiency Team,

Department of Social and Rehabilitation Services, P.O. Box 4210,

Helena, Montana 59604, (406) 444-4099, Fax (406) 444-2547

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, Fax (402)

471-9455

Nevada

John Alexander, Employment & Training Coordinator, Nevada State

Welfare Division, Capitol Complex, 2527 North Carson Street, Carson

City, Nevada 89710, (702) 687-4143, Fax (702) 687-1079

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, Fax (603) 271-4637

New Jersey

Karen Highsmith, Acting Director, Division of Family Development,

Department of Human Services, CN 716, 6 Quakerbridge

[[Page 27974]]

Plaza, Trenton, New Jersey 08625, (609) 588-2411, Fax (609) 588-3391

New Mexico

Marise McFadden, Bureau Chief for Family Self-Sufficiency, Income

Support Division, Human Services Department, P.O. Box 2348, Santa

Fe, New Mexico 87500, (505) 827-7262, Fax (505) 827-7203

New York

Ms. Patricia A. Stevens, Deputy Commissioner, Department of Social

Services, Division of Temporary Assistance, 40 North Pearl Street,

Albany, New York 12243, (518) 474-9222, Fax (518) 474-9347

North Carolina

Pheon Beal, Assoc. Employment Programs Section, Department of Human

Resources, 325 North Salisbury Street, Raleigh, North Carolina

27611, (919) 733-2873, Fax (919) 715-5457

North Dakota

Gloria House, JOBS Administrator, Department of Human Services, 600

E. Boulevard, Bismarck, North Dakota 58505-0250, (701) 328-4005, Fax

(701) 328-1544

Ohio

Joel Rabb, Director, Bureau of Welfare Reform and JOBS, Department

of Human Services, State Office Tower, 31st Floor, 30 East Broad

Street, Columbus, Ohio 43266-0423, (614) 466-3196, Fax (614) 728-

2984

Oklahoma

Raymond Haddock, Division Administrator, Family Services Division,

Department of Human Services, P.O. Box 25352, Oklahoma City,

Oklahoma 73125, (405) 521-3076, Fax (405) 521-4158

Oregon

Susan Smit, JOBS Services Manager, Department of Human Resources,

Adult and Family Services, 500 Summer Street, N.E., Salem, Oregon

97310-1013, (503) 945-6115, Fax (503) 373-7200

Pennsylvania

David Florey, Director, Bureau of Employment and Training Program,

Department of Public Welfare, P.O. Box 2675, Harrisburg,

Pennsylvania 17105, (717) 787-8613, Fax (717) 787-6765

Puerto Rico

Myrta Monges, JOBS Director, Department of the Family Administration

of Social Economic Development, Isla Grande, Building #10, P.O. Box

11398, Santurce, Puerto Rico 00910, (809) 722-0045, Fax (809) 722-

0275

Rhode Island

Sherry Campanelli, Associate Director, Community Services,

Department of Human Services, 600 New London Avenue, Cranston, Rhode

Island 02920, (401) 464-2423, Fax (401) 464-1876

South Carolina

Hiram Spain, Director, Business Industrial Relations, Office of

Family Independence, P.O. Box 1520, Columbia, South Carolina 29202,

(803) 737-5916, Fax (803) 734-6093

South Dakota

Julie Osnes, Food Stamps Administrator, Office of Family

Independence, Department of Social Services, 700 Governors Drive,

Pierre, South Dakota 57501, (605) 773-3493, Fax (605) 773-6843

Tennessee

Wanda Moore, Director of Program Services, Department of Human

Services, 12th Floor, 400 Deadericks, Nashville, Tennessee 37248,

(615) 313-4866, Fax (615) 741-4165

Texas

Irma Bermea, Deputy Commissioner for Customer Self Support, DHS,

P.O. Box 149030, MC E-309, Austin, Texas 78714-9030, (512) 450-4140,

Fax (512) 438-4318

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, Fax (801) 538-4212

Vermont

Steve Gold, Director, REACH-UP Program, Department of Social

Welfare, State Office Building, 103 South Main Street, Waterbury,

Vermont 05676, (802) 241-2834

Virgin Islands

Ermin Boshulte, Director, Public Assistance Programs, Department of

Human Services, 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 Street, 2nd Floor, Richmond, Virginia

23219-1849, (804) 692-1229, Fax (804) 692-2209

Washington

Liz Dunbar, Director, Division of Employment & Social Services,

Department of Social and Health Services, P.O. Box 45470, 1009

College Street S.E., Olympia, Washington 98504-5470, (360) 438-8400,

Fax (360) 438-8258

West Virginia

Sharon Paterno, Director, Office of Family Support, Department of

Health and Human Resources, Building 6, State Capitol Office

Complex, Charleston, West Virginia 25305, (304) 558-5203, Fax (304)

558-3240,

Wisconsin

J. 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, Fax

(608) 261-6376

Wyoming

Ken Kaz, Welfare Reform Program Manager, Program and Policy

Division, Department of Family Services, Hathaway Building, Third

Floor, 2300 Capitol Avenue, Cheyenne, Wyoming 82002-0490, (307) 777-

5841, Fax (307) 777-3693

Attachment J--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 provisions 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, 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 $1,000

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

on the responsible 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.

Attachment K--DHHS Regulations Applying to All Applicants/Grantees

Under the Job Opportunities for Low-Income Individuals (JOLI)

Program

Title 45 of the Code of Federal Regulations:

Part 16--Department of Grant Appeals Process

Part 74--Administration of Grants (grants and subgrants to entities)

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--Regulation for the Administration and Enforcement of

Sections 799A and 845 of the Public Health Service Act

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

Activities Receiving Federal Financial Assistance

Part 85--Enforcement of Non-Discrimination on the Basis of Handicap

in Programs or Activities Conducted by the Department of Health and

Human Services

Part 86--Nondiscrimination on the Basis of Sex in Education Programs

and Activities Receiving or Benefiting from Federal Financial

Assistance

[[Page 27975]]

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 L--Business Plan

The business plan is one of the major components that will be

evaluated by OCS to determine the feasibility of a jobs creation

project. A business plan must be included if the applicant is

proposing to establish a new identified business, or if the

applicant will be providing assistance to a private third-party

employer for the development or expansion of a pre-identified

business.

The following guidelines were written to cover a variety of

possibilities regarding the requirements of a business plan. Rigid

adherence to them is not possible nor even desirable for all

projects. For example, a business plan for a service business would

not require discussion of manufacturing nor product designs.

Therefore, the business plans 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 include 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; and

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; and,

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 must describe what is to

be done, how it will be done and who will do it. 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 plan should address the following

topics--Overall Marketing Strategy, Packaging, Service and Warranty,

Pricing, Distribution and Promotion.

5. Design and Development Plans: This section of the plan should

cover items such as Development Status, Tasks, Difficulties and

Risks, Product Improvement, New Products and Costs. 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.

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 required to provide the company's

product or service.

7. Management Team: 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. The management team is 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 operating the proposed business.

8. Overall Schedule: This section must include a month-by-month

schedule that shows the timing of such major events, activities and

accomplishments involving product development, market planning,

sales programs, and production and operations. Sufficient detail

should be included to show the correlation between the timing of the

primary tasks required to accomplish each activity.

9. Critical Risks and Assumptions: This section should include a

description of the risks and critical assumptions/problems relating

to the industry, the venture, its personnel, the product's market

appeal, and the timing and financing of the venture. Identify and

discuss the critical assumptions/problems to overcome in the

Business Plan. Major problems must clearly identify problems to be

solved to develop the venture.

10. Community Benefits: The applicant should describe how the

proposed project will contribute to the local economy, community and

human economic 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

of the business. 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.

12. Facilities: If rearrangement or alteration of existing

facilities is required to implement the project, the applicant must

describe and justify such changes and related costs.

Attachment M--Federal Highway Administration, Regional Civil Rights

Directors

Region One--Includes CT, ME, MA, NH, NJ, NY, RI, VT, Puerto Rico,

and the Virgin Islands, Mr. Dennis Perrott, Albany, NY, (518) 431-

4224, ext. 247

Region Three--Includes DE, DC, MD, PA, VA, WV, Ms. Jo Blackstone,

Baltimore, MD, (410) 962-4030

Region Four--Includes AL, FL, GA, KY, MS, NC, SC, TN, Mr. Charles

Stinson, Atlanta, GA, (404) 347-4791

Region Five--Includes IL, IN, MI, MN, OH, WI, Mr. Joe Forst, Olympia

Fields, IL, (708) 283-3560

Region Six--Includes AR, LA, NM, OK, TX, Mr. Humberto Martinez, Fort

Worth, TX, (817) 334-3671

Region Seven--Includes IA, KS, MO, NE, Mr. Glen Smith, Kansas City,

MO, (816) 276-2747

Region Eight--Includes CO, MT, ND, SD, UT, WY, Ms. Teresa Banks,

Lakewood, CO, (303) 969-6707

Region Nine--Includes AZ, CA, HI, NV, Guam, and American Samoa, Mr.

Harold Dorell, San Francisco, CA, (415) 744-3114

Region Ten--Includes AK, ID, OR, WA, Mr. Willie Harris, Portland,

OR, (503) 326-2067

Attachment N--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.

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

Organization

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

Authorized Signature

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

Title

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

Date

Attachment O--Optional Checklist To Use in Submitting OCS Grant

Application (for Use of Applicant Only)

Each application submission should include a signed original and

four additional copies of the application. Each application should

include the following in the order presented:

[[Page 27976]]

1. Table of Contents;

2. 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.

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

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. An acknowledgement, as set forth in attachments E and F, that

by signing and submitting this application, the applicant is

certifying that it will comply with the Federal requirements

concerning a drugfree workplace and debarment regulations (no

signature required on form);

7. Filled out, signed, dated form (Attachment H) containing

restrictions on Lobbying, Certification for Contracts, Grants,

Loans, and Cooperative Agreements;

8. Disclosure of Lobbying Activities, SF-LLL; Filled out,

signed, and dated form found at Attachment H, if appropriate;

9. Certification Regarding Environmental Tobacco Smoke--

Signature on the application attests to the applicants intent to

comply with the requirements of the Pro-Children Act of 1994 (no

signature required on form).

10. An Executive Summary--not to exceed 300 words;

11. A Project Narrative of no more than 30 pages, consisting of

the Elements described in Part IV of this Announcement set forth in

the order there presented; preceded by a consecutively numbered

Table of Contents (not to be counted as part of the 30 pages).

12. Appendices--proof of tax-exempt status as outlined in Part

II, Section A; proof that the organization is a community

development corporation, if applying under the CDC Set-aside;

commitments from officials of businesses that will be expanded or

franchised, where applicable; partnership agreement with State IV-A

(JOBS Program) agency; Single Point of Contact comments, if

applicable; resumes and position descriptions; a Business Plan,

where required; and the Maintenance of Effort Certification.

The total number of pages for the narrative portion of the

application package must not exceed 30 pages, excluding Appendices

and Narrative Table of Contents.

Pages should be numbered sequentially throughout, including

Appendices, beginning with the SF 424 as Page 1.

The application may also contain letters that show collaboration

or substantive commitments to the project by organizations other

than the JOBS agency. Such letters are not part of the narrative and

should be included in the Appendices. These letters are, therefore,

not counted against the 30 page limit.

[FR Doc. 96-13566 Filed 5-31-96; 8:45 am]

BILLING CODE 4184-01-P