Request for applications for Fiscal Year 1996 Community and Family Strengthening Discretionary Social Service Grants Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of Refugee Resettlement

Request for applications for Fiscal Year 1996 Community and

Family Strengthening Discretionary Social Service Grants Program

AGENCY: Office of Refugee Resettlement (ORR), ACF, DHHS.

ACTION: Request for applications to support projects under the Office

of Refugee Resettlement's Fiscal Year 1996 Community and Family

Strengthening Discretionary Social Service Grants Program for services

to refugees.\1\

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\1\ In addition to persons who meet all requirements of 45 CFR

400.43, eligibility for refugee social services also includes: (1)

Cuban and Haitian entrants, under section 501 of the Refugee

Education Assistance Act of 1980 (Pub. L. No. 96-422); (2) certain

Amerasians from Vietnam who are admitted to the U.S. as immigrants

under section 584 of the Foreign Operations, Export Financing, and

Related Programs Appropriations Act, 1988, as included in the FY

1988 Continuing Resolution (Pub. L. No. 100-202); and (3) certain

Amerasians from Vietnam, including U.S. citizens, under title II of

the Foreign Operations, Export Financing, and Related Programs

Appropriations Act, 1989 (Pub. L. No. 100-461), 1990 (Pub. L. No.

101-167) and 1991 (Pub. L. No. 101-513). For convenience, the term

``refugee'' is used in this notice to encompass all such eligible

persons unless the specific context indicates otherwise.

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SUMMARY: This program announcement governs the availability of and

award procedures for approximately $1,500,000 in FY 1996 Social

Services discretionary grants. The Office of Refugee Resettlement (ORR)

will accept competing applications for grants pursuant to the

Director's discretionary authority under section 412(c)(1) of the

Immigration and Nationality Act (INA), as amended by section 311 of the

Refugee Act of 1980 (Pub. L. 96-212), 8 U.S.C. 1522(c); section 501(a)

of the Refugee Education Assistance Act of 1980 (Pub. L. 96-422), 8

U.S.C. 1522 note, insofar as it incorporates by reference with respect

to Cuban and Haitian entrants the authorities pertaining to assistance

for refugees established by section 412(c) of the INA, as cited above;

and the Refugee Assistance Extension Act of 1986 (Pub. L. 99-605).

Applications may request a project period of up to three years,

with an initial budget period of one year. Where awards are for

multiple year project periods, applications for continuation grants

will be entertained in subsequent years on a non-competitive basis,

subject to availability of funds, successful progress of the project,

and ACF's determination that this would be in the best interest of the

government. This announcement contains forms and instructions for

submitting an application.

CLOSING DATES: The closing dates for submission of applications is

August 2, 1996. Applications postmarked after the closing date will be

classified as late and will not be considered in the current

competition.

FOR FURTHER INFORMATION REGARDING THIS ANNOUNCEMENT, CONTACT: Anna Mary

Portz, Project Officer, telephone (202) 401-1196, or E-mail at

[email protected]. You may address correspondence to the contact

person as follows: Office of Refugee Resettlement, Administration for

Children and Families, 370 L'Enfant Promenade SW., Washington, DC

20447.

SUPPLEMENTARY INFORMATION:

Legislative Authority

Section 412(c)(1)(A) of the INA authorizes the Director ``to make

grants to, and enter into contracts with, public or private nonprofit

agencies for projects specifically designed--(i) To assist refugees in

obtaining the skills which are necessary for economic self-sufficiency,

including projects for job training, employment services, day care,

professional refresher training, and other recertification services;

(ii) to provide training in English where necessary (regardless of

whether the refugees are employed or receiving cash or other

assistance); and (iii) to provide where specific needs have been shown

and recognized by the Director, health (including mental health)

services, social services, educational and other services.''

Eligible Applicants

Eligible applicants are States and other public or private,

nonprofit organizations and institutions. Current CFS grantees may

participate in coalition applications under this announcement but are

discouraged from being the lead applicant.

Availability of Funds

Approximately $1.5 million will be awarded in FY 1996. Individual

grants are expected to range from $80,000 to $250,000 per budget

period. The Director reserves the right to award less, or more, than

the funds described, in the absence of worthy applications, or under

such other circumstances as may be deemed to be in the best interest of

the government. Applicants may be required to reduce the scope of

selected

[[Page 27909]]

projects to accommodate the amount of the grant award approved.

Length of Application

Applicants are encouraged to limit project descriptions (Part IV of

the application for each component) to 20 pages (typewritten, double

spaced on standard, letter-size paper) plus no more than 20 pages of

appended material. This limitation of 20 pages per component should be

considered as a maximum, and not necessarily a goal to be achieved.

Cost-Sharing Requirement

In applications making provision for cost-sharing funds, applicants

will be held accountable for commitments of non-Federal resources.

Failure to provide required cost-sharing resources may result in

disallowance of Federal funds and/or cancellation of future budget

periods.

Background: Community and Family Strengthening

As with all programs funded by appropriations pursuant to the

Refugee Act, services may be provided only to refugees (see definition

in footnote 1, above) and may not be provided to refugees who have

become citizens (except for those Amerasians listed in footnote 1).

Further, the intent of this announcement is to target primarily

refugees who have arrived within the last five years and give special

consideration to the needs of refugees who have experienced long stays

in overseas camps. Therefore, applicants are advised to consider the

needs of recently arrived families and of their communities in

responding to the particulars of this announcement.

Many American communities with high concentrations of refugees also

experience urban sprawl, increased specialization of services, and a

diversity of local services and providers. These considerations have

increased the need for better communication and cooperation among

agencies in order to enhance program effectiveness, provide services

that meet the current needs of the refugee population, and avoid

duplication or fragmentation of services. These large communities have

experienced a broad range of social and economic problems among some

refugee populations, particularly with regard to refugee women, youth,

elderly, and in those sectors characterized by a high incidence of

crime, violence, and neighborhood deterioration.

Most newly arriving refugees join family members already residing

in the larger community. This concentration has the potential for a

highly supportive environment for new arrivals. Human service systems

tend to be strong in these areas. The larger communities are also

environments in which resources can be organized through refugee mutual

assistance associations (MAAs), as well as other refugee community

religious and social services organizations, to support and expand the

economic and social infrastructure of the community. Conversely, in

some areas, a mix of ethnic groups among arrivals also contributes to

reduced capacity for local self-help activity in each ethnic community

of newcomers.

While employment and economic independence continue to be ORR's

primary concern and the focus of the formula social services and

targeted assistance funding, this announcement provides an opportunity

for local organizations to request funding for activities which

supplement and complement employment-related services by strengthening

refugee families and communities.

Coalitions

Local organizations, which have not already done so, are encouraged

to build coalitions for the purpose of applying under this

announcement. The activities funded by these grants are intended to

serve as a catalyst to bring the community together to address the

economic and social problems of refugee families and the refugee

community. The goal in all cases should be to build and strengthen the

community's capacity to serve its members in improving the quality of

life and standard of living for refugee families. While activities

proposed do not have to be directly employment related, applicants

should be guided by the overarching goal of improving the economic

condition of refugee families and of gearing them to adjust socially

and economically to their new country and their new communities.

This announcement strongly encourages partnerships or consortia of

three or more eligible organizations to submit joint applications for

grants. In each application, one organization must be clearly

identified as the grant recipient (grantee) with primary administrative

and fiscal responsibilities. Applications from consortia which do not

clearly specify which organization will serve as grantee cannot be

considered. In all cases the applicant must demonstrate that wherever

potential partners for collaboration exist, the applicant, at a

minimum, has planned the proposed activities in collaboration with

these potential partners, whether they are in the refugee services

provider community of organizations and institutions or in mainstream

services organizations, e.g., adult basic education providers, senior

citizens organizations, women's shelters. Consultation might also

include the Mayor's office, school parent-teacher groups, local police

departments, and other mainstream community service organizations.

This announcement is intended to encourage service planners and

providers to consider the various unmet needs of refugee families and

communities relative to existing services, the capacity of the service-

providing network, and ultimately the community's capacity to continue

the activity without additional ORR resources beyond the three-year

project period of this announcement. Long-range viability may depend

on: linkages to activities funded by other sources, the availability of

expertise in the community, the relatedness of proposed activities to

existing activities, the willingness of the community to participate

actively in assuring the success of the activity--including volunteer

commitment, and the likelihood of tangible results.

The scoring in the review criteria is heavily weighted to encourage

coalition projects. To receive maximum consideration, the applicant

should represent a coalition of a minimum of three participating

organizations in the local project area.

Service Compatibility

Applicants also are more likely to be successful in obtaining a

grant if they describe the refugee community, family, and service

capacity concerns under consideration. It should be clear how the

proposed activity fits into the existing network of services; how it

responds to the particular needs of families in that community or to a

broader need of the community of families; who is committed to do what

in order to accomplish this goal; and what the goal or expected outcome

of the activity is.

The process of coalition-building is key to strengthening

cooperation and coordination among the local service providers,

community leaders, Mutual Assistance Associations, voluntary agencies,

churches, and other public and private organizations involved in

refugee resettlement and/or community service. ORR intends that this

process will be part of local efforts to build strategic partnerships

among these groups to expand their capacity to serve the social and

economic needs of refugees and to give support and direction to ethnic

communities facing

[[Page 27910]]

problems in economic independence and social adjustment.

In all cases, regardless of the nature of the organization proposed

to provide services or conduct activities funded under this

announcement, the services/activities must be conducted by staff

linguistically and culturally compatible with the refugee families or

communities to be served. In addition, the applicant must describe how

proposed providers will have access to the families and to the

community to be served.

Where the application represents a coalition of providers, the

applicant should include in the application package a signed

partnership agreement which includes a commitment or statement of

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

upon receipt of ORR funds. The agreement should state how the

partnership arrangement relates to the objectives of the project. The

applicant should also include: supporting documentation identifying the

resources, experience, and expertise of the partner(s); evidence that

the partner(s) has been involved in the planning of the project; and a

discussion of the role of the partner(s) in the implementation and

conduct of the project. In this context, ORR is defining partnership as

a formal negotiated arrangement among organizations that provides for

substantive collaborative roles for each of the partners in the

planning and conduct of the project.

All applicants should demonstrate existing refugee community

support for their agency and their proposed project. If the applicant

works in an area where no other organizations work with refugees, and a

coalition with other organizations is not possible, this should be

explained and documented. Applicants and their partners should provide

evidence that their governing bodies, boards of directors, or advisory

bodies are representative of the refugee communities being served, and

have both male and female representation.

Because funding under this program announcement is limited,

applicants are urged to plan for the use of these funds in conjunction

with other Federal, State, and private funds available to assist the

target populations and to carry out similar programs and activities

(cost-sharing). In subsequent year continuation applications, the

grantee will be asked to document receipt of non-Federal funds from

other sources. The requirement will be not less than 20% of the full

budget for the second year award, and 40% for the third year award. For

example, if the original budget is $150,000, the federal share for that

year may be 100%. The second year the federal award might be $120,000

and the grantee would be required to provide at a minimum cost-sharing

of 20% of the full budget, or in the amount of $30,000 cash or in-kind

support. The third year federal award might be $90,000 and the grantee

would be required to provide cost-sharing of 40% of the full budget.

Only in unusual circumstances will the Director of ORR entertain a

request from the grantee to reduce or waive the cost-sharing

requirement which may be determined to be in the best interest of the

government.

Allowable Services/Activities for Community Support Grants

ORR will consider applications for services which an applicant

justifies, based on an analysis of service needs and available

resources, as necessary to address the social and economic problems of

refugee families and of the refugee community.

The specific services proposed may be as diverse as the communities

themselves. Some examples follow which are not intended to be a

comprehensive list but are intended to stimulate planning and community

discussion. The examples do not include the more traditional employment

and English language services for which the States predominantly

contract with the formula social services and targeted assistance

funds--not because these services are discouraged or disallowed under

this announcement, but because repetition here is not necessary. It

will be the task of the local planning processes to determine what is

needed to address the economic and social adjustment needs of families

and the community and to make the case for what is being proposed in

the application. Activities and services proposed should be planned in

conjunction with existing services and should supplement and complement

these services. Special attention should be given in the planning

process to the services available to all citizens, including community

institutions which serve the elderly, youth and special needs

populations.

Non-Allowable Activities

Funds will not be awarded to applicants who propose to engage in

activities of a distinctly political nature or which are designed

primarily to promote the preservation of cultural heritage, or which

have an international objective. ORR supports refugee community efforts

to preserve cultural heritage, but believes these are activities which

communities should conduct without recourse to ORR resources.

Some Examples of Allowable Activities

Orientation and Community Education

--Activities designed to inform the refugee community about issues

essential to effective participation in the new society.

--Classes in parenting skills, including information about U.S.

cultural and legal issues, e.g., related to corporal punishment,

generational conflict, and child abuse.

--Orientation and assistance to parents in connecting with the school

system and other local community organizations.

--Information services on health care: information on access to health

care for the uninsured, on health insurance, on health maintenance

organizations, on the importance of preventive health, and on available

universal coverage services, e.g., immunizations.

Specialized English Language Training

--Specialized classes for specific industries in conjunction with

employers.

--Specialized classes for groups outside the regular classes, e.g.,

homebound women, elderly. Use of volunteers is encouraged.

Accessibility of site and time is important.

Leadership Training

--Potential participants should be involved in designing the training.

Activities might include community organizing, fund raising, non-profit

management, other needs identified by potential participants.

Mentoring Programs

--Pairing participant individuals or families with community

volunteers. Programs should target refugees who are not otherwise

receiving core services, and mentoring should target needs they

identify.

Peer Support Groups

--Assisting subgroups to form a common bond for resolution of peer-

specific problems. The purposes are to solve individual, family, and

community problems with the support of peers and to solve common

problems through group action.

Citizenship Education

--Education and training designed to prepare refugees to become

citizens.

Combating Violence in Families

--Information and training against domestic violence, child abuse,

sexual

[[Page 27911]]

harassment and coercion, roles of men and women in U.S. culture,

techniques for protection. Bi-lingual staff for women's shelters.

Crime Prevention/Victimization

--Activities designed to improve relations between refugees and the law

enforcement communities: (a) public service officers or community

liaisons; (b) neighborhood storefronts and/or watch programs; (c)

refugee business watch program; (d) cross cultural training for the law

enforcement community (police departments, court system, mediation/

dispute resolution centers).

Note: Law enforcement activities, such as hiring sworn police

officers (except those who are public service officers or community

liaison officers), fingerprinting, incarceration, etc., are outside

the scope of allowable services under the Refugee Act and will not

be considered for funding. Other unallowable activities are those

limited to, or principally focused on, parole counseling, court

advocacy, and child protection services.

Refugee Community Centers

--Developing and operating community centers for delivering services to

refugee individuals and families. Centers may also be used for

recreation, information and referral services and community gatherings.

(Costs related to construction or renovation will not be considered,

nor will costs for food or beverages).

Community Organizing

--Communities might be organized for housing cooperatives, for youth

activities, for services to elderly, for volunteer mentoring services,

for crime prevention.

The above are only examples of services. They are not intended to

limit potential applicants in community planning.

These examples are listed and generically described without regard

to the population to be served. It will be necessary in the application

to describe more specifically the target population. For example, one

activity might be appropriately designed to serve only homebound women.

Another might be designed for teen-agers and their parents. Another

might be for elderly. Some might be targeted for all members of the

family. Applications should correlate a planned activity with specific

target audiences and discuss the relationship between the proposed

activities and the target population.

Application Content and Review Criteria

Application Content

A. Need and Scope

Applicants should submit a detailed profile of the target community

or communities to include the following:

--Refugee Community: A description by geographic area or ethnic group

of the refugee community to be served, including numbers, ethnicity,

welfare utilization pattern, number of refugee families in the

community, family characteristics, and an assessment of attitudes of

the refugees and the general community toward each other.

--Target Population: Applicants must submit a profile of the specific

target population to be served. The applicant must describe the target

population, reflecting ethnicity, age makeup, and length of time in the

United States. All discrete refugee target populations may be

considered. A target population may include, but is not limited to: an

ethnic group, refugee families, women, youth, older workers, two-parent

families on public assistance, or the aged. The applicant must provide

justification for the selection of the target population.

Include a description of the problem(s) which the applicant/

coalition has identified and for which funds are being requested, and a

broad overview of the refugee resettlement picture in the community in

which the applicant is proposing to conduct activities.

The applicant shall describe the existing service delivery

systems(s) and existing community networks and explain how the

activities proposed complement and do not supplant existing services.

B. Strategy and Program Design

Project design must include representatives of the target

population. For example, a project designed to assist single mothers

needs to be designed in consultation with single mothers. Input by the

target population is viewed as particularly important.

The description of strategy and program design should also include:

--The proposed strategy for addressing the needs identified for the

target population.

--The activities proposed to be funded under this grant application,

including locations proposed for services, time of service vis-a-vis

normal workday, and any special cultural considerations.

--Identification of projected performance outcomes and proposed

milestones measuring progress, as appropriate to the services proposed

by the end of the first budget period and over the entire requested

project period. While ORR recognizes that in many family and community

services outcomes may be difficult to quantify, ORR encourages

applicants, to the extent possible, to develop innovative quantifiable

measures related to the desired outcomes for purposes of monitoring and

project assessment.

--The extent to which the award is projected to be augmented or

supplemented by other funding during and beyond (i.e. in the second and

any subsequent year of) the grant period, or can be integrated into

other existing service systems.

C. Capability Statement

A list of the organizations participating in the applicant

coalition, a clear statement of which agency will serve as grantee in

the event of an award, a description of the role of each member of the

coalition in the project's proposed activities, and a memorandum

detailing collaboration signed by all parties must be submitted.

Applications representing coalitions of local organizations shall

describe the nature of the agreement among collaborating agencies and

include a copy of a signed agreement attesting to a common

understanding of how the partners will relate to each other

administratively and programmatically in carrying out the proposed

activities under the grant. Document resources, experience, and

expertise. In addition, proposed linkages with other refugee/entrant

service agencies and/or organizations, and with human service agencies

should be detailed.

The applicant shall discuss the gender balance and constituent

representation of the board members of the participating organizations

or of the proposed project's advisory board.

The applicant shall describe how this project will gain access to

the target population and ensure that services are linguistically and

culturally appropriate.

The applicant shall describe the administrative and management

features of the project. The administrative description should detail

each of the following:

--Qualifications of the applicant organization and any partners.

--A description of the applicant's plan for fiscal and programmatic

management of each activity, including proposed start-up time, ongoing

timelines, major milestones

[[Page 27912]]

or benchmarks, a component/project organization chart, and a staffing

chart.

--A description of information collection (participant and outcome

data) and monitoring proposed.

D. Budget and Funding

--Budget, by line item, with narrative justification.

--A description of how the need for the ORR funding requested will be

phased out over the life of the project and a description of the cost-

sharing plan for any subsequent budget periods (e.g. how other

resources will be leveraged to maintain the full budget during the

overall project period of the ORR grant).

Criteria for Evaluating Grant Applications

Each application will be rated individually on the following:

A. Need and Scope--(25 points)

--Profile of refugee community and target population. Clarity of

description and soundness of rationale for selection of targeted

community or population.

--Adequacy and quality of data provided and quality of the analysis of

data provided in the application.

--Clarity and comprehensiveness of needs identification and problem

statement and of the description of the local context in which grant

activities are proposed.

--Comprehensiveness of description of existing services and community

network and explanation of how the proposed services complement what is

already in place.

--Evidence of consultation with target population.

B. Proposed Strategy and Program Design (25 points)

--Soundness of strategy and program design for meeting identified

needs.

--The quality of the outcomes proposed and the component's potential

for achieving the outcomes within the grant's project period. The

potential of the project to have a positive impact on the quality of

the lives of refugee families and communities.

--Adequate detail in the description of linkages with other providers

and roles of collaborating agencies in project implementation.

--Extent to which the need described is expected to be met and/or to

which the services will be augmented, supplemented, or integrated with

existing services.

C. Applicant/Coalition Capability--(30 points)

--Validity and reasonableness of the proposed coalition arrangement to

perform the proposed activities. Commitment of coalition partners in

implementing the activities as demonstrated by letters or the language

of the signed agreement among participants. (Where no potential

coalition partners are documented to be available, the applicant will

not be penalized under this criteria. The applicant shall still

describe any consultation efforts undertaken and its consultation with

the refugee community.)

--Experience of the applicant/coalition in performing the proposed

services.

--Adequacy of gender balance and constituent representatives of board

members of participant organizations or of the proposed project's

advisory board.

--Adequacy of assurance that proposed services will be linguistically

and culturally appropriate to the target population.

--Qualifications of the individual organization staff and any

volunteers.

D. Budget and Financial Management--(20 points)

--Reasonableness of budget in relation to the proposed activities and

anticipated results.

--Adequacy of proposed monitoring and information collection.

--Realistic plan for the continuation of services with a phase-out of

ORR grant funding over the multi-year project period. Extent to which

the application makes provision for cost-sharing (e.g. leveraging ORR

funds with non-Federal funds or in-kind support) to maintain the full

budget during the overall project. If available, the value of such

leveraged funds or in-kind support and any preliminary commitments.

Total: 100 points

General Procedure for Competitive Review of Applications

Applicants will be reviewed competitively and scored by an

independent review panel of experts in accordance with ACF grants

policy and the criteria stated below. The results of the independent

review panel scores and explanatory comments will assist the Director

of ORR 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 the reviewers. However, during the federal

assessment process, lead applicants who are current recipients of

Community and Family Strengthening funds in these areas may receive

less consideration than new lead applicants. Highly ranked applications

are not guaranteed funding since other factors are taken into

consideration, including: comments of reviewers and of ACF/ORR

officials; previous program performance of applicants; compliance with

grant terms under previous DHHS grants; audit reports; and

investigative reports. Final funding decisions will be made by the

Director of ORR.

Application Preparation and Submission

Availability of Forms

Attachments contain all of the standard forms necessary for the

application for awards under this announcement. Further, copies of the

Federal Register containing this announcement are available at most

local libraries and Congressional District Offices for reproduction. If

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

writing or telephoning the following office: Office of Refugee

Resettlement, 370 L'Enfant Promenade SW., Washington, DC 20447

Telephone: (202) 401-1196.

Forms, Certifications, Assurances, and Disclosure

1. Applications for financial assistance under this announcement

must file the Standard Form (SF) 424, Application for Federal

Assistance; SF-424A, Budget Information--Non-Construction Programs; SF-

424B, Assurances--Non-Construction Programs. The instructions and forms

required for submission of applications are included. The forms may be

reproduced for use in submitting applications. An application with an

original signature and two copies is required.

2. Applicants must provide the following certifications. Copies of

the forms and assurances are located at the end of this announcement.

Certification regarding lobbying if your anticipated award exceeds

$100,000.

Certification regarding environmental tobacco smoke.

3. Applicants must make the appropriate certification of compliance

with the following three items. In each, by signing and submitting the

applications, applicants are providing the certification and need not

mail back the certification with the applications.

[[Page 27913]]

Certification regarding debarment, suspension, and other

responsibility matters.

Certification of compliance with the Pro-Children Act of 1994.

Certification of their compliance with the Drug-Free Workplace Act

of 1988.

4. (a) Deadline: Mailed applications shall be considered as meeting

an announced deadline if they are either received on or before the

deadline date or sent on or before the deadline date and received by

ACF in time for the independent review to: U.S. Department of Health

and Human Services, Administration for Children and Families, Division

of Discretionary Grants, 370 L'Enfant Promenade, S.W., Mail Stop 6C-

462, Washington, D.C. 20447, Attention: Application for New Community

and Family Strengthening

Applicants are cautioned to request a legibly dated U.S. Postal

Service postmark or to obtain a legibly dated receipt from a commercial

carrier or U.S. Postal Service. Private Metered postmarks shall not be

acceptable as proof of timely mailing.

Applications handcarried 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 Mailroom, 2nd Floor Loading Dock,

Aerospace Center, 901 D Street, S.W., Washington, D.C. 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.

b. 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.

c. Extension of deadlines: ACF may extend the deadline for all

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

widespread disruption of the mails, or when it is anticipated that many

of the applications will come from rural or remote areas. However, if

the granting agency does not extend the deadline for all applicants, it

may not waive or extend the deadline for any applicants.

d. Once an application has been submitted, it is considered as

final and no additional materials will be accepted by ACF.

Non-Profits Status

Applicants other than public agencies must provide evidence of

their nonprofit status with their applications. Any of the following is

acceptable evidence: (1) a copy of the applicant organization's listing

in the Internal Revenue Service's most recent list of tax-exempt

organizations described in section 501(c)(3) of the IRS Code; or (2) a

copy of the currently valid IRS tax exemption certificate.

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 Service

Programs and Activities.''

As of February, 1996, the following jurisdictions have elected not

to participate in the Executive Order process. Applicants from these

jurisdictions need take no action in regard to E.O. 12372: Alaska,

Colorado, Connecticut, Hawaii, Idaho, Kansas, Louisiana, Massachusetts,

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

Dakota, Tennessee, Virginia, Washington, American Samoa, and Palau.

All remaining jurisdictions participate in the E.O. process and

have established Single Points of Contact (SPOCs). A list of the Single

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

A of this announcement.

Applicants from participating jurisdictions should contact their

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

and receive 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. The applicant

must submit all required materials, if any, to the SPOC and indicate

the date of this submittal (or the date of contact if no submittal is

required) on the Standard Form 424, item 16a.

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

deadline to comment on proposed new or competing continuation awards.

SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations.

Additionally, SPOCs are requested to clearly differentiate between

mere advisory comments and those official State process recommendations

which may trigger the ``accommodate or explain'' rule. When comments

are submitted directly to ACF, they should be addressed to: Department

of Health and Human Services, Administration for Children and Families,

Division of Discretionary Grants, 370 L'Enfant Promenade, S.W.,

Washington, D.C. 20447.

H. Paperwork Reduction Act of 1995

Under the Paperwork Reduction Act of 1995, Pub. Law 104-13, the

Department is required to submit to the Office of Management and Budget

(OMB) for review and approval any reporting and recordkeeping

requirements in regulations, including program announcements. All

information required by this is covered under the following OMB

Approval Nos:

SF 424 (OMB Clearance No. 0348-0043) Application for

Federal Assistance.

SF 424A (OMB Clearance No. 0348-044) Budget Information.

SF 424B (OMB Clearance No. 0348-040) Assurances--Non

Construction Programs.

SF ORR-6 (Revised 9/05/95; OMB Clearance No. 0970-0036)

Quarterly Performance Report.

I. Applicable Regulations

Applicable HHS regulations will be provided to grantees upon award.

J. Reporting Requirements

Grantees are required to file Financial Status (SF-269) semi-

annually and Program Progress Reports on a quarterly basis. Funds

issued under these awards must be accounted for and reported upon

separately from all other grant activities.

Although ORR does not expect the proposed components/projects to

include evaluation activities, it does expect grantees to maintain

adequate records to track and report on project outcomes and

expenditures by budget line item.

The official receipt point for all reports and correspondence is

the Division of Discretionary Grants. The original copy of each report

shall be submitted to the Grants Management Specialist, ACF, with a

copy being sent simultaneously to the ORR Project Officer. The mailing

address for both the Division of Discretionary Grants and the Office of

Refugee Resettlement is: Aerospace Building, Sixth Floor, 370

[[Page 27914]]

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

The final Financial and Program Progress Reports shall be due 90

days after the budget expiration date or termination of grant support.

(The Catalog of Federal Domestic Assistance (CFDA) number assigned

to this announcement is 93.576)

Dated: May 28, 1996.

Lavinia Limon,

Director, Office of Refugee Resettlement.

BILLING CODE 4184-01-P

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BILLING CODE 4184-01-C

[[Page 27916]]

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 government 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 27917]]

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[[Page 27918]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.021

BILLING CODE 4184-01-C

[[Page 27919]]

Instructions for the SF-424A

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project except

when applying for assistance which requires Federal authorization in

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

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

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

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary

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

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

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

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

For applications pertaining to a single program requiring budget

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

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

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

multiple programs where none of the programs require a breakdown by

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

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

Column (b).

For applications pertaining to multiple programs where one or

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

separate sheet for each program requiring the breakdown. Additional

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

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

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

programs.

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

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

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

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

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

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

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

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

only if the Federal grantor agency instructions provide for this.

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

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

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

For supplemental grants and changes to existing grants, do not

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

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

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

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

which includes the total previous authorized budgeted amounts plus

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

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

Columns (e) and (f).

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

Section B Budget Categories

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

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

(a), Section A. When additional sheets are prepared for Section A,

provide similar column headings on each sheet. For each program,

function or activity, fill in the total requirements for funds (both

Federal and non-Federal) by object class categories.

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

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

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

applications for new grants and continuation grants the total amount

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

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

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

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

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

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

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

amount from the total project amount. Show under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the federal grantor

agency in determining the total amount of the grant.

Section C. Non-Federal-Resources

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

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

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

Section A.

Section D. Forecasted Cash Needs

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

grantor agency during the first year.

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

by quarter during the first year.

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

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

the Project

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

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

is not necessary. For new applications and continuation grant

applications, enter in the proper columns amounts of Federal funds

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

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

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

funds for the current year of existing grants.

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

submit additional schedules as necessary.

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

additional schedules are prepared for this Section, annotate

accordingly and show the overall totals on this line.

Section F. Other Budget Information

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

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

ordinary or to explain the details as required by the Federal

grantor agency.

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

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

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

is applied, and the total indirect expense.

Line 23--Provide any other explanations or comments deemed

necessary.

Assurances--Non-Construction Programs

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

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

awarding agency. Further, certain Federal awarding agencies may

require applicants to certify to additional assurances. If such is

the case, you will be notified.

As the duly authorized representative of the applicant I certify

that the applicant:

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

the institutional, managerial and financial capability (including

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

ensure proper planning, management and completion of the project

described in this application.

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

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

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

books, papers, or documents related to the award; and will establish

a proper accounting system in

[[Page 27920]]

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 of Treatment Act of 1972 (P.L. 92-

255), as amended, relating to nondiscrimination on the basis of drug

abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism

Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616),

as amended, relating to nondiscrimination on the basis of alcohol

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

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

relating to confidentiality of alcohol and drug abuse patient

records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C.

Sec. 3601 et seq.), as amended, relating to nondiscrimination in the

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

nondiscrimination provisions in the specific statute(s) under which

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

requirements of any other nondiscrimination statute(s) which may

apply to the application.

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

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

Property Acquisition Policies Act of 1970 (P.L. 91-646) which

provide for fair and equitable treatment of persons displaced or

whose property is acquired as a result of Federal or federally

assisted programs. These requirements apply to all interests in real

property acquired for project purposes regardless of Federal

participation in purchases.

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

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

of employees whose principal employment activities are funded in

whole or in part with Federal funds.

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

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

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

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

labor standards for federally assisted construction subagreements.

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

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

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

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

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

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

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

evaluation of flood hazards in floodplains in accordance with EO

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

management program developed under the Coastal Zone Management Act

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

actions to State (Clear Air) Implementation Plans under Section

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

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

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

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

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

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

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

potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with

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

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

historic properties), and the Archaeological and Historic

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

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

human subjects involved in research, development, and related

activities supported by this award of assistance.

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

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

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

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

assistance.

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

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

based paint in construction or rehabilitation of residence

structures.

17. Will cause to be performed the required financial and

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

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

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

Signature of Authorized Certifying Official

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

Title

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

Applicant Organization

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

Date Submitted

BILLING CODE 4184-01-P

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[[Page 27922]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.023

BILLING CODE 4184-01-C

[[Page 27923]]

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.

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 27924]]

[GRAPHIC] [TIFF OMITTED] TN03JN96.024

BILLING CODE 4184-01-C

[[Page 27925]]

Certification Regarding Environmental Tobacco Smoke

Public Law 103-227, Part C--Environmental Tobacco Smoke, also known

as the Pro-Children Act of 1994 (Act), requires that smoking not be

permitted in any portion of any indoor facility owned or leased or

contracted for by an entity and used routinely or regularly for the

provision of health, day care, education, or library services to

children under the age of 18, if the services are funded by Federal

programs either directly or through State or local governments, by

Federal grant, contract, loan, or loan guarantee. The law does not

apply to children's services provided in private residences, facilities

funded solely by Medicare or Medicaid funds, and portions of facilities

used for inpatient drug or alcohol treatment. Failure to comply with

the provisions of the law may result in the imposition of a civil

monetary penalty of up to $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.

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, P.O. Box 1401, 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 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,

[[Page 27926]]

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 4119, 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

[FR Doc. 96-13804 Filed 5-31-96; 8:45 am]

BILLING CODE 4184-01-P