Family Violence Prevention and Services Program, National Resource Center on Domestic Violence and Three Special Issue Resource Centers; Availability of Funds for Fiscal Year 1996 and Request for Applications

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Program Announcement No. OCS 96-05]

Family Violence Prevention and Services Program, National

Resource Center on Domestic Violence and Three Special Issue Resource

Centers; Availability of Funds for Fiscal Year 1996 and Request for

Applications

AGENCY: Office of Community Services, ACF, HHS.

ACTION: Announcement of the availability of funds and request for

applications for the National Resource Center on Domestic Violence and

Three Special Issue Resource Centers: Civil and Criminal Law; Child

Custody and Protection; and Health Resources, respectively.

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

SUMMARY: The Office of Community Services (OCS) of the Administration

for Children and Families (ACF) expects $1,130,436 to be available in

fiscal year (FY) 1996 for the award of one cooperative agreement and

three grant awards in support of a National Resource Center on Domestic

Violence (NRC), and three Special Issue Resource Centers (SIRCs) to

operate as the Domestic Violence Resource Network. This Announcement

contains all the application materials needed to apply for these

grants. Please copy and use these materials provided in submitting an

application under this Announcement. No additional application

materials are available or needed to submit an application.

Applications will be judged competitively.

Applicants should note that grants and cooperative agreements to be

awarded under this Program Announcement are subject to the availability

of funds.

The purpose of the Domestic Violence Resource Network (a network of

four domestic violence resource centers: the National Resource Center

on Domestic Violence, the Resource Center on Civil and Criminal Law,

the Health Resource Center on Domestic Violence, and the Resource

Center on Child Protection and Custody) is to strengthen the existing

support systems serving battered women, their children and other

victims of domestic violence; and to provide comprehensive information

and resources, policy development, and technical assistance designed to

enhance community response to and prevention of domestic violence.

Each resource center, as part of the network, is required to work

in partnership with community-based domestic violence programs, State

domestic violence coalitions, Federal, State, and local government

agencies, Indian tribal organizations, policy makers and others

involved in assisting programs and victims of domestic violence in

order to identify and respond to emerging issues, technical assistance

requests, and increasing service demands. In addition to promoting

research, providing information, and technical assistance, each center

within the network must provide:

Comprehensive statistics, fact sheets, and specialized

information packets addressing a range of domestic violence issues;

Materials to support the development and replication of

model programs, legislation and exemplary practices;

Technical assistance and training to assist organizations,

programs and communities to adapt available resources to meet local

needs;

A toll-free information line which allows the public to

access the latest developments in research, policy, and practice; and

A customized service reachable by fax or mail whereby

programs, agencies, and professionals may receive packets, newsletters,

bibliographies, policy papers and fact sheets.

DATES: The closing date for submission of applications is May 17, 1996.

Applications postmarked after the closing date will be classified as

late.

ADDRESSES: Application receipt point: Department of Health and Human

Services, Administration for Children and Families/Division of

Discretionary Grants, (OCS-96-05) 370 L'Enfant Promenade, S.W., Mail

Stop 6C-462, Washington, D.C. 20447.

FOR FURTHER INFORMATION CONTACT: William Riley, Administration for

Children and Families, Office of Community Services, Division of State

Assistance, 370 L'Enfant Promenade,

[[Page 11034]]

S.W., Washington, D.C. 20447. Telephone (202) 401-5529.

Part I: General Information

A. Legislative Authority

The NRC and the SIRC grants are authorized under the Family

Violence Prevention and Services Act (FVPSA), 42 U.S.C. 10401 et seq.

Enacted as Title III of the Child Abuse Amendments of 1984, the FVPSA

was amended and reauthorized by Pub. L. 102-295, the Child Abuse,

Domestic Violence, Adoption and Family Services Act of 1992. The FVPSA

was further amended by the Violent Crime and Law Enforcement Act of

1994 (Pub. L. 103-322). The Act is administered by the Office of

Community Services, Administration for Children and Families,

Department of Health and Human Services.

B. Program Purpose

The Department is required to establish and maintain a NRC and up

to seven SIRCs. (See section 308(a)(2) of the FVPSA, as amended.)

On a nationwide basis, a network composed of the NRC and the SIRCs

will offer resource, policy, and training assistance to Federal, State,

and local government agencies, to domestic violence service providers,

and to other professional and interested parties on issues pertaining

to domestic violence. The NRC will maintain a central resource library

in order to collect, prepare, analyze, and disseminate information and

statistics relating to the incidence and prevention of family violence

(particularly the prevention of repeated incidents of violence) and the

provision of immediate shelter and related assistance. The SIRCs shall

provide a specialization, on a nationwide basis, in at least one area

of domestic violence service, prevention or law.

C. Eligible Applicants

Private nonprofit organizations that focus primarily on domestic

violence. Applicants must have documented organizational experience in

the area of domestic violence prevention and services and in the

specific special-issue area(s) for which they are applying. Each

applicant must have an advisory board.

D. Background

To comply with the NRC mandate, the Office of Community Services

seeks to support a nationwide effort that is staffed by an expert and

experienced multi-disciplinary team that can respond to requests for

resource, policy, and training assistance from individuals, agencies

and organizations at the Federal, State and local levels.

Because of our concerns for administrative efficiency, ACF has

concluded that the most effective relationships and anticipated

coordination activities between the NRC and the SIRCs will be greatly

enhanced with the establishment and maintenance of three (3) SIRCs. The

areas of domestic violence service, prevention, or law described in

section 308 of the FVPSA clearly overlap; therefore OCS has determined

that they may be combined with no loss of emphasis.

(1) Areas related to the efforts of the Special Issue Resource

Centers will include the:

(a) Identification, documentation and the development of innovative

training curricula, materials and manuals for specific program needs;

(b) Provision of technical assistance, training and consultation to

improve program administration, service delivery, and to promote the

utilization of resources and state-of-the-art techniques related to

domestic violence, including methods and techniques for program

implementation and evaluation; and

(c) Development of a network of professionals in domestic violence

and the coordination of their input and experiences to assist persons,

programs or agencies requesting assistance or information.

Considered together, the NRC and the SIRCs will constitute a

domestic violence resource network and will provide assistance to

Federal, State and local governmental agencies, Tribal agencies, State

Domestic Violence Coalitions, community-based domestic violence

programs, and other organizations and individuals involved in domestic

violence prevention, identification, services, and intervention. To

that end, questions related to the forms and extent of the assistance

needed by the field must be addressed. Additionally, questions related

to the efficient and shared use of current electronic capabilities, how

assistance and support for the field may be best communicated and

delivered, and questions relative to the state-of-the-art on

prevention, identification, intervention, and services in domestic

violence must also be discussed.

Moreover, the discussion of the provision of assistance and

consultation must be conducted in a manner that takes into account

varying circumstances, e.g., conditions in the field, and the target

populations to be addressed. The discussion of the anticipated level of

responsiveness and sensitivity requires that questions of flexibility,

options for services delivery, cost, and the appropriateness of content

also be addressed.

The SIRCs must have the ability to deliver highly individualized

technical assistance which enables a user to solve a specific problem.

In addition to facilitating on-site assistance, the SIRCs shall:

identify, develop, and disseminate research and evaluation findings;

prepare and distribute technical assistance packages to aid in the

replication of effective services, prevention efforts and training

programs; and identify new areas of demonstration and services

improvement needed to address domestic violence issues in their

respective topical areas.

The proposed three SIRCs will provide specific leadership, resource

information and materials, training, technical assistance and

professional consultation as the following resource centers:

Special Issue Resource Centers on Domestic Violence:

(a) Civil and Criminal Justice

(i) Criminal justice responses to domestic violence, including

court-mandated abuser treatment and the development of batterers

intervention services.

(ii) The use of the self-defense plea by domestic violence victims

and other issues that arise when domestic violence victims are accused

of committing crimes, including homicide.

(iii) Improving access to and the quality of legal representation

for victims of domestic violence in civil litigation, including the

issuance and enforcement of protection orders.

(b) Child Protection and Custody

(i) Improving the response of Child Protective Service agencies to

battered mothers of abused children.

(ii) Child custody issues in domestic violence cases.

(c) Health Care and Access

(i) Improving interdisciplinary health care responses.

(ii) Improving access to health care resources for victims of

domestic violence.

(2) Areas of Responsibility for the National Resource Center on

Domestic Violence:

It is expected that on a nationwide basis the NRC shall have a

knowledge building and dissemination capacity and exhibit a systematic

approach to the development and the distribution of information on

issues for the field in close coordination with the SIRCs. To that end,

the NRC shall assume an

[[Page 11035]]

active role in the development of work groups and conferences on

emerging policy and practice issues, and publish and disseminate

proceedings on the state-of-the-art in selected areas of domestic

violence intervention and prevention efforts, model programs, policy

development and research; identify areas where additional information

and research is needed to complement policy and practice; and suggest

next steps for additional data compilation, innovative demonstrations,

program administration, policy and service program evaluations.

Specific areas related to the efforts of the National Resource

Center will include:

(a) Identifying emerging domestic violence issues and preparing

information and policy papers addressing such issues;

(b) Identification of the need, documentation and development of

innovative or exemplary practice and resource development, and

assisting the field through the acquisition of a 1-800 information line

and other means, in acquiring and adapting such resources to specific

needs; and

(c) Maintaining a central resource library to collect, prepare,

analyze, and disseminate information and statistics.

E. Forms of Awards

The Office of Community Services intends to support the SIRC's via

regular grant awards. However, OCS intends to support the NRC through a

Cooperative Agreement. A Cooperative Agreement is an award instrument

of financial assistance when substantial involvement is anticipated

between the awarding office and the recipient during performance of the

contemplated project. The Office of Community Services will outline a

plan of interaction with the grantee for implementation under the

cooperative agreement. The respective responsibilities of the Office of

Community Services and the successful applicant will be identified and

incorporated into the Cooperative Agreement during pre-award

negotiations. It is anticipated that OCS responsibilities will not

change the project requirements for the NRC found in this Announcement.

The plan under the cooperative agreement will describe the general and

specific responsibilities of the grantee and the grantor as well as

foreseeable joint responsibilities. A schedule of tasks will be

developed and agreed upon in addition to any special conditions

relating to the implementation of the project.

F. Minimum Requirements for Project Design

Applicants may apply to provide NRC services or SIRC services, and

may submit applications for more than one center. However, in the event

that the applicant does apply for more than one center, a separate

application for each center would be required. Applicants must clearly

indicate whether funding is being sought to support the NRC or the

SIRC. When applying for the SIRC grant the applicant must specify the

topical area(s) being addressed.

In order to successfully compete under this Announcement, the

applicant should:

(1) For the National Resource Center:

(a) Outline a plan of interaction with OCS for implementation under

a cooperative agreement including, as appropriate, activities involving

Headquarters agency staff;

(b) Describe the immediacy of the need(s) to be addressed as an NRC

and provide information on the specific services your organization has

provided and currently provides and what need(s) and information would

be provided as the NRC;

(c) Present the technical approach and the specific workplans for

the provision of assistance to the field that is nationwide in scope

and that includes the use of an advisory board and/or expert panel; a

plan for continued contact with the field, including an 800 telephone

number and direct mailings; a plan for the implementation and effective

use of electronic communication capability with the field; and a plan

for the development and use of a network of experts for the provision

of direct training and consultation, including fees for service, if

necessary;

(d) Describe the efforts that would be initiated to coordinate the

NRC with national advocacy groups and domestic violence organizations,

other related national resource centers and clearinghouses, and

Federal, State and Indian Tribal agencies; identify the agencies/

organizations and how the initiation of or continued coordination with

them will enhance the NRC's activities and avoid a duplication of

efforts;

(e) Provide a plan to determine the need for and the manner in

which you would implement special projects relating to policy issues,

training curricula, service delivery models or other aspects of

services, related to the prevention of domestic violence;

(f) Provide a plan and schedule for evaluating and reporting on the

effectiveness of the project(s) 6 months after the effective date of

the grant;

(g) Describe the proposed NRC staff with appropriate expertise; and

(h) Describe the administrative and organizational structure, the

management plan, and the cost structure within which the project will

operate; describe the administrative, operational and organizational

relationships to be established with the SIRCs that will constitute an

effective national network in the domestic violence areas. Charts

depicting these structures and the ensuing relationships must be

included.

Project Period

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

period, although project periods may be for 5 years. Applications for

continuation grants funded under these awards beyond the one-year

budget period but within the 5-year project period will be entertained

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

availability of funds, satisfactory progress of the grantee and a

determination that continued funding would be in the best interest of

the government.

Budget Period and Federal Share

The FY 96 Federal share for the National Resource Center is

$452,174 for the first 12-month budget period, subject to the

availability of funds.

Matching Requirement

Grantees must provide at least 25 percent of the total cost of the

project. The total approved cost of the project is the sum of the ACF

share and the non-Federal share. The non-Federal share may be met by

cash or in-kind contributions, although applicants are encouraged to

meet their match requirements through cash contributions. Therefore, a

project requesting $602,898 in Federal funds for the first-year budget

period must include a match of at least $200,966 (25 percent of total

project cost). If approved for funding, the grantee will be held

accountable for commitments of non-Federal resources, and failure to

provide the required amounts will result in a disallowance of unmatched

Federal funds.

Anticipated Number of Projects to be Funded

It is anticipated that one National Resource Center on Domestic

Violence will be funded.

(2) For the Special Issue Resource Centers:

(a) Describe the immediacy of the need(s) to be addressed and

provide information on the specific services your organization has

provided and currently provides and what information, specific

training, and

[[Page 11036]]

technical assistance would be provided as an SIRC;

(b) Demonstrate an in-depth understanding of the program/service

and access/response issues of the particular SIRC(s) and the problems

associated with them;

(c) Present the technical approach and the specific workplans for

the provision of training and technical assistance to the field that is

nationwide in scope and utilizes the support and facilitating efforts

of the NRC and a network of experts; describe a plan for continuous

contact with the field, an 800 telephone number and direct mailings;

and a plan for the development and use of a network of experts for the

provision of direct training and consultation, including fees for

service, if necessary;

(d) Describe the efforts that you currently make or would

implement, and the relationships that you currently have or will form,

to coordinate activities with other appropriate resource centers,

domestic violence advocacy organizations, public agencies, the NRC, and

affiliated SIRCs in a national domestic violence network to enhance the

center's activities and to avoid duplication;

(e) Provide a plan to determine the need for and to implement

special projects related to training curricula, service delivery models

or other aspects of the proposed SIRC topic;

(f) Provide a plan to evaluate the effectiveness of the proposed

project activities within 6 months of the effective date of the grant;

(g) Describe the proposed SIRC staff with appropriate expertise;

and

(h) Describe the administrative and organizational structure, the

management plan, the cost structure within which the project would

operate; and describe the operational and programmatic relationships to

be formed with the affiliated SIRCs and the NRC. Charts depicting the

organizational structures and the ensuing relationships must be

included.

Project Period

The length of the projects for the Special Issue Resource Centers

must not exceed 60 months.

Budget Period and Federal Share

The FY 96 Federal share for each of the three Special Issue

Resource Centers is $226,087 for the first 12-month budget period

subject to the availability of funds.

Matching Requirement

Successful grantees must provide at least 25 percent of the total

cost of the project. The approved total cost of the project is the sum

of the ACF share and the non-Federal share. The non-Federal share may

be met by cash or in-kind contributions, although applicants are

encouraged to meet their match requirements through cash contributions.

Therefore, a project requesting $301,449 in Federal funds for the first

year budget period must include a match of at least $100,449 (25

percent of total project cost). If approved for funding, the grantee

will be held accountable for commitments of non-Federal resources, and

failure to provide the required amounts will result in a disallowance

of unmatched Federal funds.

Anticipated Number of Projects to be Funded

It is anticipated that three Special Issue Resource Center projects

will be funded as grants, i.e., one each in the areas of Civil and

Criminal Justice, Child Protection and Custody, and Health Care and

Access.

CFDA: 93.671 Family Violence Prevention and Services: Family

Violence Prevention and Services Act, as amended.

Part II--The Review Process

A. Eligible Applicants

Before applications are reviewed, each application will be screened

to determine that the applicant organization is an eligible applicant

as specified. Applications from organizations which do not meet the

eligibility requirements area will not be considered or reviewed in the

competition, and the applicant will be so informed.

Only agencies and organizations, not individuals, are eligible to

apply. On all applications developed jointly by more than one agency or

organization, the application must identify only one organization as

the lead organization and official applicant. The other participating

agencies and organizations can be included as co-participants,

subgrantees or subcontractors.

For-profit organizations and public agencies are also eligible to

participate as subgrantees or subcontractors with eligible private non-

profit organizations.

Any non-profit organization which has not previously received an

award from the U.S. Department of Health and Human Services must submit

proof of non-profit status with its grant application. The non-profit

organization can accomplish this by either making reference to its

listing in the Internal Revenue Service's (IRS) most recent list of

tax-exempt organizations or submitting a copy of its letter from the

IRS under IRS Code Section 501(c)(3). ACF cannot fund a non-profit

applicant without acceptable proof of its non-profit status.

B. Review Process and Funding Decisions

Applications that are received by the deadline date and are from

eligible applicants will be reviewed and scored competitively. Experts

in the field, generally persons from outside of the Federal government,

will use the appropriate evaluation criteria listed later in this Part

to review and score the applications. The results of this review are a

primary factor in making funding decisions.

OCS reserves the option of discussing applications with, or

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

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

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

staff, other Federal agencies, interested foundations, national

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

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

considered by OCS in making funding decisions.

In making decisions on awards, OCS may give preference to

applications which focus on or feature: past experience in operating a

resource center of similar nature; a substantially innovative strategy

with the potential to improve theory or practice in the field of human

services; a model practice or set of procedures that holds the

potential for replication by organizations involved in the

administration or delivery of human services; substantial involvement

of volunteers; substantial involvement (either financial or

programmatic) of the private sector; a favorable balance between

Federal and non-Federal funds available for the proposed project; the

potential for high benefit for low Federal investment; a programmatic

focus on those most in need; and/or substantial involvement in the

proposed project by national or community foundations.

C. Evaluation Criteria

Using the appropriate evaluation criteria below, a panel of at

least three reviewers (primarily experts from outside the Federal

government) will review each application. Applicants should ensure that

they address each minimum requirement under the appropriate section of

the Program Narrative Statement.

Reviewers will determine the strengths and weaknesses of each

[[Page 11037]]

proposal in terms of the appropriate evaluation criteria listed below,

provide comments and assign numerical scores. The point value following

each criterion heading indicates the maximum numerical weight that each

section may be given in the review process.

Review Criteria for All Priority Areas

Applications for the National Resource Center and the Special Issue

Resource Centers will be evaluated against the following criteria.

1. Need for the Project (10 Points)

The extent to which the need for the project and the problems it

will address have national and local significance; the applicability of

the project to coordination efforts by national, State and local

governmental and non-profit agencies, and its ultimate impact on

domestic violence prevention services and intervention efforts,

policies and practice; the relevance of other documentation as it

relates to the applicants knowledge of the need for the project; and

the identification of the specific topic or program area to be served

by the project. Maps and other graphic aids may be attached.

2. Goals and Objectives (10 Points)

The extent to which the specific goals and objectives have national

or local significance, the clarity of the goals and objectives as they

relate to the identified need for and the overall purpose of the

project, and their applicability to policy and practice. The provision

of a detailed discussion of the objectives and the extent to which the

objectives reflect or impact the state-of-the-art relative to the

problem or needs for the project.

3. Approach (30 Points)

The extent to which the application outlines a sound and workable

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

the proposed work will be accomplished; relates each task to the

objectives and identifies the key staff member who will be the lead

person; provides a chart indicating the timetable for completing each

task, the lead person, and the time committed; cites factors which

might accelerate or decelerate the work, giving acceptable reasons for

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

unusual features of the project, such as design or technological

innovations, reductions in cost or time, or extraordinary social and

community involvements; and provides for projections of the

accomplishments to be achieved.

The extent to which the application describes the evaluation

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

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

being achieved.

4. Results and Benefits (20 Points)

The extent to which the application identifies the results and

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

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

indicates the anticipated contributions to policy, practice, and

theory, and the extent to which the proposed project costs are

reasonable in view of the expected results. Applicants should identify,

in specific terms, the results and benefits, for target groups and

human service providers, to be derived from implementing the proposed

project. Applicants should also describe how the expected results and

benefits will relate to previous demonstration efforts.

5. Level of Effort: (30 Points)

Expertise, Commitment, and Support

(a) The extent to which the applicant has nationally recognized

expertise in the area of domestic violence and a record of high quality

service to victims of domestic violence, including a demonstration of

support from advocacy groups, such as State Domestic violence

Coalitions or recognized national domestic violence groups; the extent

of the applicant's commitment to diversity, and to the provision of

service to ethnic, racial, and non-English speaking minorities, older

individuals, and individuals with disabilities.

Staff Background, Organizational Experience, and Competence of Staff

(b) The adequacy of the staffing pattern for the proposed project,

how the individual responsibilities are linked to project tasks, and

the contributions to be made by key staff. Each collaborating or

cooperative organization, individual consultant, or other key

individuals who will work on the project should be listed along with a

description of the nature of their effort or contribution.

The background and experience of the project director and key

project staff and the history and accomplishments of the organization;

the qualifications of the project team including any experience with

similar projects; the variety of skills, relevant educational

background, and the ability to effectively manage the project and to

coordinate with other agencies. One or two pertinent paragraphs on each

key member are preferred to vitae/resumes. However, vitae resumes may

be included.

Adequacy of Resources and the Budget

(c) The adequacy of the available resources and organizational

experience with regard to the scope of the tasks of the proposed

project. A list of the financial, physical, and other resources already

committed by other private and public institutions and agencies, if

any, and the explanation of how these organizations will participate in

the day-to-day operations of the project. Letters from these agencies

and organizations identifying and discussing the specifics of their

commitment and participation must be included in the application. The

extent to which the proposed budget is related to the level of effort

required to obtain the project's objectives; demonstration that the

project's costs are reasonable in view of the anticipated results.

Collaborative Efforts

(d) The extent of the additional private sector resources that may

be available to support or enhance the overall program. A discussion in

detail and the provision of documentation for any proposed

collaborative or coordinated efforts with other public or private

agencies or organizations. Letters from these agencies and

organizations must be included discussing their interest and/or

commitment in supporting the proposed project, stating at what juncture

they would become involved and the expected level of resource

commitment.

Applicants should note that non-responsiveness to the section

``Minimum Requirements for Project Design'' will result in a low

evaluation score by the panel of expert reviewers. Applicants must

clearly identify the specific resource center for which they wish to

have their applications considered, and tailor their applications

accordingly. Previous experience has shown that an application which is

broader and more general in concept than outlined in the project

description is less likely to score as well as one which is more

clearly focused and directly responsive.

D. Available Funds

OCS intends to award three new grants and one cooperative agreement

(subject to the availability of funds) resulting from this Announcement

during the third quarter of FY 1996. The size of the actual awards may

vary from the estimates herein.

The term ``budget period'' refers to the interval of time (usually

12 months) into which a multi-year period of assistance (project

period) is divided for budgetary and funding purposes. The term

[[Page 11038]]

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

support, including any extensions.

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

budget period is dependent upon several factors which include proof of

satisfactory performance and the availability of funds from future

appropriations.

E. Grantee Share of Project Costs

Federal funds will be provided to cover up to 75% of the total

allowable project costs. Therefore, the non-Federal share must amount

to at least 25% of the total (Federal plus non-Federal) project cost.

This means that, for every $3 in Federal funds received, up to the

maximum amount allowable for each center, applicants must contribute at

least $1.

For example, the cost breakout for a project with a total cost of

$100,000 to implement would be:

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

Non-Federal

Max. Federal request share Total cost

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

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

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

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

Part III--Instructions for the Development and Submission of

Applications

This Part contains information and instructions for submitting

applications in response to this Announcement. Application forms are

provided as part of this publication along with a checklist for

assembling an application package. Please copy and use these forms in

submitting an application.

Potential applicants should read this section carefully in

conjunction with the information contained within the specific priority

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

descriptions are in Part II.

A. Required Notification of the State Single Point of Contact

This program is covered under Executive Order 12372, (E.O.)

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

``Intergovernmental Review of Department of Health and Human Services

Program and Activities.'' Under the E.O., States may design their own

processes for reviewing and commenting on proposed Federal assistance

under covered programs.

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

Hawaii, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Montana,

Nebraska, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee,

Virginia, Washington, American Samoa, and Palao have elected to

participate in the E.O. process and have established a Single Point of

Contact (SPOCs). Applicants from these twenty 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

OCS 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 60 days from 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, (OCS-96-

05) 370 L'Enfant Promenade, S.W., 6th Floor East, Washington, D.C.

20447.

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

is included at the end of this Announcement.

B. Paperwork Reduction Act of 1980

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

Program Announcement does not contain information collection

requirements beyond those approved for ACF grant applications under OMB

Control Number 0970-0062.

C. Deadline for Submittal of Applications

The closing date for submittal of applications under this Program

Announcement is found at the beginning of this Program Announcement

under DATES.

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 in 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: Family Violence Prevention and Services Program.

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 proof of timely mailing.

Applications handcarried by applicants, applicant couriers, or

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 the date or time

of submission and time of receipt.

Late applications: Applications which do not meet the criteria

above are considered late applications. The ACF shall notify each late

applicant that its application will not be considered in the current

competition.

Extension of deadlines: The ACF may extend the deadline for all

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

earthquakes; widespread disruption of the mails; or if ACF determines a

deadline extension to be in the best interest of the Government.

However, if ACF does not extend the deadline for all applicants, it may

not waive or extend the deadline for any applicant.

[[Page 11039]]

D. Instructions for Preparing the Application and Completing

Application Forms

The SF 424, Page 2; and certifications have been reprinted for your

convenience in preparing the application. You should reproduce single-

sided copies of these forms from the reprinted forms in the

Announcement, typing your information onto the copies. Please do not

use forms directly from the Federal Register Announcement, as they are

printed on both sides of the page.

In order to assist applicants in correctly completing the SF 424

and SF 424A, instructions for these forms have been included at the end

of Part III of this Announcement.

Where specific information is not required under this program, NA

(not applicable) has been preprinted on the form.

Please prepare your application in accordance with the following

instructions:

1. SF 424 Page 1, Application Cover Sheet

Please read the following instructions before completing the

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

Complete only the items specified.

Top of Page. Enter the single priority area number under which the

application is being submitted. An application should be submitted

under only one priority area.

Item 1. ``Type of Submission''--Preprinted on the form.

Item 2. ``Date Submitted'' and ``Applicant Identifier''--Date

application is submitted to ACF and applicant's own internal control

number, if applicable.

Item 3. ``Date Received By State''--State use only (if applicable).

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

Item 5. ``Applicant Information''

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

applications developed jointly, enter the name of the lead organization

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

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

the applicant organization which will actually carry out the project

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

this is the same as the applicant organization, leave the

organizational unit blank.

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

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

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

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

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

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

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

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

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

all correspondence regarding the application.

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

employer identification number of the applicant organization, as

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

Central Registry System suffix.

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

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

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

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

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

assigned to the program under which assistance is requested and its

title, as indicated in the relevant priority area description.

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

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

project, not the priority area title.

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

where significant and meaningful impact could be observed. List only

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

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

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

project and projected completion date.

Item 14. ``Congressional District of Applicant/Project''--Enter the

number of the Congressional district where the applicant's principal

office is located and the number of the Congressional district(s) where

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

nationwide, enter ``00.''

Items 15. ``Estimated Funding Levels''--In completing 15a through

15f, the dollar amounts entered should reflect, for a 17 month or less

project period, the total amount requested.

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

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

maximum amount specified in the priority area description.

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

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

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

in-kind contributions should be included on appropriate lines as

applicable. For more information regarding funding as well as

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

specific priority area description.

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

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

amount from the total project amount entered under item 15g. Describe

the nature, source and anticipated use of this income in the Project

Narrative Statement.

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

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

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

SPOC regarding this application. Select the appropriate SPOC from the

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

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

on the application. If there is a discrepancy in dates, the SPOC may

request that the Federal agency delay any proposed funding until

September 30, 1996.

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

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

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

selected by the State for review.

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

Check the appropriate box. This question applies to the applicant

organization, not the person who signs as the authorized

representative. Categories of debt include audit disallowances, loans

and taxes.

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

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

duly authorized by the governing body of the applicant and the

applicant will comply with the attached assurances if the assistance is

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

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

of this application by this individual as the official representative

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

the applicant.

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

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

[[Page 11040]]

authorized representative of the applicant organization.

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

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

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

black) so that the original signature is easily identified.

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

signed by the authorized representative.

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

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

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

to be completed.

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

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

period of 17 months or less or (2) the first year budget period, if the

proposed project period exceeds 17 months.

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

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

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

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

(g).

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

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

the total project period of 17 months or less. It should relate to item

15g, total funding, on the SF 424. Under column (5), enter the total

requirements for funds (Federal and non-Federal) by object class

category.

A separate budget justification should be included to explain fully

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

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

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

for each year of the project. The budget justification should

immediately follow the second page of the SF 424A.

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

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

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

Justification: Identify the project director, if known. Specify by

title or name the percentage of time allocated to the project, the

individual annual salaries, and the cost to the project (both Federal

and non-Federal) of the organization's staff who will be working on the

project.

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

unless treated as part of an approved indirect cost rate.

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

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

retirement insurance, etc.

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

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

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

on Line 6h, ``Other.''

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

trips, destinations, length of stay, transportation costs and

subsistence allowances.

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

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

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

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

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

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

higher threshold for State and local governments became effective

October 1, 1988, through the implementation of 45 CFR Part 92,

``Uniform Administrative Requirements for Grants and Cooperative

Agreements to State and Local Governments.''

Justification: Equipment to be purchased with Federal funds must be

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

the applicant organization or its subgrantees must not have the

equipment or a reasonable facsimile available to the project. The

justification also must contain plans for future use or disposal of the

equipment after the project ends.

Supplies--Line 6e. Enter the total costs of all tangible expendable

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

Justification: Specify general categories of supplies and their

costs.

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

including procurement contracts (except those which belong on other

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

recipient organizations. Also include any contracts with organizations

for the provision of technical assistance. Do not include payments to

individuals on this line.

Justification: Attach a list of contractors, indicating the names

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

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

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

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

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

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

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

backup documentation identifying the name of contractor, purpose of

contract, and major cost elements.

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

allowable.

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

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

medical and dental costs; noncontractual fees and travel paid directly

to individual consultants; local transportation (all travel which does

not require per diem is considered local travel); space and equipment

rentals; printing and publication; computer use; training costs,

including tuition and stipends; training service costs, including wage

payments to individuals and supportive service payments; and staff

development costs. Note that costs identified as ``miscellaneous'' and

``honoraria'' are not allowable.

Justification: Specify the costs included.

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

6h.

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

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

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

has a current indirect cost rate agreement approved by the Department

of Health and Human Services or another Federal agency.

When an indirect cost rate is requested, these costs are included

in the indirect cost pool and should not be charged again as direct

costs to the grant. In the case of training grants to other than State

or local governments (as defined in title 45, Code of Federal

Regulations, part 74), the Federal reimbursement of indirect costs will

be limited to the lesser of the negotiated (or actual) indirect cost

rate or 8 percent of the amount allowed for direct costs, exclusive of

any equipment charges, rental of space, tuition and fees, post-doctoral

training allowances, contractual items, and alterations and

renovations.

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

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

share of indirect costs is calculated as shown above. The

[[Page 11041]]

applicant's share is calculated as follows:

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

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

and non-Federal) direct costs.

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

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

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

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

and alterations and renovations.

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

can claim as part of its matching cost contribution.

Justification: Enclose a copy of the indirect cost rate agreement

if it was negotiated with a Federal agency other than DHHS. Applicants

subject to the limitation on the Federal reimbursement of indirect

costs for training grants should specify this.

Total--Line 6k. Enter the total amounts of lines 6i and 6j.

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

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

this amount from the total project amount.

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

program income in the Program Narrative Statement.

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

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

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

contributions are defined in title 45 of the Code of Federal

Regulations, Part 74.2, as the value of non-cash contributions provided

by non-Federal third parties. Third party in-kind contributions may be

in the form of real property, equipment, supplies, and other expendable

property, and the value of goods and services directly benefiting and

specifically identifiable to the project or program.

Justification: Describe third party in-kind contributions, if

included.

Section D--Forecasted Cash Needs. Not applicable.

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

the Project. Not applicable.

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

period, enter the estimated required Federal funds for the second

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

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

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

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

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

blank.

Section F--Other Budget Information.

Direct Charges--Line 21. Not applicable.

Indirect Charges--Line 22. Enter the type of indirect rate

(provisional, predetermined, final or fixed) that will be in effect

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

the rate is applied, and the total indirect expense.

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

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

for each of the remaining years of the project.

3. Project Summary Description

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

item 5 of the SF 424, and the title of the project as shown in item 11

of the SF 424. The summary description should not exceed 300 words.

These 300 words become part of the computer database on each project.

Care should be taken to produce a summary description which

accurately and concisely reflects the application. It should describe

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

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

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

packages, materials, management procedures, data collection

instruments, training packages, or videos (please note that

audiovisuals should be closed captioned). The project summary

description, together with the information on the SF 424, will

constitute the project ``abstract.'' It is the major source of

information about the proposed project and is usually the first part of

the application that the reviewers read in evaluating the application.

4. Program Narrative Statement

The Program Narrative Statement is a very important part of an

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

requirements mentioned under the priority area description in Part II.

The narrative should also provide information concerning how the

application meets the evaluation criteria using the following headings:

(a) Need for the Project;

(b) Goals and Objectives;

(c) Approach;

(d) Results and Benefits; and

(e) Level of Effort.

The specific information to be included under each of these

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

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

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

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

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

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

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

the size requirement.

The length of the application, including the application forms and

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

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

pamphlets, brochures or other printed material along with their

application as these pose photocopy difficulties. These materials, if

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

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

determine the total length.

5. Organizational Capability Statement

The Organizational Capability Statement should consist of a brief

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

organization (or the unit within the organization that will have

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

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

it possesses. This description should cover capabilities not included

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

current or previous relevant experience, or describe the competence of

the project team and its demonstrated ability to produce a final

product that is readily comprehensible and usable. An organization

chart showing the relationship of the project to the current

organization should be included.

6. Assurances/Certifications

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

Construction Programs, and the Certification Regarding Lobbying. Both

must be signed and returned with the application. In addition,

applicants must certify their compliance with: (1) Drug-Free Workplace

Requirements; and (2) Debarment and Other Responsibilities; and (3)

Certification Regarding Environmental Tobacco Smoke. These

certifications are self-explanatory. Copies of these assurances/

certifications are reprinted at the end of this Announcement and should

be reproduced, as necessary. A duly

[[Page 11042]]

authorized representative of the applicant organization must certify

that the applicant is in compliance with these assurances/

certifications. A signature on the SF 424 indicates compliance with the

Drug Free Workplace Requirements, and Debarment and Other

Responsibilities, and Environmental Tobacco Smoke certifications.

E. Checklist for a Complete Application

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

package has been properly prepared.

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

Applications for different priority areas are packaged separately;

____ Application is from an organization which is eligible under the

eligibility requirements defined in the priority area description

(screening requirement);

____ Application length does not exceed 60 pages, unless otherwise

specified in the priority area description.

____ A complete application consists of the following items in this

order:

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

____ A completed SPOC certification with the date of SPOC contact

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

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

____ Budget justification for Section B--Budget Categories;

____ Table of Contents;

____ Letter from the Internal Revenue Service to prove non-profit

status, if necessary;

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

appropriate;

____ Project summary description and listing of key words;

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

____ Organizational capability statement, including an organization

chart;

____ Any appendices/attachments;

____ Assurances--Non-Construction Programs (Standard Form 424B, REV 4-

88);

____ Certification Regarding Lobbying; and

F. The Application Package

Each application package must include an original and two copies of the

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

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

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

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

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

extraneous materials as attachments, such as agency promotion

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

instruments or articles of incorporation.

Applicants should include a self-addressed, stamped acknowledgment

card. All applicants will be notified automatically about the receipt

of their application. If acknowledgment of receipt of your application

is not received within eight weeks after the deadline date, please

notify ACF by telephone at (202) 401-5529.

G. Post-Award Information and Reporting Requirements

Following approval of the applications selected for funding, notice

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

made in writing. The official award document is the Financial

Assistance Award which provides the amount of Federal funds approved

for use in the project, the project and budget periods for which

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

project period for which support is contemplated, and the total

required financial grantee participation.

General Conditions and Special Conditions (where the latter are

warranted) which will be applicable to grants, grantees will be subject

to the provisions of 45 CFR Part 74.

Grantees will be required to submit quarterly progress and

financial reports (SF 269) throughout the project period, as well as a

final progress and financial report within 90 days of the termination

of the project.

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

and OMB Circular A-133. If an applicant does not request indirect

costs, it should anticipate in its budget request the cost of having an

audit performed at the end of the grant period.

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 exemptions for

Indian tribes and tribal organizations. Current and prospective

recipients (and their subtier contractors and/or grantees) are

prohibited from using Federal funds, other than profits from a Federal

contract, 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 disclose the name,

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

whom recipients or their subtier contractors or subgrantees will pay

with profits or nonappropriated funds on or after December 22, 1989 and

(3) to file quarterly up-dates about the use of lobbyists if material

changes occur in their use. The law establishes civil penalties for

noncompliance.

(Catalog of Federal Domestic Assistance program number, 93.671,

Family Violence Prevention and Services)

Dated: March 7, 1996.

Donald Sykes,

Director, Office of Community Services.

BILLING CODE 4184-01-P

[[Page 11043]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.006

BILLING CODE 4184-01-C

[[Page 11044]]

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 for 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 explanatin of 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-M

[[Page 11045]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.007

[[Page 11046]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.008

BILING CODE 4184-01-C

[[Page 11047]]

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 functions 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

functions 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 authorization budgeted amounts

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

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

in Columns (e) and (f).

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

Section B. Budget Categories

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

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

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

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

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

Federal and non-Federal) by object class categories.

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

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

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

applications for new grants and continuation grants the total amount in

column (5), Line 6k, should be the total amount shown in Section A,

Column (g), Line 5. For supplemental grants and charges to grants, the

total amount of the increase or decrease as shown in Columns (1)-(4),

Line 6k should be the same as the sum of the amounts in Section A,

Columns (e) and (f) on Line 5.

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

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

amount from the total project amount. Show under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the federal grantor

agency in determining the total amount of the grant.

Section C. Non-Federal-Resources

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

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

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

Section A.

Section D. Forecasted Cash Needs

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

grantor agency during the first year.

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

by quarter during the first year.

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

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

the Project

Line 16-19--Enter in column (a) the same grant program titles

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

is not necessary. For new applications and continuation grant

applications, enter in the proper columns amounts of Federal funds

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

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

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

funds for the current year of existing grants.

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

submit additional schedules as necessary.

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

additional schedules are prepared for this Section, annotate

accordingly and show the overall totals on this line.

Section F. Other Budget Information

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

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

ordinary or to explain the details as required by the federal

grantor agency.

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

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

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

is applied, and the total indirect expense.

Line 23--Provide any other explanations or comments deemed

necessary.

Assurances--Non-Construction Programs

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

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

awarding agency. Further, certain Federal awarding agencies may

require applicants to certify to additional assurances. If such is

the case, you will be notified.

As the duly authorized representative of the applicant I certify

that the applicant:

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

the institutional, managerial and financial capability (including

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

ensure proper planning, management and completion of the project

described in this application.

[[Page 11048]]

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

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

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

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

a proper accounting system in accordance with generally accepted

accounting standards or agency directives.

3. Will establish safeguards to prohibit employees from using

their positions for a purpose that constitutes or presents the

appearance of personal or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970

(42 U.S.C. 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.

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. 794), which prohibits discrimination on the basis

of handicaps; (d) the Age Discrimination Act of 1975, as amended (42

U.S.C. 6101-6107), which prohibits discrimination on the basis of

age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-

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

abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism

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

as amended, relating to nondiscrimination on the basis of alcohol

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

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

relating to confidentiality of alcohol and drug abuse patient

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

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.

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

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

Standards Act (40 U.S.C. 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 Clean Air Act of 1955, as amended (42 U.S.C. Sec. 7401

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

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

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

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

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

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

potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with

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

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

historic properties), and the Archaeological and Historic

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

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

human subjects involved in research, development, and related

activities supported by this award of assistance.

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

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

care, handling and treatment of warm blooded animals held for

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

assistance.

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

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

based paint in construction or rehabilitation of residence

structures.

17. Will cause to be performed the required financial and

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

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

Signature of authorized certifying official---------------------------

Title-----------------------------------------------------------------

Applicant organization------------------------------------------------

Date submitted--------------------------------------------------------

BILLING CODE 4184-01-M

[[Page 11049]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.009

[[Page 11050]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.010

BILLING CODE 4184-01-C

[[Page 11051]]

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 require statement shall

be subject to a civil penalty of not less than $10,000 and not more

than $100,000 for each such failure.

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

Signature

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

Title

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

Organization

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

Date

BILLING CODE 4184-01-M

[[Page 11052]]

[GRAPHIC] [TIFF OMITTED] TN18MR96.011

BILLING CODE 4184-01-C

[[Page 11053]]

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, AL 36103-5690, Telephone: (205) 242-5483, FAX:

(205) 242-5515

California

Grants Coordinator, Office of Planning and 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. and 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) 4266

Mississippi

Cathy Mallette, 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,

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,

[[Page 11054]]

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

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.

[FR Doc. 96-6260 Filed 3-15-96; 8:45 am]

BILLING CODE 4184-01-P