Fiscal Year 1997 Family Violence Prevention and Services Discretionary Funds Program; Availability of Funds and Request for Applications

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. OCS 97-07]

Fiscal Year 1997 Family Violence Prevention and Services

Discretionary Funds Program; Availability of Funds and Request for

Applications

AGENCY: Office of Community Services, ACF, DHHS.

ACTION: Announcement of the availability of funds and request for

applications under the Office of Community Services Family Violence

Prevention and Services Discretionary Funds Program.

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SUMMARY: The Office of Community Services (OCS) announces its Family

Violence Prevention and Services discretionary funds program for fiscal

year (FY) 1997. Funding for grants under this announcement is

authorized by the Family Violence Prevention and Services Act, Public

Law 102-295, as amended, governing discretionary programs for family

violence prevention and services. Applicants should note that the award

of grants and cooperative agreements under this program announcement is

subject to the availability of funds. This announcement contains all

forms and instructions for submitting an application.

CLOSING DATE: The closing date for submission of applications is July

28, 1997. Applications postmarked after the closing date will be

classified as late. 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 accepted as proof of timely mailing. Detailed application

submission instructions, including the addresses where applications

must be received, are found in Part IV of this announcement.

ADDRESSES: Applications may be mailed to Department of Health and Human

Services, Administration for Children and Families/Division of

Discretionary Grants, (OCS-97-07), 370 L'Enfant Promenade, S.W., Mail

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

Hand delivered applications are accepted during the normal working

hours of 8:00 a.m. to 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, DC 20447, between Monday and

Friday (excluding Federal holidays). (Applicants are cautioned that

express/overnight mail services do not always deliver as agreed.)

FOR FURTHER INFORMATION CONTACT: Administration for Children and

Families, Office of Community Services, Division of State Assistance,

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

Hairston, (202) 401-5319, James Gray, (202) 401-5705, or William Riley

(202) 401-5529.

SUPPLEMENTARY INFORMATION:

The Office of Community Services, Administration for Children and

Families, announces that applications are being accepted for funding

for FY 1997 projects on:

FV-01-97, Developing and Enhancing Services for Immigrant

and Migrant Battered Women;

FV-02-97, Domestic Violence/Temporary Assistance for Needy

Families (Welfare Reform);

FV-03-97, A Special Issue Resource Center to Aid Indian

Tribes and Tribal Organizations in Preventing Domestic Violence; and

FV-04-97, Training Grant Stipends in Domestic Violence for

Historically Black, Hispanic-serving and Tribal Colleges and

Universities.

This program announcement consists of four parts.

Part I provides information on the family violence prevention and

services program and the statutory funding authority applicable to this

announcement.

Part II describes the priority areas under which applications for

FY 1997 family violence funding are being requested.

Part III describes the review process.

Part IV provides information and instructions for the development

and submission of applications.

The forms to be used for submitting an application follow Part IV.

Please copy and use these forms in submitting an application under this

announcement. No additional application materials are available or

needed to submit an application.

Part I. Introduction

Title III of the Child Abuse Amendments of 1984, (Pub. L. 98-457,

42 U.S.C. 10401, et seq.) is entitled the Family Violence Prevention

and Services Act (the Act). The Act was first implemented in FY 1986,

was reauthorized and amended in 1992 by Pub. L. 102-295, and was

amended and reauthorized for fiscal years 1996 through 2000 by Pub. L.

103-322, the Violent Crime Control and Law Enforcement Act of 1994 (the

Crime Bill), signed into law on September 13, 1994. The Act was most

recently amended by Pub. L. 104-235, the ``Child Abuse Prevention and

Treatment Act Amendment of 1996.''

The purpose of this legislation is to assist States in supporting

the establishment, maintenance, and expansion of programs and projects

to prevent incidents of family violence and provide immediate shelter

and related assistance for victims of family violence and their

dependents.

We expect to fund four priority areas in FY 1997. (These include

three new areas in which OCS will seek interested applicants for this

fiscal year.)

1. To develop and enhance the services and supports available to

immigrant and migrant battered victims of domestic violence by

supporting collaborations between domestic violence, immigration, and

migrant-serving organizations by providing organizations an opportunity

to jointly design, develop, and implement collaborative projects

addressing key issues or areas of concern facing immigrant and/or

migrant battered women and their families.

2. The implementation of the Personal Responsibility and Work

Opportunity Reconciliation Act of 1996, also known as ``welfare

reform,'' has provided an opportunity for creative and challenging

collaborations regarding the work requirements and penalties under the

law and the policy and operational implications for domestic violence

victims. The OCS will invite interested agencies and advocacy

organizations to identify and initiate collaborations in these areas;

3. The establishment of a special issue resource center for Indian

Tribes and Tribal organizations. The proposed resource center is

predicated on the unique government-to-government relationship between

the U.S. Federal government and the Federally recognized Indian Tribes

as well as the need for increased support for the work that is being

initiated by Indian advocates in their communities; and

4. The provision of training grant stipends to Historically Black,

Hispanic-Serving and Tribal Colleges and Universities will assist in

generating skill-building and training opportunities particularly

responsive to issues of cultural content and the extent to which some

minority groups participate in the domestic violence system.

[[Page 29245]]

Part II. Fiscal Year 1997 Family Violence Projects

1. Priority Area Number FV-01-97: Developing and Enhancing Services for

Immigrant and Migrant Battered Women

Background

Today the numbers of battered immigrant and migrant women who

receive services from domestic violence programs is extremely small.

Immigrant and migrant women may feel alienated by mainstream shelters

and domestic violence programs where food and customs are completely

foreign and where staff and other program participants do not speak

their language. Traditional public education efforts conducted by

domestic violence programs often fail to adequately reach immigrant and

migrant communities due to language and other barriers.

Immigrant battered women have great difficulty accessing services

to assist them in escaping domestic violence. They encounter numerous

barriers in the legal system that makes accessing services even more

difficult than for other abuse victims. Few police officers are

bilingual; few court systems have multi-lingual staff or interpreters;

and few culturally sensitive programs provide services to immigrant

domestic violence victims. Battered immigrant women often need creative

legal remedies that redress the effects of their abusers' control over

their immigration status or that prevent international child snatching.

In other cases, battered women will have to fight the abuser's attempts

to wrongly introduce immigration concerns into their family law cases

in an attempt to shift the focus of the case away from his violent

behavior.

A number of unique issues face migrant families dealing with

domestic violence: continuity of critical social services, enforcement

of protection orders, securing shelter and support services for

battered women and their children, and intervention services for

batterers. Systems that link migrant health services with the domestic

violence program network are almost non-existent.

Purpose

To develop and enhance the services and supports available to

immigrant and migrant victims of domestic violence by supporting

collaborations between domestic violence, immigration, and migrant-

serving organizations. To offer the applicant organizations an

opportunity to jointly design, develop, and implement collaborative

projects addressing key issues or areas of concern facing immigrant

and/or migrant battered women and their families.

Efforts are to be focused on the joint development of model

protocols and programs, training curricula and materials, models of

cross-training, and the conduct of training for staff at agencies

working in immigrant and migrant communities and with domestic violence

victims. Training would focus on ensuring that those coming into

contact with immigrant or migrant victims of domestic violence

understand how both domestic violence and immigrant or migrant status

affect an individual's need for services. Of particular importance,

also, is cultural sensitivity, which may make it more difficult for an

individual to access or respond to particular services.

The development of model protocols and programs and the training of

immigrant and migrant-serving agency representatives and domestic

violence advocates will enable the most efficient and effective

response to the often complex concerns arising when an immigrant or

migrant worker is facing domestic violence. These activities may

include outreach to and the identification, assessment, and referral of

potential victims of domestic violence to appropriate culturally-

sensitive crisis intervention, legal representation, support and other

related services and programs. Moreover, to be effective, these

activities should demonstrate culturally-sensitive case coordination by

all the agencies and advocates involved that respond to the safety,

confidentiality, and services needs of immigrant and migrant domestic

violence victims.

The design, development and implementation of protocols for

effective strategies are needed to:

(1) Ensure confidentiality of client information at every stage of

the process;

(2) Enlighten domestic violence advocates and agencies regarding

the impact of immigrant or migrant status on the victim's needs,

access, and response to services;

(3) Advise immigration and migrant advocates and agencies of the

impact of domestic violence on their immigrant or migrant clients'

needs, access, and response to services;

(4) Ensure the safety of domestic violence victims who are involved

in immigration proceedings, family law proceedings, or interstate or

intrastate migrant farmworker networks; and

(5) Promote collaborations that bring together the expertise and

services of domestic violence programs and agencies working with

immigrant and migrant communities to enhance and coordinate services

delivery.

Applicants may propose to do one or more of the following:

(a) Plan and implement the training of domestic violence advocates,

immigration rights organizations, migrant health and social services

agencies, and/or social services providers on the relationship of

domestic violence and immigration and migrant status, including the

development of reproducible training curricula and materials;

(b) Develop and implement a system of recruiting, training, and

providing backup expert support to pro bono immigration attorneys and

shelter advocates, as well as peer advocates, to work with immigrant

battered women to secure culturally sensitive and responsive services

and enhance safety;

(c) Develop effective outreach strategies for domestic violence

programs to recruit and train culturally sensitive staff, develop

culturally sensitive and responsive materials, and more effectively

reach immigrant and migrant communities, including the design and pilot

testing of radio and television PSAs targeted to reach isolated

domestic violence victims;

(d) Develop a model of intrastate and interstate networks of

domestic violence services to meet the unique needs of migrant

farmworker families dealing with domestic violence, including links

with migrant health centers and legal services; and

(e) Gather and submit data on the types of interventions and the

effects of those interventions on helping immigrant and migrant

battered women receive adequate services.

Products should include reproducible materials, and replicable

models of programs, curricula, policies, and protocols.

Eligible Applicants

State and local public agencies, erritories, Federally recognized

American Indian Tribes and Tribal Organizations, and Native American

communities; public and private nonprofit agencies providing services

to immigrant or migrant communities; domestic violence advocacy

organizations; and State and local domestic violence coalitions.

The applicant organization must submit a Memorandum of

Understanding (MOU) between and among the collaborating organizations.

The MOU must identify the projected role and responsibilities of each

proposed participant organization in the implementation of the project

and the level of commitment in providing

[[Page 29246]]

training, assistance, and or services to victims of domestic violence

and migrant advocacy organizations working in their behalf.

Project Period

The length of the project will not exceed 17 months.

Federal Share of the Project

The maximum Federal share of the project is not to exceed $50,000

for the 17 month project period. Applications for lesser amounts also

will be considered for this project.

Matching Requirement

Successful grantees must provide at least 25 percent of the total

cost of the project. The 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 $50,000 in Federal funds (based on an award of

$50,000 per budget period) must include a match of at least $16,666

(25% of total project cost) for a total budget of $66,666.

Anticipated Number of Projects to be Funded

It is anticipated that four projects may be funded at the maximum

level; more than four projects may be funded depending on the number of

acceptable applications for lesser amounts which are received.

CFDA: 93.592 Family Violence Prevention and Services: Family

Violence Prevention and Services Act, as amended.

2. Priority Area Number FV-02-97: Domestic Violence/Temporary

Assistance for Needy Families (TANF) Program (welfare reform)

Background

On August 22, 1997, Pub. L. 104-193, the Personal Responsibility

and Work Opportunities Reconciliation Act of 1996 (PRWORA) was enacted.

Also known as ``welfare reform,'' it abolishes the Aid to Families with

Dependent Children (AFDC) and the Job Opportunities and Basic Skills

(JOBS) Training programs and replaces them with the Temporary

Assistance for Needy Families (TANF) State block grant program. The

TANF program includes specific work participation requirements and

penalizes States if these standards are not met.

The Family Violence Amendment, section 402(a)(7) of the Social

Security Act, also known as the Wellstone/Murray Amendment, is an

optional certification for States to develop a three-pronged strategy

for helping victims of domestic violence applying for, or receiving

welfare move successfully into the work force. The strategy includes:

(1) Identifying a victim of domestic violence as that person enters the

assistance system; (2) waiving certain program requirements if

compliance would put the victim at risk of further violence, make it

more difficult for the victim to escape violence, or unfairly penalize

the victim; and (3) providing referrals for supportive services. The

goal of this grant is to promote services to victims of domestic

violence who are TANF applicants or recipients regardless of whether a

State has chosen to implement the Family Violence Amendment.

Purpose

To develop effective strategies for integrating domestic violence

services into State/local or Tribal welfare service systems to promote

services, including crisis intervention and other domestic violence

services, to victims of domestic violence, while assisting victims

towards employment and self-sufficiency.

Moreover, to offer the applicant organizations an opportunity to

jointly design, develop, and implement collaborative projects

addressing several issues or areas of concern among State and local

TANF and Tribal TANF programs and the domestic violence community and

other community-based organizations providing services to victims of

domestic violence.

Minimum Requirements for Project Design

Efforts are to be focused on the joint development of model

protocols and programs, training curricula and materials, models of

cross-training, training of front-line staff in welfare offices and the

training of domestic violence advocates and service providers. The

public agency staff trained would include anyone in the local welfare

office or related offices (such as child support enforcement or job

training programs) who has direct contact with TANF applicants/

recipients.

Domestic violence advocates would be trained in State/local and

Tribal TANF office procedures, child support enforcement, paternity

establishment, and job training and work activity issues to the extent

that the procedures and programs impact upon victims of domestic

violence.

Protocols for effective strategies of intervention should be

considered to:

(1) Ensure confidentiality of client information at every stage of

the process;

(2) Enlighten TANF eligibility workers and case workers, job

training and employment personnel, and child support enforcement staff

about the possible effects of domestic violence on a victim's ability

to work; and

(3) Allow job training and employment staff as well as child

support enforcement workers to ensure the safety of domestic violence

victims who are involved in their system.

The services and activities affected by these strategies would

include the identification, screening, assessment and referral of

victims or potential victims of domestic violence during the course of

eligibility transactions (including Food Stamps and Medicaid) to

appropriate crisis intervention and support services. The intervention

and support services may be job training and other related services and

programs, case management by TANF, child support enforcement,

employment service and agencies that respond to the safety,

confidentiality, and service needs of domestic violence victims.

Applicants may propose to do one or more of the following:

(a) Develop a plan for and implement the training of TANF

eligibility and case workers, child support enforcement workers and

supervisors, on the relationship of domestic violence, poverty and work

activity as it relates to TANF recipients, and related cross-training

of domestic violence programs staff;

(b) Design, pilot test and implement domestic violence-appropriate

model approaches to screening, notification, safety planning,

employability planning and referral systems to be adopted by the State

or Tribal TANF program including eligibility, case maintenance, and

child support enforcement;

(c) Develop and implement through the TANF structure, a domestic

violence-specific curriculum which will become part of a mandatory

training program; and

(d) Gather and submit data on the types of interventions and the

effects of those interventions on helping recipients, identified as

domestic violence victims or potential victims, achieve self-

sufficiency.

Eligible Applicants

State and local public agencies, Territories, and Federally

recognized American Indian Tribes and Tribal Organizations; State and

local welfare agencies; child support enforcement

[[Page 29247]]

agencies; private nonprofit agencies providing services to TANF

recipients; domestic violence advocacy organizations; and State and

local domestic violence coalitions.

The applicants must submit a Memorandum of Understanding between

and among the TANF systems, the domestic violence state/local systems

and community-based service providers, specifically identifying the

role each participant organization has in the implementation of the

proposed project and the level of commitment to providing training to

staff, and services to victims of domestic abuse. The Memorandum of

Understanding is necessary because the successful implementation of a

proposed project would have implications for systemic/procedural change

in the TANF and/or the domestic violence community.

In addition to the Memorandum of Understanding, applicants must

submit signed Letters of Support from the State or Tribal TANF agency

or from the appropriate public agency that is the collaborative partner

and from the state domestic violence coalition or the specific domestic

violence advocacy organization. These letters should identify the

specific commitment that each collaborative partner will bring to the

implementation of the project. If the Memorandum of Agreement and

Letters of Support are not included as part of the application, then

the application will be considered as non-responsive, declared

ineligible, and will be excluded from competition.

Project Period

The length of the project will not exceed 17 months.

Federal Share of the Project

The maximum Federal share of the project is not to exceed $75,000

for the 17 month project period. Applications for lesser amounts also

will be considered for this project.

Matching Requirement

Successful grantees must provide at least 25 percent of the total

cost of the project. The 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 $75,000 in Federal funds (based on an award of

$75,000 per budget period) must include a match of at least $25,000

(25% of total project cost). Therefore, a total project cost of

$100,000 would be comprised of $75,000 Federal funds and $25,000 non-

Federal funds. If approved for funding, grantees will be held

accountable for commitments of non-Federal resources and failure to

provide the required amount will result in a disallowance of unmatched

Federal funds.

Anticipated Number of Projects To Be Funded

It is anticipated that four projects may be funded at the maximum

level; more than four projects may be funded depending on the number of

acceptable applications for lesser amounts which are received.

CFDA: 93.592 Family Violence Prevention and Services: Family

Violence Prevention and Services Act, as amended.

3. Priority Area Number FV-03-97: The Establishment and Implementation

of a Special Issue Resource Center (SIRC) To Aid Indian Tribes and

Tribal Organizations

Purpose

The purpose of the SIRC To Aid Indian Tribes and Tribal

Organizations is to provide specific leadership in the prevention of

domestic violence, resource information and materials, technical

assistance and professional consultation to Tribes, Tribal

organizations, individuals, and other persons and entities seeking to

assist Tribes and Tribal organizations.

Background

The Office of Community Services seeks to support a nationwide

effort that is staffed by an expert and multi-disciplinary team that

responds to requests for resource information, policy analysis,

technical assistance and training. These requests would be from

individuals, agencies, and organizations at the Tribal, Federal, State

and local levels.

The current Domestic Violence Resource Network--a network of four

domestic violence resource centers and the national hotline: (1)

National Resource Center on Domestic Violence; (2) Resource Center on

Civil and Criminal Law, aka the Battered Women's Justice Project; (3)

Health Resource Center on Domestic Violence; (4) Resource Center on

Child Protection and Custody; and (5) the National Domestic Violence

Hotline--serves to strengthen the existing support systems servicing

battered women, their dependents and other victims of domestic

violence. The Resource Network provides nationally recognized

comprehensive program information and information on resources, policy

development, and technical assistance designed to enhance community

resources for the prevention of domestic violence. The Office of

Community Services will consider applications for an additional

resource center to work as part of this network in partnership with

Indian Tribes and Tribal organizations, community-based domestic

violence programs, State domestic violence coalitions, Federal, State

and local governmental agencies, policy makers and individuals involved

in assisting programs for victims of domestic violence. In addition to

providing information and technical assistance, the SIRC to Aid Indian

Tribes and Tribal organizations must provide in relation to Indian

Tribes, issues, and population:

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.

The proposed SIRC must have the ability to deliver highly

individualized technical assistance which enables an Indian Tribe or

Tribal organization to solve a specific problem. In addition to

facilitating on-site assistance, the SIRC shall:

Identify, develop, and disseminate research and evaluation

findings pertinent to Indian Tribes and Tribal organizations;

Prepare and distribute technical assistance packages to

aid in the replication of effective services, prevention efforts and

training programs that have been found effective and are culturally

relevant to the Indian Tribes and Tribal organizations;

And identify new areas for demonstration activities that

address domestic violence issues.

Eligible Applicants

Private nonprofit organizations that have focused primarily on

domestic violence prevention and intervention activities and have

extensive experience in the field with Indian Tribes and Tribal

organizations in training

[[Page 29248]]

activities, direct technical assistance, program and services design,

implementation and administration.

Form of Award

The Office of Community Services (OCS) intends to support the SIRC

to Aid Indian Tribes and Tribal organizations with a Cooperative

Agreement. A Cooperative Agreement is Federal financial aid in which

substantial Federal involvement is anticipated. The respective

responsibilities of OCS and of the successful applicant will be

identified and incorporated into the cooperative agreement during pre-

award negotiations. The grantee will outline a plan of interaction with

OCS for implementation under a cooperative agreement including, as

appropriate, activities involving Federal staff. 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.

Minimum Requirements for Project Design

In order to successfully compete under this announcement, the

applicant must:

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

provide information on the specific services your organization

currently provides to Tribes or Tribal Organizations and what

information, specific training, and technical assistance would be

provided as an SIRC;

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

and access/response issues of the Indian Tribes and Tribal

organizations and the problems associated with them;

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

the provision of training and technical assistance to Tribes and Tribal

Organizations that is nationwide in scope and utilizes the support and

facilitating efforts of the National Resource Center (NRC) and the

Resource Center Network; 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, State domestic violence

coalitions, 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 to implement special

projects related to training curricula, service delivery models or

other aspects of the proposed SIRC to Aid Indian Tribes and Tribal

organizations;

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

project activities within one year 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 project for the SIRC will not exceed 48 months.

The award, on a competitive basis, will be for an initial 12-month

budget period, although the project period may be for 4 years.

Applications for continuation grants funded under this award beyond the

12-month budget period but within the 4-year project period will be

considered 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 fiscal year 1997 Federal share for the SIRC to Aid Indian

Tribes and Tribal organizations is $600,000 for the first 12-month

budget period subject to the availability of funds. Applications for

lesser amounts also will be considered for this project. The estimated

Federal share for the second, third, and fourth budget period is

$600,000 per 12-month period.

Matching Requirement

SUCCESSFUL GRANTEES MUST PROVIDE AT LEAST 25 PERCENT OF THE TOTAL

COST OF THE PROJECT. THE 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 $600,000 in Federal funds (based on an award of

$600,000 per budget period) must include a match of at least $200,000

(25% of total project cost). Therefore, a total project cost of

$800,000 would be comprised of $600,000 in Federal funds and $200,000

in non-Federal funds. If approved for funding, grantees will be held

accountable for commitments of non-Federal resources and failure to

provide the required amount will result in a disallowance of unmatched

Federal funds.

Anticipated Number of Projects To Be Funded

It is anticipated that one (1) project may be funded.

CFDA: 93.592 Family Violence Prevention and Services: Family

Violence Prevention and Services Act, as amended.

4. Priority Area Number FV-04-97: Training Grant Stipends in Domestic

Violence for Historically Black, Hispanic-Serving and Tribal Colleges

and Universities

Background

Media coverage, court records, and crime statistics suggest that a

substantial proportion of the domestic violence which occurs in the

general population involves underserved populations, including

populations that are underserved because of ethnic, racial, cultural,

language diversity or geographic isolation (Brachman & Saltzman, 1995).

Official statistics on child abuse and spouse abuse indicate that

women, minorities, and the poor are over-represented among victims of

domestic violence (Straus, Gelles & Steinmetz, 1980). The scholars and

practitioners who are responding to violence in underserved communities

are currently few in number and work in isolation. The purpose of this

effort and priority area is to increase the capacity for advocates and

allies to do the work that is needed to prevent domestic violence.

There are three Executive Orders that support the provision of

training grants to the educational institutions targeted in this

priority area:

--Executive Order 13021 of October 19, 1969, Tribal Colleges and

Universities;

--Executive Order 12900 of December 5, 1994, Educational Excellence for

Hispanic Americans; and

[[Page 29249]]

--Executive Order 12876 of November 1, 1993, Historically Black

Colleges and Universities.

Executive Order 13021 reaffirms the special relationship of the

Federal Government to the American Indians and identifies several

purposes that support access to opportunities, resources, and that

support educational opportunities for economically disadvantaged

students; Executive Order 12900 requires the provision of quality

education and increased educational opportunities for Hispanic

Americans; and Executive Order 12876 requires strengthening the

capacity of Historical Black Colleges and Universities to provide

quality education and increased opportunities to participate in and

benefit from Federal programs.

Purpose

(a) To provide support for graduate and undergraduate students who

show promise and demonstrate serious interest and commitment to issues

of domestic violence in underserved populations. Historically Black,

Hispanic and American Indian colleges and universities will be given

special consideration in order to generate skill building and training

opportunities particularly responsive to issues of cultural content.

(b) To support the growth of college and university-based practice

knowledge about domestic violence and encourage social work students

and faculty to pursue careers which address the issue of domestic

violence experiences and underscore the need to draw new social

workers.

(c) To identify best practices regarding critical issues in

domestic violence prevention, identification, and treatment efforts in

under-served domestic violence populations. These grants will include

an institutional payment, to cover the individual student's tuition and

fees, and a stipend for the student.

Minimum Requirements for Project Design

Field Placement: The grant will provide stipends for qualified

individuals pursuing degrees in social work with a special interest in

domestic violence. It will provide one year graduate and undergraduate

stipends to support skill building and training of students interested

in domestic violence treatment and intervention services to underserved

racial and ethnic minority populations.

Placements must provide a structured learning environment that

enables students to compare their field placement experiences,

integrate knowledge from the classroom, and expand knowledge beyond the

scope of the practicum setting (Council on Social Work Education

[CSWE], {1994}. Baccalaureate and Master's Program Evaluative

Standards, Interpretive Guidelines, Curriculum Policy Statement, and

Self-Study Guide. The Accreditation Standards and Self-Study Guides).

Proposals must include content about differences and similarities

in the experiences, needs, and beliefs of the people being served. The

proposals must also include content about differential assessment and

intervention skills that will enable practitioners to serve diverse

populations. The field placements must focus on the general and

specific topic areas as indicated in this announcement. The applicant

student must indicate the area of interest, objectives, and goals of

the placement/study. Field placements will be at a minimum of 900 hours

per semester.

Faculty Involvement: Faculty must indicate the use of professional

supervision to enhance the learning of students and must coordinate and

monitor practicum placements of student selected for stipends.

Proposals must define the social work setting and practice, field

instructor assignments and activities, and student learning

expectations and responsibilities.

Individual faculty may organize their practicum-placements in

different ways but must ensure educationally directed, coordinated, and

monitored practicum experiences are maintained for students and related

to domestic violence.

Faculty must articulate clear practice and evaluation goals for the

field practicum and for each student and faculty proposals must provide

an orientation plan for the student to the practicum placement and the

agency's policy.

Final Products/Results and Benefits Expected:

Practicum proposal/contract between the student, the

organization (agency), and the college or university indicating defined

objectives, goals, students performance, benefits to student, lessons

learned, and recommendations for future placement at agency;

A report focusing on agency population served,

difficulties encountered, outcomes, implications and recommendations

for future placements. The report should be prepared and submitted to

the Office of Community Services; and

One mid-semester student performance evaluation.

Eligible Applicants

Historically Black Colleges and Universities; Hispanic-serving

Colleges and Universities; and Tribal Colleges and Universities.

Hispanic-serving Colleges and Universities are defined as those whose

student population is more than 25% Hispanic. Tribal Colleges and

Universities are those institutions cited in section 532 of the Equity

in Educational Land-Grant Status Act of 1994 (7 U.S.C. 301 note), any

other institution that qualifies for funding under the Tribally

Controlled Community College Assistance Act of 1978 (25 U.S.C. 1801 et

seq.) and Navajo Community College, authorized in the Navajo Community

College Assistance Act of 1978, Pub. L. 95-471, title II (25 U.S.C.

640a note.)

Applicant institutions must be fully accredited by one of the

regional institutional accrediting commissions recognized by the U.S.

Secretary of Education and the Council on Social Work Education.

Participants would include: qualified undergraduate or graduate

social work students. All individuals seeking student stipends must be

enrolled in the institution.

Recipients of student stipends must maintain satisfactory

academic records and be full-time students.

Awards will be made only to eligible institutions on

behalf of their qualified candidates.

Project Period

Stipends are awarded for one year, not to exceed 12

months.

Federal Share of the Project Cost

This competitive program provides stipends for a maximum amount not

to exceed $75,000 (includes direct and indirect costs) per college or

university. The Federal share will fund up to four student candidates

at a maximum of $11,250 each and will fund one faculty coordinator of

the project at $30,000.

Anticipated Number of Projects to be Funded

It is anticipated that 4 projects will be funded at $75,000 each.

Applications for lesser amounts will also be considered for this

priority area. CDFA: 93.592 Family Violence Prevention and Services:

Family Violence Prevention and Services Act as amended.

Part III. 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

[[Page 29250]]

specified under the selected priority area. Applications from

organizations which do not meet the eligibility requirements for the

priority area will not be considered or reviewed in the competition,

and the applicant will be so informed.

Each priority area description contains information about the types

of agencies and organizations which are eligible to apply under that

priority area. Since eligibility varies among priority areas, it is

critical that the ``Eligible Applicants'' section under each specific

priority area be read carefully.

Only agencies and organizations, not individuals, are eligible to

apply under any of the priority areas. On all applications developed

jointly by more than one agency or organization, the applications 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.

Any non-profit agency submitting an application must submit proof

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

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

the Internal Revenue Service's (IRS) most recent list of tax-exempt

organizations described in section 501 (c)(3) of the IRS Code or by

providing a copy of the currently valid IRS tax exemption certificate,

or by providing a copy of the articles of incorporation bearing the

seal of the State in which the corporation or association is domiciled.

ACF cannot fund a non-profit applicant without acceptable proof of its

non-profit status.

B. Review Process and Funding Decisions

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.

ACF 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: 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.

To encourage increased collaboration and coordination among

existing programs and related initiatives, OCS will give additional

consideration to applications from organizations and/ or agencies that

are documented participants in Empowerment Zone and/or Enterprise

Community plans and applications. Applicants citing participation with

Empowerment Zones and/or Enterprise Communities should document that

they were involved in the preparation and proposed implementation of

the plan and how their proposed family violence project supports the

goal of the Empowerment or Enterprise plans (0-5 points).

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 in the priority area description

under the appropriate section of the Program Narrative Statement.

Reviewers will determine the strengths and weaknesses of each

application 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.

Evaluation Criteria for Priority Areas

Applications submitted under priority areas:

FV-01-97, Developing and Enhancing Services for Immigrant

and Migrant Battered Women;

FV-02-97, Domestic Violence/Temporary Assistance for Needy

Families (TANF) Program; and

FV-04-97, Minority Training Grant Stipends in Domestic

Violence,

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, Tribal, 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 applicant's 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 are realistic, specific, and achievable.

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, when applicable, 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.

[[Page 29251]]

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. Identify, in specific

terms, the results and benefits, for target groups and human service

providers, to be derived from implementing the proposed project.

Describe how the expected results and benefits will relate to previous

demonstration efforts.

5. Level of Effort: (30 Points)

Staffing pattern--Describe the staffing pattern for the proposed

project, clearly linking responsibilities to project tasks and

specifying the contributions to be made by key staff.

Competence of staff--Describe the qualifications of the project

team including any experiences working on similar projects. Also,

describe the variety of skills to be used, relevant educational

background and the demonstrated ability to produce final results that

are comprehensible and usable. One or two pertinent paragraphs on each

key member are preferred to resumes. However, resumes may be included

in the ten pages allowed for attachments/appendices.

Adequacy of resources--Specify the adequacy of the available

facilities, resources and organizational experience with regard to the

tasks of the proposed project. List the financial, physical and other

resources to be provided by other profit and nonprofit organizations.

Explain how these organizations will participate in the day to day

operations of the project.

Budget--Relate the proposed budget to the level of effort required

to obtain project objectives and provide a cost/benefit analysis.

Demonstrate that the project's costs are reasonable in view of the

anticipated results.

Collaborative efforts--Discuss in detail and provide documentation

for any collaborative or coordinated efforts with other agencies or

organizations. Identify these agencies or organizations and explain how

their participation will enhance the project. Letters from these

agencies and organizations discussing the specifics of their commitment

must be included in the application.

Authorship--The authors of the application must be clearly

identified together with their current relationship to the applicant

organization and any future project role they may have if the project

is funded.

Applications submitted under priority area:

FV-03-97, The Establishment and Implementation of a

Special Issue Resource Center to Aid Indian Tribes and Tribal

Organizations;

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, Tribal, State and

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

domestic violence prevention services and intervention efforts,

policies and practice on Tribal Trust lands and reservations; the

relevance of other documentation as it relates to the applicants

knowledge of the need for the project; and the identification,

understanding and knowledge 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 are realistic, specific, and achievable.

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.

The applicant should identify, in specific terms, the results and

benefits, for target groups and human service providers, to be derived

from implementing the proposed project. Applicant 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) Applicants must have documented individual and organizational

experience in the area of domestic violence prevention and services

with Indian Tribes and Tribal organizations. Each applicant

organization must have an advisory board.

(b) 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 advocacy groups;

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

provision of services to Indian Tribes and Tribal organizations.

Staff Background, Organizational Experience, and Competence of Staff

(c) 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

[[Page 29252]]

paragraphs on each key member are preferred to vitae/resumes. However,

resumes may be included.

Adequacy of Resources and the Budget

(d) 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 Effort

(e) 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

designated as ``Minimum Requirements for Project Design,'' in the

applicable priority areas, will result in a low evaluation score by the

panel of expert reviewers.

Applicants must clearly identify the specific priority area under

which they wish to have their applications considered, and tailor their

applications accordingly. Previous experience has shown that an

application which is broad and more general in concept than outlined in

the priority area description is less likely to score as well as one

which is more clearly focused and directly responsive to the concerns

of that specific priority area.

D. Available Funds

ACF intends to award grants resulting from this announcement during

the fourth quarter of FY 1997. The size of the actual awards will vary.

Each priority area description includes information on the maximum

Federal share of the project costs and the anticipated number of

projects to be funded.

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

12 or 17 months) into which a multi-year period of assistance (project

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

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

support, including any extensions.

Where appropriate, applicants may propose project periods which are

shorter than the maximums specified in the various priority areas. Non-

Federal share contributions may exceed the minimums specified in the

various priority areas when the applicant is able to do so.

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 under each priority area, applicants must

contribute at least $1.

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

$66,666 to implement would be:

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

Non-Federal

Federal request share Total cost

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

$50,000....................................... $16,666 $66,666

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

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

Part IV--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 Alabama, Alaska, Colorado,

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

Minnesota, Montana, Nebraska, New Jersey, Oklahoma, Oregon,

Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, Washington,

American Samoa and Palau, have elected to participate in the E.O.

process and have established a Single Point of Contact (SPOCs).

Applicants from these twenty-three 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-97-

07) 370 L'Enfant Promenade, SW., 6th Floor East, Washington, DC 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 1995

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

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

(OMB) for review and approval any reporting and recordkeeping

requirements in regulations, including program announcements. This

program announcement does not contain

[[Page 29253]]

information requirements beyond those approved for ACF grant

applications under OMB Control Number 0970-0062 which will expire 09/

30/98. An agency may not conduct or sponsor, and a person is not

required to respond to, a collection of information unless it displays

a currently valid OMB control number.

C. Deadline for Submittal of Applications

The closing date and time for submittal of applications under this

program announcement is found at the beginning of this program

announcement under CLOSING DATE.

Mailed applications shall be considered as meeting an announced

deadline if they are either received on or before the deadline date or

sent on or before the deadline date and received by ACF in time for the

independent review to: U.S. Department of Health and Human Services,

Administration for Children and Families, Division of Discretionary

Grants, 370 L'Enfant Promenade, SW., Mail Stop 6C-462, Washington, DC

20447, Attention: Application for Family Violence Prevention and

Services Program.

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, SW., Washington, DC 20024, between

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

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

agreed.)

ACF cannot accommodate transmission of applications by fax or

through other electronic media. Therefore, applications transmitted to

ACF electronically will not be accepted regardless of 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

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.

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 IV 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.

[[Page 29254]]

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 15 b-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, 1997.

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

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

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. Equipment is defined as non-expendable

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

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

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

[[Page 29255]]

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 State and local

governments) has a current indirect cost rate agreement approved by the

Department of Health and Human Services or another Federal agency. Note

percentage for indirect cost rate and include a copy of the indirect

cost rate with the application.

Local and State governments should enter the amount of indirect

costs determined in accordance with HHS requirements. 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 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

[[Page 29256]]

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, maps, 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 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 424A, REV 4-92);

____A completed SPOC certification with the date of SPOC contact

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

____Budget Information--Non-Construction Programs (SF 424A, REV 4-

92);

____Budget justification for Section B--Budget Categories;

____Cable 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

4-92);

____Certification Regarding Lobbying;

____Certification Regarding Drug-Free Workplace Requirements; and

____Certification Regarding Environmental Tobacco Smoke.

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.

Applicant 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 or 92.

Grantees will be required to submit quarterly progress and semi-

annual 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

(non-governmental), 92 (governmental), OMB Circular A-133 and OMB

Circular A-128. 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

[[Page 29257]]

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 number 93.592, Family

Violence Prevention and Services)

Dated: May 14, 1997.

Donald Sykes,

Director, Office of Community Services.

BILLING CODE 4184-01-P

[[Page 29258]]

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BILLING CODE 4184-01-C

[[Page 29259]]

Instructions for the SF 424

Public reporting burden for this collection of information is

estimated to average 45 minutes per response, including time for

reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the

collection of information. Send comments regarding the burden

estimate or any other aspect of this collection of information,

including suggestions for reducing this burden, to the Office of

Management and Budget. Paperwork Reduction Project (0348-0043),

Washington, DC 20503.

Please do not return your completed form to the Office of

Management and Budget, send it to the address provided by the

sponsoring agency.

This is a standard form used by applicants as a required

facesheet for preapplications and applications submitted for Federal

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

certification that States which have established a review and

comment procedure in response to Executive Order 12372 and have

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

given an opportunity to review the applicant's submission.

Item and Entry

1. Self-explanatory.

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

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

3. State use only (if applicable).

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

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

project, leave blank.

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

which will undertake the assistance activity, complete address of

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

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

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency which assistance is being requested

with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities.)

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

funding/budget period by each contributor. Value of inkind

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 allowances, loans and taxes.

18. To be signed by the authorized representative of the

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

sign this application as official representative must be on file in

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

this authorization be submitted as part of the application.)

BILLING CODE 4184-01-P

[[Page 29260]]

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[[Page 29261]]

[GRAPHIC] [TIFF OMITTED] TN29MY97.009

BILLING CODE 4184-01-C

[[Page 29262]]

Instructions for the SF 424F

Public reporting burden for this collection of information is

estimated to average 180 minutes per response, including time for

reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the

collection of information. Send comments regarding the burden

estimate or any other aspect of this collection of information,

including suggestion for reducing this burden, to the Office of

Management and Budget, Paperwork Reduction Project (0348-0043),

Washington, DC 20530.

Please do not return your completed form to the Office of

Paperwork and Budget, send it to the address provided by the

sponsoring agency.

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project except

when applying for assistance which required 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 function or activities, enter the name of each

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

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

multiple programs where none of the programs require a breakdown by

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

in Column (a) and the respective catalog number of 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 programs, leave Columns (c) and (d) blank. For each line

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 or non-Federal funds. In Column

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

which includes the total previous authorized budgeted amounts plus

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

The amount(s) in Column (g) should not equal the sum in Columns (e)

and (f).

Line 5--Shown the total for all columns used.

Section B. Budget Categories

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

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

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

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

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

Federal and non-Federal) by object class categories.

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

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

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

applications for new grants and continuation grants the total amount

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

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

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

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

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

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

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

amount from the total project amount. Show under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the federal grantor in

determining the total amount of the grant.

Section. Non-Federal Resources

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

Column (e)--Enter totals in 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 total of amounts on Lines 13 and 14.

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

the Project

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

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

is not necessary. For new applications and continuation grant

applications, enter in the proper columns amounts of Federal funds

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

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

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

funds for the current year of existing grants.

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

submit additional schedules as necessary.

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

additional schedules are prepared for this Section, annotate

accordingly and who 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

Public reporting burden for this collection of information is

estimated to average 15 minutes per response, including time for

reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the

collection of information. Send

[[Page 29263]]

comments regarding the burden estimate or any other aspect of this

collection of information, including suggestions for reducing this

burden, to the Office of Management and Budget, Paperwork Reduction

Project (0348-0043), Washington, DC 20503.

Please do not return your completed form to the Office of

Management and Budget, send it to the address provided by the

Sponsoring agency.

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

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

awarding agency. Further, certain Federal awarding agencies may

require applicants to certify to additional assurances. If such is

the case, you will be notified.

As the duly authorized representative of the applicant I certify

that the applicant:

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

the institutional, managerial and financial capability (including

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

ensure proper planning, management and completion of the project

described in this application.

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

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

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

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

a proper accounting system in accordance with generally accepted

accounting standards or agency directives.

3. Will establish safeguards to prohibit employees from using

their positions for a purpose that constitutes or presents the

appearance of personal or organizational conflict of interest, or

personal gain.

4. Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970

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

merit systems for programs funded under one of the nineteen statutes

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

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

6. Will comply with all Federal statutes relating to

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

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

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

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

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

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

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

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

amended (42 U.S.C. Sec. 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 290ee-3),

as amended, relating to confidentiality of alcohol and drug abuse

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

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

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

other nondiscrimination provisions in the specific statute(s) under

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

requirements of any other nondiscrimination statute(s) which may

apply to the application.

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

of Title 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, as applicable, with the provisions of the Health

Act (5 U.S.C. Secs. 1501-1508 and 7324-7328) which limit the

political activities of employees whose principal employment

activities are funded in whole or in part with Federal funds.

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

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

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

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

labor standards for federally assisted construction subagreements.

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

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

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

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

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

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

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

evaluation of flood hazards in floodplains in accordance with EO

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

management program developed under the Coastal Zone Management Act

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

actions to State (Clear Air) Implementation Plans under Section

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

Secs. 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 or

OMB Circular No. A-133, Audits of Institutions of Higher Learning

and other Non-profit Institutions.

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations and policies governing

this program.

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Signature of Authorized Certifying Official

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Title

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Applicant Organization

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

Date Submitted

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 an

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,

[[Page 29264]]

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.

Statement for Loan Guarantees and Loan Insurance

The undersigned states, to the best of his or her knowledge and

belief, that:

If any funds have been paid or will be paid to any person for

influencing or attempting to influence an officer or employee of any

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

an employee of a Member of Congress in connection with this

commitment providing for the United States to insure or guarantee a

loan, the undersigned shall complete and submit Standard Form-LLL,

``Disclosure Form to Report Lobbying,'' in accordance with its

instructions. Submission of this statement is a prerequisite for

making or entering into this transaction imposed by section 1352,

title 31, U.S. Code. Any person who fails to file the required

statement shall be subject to a civil penalty of not less than

$10,000 and not more than $100,000 for each such failure.

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Signature

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

Title

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

Organziation

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

Date

BILLING CODE 4184-01-P

[[Page 29265]]

[GRAPHIC] [TIFF OMITTED] TN29MY97.010

BILLING CODE 4184-01-C

[[Page 29266]]

This certification is required by the regulations implementing

the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart, F.

Sections 76.630 (c) and (d)(2) and 76.645 (a)(1) and (b) provide

that a Federal agency may designate a central receipt point for

STATE-WIDE AND STATE AGENCY-WIDE certifications, and for

notification of criminal drug convictions. For the Department of

Health and Human Services, the central pint is: Division of Grants

Management and Oversight, Office of Management and Acquisition,

Department of Health and Human Services, Room 517-D, 200

Independence Avenue, SW, Washington, DC 20201.

Certification Regarding Drug-Free Workplace Requirements

(Instructions for Certification)

1. By signing and/or submitting this application or grant

agreement, the grantee is providing the certification set out below.

2. The certification set out below is a material representation

of fact upon which reliance is placed when the agency awards the

grant. If it is later determined that the grantee knowingly rendered

a false certification, or otherwise violates the requirements of the

Drug-Free Workplace Act, the agency, in addition to any other

remedies available to the Federal Government, may take action

authorized under the Drug-Free Workplace Act.

3. For grantees other than individuals, Alternate I applies.

4. For grantees who are individuals, Alternate II applies.

5. Workplaces under grants, for grantees other than individuals,

need not be identified on the certification. If known, they may be

identified in the grant application. If the grantee does not

identify the workplaces at the time of application, or upon award,

if there is no application, the grantee must keep the identity of

the workplace(s) on file in its office and make the information

available for Federal inspection. Failure to identify all known

workplaces constitutes a violation of the grantee's drug-free

workplace requirements.

6. Workplace identifications must include the actual address of

buildings (or parts of buildings) or other sites where work under

the grant takes place. Categorical descriptions may be used (e.g.,

all vehicles of a mass transit authority or State highway department

while in operation, State employees in each local unemployment

office, performers in concert halls or radio studios).

7. If the workplace identified to the agency changes during the

performance of the grant, the grantee shall inform the agency of the

change(s), if it previously identified the workplaces in question

(see paragraph five).

8. Definitions of terms in the Nonprocurement Suspension and

Debarment common rule and Drug-Free Workplace common rule apply to

this certification. Grantees' attention is called, in particular, to

the following definitions from these rules:

Controlled substances means a controlled substance in Schedules

I through V of the Controlled Substances Act (21 U.S.C. 812) and as

further defined by regulation (21 CFR 1308.11 through 1308.15);

Conviction means a finding of guilt (including a plea of nolo

contendere) or imposition of sentence, or both, by any judicial body

charged with the responsibility to determine violations of the

Federal or State criminal drug statutes;

Criminal drug statute means a Federal or non-Federal criminal

statute involving the manufacture, distribution, dispensing, use, or

possession of any controlled substance;

Employee means the employee of a grantee directly engaged in the

performance of work under a grant, including: (i) All direct charge

employees; (ii) All indirect charge employees unless their impact or

involvement is insignificant to the performance of the grant; and,

(iii) Temporary personnel and consultants who are directly engaged

in the performance of work under the grant and who are on the

grantee's payroll. This definition does not include workers not on

the payroll of the grantee (e.g., volunteers, even if used to meet a

matching requirement; consultants or independent contractors not on

the grantee's payroll; or employees of subrecipients or

subcontractors in covered workplaces).

Certification Regarding Drug-Free Workplace Requirements

Alternate I. (Grantees Other Than Individuals)

The grantee certifies that it will or will continue to provide a

drug-free workplace by:

(a) Publishing a statement notifying employees that the unlawful

manufacture, distribution, dispensing, possession, or use of a

controlled substance is prohibited in the grantee's workplace and

specifying the actions that will be taken against employees for

violation of such prohibition;

(b) Establishing an ongoing drug-free awareness program to

inform employees about--

(1) The dangers of drug abuse in the workplace;

(2) The grantee's policy of maintaining a drug-free workplace;

(3) Any available drug counseling, rehabilitation, and employee

assistance programs; and

(4) The penalties that may be imposed upon employees for drug

abuse violations occurring in the workplace;

(c) Making it a requirement that each employee to be engaged in

the performance of the grant be given a copy of the statement

required by paragraph (a);

(d) Notifying the employee in the statement required by

paragraph (a) that, as a condition of employment under the grant,

the employee will--

(1) Abide by the terms of the statement; and

(2) Notify the employer in writing of his or her conviction for

a violation of a criminal drug statute occurring in the workplace no

later than five calendar days after such conviction;

(e) Notifying the agency in writing, within ten calendar days

after receiving notice under paragraph (d)(2) from an employee or

otherwise receiving actual notice of such conviction. Employers of

convicted employees must provide notice, including position title,

to every grant officer or other designee on whose grant activity the

convicted employee was working, unless the Federal agency has

designated a central point for the receipt of such notices. Notice

shall include the identification number(s) of each affected grant;

(f) Taking one of the following actions, within 30 calendar days

of receiving notice under paragraph (d)(2), with respect to any

employee who is so convicted--

(1) Taking appropriate personnel action against such an

employee, up to and including termination, consistent with the

requirements of the Rehabilitation Act of 1973, as amended; or

(2) Requiring such employee to participate satisfactorily in a

drug abuse assistance or rehabilitation program approved for such

purposes by a Federal, State, or local health, law enforcement, or

other appropriate agency;

(g) Making a good faith effort to continue to maintain a drug-

free workplace through implementation of paragraphs (a), (b), (c),

(d), (e) and (f).

(B) The grantee may insert in the space provided below the

site(s) for the performance of work done in connection with the

specific grant:

Place of Performance (Street address, city, county, state, zip

code)

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

Check {time} if there are workplaces on file that are not

identified here.

Alternate II. (Grantees Who Are Individuals)

(a) The grantee certifies that, as a condition of the grant, he

or she will not engage in the unlawful manufacture, distribution,

dispensing, possession, or use of a controlled substance in

conducting any activity with the grant;

(b) If convicted of a criminal drug offense resulting from a

violation occurring during the conduct of any grant activity, he or

she will report the conviction, in writing, within 10 calendar days

of the conviction, to every grant officer or other designee, unless

the Federal agency designates a central point for the receipt of

such notices. When notice is made to such a central point, it shall

include the identification number(s) of each affected grant.

[55 FR 21690, 21702, May 25, 1990]

Certification Regarding Debarment, Suspension, and Other Responsibility

Matters--Primary Covered Transactions

Instructions for Certification

1. By signing and submitting this proposal, the prospective

primary participant is providing the certification set out below.

2. The inability of a person to provide the certification

required below will not necessarily result in denial of

participation in this covered transaction. The prospective

participant shall submit an explanation of why it cannot provide the

certification set out below. The certification or explanation will

be considered in connection with the department or agency's

determination whether to enter into this transaction. However,

failure of the prospective primary participant to furnish a

certification or an

[[Page 29267]]

explanation shall disqualify such person from participation in this

transaction.

3. The certification in this clause is a material representation

of fact upon which reliance was placed when the department or agency

determined to enter into this transaction. If it is later determined

that the prospective primary participant knowingly rendered an

erroneous certification, in addition to other remedies available to

the Federal Government, the department or agency may terminate this

transaction for cause or default.

4. The prospective primary participant shall provide immediate

written notice to the department or agency to which this proposal is

submitted if at any time the prospective primary participant learns

that its certification was erroneous when submitted or has become

erroneous by reason of changed circumstances.

5. The terms covered transaction, debarred, suspended,

ineligible, lower tier covered transaction, participant, person,

primary covered transaction, principal, proposal, and voluntarily

excluded, as used in this clause, have the meanings set out in the

Definitions and Coverage sections of the rules implementing

Executive Order 12549. You may contact the department or agency to

which this proposal is being submitted for assistance in obtaining a

copy of those regulations.

6. The prospective primary participant agrees by submitting this

proposal that, should the proposed covered transaction by entered

into, it shall not knowingly enter into any lower tier covered

transaction with a person who is proposed for debarment under 48 CFR

part 9, subpart 9.4, debarred, suspended, declared ineligible, or

voluntarily excluded from participation in this covered transaction,

unless authorized by the department or agency entering into this

transaction.

7. The prospective primary participant further agrees by

submitting this proposal that it will include the clause titled

``Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion-Lower Tier Covered Transaction,'' provided by

the department or agency entering into this covered transaction,

without modification, in all lower tier covered transactions and in

all solicitations for lower tier covered transactions.

8. A participant in a covered transaction may rely upon a

certification of a prospective participant in a lower tier covered

transaction that it is not proposed for debarment under 48 CFR part

9, subpart 9.4, debarred, suspended, ineligible, or voluntarily

excluded from the covered transaction, unless it knows that the

certification is erroneous. A participant may decide the method and

frequency by which it determines the eligibility of its principals.

Each participant may, but is not required to, check the List of

Parties Excluded from Federal Procurement and Nonprocurement

Programs.

9. Nothing contained in the foregoing shall be construed to

require establishment of a system of records in order to render in

good faith the certification required by this clause. The knowledge

and information of a participant is not required to exceed that

which is normally possessed by a prudent person in the ordinary

course of business dealings.

10. Except for transactions authorized under paragraph 6 of

these instructions, if a participant in a covered transaction

knowingly enters into a lower tier covered transaction with a person

who is proposed for debarment under 48 CFR part 9, subpart 9.4,

suspended, debarred, ineligible, or voluntarily excluded from

participation in this transaction, in addition to other remedies

available to the Federal Government, the department or agency may

terminate this transaction for cause or default.

* * * * *

Certification Regarding Debarment, Suspension, and Other Responsibility

Matters--Primary Covered Transactions

(1) The prospective primary participant 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 by any

Federal department or agency;

(b) Have not within a three-year period preceding this proposal

been convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with

obtaining, attempting to obtain, or performing a public (Federal,

State or local) transaction or contract under a public transaction;

violation of Federal or State antitrust statutes or commission of

embezzlement, theft, forgery, bribery, falsification or destruction

of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for 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 three-year period preceding this

application/proposal had one or more public transactions (Federal,

State or local) terminated for cause or default.

(2) Where the prospective primary participant is unable to

certify to any of the statements in this certification, such

prospective participant shall attach an explanation to this

proposal.

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

Instructions for Certification

1. By signing and submitting this proposal, the prospective

lower tier participant is providing the certification set out below.

2. The certification in this clause is a material representation

of fact upon which reliance was placed when this transaction was

entered into. If it is later determined that the prospective lower

tier participant knowingly rendered an erroneous certification, in

addition to other remedies available to the Federal Government the

department or agency with which this transaction originated may

pursue available remedies, including suspension and/or debarment.

3. The prospective lower tier participant shall provide

immediate written notice to the person to which this proposal is

submitted if at any time the prospective lower tier participant

learns that its certification was erroneous when submitted or had

become erroneous by reason of changed circumstances.

4. The terms covered transaction, debarred, suspended,

ineligible, lower tier covered transaction, participant, person,

primary covered transaction, principal, proposal, and voluntarily

excluded, as used in this clause, have the meaning set out in the

Definitions and Coverage sections of rules implementing Executive

Order 12549. You may contact the person to which this proposal is

submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting

this proposal that, [[Page 33043]] should the proposed covered

transaction be entered into, it shall not knowingly enter into any

lower tier transaction with a person who is proposed for debarment

under 48 CFR part 9, subpart 9.4, debarred, suspended, declared

ineligible, or voluntarily excluded from participation in this

covered transaction, unless authorized by the department or agency

with which this transaction originated.

6. The prospective lower tier participant further agrees by

submitting this proposal that it will include this clause titled

``Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion-Lower Tier Covered Transaction,'' without

modification, in all lower tier covered transactions and in all

solicitations for lower tier covered transactions.

7. A participant in a covered transaction may rely upon a

certification of a prospective participant in a lower tier covered

transaction that it is not proposed for debarment under 48 CFR part

9, subpart 9.4, debarred, suspended, ineligible, or voluntarily

excluded from covered transactions, unless it knows that the

certification is erroneous. A participant may decide the method and

frequency by which it determines the eligibility of its principals.

Each participant may, but is not required to, check the List of

Parties Excluded from Federal Procurement and Nonprocurement

Programs.

8. Nothing contained in the foregoing shall be construed to

require establishment of a system of records in order to render in

good faith the certification required by this clause. The knowledge

and information of a participant is not required to exceed that

which is normally possessed by a prudent person in the ordinary

course of business dealings.

9. Except for transactions authorized under paragraph 5 of these

instructions, if a participant in a covered transaction knowingly

enters into a lower tier covered transaction with a person who is

proposed for debarment under 48 CFR part 9, subpart 9.4, debarred,

suspended, ineligible, or voluntarily excluded from participation in

this transaction, in addition to other remedies available to the

Federal

[[Page 29268]]

Government, the department or agency with which this transaction

originated may pursue available remedies, including suspension and/

or debarment.

* * * * *

Certification Regarding Debarment, Suspension, Ineligibility and

Voluntary Exclusion--Lower Tier Covered Transactions

(1) The prospective lower tier participant certifies, by

submission of this proposal, that neither it nor its principals is

presently debarred, suspended, proposed for debarment, declared

ineligible, or voluntarily excluded from participation in this

transaction by any Federal department or agency.

(2) Where the prospective lower tier participant is unable to

certify to any of the statements in this certification, such

prospective participant shall attach an explanation to this

proposal.

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 routinely owned or

leased or contracted for by an entity and used routinely or

regularly for provision of health, day care, education, or library

services to children under the age of 18, if the services are funded

by Federal programs either directly or through State or local

governments, by Federal grant, contract, loan, or loan guarantee.

The law does not apply to children's services provided in private

residences, facilities funded solely by Medicare or Medicaid funds,

and portions of facilities used for inpatient drug or alcohol

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

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

per day and/or the imposition of an administrative 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 the children's services and that all subgrantees

shall certify accordingly.

OMB State Single Point of Contact Listing

Arizona

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

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

FAX: (602) 280-8144

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

California

Grants Coordinator, Office of Planning & Research, 1400 Tenth

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

7480, FAX (916) 323-3018

Delaware

Francine Booth, State Single Point of Contact Executive Department,

Thomas Collins Building, P.O. Box 1401, Dover, Delaware 19903,

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

District of Columbia

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

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

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

Florida

Florida State Clearinghouse, Department of Community Affairs, 2740

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

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

Georgia

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

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

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

Illinois

Virginia Bova, State Single Point of Contact, Department of Commerce

and Community Affairs, James R. Thompson Center, 100 West Randolph,

Suite 3-400, Chicago, Illinois 60601, Telephone: (312) 814-6028,

FAX: (312) 814-1800

Indiana

Frances Williams, State Budget Agency, 212 State House,

Indianapolis, Indiana 46204-2796, Telephone: (317) 232-5619, FAX:

(317) 233-3323

Iowa

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

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

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

Kentucky

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

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

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

Maine

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

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

Maryland

William G. Carroll, Manager, State Clearinghouse for

Intergovernmental Assistance, Maryland Office of Planning, 301 W.

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

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

Michigan

Richard Pfaff, Southeast Michigan Council of Governments, 1900

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

(313) 961-4266, FAX: (313) 961-4869

Mississippi

Cathy Malette, Clearinghouse Officer, Department of Finance and

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

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

Missouri

Lois Pohl, Federal Assistance Clearinghouse, Office of

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

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

Nevada

Department of Administration, State Clearinghouse, Capitol Complex,

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

687-3983

New Hampshire

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

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

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

FAX: (603) 271-1728

New 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, FAX: (518) 486-

5617

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, Bismark, 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

Kevin Nelson, Review Coordinator, Department of Administration,

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

Island 02908-5870,

[[Page 29269]]

Telephone: (401) 277-2656, FAX: (401) 277-2083

Please direct correspondence and questions to: Review Coordinator,

Office of Strategic Planning

South Carolina

Rodney Grizzle, State Single Point of Contact, Grant Services,

Office of the Governor, 1205 Pendleton Street, Room 331, Columbia,

South Carolina 29201, Telephone: (803) 734-0494, FAX: (803) 734-0356

Texas

Tom Adams, Governors Office, Director, Intergovernmental

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

463-1771, FAX: (512) 463-1888

Utah

Carolyn Wright, Utah State Clearinghouse, Office of Planning and

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

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

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

Jeff Smith, Section Chief, State/Federal Relations, Wisconsin

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

P.O. Box 7868, Madison, Wisconsin 53707, Telephone: (608) 266-0267,

FAX: (608) 267-6931

Wyoming

Matthew Jones, State Single Point of Contact, Office of the

Governor, 200 West 24th Street, State Capital, Room 124, Cheyenne,

Wyoming 82002, Telephone: (307) 777-7446, FAX: (307) 632-3909

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

Normal 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

Mr. Alvaro A. Santos, Executive Officer, State Single Point of

Contact, Office of Management and Budget, Office of the Governor,

Saipan, MP, Telephone: (670) 664-2256, FAX: (670) 664-2272

Contact Person: Ms. Jacoba T. Seman, Federal Programs Coordinator,

Telephone: (670) 644-2289, FAX: (670) 644-2272

Virgin Islands

Nelson Bowry, Director, Office of Management and Budget, #41

Norregade Emancipation Garden Station, Second Floor, Saint Thomas,

Virgin Islands 00802

Please direct all questions and correspondence about

intergovernmental review to: Linda Clarke, Telephone: (809) 774-

0750, FAX: (809) 776-0069.

[FR Doc. 97-14074 Filed 5-28-97; 8:45 am]

BILLING CODE 4184-01-P-M