Program Announcement; Request for Applications for the Office of Community Services' Fiscal Year 2000 Discretionary Grants Program

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

Community Services (OCS), announces that competing applications will be

accepted for new grants pursuant to the Secretary's discretionary

authority under sections 681(a) and (b) of the Community Services Block

Grant Act of 1981, as amended.

CLOSING DATE: The closing date for submission of applications is

November 15, 1999. Mailed applications postmarked after the closing

date will be classified as late.

APPLICATION SUBMISSION:

Mailing Address: Discretionary applications must be mailed to the

U.S. Department of Health and Human Services, Administration for

Children and Families, Office of Grants Management/OCSE, 4th

Floor West, Aerospace Center, 370 L'Enfant Promenade, S.W., Washington,

D.C. 20447; Attention: Discretionary Grants Program.

Submission Instructions: Mailed applications shall be considered as

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

the closing date or postmarked on or before the closing date and

received by ACF in time for the independent review.

Applications mailed must bear a legibly dated U.S. Postal Service

postmark or a legibly dated, machine produced postmark of a commercial

mail service affixed to the envelope/package containing the

application(s). To be deemed acceptable as proof of timely mailing, a

postmark from a commercial mail service must include the logo/emblem of

the commercial mail service company and must reflect the date the

package was received by the commercial mail service company from the

applicant. Private metered postmarks shall not be acceptable as proof

of timely mailing. (Applicants are cautioned that express/overnight

mail services do not always deliver as agreed.)

Applications handcarried by applicants, applicant couriers, or by

other representatives of the applicant shall be considered as meeting

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

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

Department of Health and Human Services, Administration for Children

and Families, Office of Grants Management/OCSE, ACF Mailroom, 2nd Floor

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

20024, between Monday and Friday (excluding Federal holidays). The

address must appear on the envelope/package containing the application

with the note Attention: Discretionary Grants Program. (Applicants are

again cautioned that express/overnight mail services do not always

deliver as agreed.)

ACF cannot accommodate transmission of applications by fax or

through other electronic media. Therefore, applications transmitted to

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

submission and time of receipt.

Late applications: Applications that do not meet the criteria above

are considered late applications. ACF shall notify each late applicant

that its application will not be considered in the current competition.

Extension of deadlines: ACF may extend application deadlines when

circumstances such as acts of God (floods, hurricanes, etc.) occur, or

when there are widespread disruptions of the mail service.

Determinations to extend or waive deadline requirements rest with ACF's

Chief Grants Management Officer.

Number of Copies Required: One signed original application and four

copies must be submitted at the time of the initial submission. (OMB-

0970-0062, expires 10/31/2001)

The first page of the SF-424 must contain in the lower right-hand

corner, a designation indicating under which sub-priority area funds

are being requested (for example UR for 1.1, HB for 1.2, PD for 1.3, DD

for 1.4, AM for 1.5, UT for 1.6, or RF for 2.0). See Part G, section 1,

item 11 for details.

For General Questions on the Announcement, Contact:

Veronica Terrell--(202) 401-5295

David Matthews--(202) 401-5271

Walter Thaxton--(202) 401-5269

Bobby Malone--(202) 401-5270

Calvin Brockington--(202) 401-5273

Debra Brown--(202) 401-3446

Thelma Woodland--(202) 401-5294

Ruth Walston--(202) 401-9340

For a Copy of the Announcement, Contact: Administration for

Children and Families, Office of Community Services, 370 L'Enfant

Promenade, S.W., 5th Floor West, Washington, DC 20447, (202) 401-9345,

(202) 401-9354, (202) 401-4687 (fax).

In addition, the announcement will be accessible on the OCS website

for reading or downloading at: http://www.acf.dhhs.gov/programs/ocs/

kits1.htm.

The Catalog of Federal Domestic Assistance number for this program

is 93.570. The title is Community Services Block Grant--Discretionary

Awards.

Table of Contents

Part A--PREAMBLE

1. Legislative Authority

2. Departmental Goals

3. Definitions of Terms

Part B--APPLICATION PREREQUISITES

1. Eligible Applicants

2. Availability of Funds

3. Project and Budget Periods

4. Mobilization of Resources

5. Program Beneficiaries

6. Number of Projects in Application

7. Multiple Submittals

8. Subawarding Projects

9. Third Party Agreements

10. Funding Considerations

11. Prohibited Activities

Part C--PROGRAM PRIORITY AREAS

Part D--CRITERIA FOR REVIEW AND EVALUATION OF ALL APPLICATIONS

1. Criteria for Review and Evaluation of All Applications

Submitted Under Sub-Priority Areas 1.1, 1.2, and 1.4

2. Criteria for Review and Evaluation of Applications Submitted

Under Sub-Priority Area 1.3

3. Criteria for Review and Evaluation of Applications Submitted

Under Sub-Priority Area 1.5

4. Criteria for Review and Evaluation of Applications Submitted

Under Sub-Priority Area 1.6

5. Criteria for Review and Evaluation of All Applications Under

Priority Area 2.0

Part E--APPLICATION PROCEDURES

1. Availability of Forms

2. Intergovernmental Review

3. Application Consideration

4. Criteria for Screening Applicants

Part F--CONTENTS OF APPLICATION AND RECEIPT PROCESS

1. Contents of Application

2. Acknowledgment of Receipt

Part G--INSTRUCTIONS FOR COMPLETING APPLICATION PACKAGE

1. SF-424 Application for Federal Assistance

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

Part H--POST AWARD INFORMATION AND REPORTING REQUIREMENTS

1. Notification of Grant Award

2. Attendance at OCS Training Conference

3. Reporting Requirements

[[Page 45303]]

4. Audit Requirements

5. Applicable Federal Regulations

Attachments

A--Poverty Income Guidelines

B--Standard Form 424, Application for Federal Assistance

C--Standard Form 424A, Budget Information--Non-Construction

Programs

D--Standard Form 424B, Assurances--Non-Construction Programs

E--Certification Regarding Drug-Free Workplace Requirements

F--Certification Regarding Debarment, Suspension and Other

Responsibility Matters

G--State Single Point of Contact List

H--Certification Regarding Lobbying; Disclosure of Lobbying

Activities, SF-LLL

I--DHHS Regulations Applying to All Applicants/Grantees Under

the Fiscal Year 2000 Discretionary Grants Program

J--Certification Regarding Environmental Tobacco Smoke

K--Guidelines for a Business Plan

L--Table of Standard Industrial Codes and Occupational

Classifications

M--Applicant's Checklist

Part A--Preamble

1. Legislative Authority

The Community Services Block Grant Act of 1981, as amended,

(Section 680 of the Coats Human Services Reauthorization Act of 1998),

authorizes the Secretary to make funds available to support program

activities of national or regional significance to alleviate the causes

of poverty in distressed communities with special emphasis on community

and economic development activities.

2. Departmental Goals

This announcement is particularly relevant to the Departmental goal

of strengthening the American family and promoting self-sufficiency.

These programs have objectives of increasing the access of low-income

people to employment and business development opportunities, and

improving the integration, coordination, and continuity of the various

HHS (and other federal Departments') funded services potentially

available to families living in poverty.

3. Definitions of Terms

For purposes of this Program Announcement, the following

definitions apply:

--Budget period: The interval of time into which a grant period of

assistance is divided for budgetary and funding purposes.

--Cash contributions: The cash outlay that includes the money

contributed to the project or program by the recipient and third

parties.

--Community development corporation (CDC): A private, nonprofit entity,

governed by a board of directors consisting of low-income residents of

the community and business and civic leaders, that has as a principal

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

community development projects.

--Community economic development (CED): A process by which a community

uses resources to attract capital and increase physical, commercial,

and business development and job opportunities for its residents.

--Construction projects: For the purpose of this announcement,

construction projects involve land improvements and development or

major renovation of (new or existing) facilities and buildings,

including their improvements, fixtures and permanent attachments.

--Displaced worker: An individual who is in the labor market but has

been unemployed for six months or longer.

--Distressed community: A geographic urban neighborhood or rural

community of high unemployment and pervasive poverty.

--Eligible applicant: (See appropriate Program Priority Area under Part

C.)

--Employment education and training program: A program that provides

education and/or training to welfare recipients, at-risk youth, public

housing tenants, displaced workers, homeless and low-income individuals

and that has demonstrated organizational experience in education and

training for these populations.

--Empowerment Zones and Enterprise Communities (EZ/EC): Those

communities designated as such by the Secretaries of Agriculture or

Housing and Urban Development.

--Equity investment: The provision of capital to a business entity for

some specified purpose in return for a portion of ownership using a

third party agreement as the contractual instrument.

--Indian tribe: A tribe, band, or other organized group of Indians

recognized in the State in which it resides or which is considered by

the Secretary of the Interior to be an Indian tribe or an Indian

organization for any purpose. For the purpose of Priority Area 1.0

(Urban and Rural Community Economic Development), an Indian tribe or

Indian organization is ineligible unless the applicant organization is

a private non-profit community economic development corporation.

--Job creation: New jobs, i.e. jobs not in existence prior to the start

of the project, that result from new business startups, business

expansion, development of new services industries, and/or other newly-

undertaken physical or commercial activities.

--Job placement: Placing a person in an existing vacant job of a

business, service, or commercial activity not related to new

development or expansion activity.

--Letter of commitment: A signed letter or agreement from a third party

to the applicant that pledges financial or other support for the grant

activities only subject to receiving an award of OCS grant funds.

--Loan: Money lent to a borrower under a binding pledge for a given

purpose to be repaid, usually at a stated rate of interest and within a

specified period of time.

--Poverty Income Guidelines: Guidelines published annually by the U.S.

Department of Health and Human Services that establish the level of

poverty defined as low-income for individuals and their families.

--Program income: Gross income earned by the grant recipient that is

directly generated by an activity supported with grant funds.

--Project period: The total time for which a project is approved for

OCS support, including any approved extensions.

--Revolving loan fund: A capital fund established to make loans whereby

repayments are re-lent to other borrowers.

--Self-employment: The state of an individual or individuals who engage

in self-directed economic activities.

--Self-sufficiency: The economic state not requiring public assistance

for an individual and his (her) immediate family.

--Subaward: An award of financial assistance in the form of money, or

property in lieu of money, made under an award by a recipient to an

eligible subrecipient or by a subrecipient to a lower tier

subrecipient. The term includes financial assistance when provided by

any legal agreement, even if the agreement is called a contract, but

does not include procurement of goods and services nor does it include

any form of assistance which is excluded from the definition of

``award'' in 45 CFR 74.2. (Note: Subawards do not include equity

investments or loan transactions since they are promulgated under third

party agreements.)

[[Page 45304]]

--Technical assistance: A problem-solving event generally utilizing the

services of an expert. Such services may be provided on-site, by

telephone, or by other communications. These services address specific

problems and are intended to assist with the immediate resolution of a

given problem or set of problems.

--Temporary Assistance to Needy Families (TANF): Title I of the

Personal Responsibility and Work Opportunity Reconciliation Act of 1996

(Pub.L. 104-193) creates the TANF program that transforms welfare into

a system that requires work in exchange for time-limited assistance.

The law specifically eliminates any individual entitlement to or

guarantee of assistance, repeals the Aid to Families with Dependent

Children (AFDC) program, Emergency Assistance (EA) and Job

Opportunities and Basic Skills Training (JOBS) programs, and replaces

them with a Block grant entitlement to States under Title IV of the

Social Security Act.

--Third party: Any individual, organization, or business entity that is

not the direct recipient of grant funds.

--Third party agreement: A written agreement entered into by the

grantee and an organization, individual or business entity (including a

wholly-owned subsidiary), by which the grantee makes an equity

investment or a loan in support of grant purposes.

--Third party in-kind contributions: The value of non-cash

contributions provided by non-federal third parties which may be in the

form of real property, equipment, supplies and other expendable

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

specifically identifiable to the project or program.

Part B--Application Prerequisites

1. Eligible Applicants

Priority areas included in this Program Announcement have differing

eligibility requirements. Therefore, eligible applicants are identified

in the individual priority area descriptions found in Part C.

2. Availability of Funds

a. Appropriation Amounts

All grant awards are subject to the availability of appropriated

funds. Approximately $26,560,000 is expected to be available for FY

2000. The approximate amount of funds anticipated to be available for

each priority area is summarized below:

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

Sub-priority areas FY 2000 funds

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

Priority Area 1.0: Urban and Rural Community Economic

Development

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

1.1 Urban and Rural Community Economic Development 17,000,000

(Operational)........................................

1.2 Urban and Rural Community Economic Development 2,100,000

(HBCU Set-Aside).....................................

1.3 Urban and Rural Community Economic Development 750,000

(Pre-Developmental Set-Aside)........................

1.4 Urban and Rural Community Economic Development 2,500,000

(Developmental Set-Aside)............................

1.5 Administrative and Management Expertise (Set 500,000

Aside)...............................................

1.6 Training and Technical Assistance (Set Aside).... 210,000

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

Priority Area 2.0: Rural Community Development

Activities

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

2.0 Rural Community Facilities Development (Water and 3,500,000

Waste Water Treatment Systems Development)...........

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

b. Grant Amounts

The approximate amounts to be granted for projects under the sub-

priority areas are indicated below:

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

Sub-priority area Funding limit

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

1.1....................................... Approximately 13 at $350,000

but not more than $500,000

........................................ Approximately 30 at $349,999

or less

1.2....................................... Approximately 6 at $350,000

1.3....................................... Approximately 10 at $75,000

1.4....................................... Approximately 10 at $250,000

1.5....................................... Approximately 1 at $500,000

1.6....................................... Approximately 1 at $210,000

2.0....................................... Approximately 8 from

$300,000-$533,000

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

3. Project and Budget Periods

For Sub-Priority Areas 1.1, 1.2, and 1.4, applicants with projects

involving construction only, may request a project period of up to 60

months and a budget period of up to 36 months. Applicants for non-

construction projects under these priority areas may request project

periods of up to 36 months and budget periods of up to 17 months.

Applicants for Sub-Priority Areas 1.5 and 1.6 may request project and

budget periods of up to 17 months. For Sub-Priority Area 1.3,

applicants may request project and budget periods of up to 12 months.

For Priority Area 2.0, grantees will be funded for 24 month project

periods and 12 month budget periods.

4. Mobilization of Resources

OCS encourages and strongly supports leveraging of resources

through public/private partnerships which can mobilize cash and/or

third-party in-kind contributions.

5. Program Beneficiaries

Projects proposed for funding under this Announcement must result

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

annual revision of the Poverty Income Guidelines published by DHHS.

Attachment A of the appendices to this Announcement is an excerpt

from the Poverty Income Guidelines currently in effect. Annual

revisions of these guidelines are normally published in the Federal

Register in February or early March of each year. Grantees will be

required to apply the most recent guidelines throughout the project

period. These revised guidelines may be obtained at public libraries,

Congressional offices, or by writing the Superintendent of Documents,

U.S. Government Printing Office (GPO), Washington, D.C. 20402. Also,

see ``For General Questions On the Announcement Contact'' at the

beginning of this Announcement.

No other government agency or privately-defined poverty guidelines

are applicable for the determination of low-income eligibility for

these OCS programs.

Note, however, that low-income individuals granted lawful temporary

resident status under Sections 245A or 210A of the Immigration and

Nationality Act, as amended by the Immigration Reform and Control Act

of 1986 (Public law 99-603), may not be eligible for direct or indirect

assistance based on financial need under this program for a period of

five years from the date such status was granted.

[[Page 45305]]

6. Number of Projects in Application

All Priority Area 1.0 applications may contain only one project

except for Sub-Priority Areas 1.3, 1.5, and 1.6 where applicants are

researching various opportunities, are sharing administrative and

management expertise with current OCS grantees, or are providing

training and/or technical assistance for current OCS grantees,

including the organization of seminars and other activities in

assisting community development corporations. Applications that are not

in compliance with this requirement may be disqualified.

7. Multiple Submittals

There is no limit to the number of applications that can be

submitted under a specific program priority area as long as each

application contains a proposal for a different project. However, an

applicant can receive only one grant in each priority area. Also,

applicants who receive more than one grant for a common budget/project

period must be mindful that salaries and wages claimed for the same

persons cannot collectively exceed 100% of total annual salary.

8. Subawarding Projects

OCS does not fund projects where the role of the applicant is

primarily to serve as a conduit for funds through the use of subawards

to other organizations. In cases where the applicant proposes to make

one or more subawards, it must retain a substantive role in the

implementation and operation of the project for which funding is

requested.

9. Third Party Agreements

Any applicant submitting a proposal for funding under Sub-Priority

Areas 1.1, 1.2, or 1.4 who proposes to use some or all of the requested

OCS funds to enter into a third party agreement in order to make an

equity investment (such as the purchase of stock) or a loan to an

organization, or business entity (including a wholly-owned subsidiary),

must include in the application, along with the business plan, a copy

of the signed third party agreement for approval by OCS.

A third party agreement covering an equity investment must contain,

at a minimum, the following:

1. The type of equity transaction (e.g. stock purchase).

2. Purpose(s) for which the equity investment is being made.

3. Cost per share.

4. Number of shares being purchased.

5. Percentage of ownership of the business.

6. Number of seats on the board, if applicable.

A third party agreement covering a loan transaction must contain,

at a minimum, the following information:

1. Purpose(s) for which the loan is being made.

2. Rates of interest and other fees.

3. Terms of loan.

4. Repayment schedules.

5. Collateral security.

6. Default and collection procedures.

All third party agreements must include written commitments as

follows:

From the third party (as appropriate):

1. A minimum of 75% of the jobs to be created as a result of the

injection of grant funds will be filled by low-income individuals.

2. The grantee will have the right to screen applicants for jobs to

be filled by low-income individuals and to verify their eligibility.

3. If the grantee's equity investment equals 25% or more of the

business's assets, the grantee will have representation on the board of

directors.

4. Reports will be made to the grantee regarding the use of grant

funds no less than on a quarterly basis.

5. A procedure will be developed to assure that there are no

duplicate counts of jobs created.

6. Detailed information will be provided on how the grant funds

will be used by the third party by submitting a Source and Use of Funds

Statement. In addition, the agreement must provide details on how the

grantee will provide support and technical assistance to the third

party in areas of recruitment and retention of low-income individuals.

From the grantee:

Detailed information on how the grantee will provide support and

technical assistance to the third party in areas of recruitment and

retention of low-income individuals.

All third party agreements should be accompanied by:

1. A signed statement from a Certified or Licensed Public

Accountant as to the sufficiency of the third party's financial

management system in accordance with 45 CFR 74, to protect adequately

any federal funds awarded under the application.

2. Financial statements for the third party organization for the

prior three years. (If not available because the organization is a

newly-formed entity, include a statement to this effect.)

3. The third party agreement will specify how the grantee will

provide oversight of the third party for the life of the agreement.

Also, the agreement will specify that the third party will maintain

documentation related to the grant objectives as specified in the

agreement and will provide the grantee and HHS access to that

documentation.

If a signed third party agreement is not available when the

application is submitted, the applicant must submit as part of the

narrative as much of the above-mentioned information as possible in

order to enable reviewers to evaluate the proposal. It should be noted

that portion of a grant which will be used to fund a third party

agreement will not be released until the agreement has been approved by

OCS.

10. Funding Considerations

In cases where an application ranks highly and is competitive, the

following may apply:

1. When the applicant is proposing to enter into a third party

agreement for all of the grant's operational funds, OCS will send a

time-limited letter of intent to fund pending receipt of a signed third

party agreement. Once OCS has determined that the agreement is

acceptable, an award will be forwarded to the applicant.

2. Previous performance of applicants will be considered an

important determining factor in the grant award decisions.

3. Any applicant that has three or more active OCS grants may only

be funded under exceptional circumstances.

4. Pre-award site visits may be performed for the purpose of

undertaking assessments of many of these applications prior to OCS

making final determinations on grant awards.

5. OCS will consider applications that include revolving loan funds

as a grant activity.

11. Prohibited Activities

OCS will not consider applications that propose the establishment

of Small Business Investment Corporations or Minority Enterprise Small

Business Investment Corporations.

Part C--Program Priority Areas

The program priority areas of the Office of Community Services'

Discretionary Grants Program are as follows:

Priority Area 1.0 Urban and Rural Community Economic Development

Sub-Priority Areas Under 1.0

1.1 Urban and Rural Community Economic Development (Operational)

1.2 Urban and Rural Community Economic Development (HBCU Set-Aside)

1.3 Urban and Rural Community Economic Development (Pre-Developmental

Set-Aside)

[[Page 45306]]

1.4 Urban and Rural Community Economic Development (Developmental Set-

Aside)

1.5 Administrative and Management Expertise (Set-Aside)

1.6 Training and Technical Assistance (Set-Aside)

Priority Area 2.0 Rural Community Facilities Development (Water and

Waste Water Treatment Systems Development)

Priority Area 1.0 Urban and Rural Community Economic Development

Eligible applicants are private, non-profit community development

corporations (CDCs) governed by a board consisting of residents of the

community and business and civic leaders that has as a principal

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

community development projects.

The purpose of this priority area is to encourage the creation of

projects intended to provide employment and business development

opportunities for low-income people through business, physical or

commercial development. Generally the opportunities must aim to improve

the quality of the economic and social environment of TANF recipients;

low-income residents including displaced workers; at-risk teenagers;

non-custodial parents, particularly those of children receiving TANF

assistance; individuals residing in public housing; individuals who are

homeless; and those with developmental disabilities. Grant funds under

this sub-priority area are intended to provide resources to eligible

applicants (CDCs) but also have the broader objectives of arresting

tendencies toward dependency, chronic unemployment, and community

deterioration in urban and rural areas.

Sub-Priority Area 1.5 is intended to provide administrative and

management expertise to current Office of Community Services' grantees

who are experiencing problems in the implementation of urban and rural

community economic development projects.

Sub-Priority Area 1.6 provides funds for providing training and

technical assistance to groups of community development corporations in

developing or implementing projects funded under this section and its

aim is to generally enhance the viability and competence of community

development corporations.

This Priority Area also seeks to attract additional private capital

into distressed communities, including empowerment zones and enterprise

communities, and to build and/or expand the ability of local

institutions to better serve the economic needs of local residents.

Applicant must submit proof of non-profit status in its application

at the time of submission. The non-profit agency can accomplish this by

providing a copy of the applicants listing in the Internal Revenue's

Service's (IRS) most recent list of tax-exempt organizations described

in Section 501 (C)(3) of the IRS tax code. Applications that do not

include proof of this status will be disqualified.

Sub-Priority Area 1.1 Urban and Rural Community Economic Development

(Operational)

Funds will be provided to a limited number of private non-profit

community development corporations for business development activities

at the local level. Funding will be provided for specific projects and

will require the submission of business plans or work plans, where

applicable, that meet the test of economic feasibility. Attachment K

should be used as a guideline for the business plan.

The applicant should select a project in an industry in its region

that promotes economic sustainability and self-sufficiency for families

in the low-income community. OCS encourages each applicant to describe

the project scope that includes the low-income community served, the

business activities undertaken, and types of jobs to be created. The

business activities should be described by Standard Industrial Codes

(SIC) and jobs by occupational classifications. This information is

published by the U.S. Department of Commerce in the Statistical

Abstract of the United States, 1998, Tables No. 679 and 680. Also,

applicants may use the material included in Attachment L to identify

industrial areas and occupational classifications.

For Fiscal Year 2000, it is anticipated that approximately 30

grants up to a maximum of $349,999 will be awarded and approximately 13

grants of $350,000 but not more than $500,000 will be made. Competition

for these funds will be restricted to either the $349,999 and under

category or the $350,000 up to $500,000 category. Applications will

compete within the category in which they fall.

Projects must further the Departmental goals of strengthening

American families and promoting their self-sufficiency. OCS is

particularly interested in receiving applications that involve public-

private partnerships that are directed toward the development of

economic self-sufficiency in distressed communities through projects

that focus on providing employment and business development

opportunities for low-income people through business startups, business

expansions, development of new services industries, and/or other newly-

undertaken physical and commercial activities.

Eligible organizations located in Empowerment Zones and Enterprise

Communities are urged to submit applications. Likewise, applicants are

encouraged to foster partnerships with child support enforcement

agencies to increase the capability of low-income non-custodial

parents, particularly those of children receiving TANF assistance, to

fulfill their parental responsibilities. Such applicants may request

funds for a business development project or a project that demonstrates

innovative ways to create jobs for low-income persons in the targeted

group or community.

Applicants must show that the proposed project:

(1) Creates full-time permanent jobs except where an applicant

demonstrates that a permanent part-time job produces actual wages that

exceed the HHS poverty guidelines. Seventy-five percent (75%) of the

jobs created must be filled by low-income residents of the community

and must also provide for career development opportunities. Project

emphasis should be on employment of individuals who are unemployed or

on public assistance, with particular emphasis on those that are at-

risk teenagers, TANF recipients, low-income noncustodial parents

(particularly those of children receiving TANF assistance), individuals

residing in public housing, and individuals who are homeless. While

projected employment in future years may be included in the

application, it is essential that the focus of employment projects

concentrates on those permanent jobs created during the duration of the

OCS project period; and/or

(2) Creates a significant number of business development

opportunities for low-income residents of the community or

significantly aids such residents in maintaining economically viable

businesses; and

(3) Assists low-income participants to become self-sufficient.

In the evaluation process, favorable consideration will be given to

applicants under this priority area who show the lowest cost-per-job

created. Unless there are extenuating circumstances, OCS will not fund

projects where the cost-per-job in OCS funds exceeds $15,000.

In addition, favorable consideration in the evaluation process will

be given to applicants who demonstrate their intention to coordinate

services with the

[[Page 45307]]

local TANF offices and/or other employment education and training

offices and child support enforcement agencies that serve the proposed

area. The offices and agencies should serve welfare recipients, at-risk

youth, public housing tenants, displaced workers, homeless and low-

income individuals (as defined by the annual revision to the Poverty

Income Guidelines published by DHHS) including non-custodial parents.

Applicants should submit a written agreement from the applicable office

or agency that indicates what actions will be taken to integrate/

coordinate services that relate directly to the project for which funds

are being requested. The agreement should include the goals and

objectives (including target groups) that the applicant and the

employment education and training office and child support enforcement

agencies expect to reach through their collaboration. It should

describe the cooperative relationship, including specific activities

and/or actions each of these entities proposes to carry out in support

of the project, and the mechanism(s) to be used in coordinating those

activities if the project is funded by OCS. Documentation that

illustrates the organizational experience of the employment education

and training office should also be included.

OCS encourages applications that will develop linkages or

agreements with local agencies responsible for administering TANF

programs and child support enforcement agreements. OCS would expect

these programs to create new jobs for TANF recipients and low-income

non-custodial parents, particularly those of children receiving TANF

assistance. These initiatives can be accomplished through a variety of

business development projects funded under this priority area, i.e.,

business expansions, new business development and self-employment

activities, etc.

OCS does not fund education and training programs. In projects

where participants must be trained, any funds that are proposed to be

used for training purposes must be limited to providing specific job-

related training to those individuals who have been selected for

employment in the grant supported project which includes new business

startups, business expansions, development of new service industries,

and/or other newly-undertaken physical and commercial activities.

Projects involving training and placement for existing vacant

positions will be disqualified.

Projects that would result in the relocation of a business from one

geographic area to another with the possible displacement of employees

are discouraged.

Applicants must be aware that projects funded under this priority

area must be operational by the end of the project period, i.e.,

businesses must be in place, and low-income individuals actually

employed in those businesses.

Sub-Priority Area 1.2 Urban and Rural Community Economic Development

(HBCU Set-Aside)

For Fiscal Year 2000, it is anticipated that a set-aside fund of

$2,100,000 will be included under this sub-priority area for eligible

applicants who submit proposals for projects that will be carried out

in conjunction with Historically Black Colleges and Universities

(HBCUs), as defined in Executive Order Number 12876, dated Nov. 1,

1993, through contract or sub-grant. Such projects must conform to the

purposes, requirements, and prohibitions applicable to those submitted

under Sub-Priority Area 1.1.

These projects should reflect a significant partnership role for

the college or university, and the applicant in doing so will be

considered to have fulfilled the goals of the evaluation criterion for

Public-Private Partnerships and will be granted the maximum number of

points in that category. Applications for these set-aside funds that

are not funded due to the limited amount of funds available may also be

considered competitively within the larger pool of eligible applicants

under Sub-Priority Area 1.1. Any funds that are not used under this

sub-priority area due to the limited number of highly scored

applications will be rolled over into Sub-Priority Area 1.1.

Any funds that are proposed to be used for training purposes must

be limited to providing specific job related training to those

individuals who have been selected for employment in the grant

supported project which includes new business startups, business

expansions, development of new service industries, and/or other newly-

undertaken physical or commercial activities.

Sub-Priority Area 1.3 Urban and Rural Community Economic Development

(Pre-Developmental Set-Aside)

OCS intends in this sub-priority area to provide funds to recently-

established private, non-profit community development corporations that

propose to undertake economic development activities in distressed

communities.

OCS recognizes that there are a number of newly-organized non-

profit community development corporations that have identified needs in

their communities but have not had the staff or other resources to

develop projects to address those needs. This lack of resources also

might be affecting their ability to compete for funds, such as those

provided under Sub-Priority Area 1.1 (operational grants), since their

limited resources would preclude them from developing a comprehensive

business plan and/or mobilizing resources.

OCS has an interest in providing support to these new entities in

order to enable them to become more firmly established in their

communities, thereby bringing technical expertise and new resources to

previously unserved or underserved communities. Therefore, OCS is

setting aside funds in Fiscal Year 2000 for grants to private, non-

profit community development corporations that have never received OCS

funding and have been in existence for no more than three years, or

have been in existence longer than three years but have no record of

participation in economic development type projects. For the latter, a

CDC must state that it has not been active. Also, for this sub-priority

area only, the phrase ``no participation in economic development-type

projects'' means an eligible applicant has not sponsored nor had any

significant participation in projects that have provided employment or

business development opportunities through business startups, business

expansions, development of new service industries, and/or newly-

undertaken physical or commercial activities.

In addition, applicants with housing experience must not have had

primary responsibility in planning, developing, and managing housing.

OCS anticipates that grants of up to $75,000 each will be made to

eligible applicants. These grants will be made for a period of one year

and will not require leveraged or mobilized funds.

With funding received under this sub-priority area, CDCs may incur

costs to: (1) Evaluate the feasibility of potential projects that

address identified needs in the low-income community and that conform

to those projects and activities allowable under Sub-Priority Areas

1.1, 1.2, and 1.4; (2) develop a business plan related to one of those

projects; and (3) mobilize resources to be contributed to one of those

projects, including the utilization of HBCUs.

Based on the availability of funds in Fiscal Year 2001, OCS will

consider establishing a set-aside in Priority Area 1.4 to provide

operational funds to those organizations which received pre-

developmental grants. Grants might be for a maximum of $250,000 and

competition for those funds would be

[[Page 45308]]

restricted to those organizations that received Fiscal Years 1999 and

2000 pre-developmental grants. The business plan developed as a result

of the pre-developmental grant would be submitted as part of the

competitive application.

Specifically, each application for Fiscal Year 2000 funds under

this sub-priority area must include the following as part of the

project narrative:

1. Description of the impact area, i.e., a description of the low-

income area it proposes to address;

2. Analysis of need in the distressed community;

3. How the potential projects relate to applicant's organizational

goals and previous experience (if any);

4. Project design and implementation factors including a discussion

of potential projects that might be implemented to address identified

needs, a strategy for conduct of feasibility studies on potential

projects and quarterly work plans with specific task timelines and a

self-evaluation component; and

5. Project objectives and measurable impact, i.e., a discussion of

preparing a business plan on only one selected project based on results

of the feasibility studies and plan for mobilization of

nondiscretionary dollars to implement it.

Applications that are not funded within this set-aside due to the

limited amount of funds available may also be considered competitively

within the larger pool of eligible applicants. Any funds that are not

used under this sub-priority area due to the limited number of highly

scored applications will be rolled over into another priority area.

Sub-Priority Area 1.4 Urban and Rural Community Economic Development

(Developmental Set-Aside)

OCS intends in this sub-priority area to provide funds to

organizations that received grants from OCS in Fiscal Years 1998 and

1999 under Priority Area 1.3, the pre-developmental grant program.

These organizations will compete only among themselves. Such projects

must conform to the purposes, requirements and prohibitions applicable

to those submitted under Sub-Priority Area 1.1. Applications that are

not funded within this set-aside due to the limited amount of funds

available may also be considered competitively within the larger pool

of eligible applicants under Sub-Priority Area 1.1. Any funds that are

not used under this sub-priority area due to the limited number of

highly scored applications will be rolled over into Sub-Priority Area

1.1.

Sub-Priority Area 1.5 Administrative and Management Expertise (Set-

Aside)

OCS believes that one of the most effective means of assuring the

successful operation of a project under the Discretionary Grants

Program area is through the sharing amongst CDCs of their experiences

in dealing with the day-to-day issues and challenges presented in

promoting community economic development. Accordingly, OCS strongly

encourages more experienced CDCs to share their administrative and

management expertise with less experienced CDCs or with those who have

encountered difficulties in operationalizing their work programs. In

order to facilitate this, OCS will provide funds to one or more

community development corporations to assist with their efforts to

enhance the management and operational capacities of the less

experienced CDCs or those having difficulties.

OCS anticipates that the grant(s) would be for a maximum of

$500,000 with project and budget periods not to exceed 17 months.

OCS will share with the grantee(s) information on other grantees

seeking to benefit from such assistance. Such formal requests could

also be initiated by a grantee with the concurrence of OCS. These

contacts may occur on-site, by telephone, or by other methods of

communication. Costs incurred in connection with participating in such

activities will be borne by the recipient(s) of the OCS grant under

this sub-priority area.

Applicants in this sub-priority area are expected to disseminate

results of the project via a handbook, a progress paper, evaluation

reports, general manual, or seminars/workshops.

Sub-Priority Area 1.6 Training and Technical Assistance (Set-Aside)

Funds will be awarded to one organization under this priority area

for the purpose of providing training and technical assistance to

strengthen the network of CDCs.

OCS anticipates that the grant will be for $210,000 with a grant

period not to exceed 17 months. Applicant must have the ability to

collect and analyze data nationally that may benefit CDCs and be able

to disseminate information to all OCS-funded grantees; publish a

national directory of funding sources for CDCs (public, corporate,

foundation, religious); publish research papers on specific aspects of

job creation by CDCs; design and provide information on successful

projects and economic niches that CDCs can target. The applicant also

will be responsible for the development of instructional programs,

national conferences, seminars, and other activities to assist

community development corporations.

Eligible applicants are private non-profit organizations.

Applicants must operate on a national basis and have significant and

relevant experience in working with community development corporations.

Priority Area 2.0 Rural Community Facilities Development (Water and

Waste Water Treatment Systems Development)

Funds will be provided under this priority area to help low-income

rural communities develop the capability and expertise to establish

and/or maintain affordable, adequate, and safe water and waste water

treatment facilities.

Funds provided under this priority area may not be used for

construction of water and waste water treatment systems or for

operating subsidies for such systems, but other mobilized funds may be

used for these activities. Therefore, it is suggested that applicants

coordinate projects with the Farmers Home Administration (FmHA) and

other Federal and state agencies to ensure that funds for hardware for

local community projects are available.

Eligible applicants are multi-state, regional private non-profit

organizations that can provide training and technical assistance to

small, rural communities in meeting their community facility needs.

Part D--Criteria for Review and Evaluation of All Applications

1. Criteria for Review and Evaluation of All Applications Submitted

Under Sub-Priority Areas 1.1, 1.2, and 1.4

a. Criterion I: Analysis of Need (Maximum: 5 points)

The application documents that the project addresses a vital need

in a distressed community. (0-3 points)

Most recent available statistics and other information are provided

in support of its contention. (0-2 points)

b. Criterion II: Organizational Experience in Program Area and Staff

Responsibilities (Maximum: 25 points)

(1) Organizational experience in program area (sub-rating: 0-15 points)

Documentation provided indicates that projects previously

undertaken have been relevant and effective and have provided permanent

benefits to the low-income population. (0-5 points)

The applicant has demonstrated the ability to implement major

activities in such areas as business development,

[[Page 45309]]

commercial development, physical development, or financial services;

the ability to mobilize dollars from sources such as the private sector

(corporations, banks, etc.), foundations, the public sector (including

state and local governments) or individuals; that it has a sound

organizational structure and proven organizational capability; and an

ability to develop and maintain a stable program in terms of business,

physical, or community development activities that will provide needed

permanent jobs, services, business development opportunities, and other

benefits to community residents. (0-10 points)

(2) Staff skills, resources and responsibilities (sub-rating 0-10

points)

The application describes in brief resume form the experience and

skills of the project director who is not only well qualified, but

whose professional capabilities are relevant to the successful

implementation of the project. If the key staff person has not yet been

identified, the application contains a comprehensive position

description that indicates that the responsibilities to be assigned to

the project director are relevant to the successful implementation of

the project. (0-5 points)

The applicant has adequate facilities and resources (i.e. space and

equipment) to successfully carry out the work plan. (0-2 points)

The assigned responsibilities of the staff are appropriate to the

tasks identified for the project and sufficient time of senior staff

will be budgeted to assure timely implementation and cost effective

management of the project. (0-3 points)

c. Criterion III: Project Implementation (Maximum: 25 points)

The business plan or work plan, where applicable, is both sound and

feasible. Briefly the plan should describe the key work tasks and show

how the project objectives will be accomplished including the

development of business and creation of jobs for low-income persons

during the allowable OCS project period. The project is responsive to

the needs identified in the Analysis of Need. (0-5 points)

It sets forth realistic quarterly time targets by which the various

work tasks would be completed. (0-5 points)

Critical issues or potential problems that might impact negatively

on the project are defined and the project objectives can be reasonably

attained despite such potential problems. (0-5 points)

The application contains a full and accurate description of the

proposed use of the requested financial assistance.

If the applicant proposes to make an equity investment or a loan to

an individual, organization, or business entity (including a wholly-

owned subsidiary), the application includes a signed third party

agreement; a signed statement by a Certified or Licensed Public

Accountant, as to the sufficiency of the third party's financial

management system; and financial statements for the third party's prior

three years of operation. (If newly formed and unable to provide the

information regarding the prior three years of operation, a statement

to that effect should be included.) If the applicant states that an

agreement is not currently in place, the application must contain in

the narrative as much information required for third party agreements

as is available. (See Part B, item 9.)

Also, if the project proposes the development of a new or expanding

business, service, physical or commercial activity, the application

must address applicable elements of a business plan. Guidelines for a

Business Plan are included in Attachment K.

Special attention should be given to assure that the financial plan

element, which indicates the project's potential and timetable for

financial self-sufficiency, is included. It must include for the

applicant and the third party, if appropriate, the following exhibits

for the first three years (on a quarterly basis) of the business'

operations: Profit and Loss Forecasts, Cash Flow Projections, and

Proforma Balance Sheets. Based on these documents, the application must

also contain an analysis of the financial feasibility of the project.

Also, a Source and Use of Funds statement for all project funding must

be included. (0-10 points)

d. Criterion IV: Significant and Beneficial Impact (Maximum: 20 points)

(1) Significant and beneficial impact (sub-rating: 0-5 points)

The proposed project will produce permanent and measurable results

that will reduce the incidence of poverty and TANF assistance in the

community. (0-3 points)

The OCS grant funds, in combination with private and/or other

public resources, are targeted into low-income communities, distressed

communities, and/or designated Empowerment Zones and Enterprise

Communities. (0-2 points)

(2) Community empowerment consideration and partnership with child

support enforcement agency (sub-rating: 0-5 points)

Special consideration will be given to applicants who are located

in areas that are characterized by poverty and other indicators of

socio-economic distress such as a poverty or TANF assistance rate of at

least 20%, designation as an Empowerment Zone or Enterprise Community

(EZ/EC), high levels of unemployment, high levels of incidences of

violence, gang activity, crime, drug use, and low-income non-custodial

parents of children receiving TANF. (0-3 points)

Applicants should document that they were involved in the

preparation and implementation of a comprehensive community-based

strategic plan to achieve both economic and human development in an

integrated manner; and how the proposed project will support the goals

of that plan. Also, applicants should document that they have entered

into partnership agreements with local Child Support Enforcement

agencies to increase capability of low-income parents and families to

fulfill their parental responsibilities. (0-2 points)

Note: Applicants who have projects located in EZ/EC target areas

or those who have included signed current agreements with child

support enforcement agencies will automatically receive the maximum

2 points.

(3) Cost-per-job (sub-rating: 0-5 points)

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

permanent jobs or maintain permanent jobs for low-income residents at a

cost-per-job below $15,000 in OCS funds unless there are extenuating

circumstances, e.g., Alaska where the cost of living is much higher.

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

applicants proposing estimated cost-per-job for low-income residents

of $10,000 or less of OCS requested funds. Higher cost-per-job

estimates will receive correspondingly fewer points unless

adequately justified by extenuating circumstances.

(4) Career development opportunities (sub-rating: 0-5 points)

The application documents that the jobs to be created for low-

income people have career development opportunities which will promote

self-sufficiency.

e. Criterion V: Public-Private Partnerships (Maximum: 20 Points)

(1) Mobilization of resources: (sub-rating: 15 points)

The application documents that the applicant will mobilize from

public and/or private sources cash and/or in-kind contributions valued

at an amount equal to the OCS funds requested.

[[Page 45310]]

Applicants documenting that the value of such contributions will be at

least equal to the OCS funds requested will receive the maximum number

of points for this sub-criterion. Lesser contributions will be given

consideration based upon the value documented.

Note 1: Cash resources such as cash or loans contributed from

all project sources (except for those contributed directly by the

applicant) must be documented by letters of commitment from third

parties making the contribution. Third party in-kind contributions

such as equipment or real property contributed by the applicant or

third parties must be documented by an inventory for equipment and a

copy of deed or other legal document for real property. In addition,

future or projected program income such as gross or net profits from

the project or business operations will not be recognized as

mobilized or contributed resources.

Note 2: Applicants under Sub-Priority Area 1.2 who have a

signed, written agreement for a significant partnership role with

Historically Black Colleges and Universities are deemed to have

fully met this criterion and will receive the maximum number of

points if they include the agreement with the HBCU.

(2) Integration/coordination of services: (sub-rating: 5 points)

The applicant demonstrates a commitment to or agreements with local

agencies responsible for administering child support enforcement,

employment, education, and training programs to ensure that welfare

recipients, at-risk youth, displaced workers, public housing tenants,

homeless and low-income individuals, and low-income non-custodial

parents will be trained and placed in the newly created jobs. The

applicant provides written agreements from the local TANF or other

employment, education and training office, and child support

enforcement agency indicating what actions will be taken to integrate/

coordinate services that relate directly to the project for which funds

are being requested. (0-2 points)

Specifically, the agreements should include: (1) the goals and

objectives that the applicant and the TANF or other employment,

education and training office and/or child support enforcement agency

expect to achieve through their collaboration; (2) the specific

activities/actions that will be taken to integrate/coordinate services

on an on-going basis; (3) the target population that this collaboration

will serve; (4) the mechanism(s) to be used in integrating/coordinating

activities; (5) how those activities will be significant in relation to

the goals and objectives to be achieved through the collaboration; and

(6) how those activities will be significant in relation to their

impact on the success of the OCS-funded project. (0-2 points)

The applicant should also provide documentation that illustrates

the organizational experience related to the employment education and

training program. (Refer to Criterion II for guidelines.) (0-1 point)

f. Criterion VI: Budget Appropriateness and Reasonableness (Maximum: 5

points)

Funds requested are commensurate with the level of effort necessary

to accomplish the goals and objectives of the project. (0-2 points)

The application includes a detailed budget breakdown for each of

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

reasonable administrative cost. (0-2 points)

The estimated cost to the government of the project also is

reasonable in relation to the anticipated results. (0-1 point)

2. Criteria for Review and Evaluation of Applications Submitted Under

Sub-Priority Area 1.3

a. Criterion I: Analysis of Need (Maximum: 15 points)

The application documents that there are clearly identified needs

in a low-income community not being effectively addressed. (0-10

points)

Most recent available statistics and other information are provided

in support of its contention. (0-5 points)

b. Criterion II: Organizational Capability and Capacity (Maximum: 20

points)

(1) Organizational experience in program area (sub-rating: 5 points)

Each applicant must briefly show why its organization can

successfully implement the project for which it is requesting funds.

(0-5 points)

(2) Management capacity (sub-rating: 5 points)

Applicants must fully detail their ability to implement sound and

effective management practices and if they have been recipients of

other Federal or other governmental grants, they must also detail that

they have consistently complied with financial and program progress

reporting and audit requirements. (0-3 points)

Applicants should submit any available documentation on their

management practices and progress reporting procedures along with a

statement by a Certified or Licensed Public Accountant as to the

sufficiency of the applicant's financial management system to protect

adequately any Federal funds awarded under the application submitted.

(0-2 points)

Note: The documentation of the applicant's management practices,

etc., and statement from the accountant on the financial management

system must address the applicant organization's own internal system

rather than an external system of an affiliate, partner, management

support organization, etc.

(3) Staffing (sub-rating: 5 points)

The application must fully describe (e.g., resumes) the experience

and skills of key staff showing that they are not only well qualified

but that their professional capabilities are relevant to the successful

implementation of the project.

(4) Staffing responsibilities (sub-rating: 5 points)

The application must describe how the assigned responsibilities of

the staff are appropriate to the tasks identified for the project.

c. Criterion III: Project Design, Implementation and Evaluation

(Maximum: 30 Points)

(1) Project implementation component (sub-rating: 25 points)

The work plan must address a clearly identified need in the low-

income community as described in Criterion I. The plan must include a

methodology to evaluate the feasibility of potential projects that

conform to the type of projects and activities allowable under Sub-

Priority Areas 1.1, 1.2, and 1.4. (0-10 points)

It must set forth realistic quarterly time schedules of work tasks

by which the objectives (including the development of a business plan

and mobilization of resources) will be accomplished. Because quarterly

time schedules are used by OCS as a key instrument to monitor progress,

failure to include these time targets will seriously reduce an

applicant's point score in this criterion. (0-10 points)

It must define critical issues or potential problems that might

impact negatively on the project and it must indicate how the project

objectives will be attained notwithstanding any such potential

problems. (0-5 points)

(2) Evaluation component (sub-rating: 5 points)

All proposals should include a self-evaluation component. The

evaluation data collection and analysis procedures should be

specifically oriented to assess the degree to which the stated goals

and objectives are achieved. (0-3 points)

Qualitative and quantitative measures reflective of the scheduling

and task delineation in (1) above should be used to the maximum extent

possible. This

[[Page 45311]]

component should indicate the ways in which the potential grantee would

integrate qualitative and quantitative measures of accomplishment and

specific data into its program progress reports that are required by

OCS from all organizations receiving pre-developmental grants. (0-2

points)

d. Criterion IV: Significant and Beneficial Impact (Maximum: 25 Points)

Funding under this sub-priority area is targeted to result in a

business plan for a proposed project. The proposed project around which

the business plan is to be developed with the use of OCS grant funds

must be targeted into low-income communities, and/or designated

Empowerment Zones or Enterprise Communities with the goals of

increasing the economic conditions and social self-sufficiency of

residents. Also, the project proposes to produce permanent and

measurable results that will reduce the incidence of poverty and number

of TANF recipients in the low-income area targeted. (0-20 points)

Note: This sub-priority area permits applicants to conduct

several feasibility studies related to various potential projects.

However, on completion of the studies, one proposed project must be

selected and a business plan prepared for the selected project.

The activity targets mobilization of non-discretionary program

dollars from private sector individuals, public resources,

corporations, and foundations including the utilization of Historically

Black Colleges and Universities, if the proposed project is

implemented. (0-5 points)

e. Criterion V: Budget Appropriateness and Reasonableness (Maximum: 10

points)

Funds requested are commensurate with the level of effort necessary

to accomplish the goals and objectives of the project. The estimated

cost to the government of the project also is reasonable in relation to

the anticipated results. (0-5 points)

The application includes a narrative detailed budget breakdown for

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

reasonable administrative cost. (0-5 points)

3. Criteria for Review and Evaluation of Applications Submitted Under

Sub-Priority Area 1.5

a. Criterion I: Organizational Experience in Program Area and Staff

Responsibilities (Maximum: 20 points)

(1) Organizational experience in program area (sub-rating: 0-10 points)

Applicant has documented the capability to provide leadership in

solving long-term and immediate problems locally and/or nationally in

such areas as business development, commercial development,

organizational and staff development, board training, and micro-

entrepreneurship development. (0-2 points)

Applicant must document a capability (including access to a network

of skilled individuals and/or organizations) in two or more of the

following areas: Business management, including strategic planning and

fiscal management; finance, including development of financial packages

and provision of financial/accounting services; and regulatory

compliance, including assistance with zoning and permit compliance. (0-

2 points)

Further, the applicant has the demonstrated ability to mobilize

dollars from sources such as the private sector (corporations, banks,

foundations, etc.) and the public sector, including state and local

governments. (0-2 points)

Applicant also demonstrates that it has a sound organizational

structure and proven organizational capability as well as an ability to

develop and maintain a stable program in terms of business, physical or

community development activities that have provided permanent jobs,

services, business development opportunities, and other benefits to

poverty community residents. (0-2 points)

Applicants must indicate why they feel that their successful

experiences would be of assistance to existing grantees that are

experiencing difficulties in implementing their projects. (0-2 points)

(2) Staff skills, resources and responsibilities (sub-rating 0-10

points)

The application describes in brief resume form the experience and

skills of the project director who is not only well qualified, but who

has professional capabilities relevant to the successful implementation

of the project. If the key staff person has not yet been identified,

the application contains a comprehensive position description that

indicates that the responsibilities to be assigned to the project

director are relevant to the successful implementation of the project.

(0-5 points)

The applicant has adequate facilities and resources (i.e. space and

equipment) to successfully carry out the work plan. (0-3 points)

The assigned responsibilities of the staff are appropriate to the

tasks identified for the project and sufficient time of senior staff

will be budgeted to assure timely implementation and cost effective

management of the project. (0-2 points)

b. Criterion II: Work Program (Maximum: 30 points)

Based upon the applicant's knowledge and experience related to OCS'

Discretionary Grants Program (particularly community economic

development), the application should demonstrate in some specificity a

thorough understanding of the problems a grantee may encounter in

implementing a successful project. (0-15 points)

The application should include a strategy for assessing the

specific nature of the problems, outlining a course of action and

identifying the resources required to resolve the problems. (0-15

points)

c. Criterion III: Significant and Beneficial Impact (Maximum: 30

points)

Project funds under this sub-priority area must be used for the

purposes of transferring expertise directly, or by a contract with a

third party, to other OCS funded grantees. Applicants must document how

the success or failure of collaboration with these grantees will be

documented. (0-15 points)

Applicants must demonstrate an ability to disseminate results on

the kinds of programmatic and administrative expertise transfer efforts

in which they participated and successful strategies that they may have

developed to share expertise with grantees during the grant period. (0-

10 points)

Applicants must also state whether the results of the project will

be included in a handbook, a progress paper, an evaluation report, a

general manual, or seminars/workshops, and why the particular

methodology chosen would be most effective. (0-5 points)

d. Criterion IV: Public-Private Partnerships (Maximum: 15 points)

The applicant demonstrates that it has worked with local, regional,

state or national offices to ensure that TANF recipients, at-risk

youth, displaced workers, public housing tenants, low-income

noncustodial parents, homeless and otherwise low-income individuals

have been trained and placed in newly created jobs. (0-10 points)

Applicant should demonstrate how it will design a comprehensive

strategy which makes use of other available resources to resolve

typical and recurrent grantee problems. (0-5 points)

[[Page 45312]]

e. Criterion V: Budget Appropriateness and Reasonableness (Maximum: 5

points)

Applicant documents that the funds requested are commensurate with

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

the project. The application includes a detailed budget breakdown for

each of the appropriate budget categories in the SF-424A. (0-3 points)

The estimated cost to the government of the project also is

reasonable in relation to the anticipated results. (0-2 points)

4. Criteria for Review and Evaluation of Applications Submitted Under

Sub-Priority Area 1.6

a. Criterion I: Need for Assistance (Maximum: 10 points)

The application documents that the project addresses a vital,

nationwide need related to the purposes of Priority Area 1.0 and

provides data and information in support of its contention.

b. Criterion II: Organizational Experience in Program Area and Staff

Responsibilities (Maximum: 20 points)

(1) Organizational experience

Applicant has documented the capability to provide leadership in

solving long-term and immediate problems locally and/or nationally in

such areas as business development, commercial development,

organizational and staff development, board training, and micro-

entrepreneurship development. Applicant must document a capability

(including access to a network of skilled individuals and/or

organizations) in two or more of the following areas: Business

management, including strategic planning and fiscal management;

finance, including development of financial packages and provision of

financial/accounting services; and regulatory compliance, including

assistance with zoning and permit compliance. (0-10 points)

(2) Staff skills

The applicant's proposed project director and primary staff are

well qualified and their professional experiences are relevant to the

successful implementation of the proposed project. (0-10 points)

c. Criterion III: Work Plan (Maximum: 35 points)

Based upon the applicant's knowledge and experience related to OCS'

Discretionary Grants Program (particularly community economic

development), the applicant must develop and submit a detailed and

specific work plan that is both sound and feasible. Specifically, the

work plan should:

(1) Demonstrate that all activities are comprehensive and

nationwide in scope, adequately described, and appropriately related to

the goals of the program. (0-10 points)

(2) Demonstrate in some specificity a thorough understanding of the

kinds of training and technical assistance that can be provided to the

network of community development corporations. (0-10 points)

(3) Delineate the tasks and sub-tasks involved in the areas

necessary to carry out the responsibilities, i.e. training, technical

assistance, research, outreach, seminars, etc. (0-5 points)

(4) State the intermediate and end products to be developed by task

and sub-task. (0-5 points)

(5) Provide realistic time frames and a chronology of key

activities for the goals and objectives. (0-5 points)

d. Criterion IV: Significant and Beneficial Impact (Maximum: 25 points)

Project funds under this sub-priority area must be used for the

purpose of providing training and technical assistance on a national

basis to the network of community development corporations.

The applicant should describe how:

(1) The project will assure long-term program and management

improvements for community development corporations. (0-10 points)

(2) The project will impact on a significant number of community

development corporations. (0-10 points)

(3) The project will leverage or mobilize significant other non-

federal resources for the direct benefit of the project. (0-5 points)

e. Criterion V: Budget Reasonableness (Maximum: 10 points)

(1) The resources requested are reasonable and adequate to accomplish

the project. (0-5 points)

(2) Total costs are reasonable and consistent with anticipated results.

(0-5 points)

5. Criteria for Review and Evaluation of All Applications Under

Priority Area 2.0

a. Criterion I: Analysis of Need (Maximum: 5 points)

The application documents that the project addresses a vital need

in a distressed community and provides statistics and other data and

information in support of its contention.

b. Criterion II: Organizational Experience in Program Area and Staff

Responsibilities (Maximum: 15 points)

(1) Organizational Experience in Program Area (sub-rating: 0-5 points)

Documentation provided indicates that projects previously

undertaken have been relevant and effective and have provided permanent

benefits to the low-income population.

Organizations that propose providing training and technical

assistance have detailed competence in the specific program priority

area and as a deliverer with expertise in the fields of training and

technical assistance. If applicable, information provided by these

applicants also addresses related achievements and competence of each

cooperating or sponsoring organization.

(2) Staff Skills, Resources and Responsibilities (sub-rating 0-10

points)

The application describes in brief resume form the experience and

skills of the project director who is not only well qualified, but

whose professional capabilities are relevant to the successful

implementation of the project. If the key staff person has not yet been

identified, the application contains a comprehensive position

description that indicates that the responsibilities to be assigned to

the project director are relevant to the successful implementation of

the project. The applicant has adequate facilities and resources (i.e.

space and equipment) to successfully carry out the work plan. The

assigned responsibilities of the staff are appropriate to the tasks

identified for the project and sufficient time of senior staff will be

budgeted to assure timely implementation and cost effective management

of the project.

c. Criterion III: Project Implementation (Maximum: 25 points)

The work plan is both sound and feasible. The project is responsive

to the needs identified in the Analysis of Need. It sets forth

realistic quarterly time targets by which the various tasks will be

completed. Critical issues or potential problems that might impact

negatively on the project are defined and the project objectives can be

reasonably attained despite such potential problems.

d. Criterion IV: Significant and Beneficial Impact (Maximum: 30 points)

The application contains a full and accurate description of the

proposed use of the requested financial assistance. The proposed

project will produce permanent and measurable results that will reduce

the incidence of poverty in

[[Page 45313]]

the areas targeted and significantly enhance the self-sufficiency of

program participants. Results are quantifiable in terms of program area

expectations, e.g., number of units of housing rehabilitated,

agricultural and non-agricultural job placements, etc. The OCS grant

funds, in combination with private and/or other public resources, are

targeted into low-income and/or distressed communities and/or

designated Empowerment Zones and Enterprise Communities.

e. Criterion V: Public-Private Partnerships (Maximum: 20 points)

The application documents that the applicant will mobilize from

public and/or private sources cash and/or in-kind contributions valued

at an amount equal to the OCS funds requested. Applicants documenting

that the value of such contributions will be at least equal to the OCS

funds requested will receive the maximum number of points for this

Criterion. Lesser contributions will be given consideration based upon

the value documented.

f. Criterion VI: Budget Appropriateness and Reasonableness (Maximum: 5

points)

Funds requested are commensurate with the level of effort necessary

to accomplish the goals and objectives of the project. The application

includes a narrative detailed budget break-down for each of the budget

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

administrative cost. The estimated cost to the government of the

project also is reasonable in relation to the anticipated results.

Part E--Application Procedures

1. Availability of Forms

For purposes of this announcement, all applicants will use the

following forms: SF 424; SF 424A; SF 424B.

Applications proposing construction projects will present all

required financial data using SF-424A. Instructions for completing the

SF-424, SF-424A, and SF-424B are found in Attachments B, C, and D.

These forms may be photocopied for this application.

Part F contains instructions for the project abstract and project

narrative. They will be submitted on plain bond paper along with the

SF-424 and related forms.

Attachment M, Applicant's Checklist, provides a checklist to aid

applicants in preparing a complete application package for OCS.

The applicant must be aware that in signing and submitting the

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

the Federal requirements concerning the following regulations: Drug-

Free Workplace, Attachment E; Debarment, Attachment F; and

Environmental Tobacco Smoke, Attachment J.

2. Intergovernmental Review

This program is covered under Executive Order 12372,

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

Intergovernmental Review of Department of Health and Human Services

Programs and Activities. Under the Order, states may design their own

processes for reviewing and commenting on proposed Federal assistance

under covered programs.

As of March 5, 1999 the following jurisdictions have elected NOT to

participate in the Executive Order process. Applicants from these

jurisdictions or for projects administered by Federally-recognized

Indian Tribes need take no action in regard to E.O. 12372:

Alabama, Alaska, Colorado, Connecticut, Hawaii, Idaho, Kansas,

Louisiana, Massachusetts, Minnesota, Montana, Nebraska, New Jersey,

Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont,

Virginia, Washington, American Samoa and Palau.

Applicants should contact their SPOCs as soon as possible to alert

them of the prospective applications and receive any necessary

instructions. Applicants must submit any required material to the SPOCs

as soon as possible so that the program office can obtain and review

SPOC comments as part of the award process. It is imperative that the

applicant submit all required materials, if any, to the SPOC and

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

submittal is required) on the Standard Form 424, item 16a, and submit a

copy of the letter along with its application to OCS.

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

deadline date to comment on proposed new or competing continuation

awards.

The SPOCs are encouraged to eliminate the submission of routine

endorsements as official recommendations. Additionally, SPOCs are

requested to clearly differentiate between mere advisory comments and

those official state process recommendations which they intend to

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, Office of Grants Management/OCSE, 4th Floor

West, Aerospace Center, 370 L'Enfant Promenade, S.W., Washington, D.C.

20447.

A list of the Single Points of Contact for each state and territory

is included as Attachment G of this announcement.

3. Application Consideration

Applications that meet the screening requirements in sections 4.a

and b. below may be reviewed competitively. Such applications will be

referred to reviewers for a numerical score and explanatory comments

based solely on responsiveness to program priority area guidelines and

evaluation criteria published in this announcement.

Applications submitted under all priority areas (with the exception

of Sub-Priority Area 1.6) will be reviewed by persons outside of the

Office of Community Services. The results of these reviews will assist

the Director and OCS program staff in considering competing

applications. Reviewers' scores will weigh heavily in funding decisions

but will not be the only factors considered. Applications generally

will be considered in order of the average scores assigned by

reviewers. However, highly ranked applications are not guaranteed

funding since the Director may also consider other factors deemed

relevant including, but not limited to, the timely and proper

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

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

evaluation and input; geographic distribution; previous program

performance of applicants; compliance with grant terms under previous

DHHS grants; audit reports; investigative reports; and applicant's

progress in resolving any final audit disallowances on previous OCS or

other Federal agency grants. Applicants with three or more active OCS

grants at the time of review may be denied funding. In addition, for

applications received under 1.0, OCS will consider the geographic

distribution of funds among states and the relative proportion of

funding among rural and urban areas in accordance with Section

681(b)(1)(D) of the Act.

OCS reserves the right to discuss applications with other Federal

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

record.

4. Criteria for Screening Applicants

a. Initial screening

All applications that meet the published deadline for submission

will be screened to determine completeness

[[Page 45314]]

and conformity to the requirements of this announcement. Only those

applications meeting the following requirements will be reviewed and

evaluated competitively. Others will be returned to the applicants with

a notation that they were unacceptable.

(1) The application must contain an Application for Federal

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

424B) completed according to instructions published in Parts F and G

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

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

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

organization applying for the grant who has authority to obligate the

organization legally.

(4) The application must be submitted for consideration under one

priority area only.

b. Pre-review

Applications that pass the initial screening will be forwarded to

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

that the applications comply with this Program Announcement in the

following areas:

(1) Eligibility: Applicant meets the eligibility requirements for

the priority area under which funds are being requested. Proof of non-

profit status, i.e. the IRS determination letter of tax exemption, must

be included in the appendices of the project narrative where

applicable. Applicants that do not submit proof of non-profit status

will be disqualified. Applicants must also be aware that the

applicant's legal name as required in SF-424 (Item 5) must match that

listed as corresponding to the Employer Identification Number (Item 6).

(2) Number of Projects: An application may contain only one project

under Sub-Priority Areas 1.1, 1.2 and 1.4. However, an application may

contain more than one project under Sub-Priority Areas 1.3, 1.5, and

1.6 where applicants are researching various opportunities, sharing

administrative and management expertise with current OCS grantees,

providing assistance to current OCS grantees, providing training and/or

technical assistance current OCS grantees, including the organization

of seminars and other activities to assist community development

corporations and this project must be identified as responding to one

of the program priority areas stated in this Announcement.

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

limits indicated in Part B, 2, b or the appropriate priority area.

(4) Written Agreement When Applicant Proposes to Make Equity

Investment or Loan: (Sub-Priority Areas 1.1, 1.2 and 1.4); The

application contains a written third party agreement, or a discussion

of a proposed agreement, signed by the applicant and the third party

that includes all of the elements required in Part B, item 9.

An application will be disqualified if it does not conform to one

or more of the above requirements.

c. Panel Reviews

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

scored by panels of reviewers. Each reviewer will give a numerical

score for each application reviewed. These numerical scores will be

supported by explanatory statements on a formal rating form describing

major strengths and weaknesses under each applicable criterion

published in the announcement.

The panelists will use the following criteria coupled with the

specific requirements contained under each program priority area as

described in Part C.

Part F--Contents of Application and Receipt Process

1. Contents of Application

Each submission should include one signed original and four

additional copies of the application. The application package including

the narrative should not exceed 65 pages for the applications submitted

under Sub-Priority Areas 1.1, 1.2 and 1.4 and 30 pages under the other

sub-priority areas. This does not include appendices listed below.

Application pages should be numbered sequentially throughout the

application package, beginning with an abstract of the proposed project

as page number one. Each application must include all of the following,

in the order listed below:

a. Table of Contents;

b. A Project Abstract--A paragraph that succinctly describes the

project in 500 characters or less.

c. Completed Standard Form 424 (Attachment B) that has been signed

by an official of the organization applying for the grant who has

authority to obligate the organization legally.

d. A Standard Form 424A--Budget Information--Non-construction

Programs (Attachment C).

e. A narrative budget justification for each object class category

required under Section B, SF-424A.

f. A Project Narrative. The project narrative must address the

specific concerns mentioned under the relevant priority area

description in Part C. The narrative should also provide information on

how the application meets the evaluation criteria in Part D and

Guidelines for a Business Plan (Attachment K) of the Program

Announcement.

g. A Standard Form 424B Assurances--Non-Construction (Attachment

D)--All applicants, whether or not their project involves construction,

must file the Standard Form 424B. Applicants must sign and return this

form with their applications.

h. Certification Regarding Lobbying--(Attachment H)--Prior to

receiving an award in excess of $100,000, applicants must sign and

return an executed copy of the lobbying certification.

i. Disclosure of Lobbying Activities, SF-LLL (Attachment H)--Fill

out, sign and date the form.

j. DHHS Regulations Applying to All Applicants/Grantees Under the

Fiscal Year 2000 Discretionary Grants Program (Attachment I)--By

signing and submitting the application, applicant is certifying that it

will comply with these regulations.

k. Certification Regarding Environmental Tobacco Smoke (Attachment

J)--Applicants must make the appropriate certification of their

compliance with the Pro-Children Act of 1994. By signing and submitting

the applications, applicants are providing the certification regarding

environmental tobacco smoke and need not mail back the certification

with their applications.

l. Certification Regarding Drug-Free Workplace Requirement: By

signing and submitting the application, applicant is certifying that it

will comply with this regulation.

m. Certification Regarding Debarment, Suspension, and Other

Responsibility Matters: By signing and submitting the application,

applicant is certifying that it will comply with this regulation.

n. Appendices should include: Proof of non-profit status (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 a copy of the currently valid IRS tax exemption

certificate); a copy of the Articles of Incorporation bearing the seal

of the State in which the corporation or association is domiciled; a

listing of the current Board of Directors' names, titles and addresses

(Note: If the applicant is proposing an equity transaction, this is

also needed for the third party organization); resumes of the project

director and other key management team members; written

[[Page 45315]]

agreements, i.e., third party agreements, coordination with TANF, etc.;

a copy of the submission to the State Single Point of Contact, if

applicable; Single Point of Contact comments, where applicable;

certification regarding anti-lobbying activities; and a disclosure of

lobbying activities.

2. Acknowledgment of Receipt

All applicants will receive an acknowledgment notice with an

assigned identification number. Applicants are requested to supply a

self-addressed mailing label with their application that can be

attached to this acknowledgment notice. The identification number and

the program priority area letter code must be referred to in all

subsequent communications with OCS concerning the application. If an

acknowledgment is not received within three weeks after the deadline

date, please notify ACF by telephone at (202)401-5103.

(Note: To facilitate receipt of this acknowledgment from ACF,

applicant should include a cover letter with the application

containing an E-mail address and facsimile (FAX) number if these

items are available to applicant.)

Part G--Instructions for Completing Application Package

It is suggested that the applicant reproduce the SF-424 and SF-

424A, and type its organization's legal name on the copies. If an item

on the SF-424 cannot be answered or does not appear to be related or

relevant to the assistance requested, write NA for Not Applicable.

Prepare your application in accordance with the standard

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

as well as the OCS specific instructions set forth below:

1. SF-424 Application for Federal Assistance

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

considered Applications; there are no Pre-Applications. For the purpose

of this announcement, construction projects involve land improvements

and development or major renovation of (new or existing) facilities and

buildings, including their improvements, fixtures and permanent

attachments. All others are considered non-construction. Check the

appropriate box under Application. Whether applications involve

construction or non-construction projects, all applicants are required

to complete the Budget Information--Non-construction Programs sections

of SF-424A.

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

listed as corresponding to the Employer Identification Number. Where

the applicant is a previous Department of Health and Human Services

grantee, enter the Central Registry System Employee Identification

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

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

right hand corner of the form.

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

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

Any non-profit organization submitting an application must submit proof

of its non-profit status in its applications at time of submission.

Item 9. Enter DHHS--ACF/OCS.

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

programs covered under this Announcement is 93.570. The title is CSBG

Discretionary Awards.

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

indicate one of the following program priority areas for which funds

are being requested.

UR--Sub-Priority Area 1.1. Urban and Rural Community Economic

Development (Operational)

HB--Sub-Priority Area 1.2. Urban and Rural Community Economic

Development (HBCU Set-Aside)

PD Sub-Priority Area 1.3. Urban and Rural Community Economic

Development (Pre-Developmental Set-Aside)

DD--Sub-Priority Area 1.4. Urban and Rural Community Economic

Development (Developmental Set-Aside)

AM--Sub-Priority Area 1.5. Administrative and Management (Set-Aside)

UT--Sub-Priority Area 1.6. Training and Technical Assistance (Set-

Aside)

RF--Priority Area 2.0. Rural Community Facilities Development (Water

and Waste Water Treatment Systems Development)

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

See Instructions accompanying this form as well as the instructions

set forth below:

In completing these sections, the ``Federal Funds'' budget entries

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

Federal will include mobilized funds from all other sources--applicant,

state, local, and other. Federal funds other than requested OCS

Discretionary funding should be included in Non-Federal entries.

The budget forms in SF-424A are only to be used to present grant

administrative costs and major budget categories. Financial data that

is generated as part of a project Business Plan or other internal

project cost data must be separate and should appear as part of the

project Business Plan or other project implementation data.

Sections A and D of SF-424A must contain entries for both Federal

(OCS) and non-Federal (mobilized) funds. Section B contains entries for

Federal (OCS) funds only. Clearly identified continuation sheets in SF-

424A format should be used as necessary.

Section A--Budget Summary

Lines 1-4

--Column (a): Line 1 Enter CSBG Discretionary;

--Column (b): Line 1 Enter 93.570

--Columns (c) and (d): Leave Blank

--Columns (e) thru (g):Enter the appropriate amounts needed to support

the project for the budget period.

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

required, (c), (d), (3), (f), and (g).

Section B--Budget Categories

Allowability of costs are governed by applicable cost principles

set forth in 45 CFR Parts 74 and 92. A budget narrative must be

submitted that includes the appropriate justifications as stated.

This section should contain entries for OCS funds only. For all

projects, this first budget period will be entered in Column (1).

Budget estimates for administrative costs must be supported by

adequate detail for the grants officer to perform a cost analysis and

review. Adequately detailed calculations for each budget object class

are those which reflect estimation methods, quantities, unit costs,

salaries, and other similar quantitative detail sufficient for the

calculation to be duplicated. For any additional object class

categories included under the object class other, identify the

additional object class(es) and provide supporting calculations.

Supporting narratives and justifications are required for each

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

dollar amounts; local, regional, or other travel; new positions; and

major equipment purchases.

A detailed itemized budget with a separate budget justification for

each major item should be included as indicated below:

[[Page 45316]]

Line 6a

Personnel--Enter the total costs of salaries and wages.

Justification--Identify the project director and staff. 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.

Line 6b

Fringe Benefits--Enter the total costs of fringe benefits unless

treated as part of an approved indirect cost rate which is entered on

Line 6j.

Justification--Enter the total costs of fringe benefits, unless

treated as part of an approved indirect cost rate. Provide a breakdown

of amounts and percentages that comprise fringe benefit costs.

Line 6c

Travel--Enter total cost of all travel by employees of the project.

Do not enter costs for consultant's travel.

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

trips, destinations, length of stay, mileage rate, transportation costs

and subsistence allowances. Traveler must be a person listed under the

personnel line or employee being paid under non-federal share. (Note:

Local transportation and Consultant travel costs are entered on Line

6h.)

Line 6d

Equipment--Enter the total estimated costs for all non-expendable

personal property to be acquired by the project. Equipment means

tangible nonexpendable personal property, including exempt property,

charged directly to the award having a useful life of more than one

year and an acquisition cost of $5000 or more per unit. However,

consistent with recipient policy, lower limits may be established.

Justification--Provide breakdown of cost per item. Items that cost

less than $5,000 should be included under Supplies.

Line 6e

Supplies--Enter the total estimated costs of all tangible personal

property (supplies) other than that included on line 6d.

Justification--Provide a general description as to what is being

purchased such as type of supplies, office, classroom, medical, etc.

Also property that is not equipment and costs less than $5,000 per

item.

Line 6f

Contractual--Enter the total costs of all contracts, including (1)

procurement contracts (except those which belong on other lines such as

equipment, supplies, etc.) and (2) contracts with secondary recipient

organizations including delegate agencies and specific projects(s) or

businesses to be financed by the applicant.

Justification--Contractual cannot be a person--it must be the name

of an organization, firm, etc. Consultant cost goes in--other.

Line 6g

Construction--Enter the estimated costs of renovation, repair, or

new construction. Identify the type of construction activity and costs

associated, i.e., concrete, HVAC, electrical, etc. Provide narrative

justification and breakdown of costs.

Line 6h

Other--Enter the total of all other costs. Such costs, where

applicable, may include, but are not limited to insurance, 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 computer use training

costs including tuition and stipends, training service costs including

wage payments to individuals and supportive service payments, and staff

development costs.

Justification--Provide as much detail as you can. Some items may

have to be defined more than others.

Line 6j

Indirect Charges--Enter the total amount of indirect costs. This

line should be used only when the applicant currently has an indirect

cost rate approved by DHHS or other Federal agencies.

If the applicant organization is in the process of initially

developing or renegotiating a rate, it should, immediately upon

notification that an award will be made, develop a tentative indirect

cost rate proposal based on its most recently completed fiscal year in

accordance with the principles set forth in the pertinent DHHS Guide

for Establishing Indirect Cost Rates and submit it to the appropriate

DHHS Regional Office. It should be noted that when an indirect cost

rate is requested, those costs included in the indirect cost pool

cannot be also budgeted or charged as direct costs to the grant.

Indirect costs consistent with approved Indirect Cost Rate Agreements

are allowable.

Section C--Non-Federal Resources

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

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

than OCS funds for which the applicant is applying. Therefore,

mobilized funds from other Federal programs, such as the Job Training

Partnership Act program, should be entered on these lines. Provide a

brief listing of the non-Federal resources on a separate sheet and

describe whether it is a grantee-incurred cost or a third-party in-kind

contribution. The firm commitment of these resources must be documented

and submitted with the application in order to be given credit in the

Public-Private Partnerships Criterion.

Except in unusual situations, this documentation must be in the

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

from which funds will be received.

(Note: Even though there is no matching requirements for the

Discretionary Grants Program, grantees will be held accountable for any

match, cash or in-kind contribution proposed or pledged as part of an

approved application.)

Part H--Post Award Information and Reporting Requirements

1. Notification of Grant Award

Following approval of the applications selected for funding, notice

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

made in writing. The official award document is the Financial

Assistance Award that provides the amount of Federal funds approved for

use in the project, the budget period for which support is provided,

the terms and conditions of the award, the total project period for

which support is contemplated, and the total financial participation

from the award recipient.

General Conditions and Special Conditions (where the latter are

warranted) which will be applicable to grants, are subject to the

provisions of 45 CFR Parts 74 and 92.

2. Attendance at OCS Training Conference

The Executive Director and/or Project Director will be required to

attend a two-day national workshop in Washington, DC. The project

budget must include funds for travel to and attendance at this

conference.

3. Reporting Requirements

Grantees will be required to submit semi-annual progress and

financial

[[Page 45317]]

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

Under the Paperwork Reduction Act of 1995, Public Law 104-13, 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. This program announcement does not contain

information collection requirements beyond those approved for ACF grant

applications under OMB Control Number 0970-0062.

4. Audit Requirements

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

and 92 and OMB Circular A-133. If an applicant will not be requesting

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 limited

exemptions for Indian tribes and tribal organizations. Current and

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

are prohibited from using appropriated funds for lobbying Congress or

any Federal agency in connection with the award of a contract, grant,

cooperative agreement or loan. In addition, for each award action in

excess of $100,000 (or $150,000 for loans) the law requires recipients

and their subtier contractors and/or subgrantees (1) to certify that

they have neither used nor will use any appropriated funds for payment

to lobbyists, (2) to submit a declaration setting forth whether

payments to lobbyists have been or will be made out of nonappropriated

funds and, if so, the name, address, payment details, and purpose of

any agreements with such lobbyists whom recipients or their subtier

contractors or subgrantees will pay with the nonappropriated funds and

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

occurs that materially affects the accuracy of the information

submitted by way of declaration and certification. The law establishes

civil penalties for noncompliance and is effective with respect to

contracts, grants, cooperative agreements and loans entered into or

made on or after December 23, 1989. See Attachment H for certification

and disclosure forms to be submitted with the applications for this

program.

5. Applicable Federal Regulations

Attachment I provides a list of the regulations that apply to all

applicants/grantees under the FY 2000 Discretionary Grants Program.

Dated: August 11, 1999.

Donald Sykes,

Director, Office of Community Services.

Attachments

A--1999 Poverty Income Guidelines

B--Standard Form 424

C--Standard Form 424A

D--Standard Form 424B

E--Certification Regarding Drug-Free Workplace

F--Certification of Debarment

G--List of Single Points of Contact

H--Certification Regarding Lobbying and Disclosure of Lobbying

Activities

I--DHHS Regulations Which Apply to all Applicants/Grantees Under The

Fiscal Year 2000 Discretionary Grants Program

J--Certification of Environmental Tobacco Smoke

K--Business Plan

L--Table of Standard Industrial Codes and Occupational Classification

M--Applicant's Checklist

Attachment A

1999 Poverty Guidelines for the 48 Contiguous States and the District of

Columbia

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

Poverty

Size of family unit guideline

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

1.......................................................... $8,240

2.......................................................... 11,060

3.......................................................... 13,880

4.......................................................... 16,700

5.......................................................... 19,520

6.......................................................... 22,340

7.......................................................... 25,160

8.......................................................... 27,980

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

For family units with more than 8 members, add $2,820 for each

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

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

1999 Poverty Guidelines for Alaska

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

Poverty

Size of family unit guideline

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

1.......................................................... $10,320

2.......................................................... 13,840

3.......................................................... 17,360

4.......................................................... 20,880

5.......................................................... 24,440

6.......................................................... 27,920

7.......................................................... 31,440

8.......................................................... 34,960

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

For family units with more than 8 members, add $3,520 for each

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

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

1999 Poverty Guidelines for Hawaii

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

Poverty

Size of family unit guideline

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

1.......................................................... $9,490

2.......................................................... 12,730

3.......................................................... 15,970

4.......................................................... 19,210

5.......................................................... 22,450

6.......................................................... 25,690

7.......................................................... 28,930

8.......................................................... 32,170

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

For family units with more than 8 members, add $3,240 for each

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

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

BILLING CODE 4184-01-P

[[Page 45318]]

[GRAPHIC] [TIFF OMITTED] TN19AU99.001

BILLING CODE 4184-01C

[[Page 45319]]

Attachment B (Page 2)

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

3. State use only (if applicable).

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

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

project, leave blank.

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

which will undertake the assistance activity, complete address of

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

contact on matters related to this application.

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

Internal Revenue Service.

7. Enter the appropriate letter in the space provided.

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

space(s) provided:

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

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

budget period for a project with a projected completion date.

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

financial obligation or contingent liability from an existing

obligation.

9. Name of Federal agency from which assistance is being

requested with this application.

10. Use the Catalog of Federal Domestic Assistance number and

title of the program under which assistance is requested.

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

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

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

projects), attach a map showing project location. For

preapplications, use a separate sheet to provide a summary

description of this project.

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

State, counties, cities).

13. Self-explanatory.

14. List the applicant's Congressional District and any

District(s) affected by the program or project.

15. Amount requested or to be contributed during the first

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

contributions should be included on appropriate lines as applicable.

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

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

amounts in parentheses. If both basic and supplemental amounts are

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

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

15.

16. Applicants should contact the State Single Point of Contact

(SPOC) for Federal Executive Order 12372 to determine whether

application is subject to the State intergovernmental review

process.

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

person who signs as the authorized representative. Categories of

debt include delinquent audit disallowances, loans and taxes.

18. To be signed by the authorized representative of the

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

sign this application as official representative must be on file in

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

this authorization be submitted as part of the application.)

BILLING CODE 4184-01-M

[[Page 45320]]

[GRAPHIC] [TIFF OMITTED] TN19AU99.002

[[Page 45321]]

[GRAPHIC] [TIFF OMITTED] TN19AU99.003

BILLING CODE 4184-01-C

[[Page 45322]]

Instructions for the SF-424A

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 suggestions for reducing this burden, to the Office of

Management and Budget, Paperwork Reduction Project (0348-0044),

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.

General Instructions

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

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

any existing Federal grantor agency guidelines which prescribe how

and whether budgeted amounts should be separately shown for

different functions or activities within the program. For some

programs, grantor agencies may require budgets to be separately

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

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

and D should include budget estimates for the whole project except

when applying for assistance which requires Federal authorization in

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

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

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

for Federal assistance in the subsequent budget periods. All

applications should contain a breakdown by the object class

categories shown in Lines a-k of Section B.

Section A. Budget Summary

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

For applications pertaining to a single Federal grant program

(Federal Domestic Assistance Catalog number) and not requiring a

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

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

For applications pertaining to a single program requiring budget

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

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

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

multiple programs where none of the programs require a breakdown by

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

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

Column (b).

For applications pertaining to multiple programs where one or

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

separate sheet for each program requiring the breakdown. Additional

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

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

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

programs.

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

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

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

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

for the first funding period (usually a year).

For continuing grant program applications, submit these forms

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

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

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

only if the Federal grantor agency instructions provide for this.

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

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

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

For supplemental grants and changes to existing grants, do not

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

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

the increase or decrease of non-Federal funds. In Column (g) enter

the new total budgeted amount (Federal and non-Federal) which

includes the total previous authorized budgeted amounts plus or

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

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

Columns (e) and (f).

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

Section B Budget Categories

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

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

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

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

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

Federal and non-Federal) by object class categories.

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

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

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

applications for new grants and continuation grants the total amount

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

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

changes to grants, the total amount on 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, Shown under the program

narrative statement the nature and source of income. The estimated

amount of program income may be considered by the Federal grantor

agency in determining the total amount of the grant.

Section C. Non-Federal Resources

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

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

brief explanation on a separate sheet.

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

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

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

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

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

Applicants which are a State or State agencies should leave this

column blank.

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

to be made from all other sources.

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

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

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

Section A.

Section D. Forecasted Cash Needs

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

grantor agency during the first year.

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

by quarter during the first year.

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

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

the Project

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

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

is not necessary. For new applications and continuation grant

applications, enter in the proper columns amounts of Federal funds

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

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

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

funds for the current year of existing grants.

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

submit additional schedules ad necessary.

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

additional schedules are prepared for this Section, annotate

accordingly and show the overall totals on this line.

Section F. Other Budget Information

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

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

ordinary or to explain the details as required by the Federal

grantor agency.

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

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

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

is applied, and the total indirect expense.

Line 23--Provide any other explanations or comments deemed

necessary.

Attachment D

Assurances--Non-Construction Programs

Public reporting burden for this collection of information is

estimated to average 15

[[Page 45323]]

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 regrading 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 (0348-0040), Washington, DC 20503.

PLEASE DO NOT RETURN YOU 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 cost) to

ensure proper planning, management and completion of the project

described in this application.

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

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

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

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

a proper accounting system in 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 19 statutes or

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

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

6. Will comply with all Federal statutes relating to

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

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

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

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

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

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

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

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

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

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

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

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

Alcoholism Prevention, Treatment and Rehabilitation Act of 1970

(P.L. 91-616), as amended, relating to nondiscrimination on the

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

Public Health Service Act of 1912 (42 U.S.C. Secs. 290 dd-3 and 290

ee 3), as amended, relating to confidentially of alcohol and drug

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

1968 (42 U.S.C. Secs. 3601 et seq.), as amended, relating to

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

any other nondiscrimination provisions in the specific statue(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 provisions of the Hatch Act

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

activities of employees whose principal employment activities are

funded in whole or in part with Federal funds.

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

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

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

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

labor standards for federally-assisted construction subagreements.

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

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

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

hazard area to participate in the program and to purchase flood

insurance if the total cost of insurable construction and

acquisition is $10,000 or more.

11. Will comply with environmental standards which may be

prescribed pursuant to the following: (a) institution of

environmental quality control measures under the National

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

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

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

evaluation of flood hazards in floodplains in accordance with EO

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

management program developed under the Coastal Zone Management Act

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

actions to State (Clean Air) Implementation Plans under Section

176(c) of the Clean 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. Sec. 470), EO 11593 (identification and

protection of historic properties), and the Archaeological and

Historic Preservation Act of 1974 (16 U.S.C. Secs. 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. Secs. 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 Amendments

of 1996 and OMB Circular No. A-133, ``Audits of States, Local

Governments, and Non-Profit Organizations.''

18. Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations, and policies governing

this program.

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

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL

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

TITLE

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

APPLICANT ORGANIZATION

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

DATE SUBMITTED

Attachment E

HHS CFR Title 45

PART 76, Appendix C: Drug-free Certification

Governmentwide Debarment and Suspension (Nonprocurement) and

Governmentwide Requirements For Drug-Free Workplace (Grants)

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

[[Page 45324]]

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 substance 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 workplace).

Certification Regarding Drug-Free Workplace Requirements

Alternate I. (Grantees Other Than Individuals)

1. The grantee certifies that it will or will continue to

provide a drug-free workplace by:

1. 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;

2. 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;

3. 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);

4. 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 that five calendar days after such conviction;

5. 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;

6. 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;

7. Making a good faith effort to continue to maintain a drug-free

workplace through implementation of paragraph (a), (b), (c), (d),

(e) and (f).

2. 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) Check {time} if there are workplaces on file that

are not identified here.

Alternate II. (Grantees Who Are Individuals)

1. 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;

2. If convicted of a criminal drug offense 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)

Attachment F

HHS CFR Title 45

PART 76, Appendix A: Debarment Certification (Primary)

Governmentwide Debarment and Suspension (Nonprocurement) and

Governmentwide Requirements for Drug-Free Workplace (Grants)

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 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 the 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 of default.

4. The prospective primary participant shall provide immediate

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

submitted if at any time the prospective primary participant learns

that its certification was erroneous when submitted

[[Page 45325]]

or has become erroneous by reason of changed circumstances.

5. The terms covered transacted, debarred, suspended,

ineligible, lower tier covered transaction, participant, person,

primary covered transaction, principal, proposal, and voluntary

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 begin 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 be entered

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

transaction with a person who is 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 is not 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

Nonprocurement List (Tel. 1B).

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 suspended, debarred, ineligible, or voluntary 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:

1. Are not presently debarred, suspended, proposed for debarment,

declared ineligible, or voluntarily excluded from covered

transactions by an Federal department or agency;

2. 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;

3. 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

4. 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.

Attachment G

State Single Point of Contact Listing Maintained by OMB

In accordance with Executive Order #12374, ``Intergovernmental

Review of Federal Programs,'' Section 4, ``the Office of Management

and Budget (OMB) shall maintain a list of official State entities

designated by the State to review and coordinate proposed Federal

financial assistance and direct Federal development.'' This attached

listing is the OFFICIAL OMB LISTING. This listing is also published

in the Catalogue of Federal Domestic Assistance biannually.

March 5, 1999.

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 Service, Department of Finance and Administration,

515 W. 7th St., Room 412, Little Rock, Arkansas 72203, Telephone:

(501) 682-1074; FAX: (501) 682-5206

CALIFORNIA

Grants Coordination, State Clearinghouse, Office of Planning &

Research, 1400 Tenth Street, Room 121, Sacramento, California 95814,

Telephone: (916) 445-0613; FAX: (916) 323-3018

DELAWARE

Francine Booth, State Single Point of Contact, Executive Department,

Office of the Budget, 540 S. Dupont Highway, Suite 5, Dover,

Delaware 19901, 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 1200, Washington, D.C.

20005, Telephone: (202) 727-1700 (direct), (202) 727-6537

(secretary); FAX: (202) 727-1617

FLORIDA

Florida State Clearinghouse, Department of Community Affairs, 2555

Shumard Oak Blvd, Tallahassee, Florida 32399-2100, Telephone: (850)

922-5438, FAX: (850) 414-0479; Contact: Cherie Trainor, (850) 414-

5495

GEORGIA

Deborah Stephens, Coordinator, Georgia State Clearinghouse, 270

Washington Street , S.W.--8th Floor, Atlanta, Georgia 30334,

Telephone: (404) 656-3855; FAX: (404) 656-7901

ILLINOIS

Virginia Bova, State Single Point of Contact, Illinois 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

Renee Miller, State Budget Agency, 212 State House, Indianapolis,

Indiana 46204-2796, Telephone: (317) 232-2971 (directline); FAX:

(317) 233-3323

IOWA

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

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

50309, Telephone: (515) 242-4719; FAX: (515) 242-4809

KENTUCKY

Kevin J. Goldsmith, Director, Sandra Brewer, Executive Secretary,

Intergovernmental Affairs, Office of the Governor, 700 Capitol

Avenue, Frankfort, Kentucky 40601, Telephone: (502) 564-2611; FAX:

(502) 564-0437

MAINE

Joyce Benson, State Planning Office, 184 State Street, 38 State

House Station, Augusta, Maine 04333, Telephone: (207) 287-3261; FAX:

(207) 287-6489

MARYLAND

Linda Janey, Manager, Plan & Project Review, Maryland Office of

Planning, 301 W. Preston Street--Room 1104, Baltimore, Maryland

21201-2365, Staff Contact: Linda Janey, Telephone: (410) 767-4490;

FAX: (410) 767-4480

MICHIGAN

Richard Pfaff, Southeast Michigan Council of Governments, 660 Plaza

Drive--Suite 1900, Detroit, Michigan 48226, Telephone: (303) 961-

4266; FAX: (313) 961-4869

MISSISSIPPI

Cathy Mallette, Clearinghouse Officer, Department of Finance and

[[Page 45326]]

Administration, 550 High Street, 303 Walters Sillers Building,

Jackson, Mississippi 39201-3087, Telephone: (601) 359-6762; FAX:

(601) 359-6758

MISSOURI

Lois Pohl, Federal Assistance Clearinghouse, Office of

Administration, P.O. Box 809, Jefferson Building, 9th Floor,

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

(314) 751-7819

NEVADA

Department of Administration, State Clearinghouse, 209 E. Musser

Street, Room 220, Carson City, Nevada 89710, Telephone: (702) 687-

4065; FAX: (702) 687-3983; Contact: Heather Elliot, (702) 687-6367

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

Nick Mandell, Local Government Division, Room 201 Bataan Memorial

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

FAX: (505) 827-4984

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

Jeanette Furney, North Carolina Department of Administration, 116

West Jones Street--Suite 5106, Raleigh, North Carolina 27603-8003,

Telephone: (919) 733-7232; FAX: (919) 733-9571

NORTH DAKOTA

North Dakota Single Point of Contact, Office of Intergovernmental

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

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

RHODE ISLAND

Kevin Nelson, Review Coordinator, Department of Administration,

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

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

SOUTH CAROLINA

Omeagia Burgess, State Single Point of Contact, Budget and Control

Board, Office of State Budget, 1122 Ladies Street--12th Floor,

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

(803) 734-0645

TEXAS

Tom Adams, Governors Office, Director, Intergovernmental

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

463-1771; FAX: (512) 463-2681

UTAH

Carolyn Wright, Utah State Clearinghouse, Office of Planning and

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

Telephone: (801) 538-1027; 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, Federal/State 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

Sandy Ross, State Single Point of Contact, Department of

Administration and Information, 2001 Capitol Avenue, Room 214,

Cheyenne, Wyoming 82002, Telephone: (307) 777-5492; FAX: (307) 777-

3696

TERRITORIES

GUAM

Joseph Rivera, Acting Director, Bureau of Budget and Management

Research, Office of the Governor, P.O. Box 2950, Agana, Guam 96932,

Telephone: (617) 475-9411 or 9412; FAX: (671) 472-2825

PUERTO RICO

Jose Caballero-Mercado, Chairman, Puerto Rico Planning Board,

Federal Proposals Review Office, Minillas Government Center, P.O.

Box 41119, San Juan, Puerto Rico 00940-1119, Telephone: (787) 727-

4444, (787) 723-6190; FAX: (787) 724-3270

NORTH MARIANA ISLANDS

Mr. Alvaro A. Santos, Executive Officer, Office of Management and

Budget, Office of the Governor, Saipan, MP 96950, Telephone: (670)

664-2256; FAX: (670) 664-2272; Contact person: Ms. Jacoba T. Seman,

Federal Programs Coordinator, Telephone: (670) 664-2289; FAX: (670)

664-2272

VIRGIN ISLANDS

Nellon 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

If you would like a copy of this list faxed to your office,

please call our publications office at (202) 395-9068

* In accordance with Executive Order #12372, ``Intergovernmental

Review of Federal Programs,'' this listing represents the designated

State Single Points of Contact. The jurisdictions not listed no

longer participate in the process, BUT GRANT APPLICANTS ARE STILL

ELIGIBLE TO APPLY FOR THE GRANT EVEN IF YOUR STATE, TERRITORY,

COMMONWEALTH, ETC., DOES NOT HAVE A ``STATE SINGLE POINT OF

CONTACT.'' STATES WITHOUT ``STATE SINGLE POINTS OF CONTACT''

INCLUDE: Alabama; Alaska; American Samoa; Colorado; Connecticut;

Hawaii; Idaho; Kansas; Louisiana; Massachusetts; Minnesota; Montana;

Nebraska; New Jersey; Ohio; Oklahoma; Oregon; Palau; Pennsylvania;

South Dakota; Tennessee; Vermont; Virginia; and Washington. This

list is based on the most current information provided by the

States. Information on any changes or apparent errors should be

provided to the Office of Management and Budget and the State in

question. Changes to the list will only be made upon formal

notification by the State. Also, this listing is published

biannually in the Catalogue of Federal Domestic Assistance.

Attachment H

Developing ACF Program Announcements

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 or will be paid to any person for influencing

or attempting to influence an officer or employee of any agency, a

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

employee of a Member of Congress in connection with this Federal

contract, grant, loan, or cooperative agreement, the undersigned

shall complete and submit Standard Form-LLL, ``Disclosure Form to

Report Lobbying,'' in accordance with its instructions.

(3) The undersigned shall require that the language of this

certification be included in the award documents for all subawards

at all tiers (including subcontracts, subgrants, and contracts under

grants, loans, and cooperative agreements) and that all

subrecipients shall certify and disclose accordingly. This

certification is a material representation of fact upon which

reliance was placed when this transaction was made or entered into.

Submission of this certification is a prerequisite for making or

entering into this transaction imposed by section 1352, title 31,

U.S. Code. Any person who fails to file the required certification

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

more than $100,000 for each such failure.

[[Page 45327]]

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 of insure or guarantee a

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

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

instructions. Submission of this statement is a prerequisite for

making or entering into this transaction imposed by section 1352,

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

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

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

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

Signature

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

Title

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

Organization

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

Date

BILLING CODE 4184-01-P

[[Page 45328]]

[GRAPHIC] [TIFF OMITTED] TN19AU99.004

BILLING CODE 4184-01-C

[[Page 45329]]

Attachment H (Page 3)

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING

ACTIVITIES

This disclosure form shall be completed by the reporting entity,

whether subawardee or prime Federal recipient, at the initiation or

receipt of a covered Federal action, or a material change to a

previous filing, pursuant to title 31 U.S.C. section 1352. The

filing of a form is required for each payment or agreement to make

payment to any lobbying entity 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 a covered Federal action.

Complete all items that apply for both the initial filing and

material change report. Refer to the implementing guidance published

by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which

lobbying activity is and/or has been secured to influence the

outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If

this is a followup report caused by a material change to the

information previously reported, enter the year and quarter in which

the change occurred. Enter the date of the last previously submitted

report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, State and zip code of the

reporting entity. Include Congressional District, if known. Check

the appropriate classification of the reporting entity that

designates

This text is long and has been trimmed here. Open the source document for the complete record.