Grants and cooperative agreements; availability, etc.: Community Services Office— Income Individuals Program,

[Federal Register: October 12, 1999 (Volume 64, Number 196)]

[Notices]

[Page 55341-55375]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr12oc99-182]

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Part II

Department of Health and Human Services

Administration for Children and Families

Request for Applications for the Office of Community Services' Fiscal Year 2000 Job Opportunities for Low-Income Individuals Program; Notice

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[Program Announcement No. OCS 2000-02]

Request for Applications for the Office of Community Services' Fiscal Year 2000 Job Opportunities for Low-Income Individuals Program

AGENCY: Administration for Children and Families (ACF), DHHS.

ACTION: Announcement of availability of funds and request for applications under the Office of Community Services' FY 2000 Job Opportunities for Low-Income Individuals (JOLI) Program.

SUMMARY: The Administration for Children and Families (ACF), Office of Community Services (OCS), announces that, based on availability of funds, competing applications will be accepted for new grants pursuant to the Secretary's discretionary authority under section 505 of the Family Support Act of 1988, as amended.

Closing Date: To be considered for funding, applications must be postmarked on or before January 14, 2000. Detailed application submission instructions, including the addresses to which applications must be submitted, are found in Part V-B, Application Submission.

FOR FURTHER INFORMATION CONTACT: Administration for Children and Families, Office of Community Services, 370 L'Enfant Promenade SW., Washington, DC 20447. Contact: Nolan Lewis (202) 401-5282, Linda Bunn (202) 401-5324, Aleatha Slade (202) 401-5317. In addition, this Notice is accessible on the OCS WEBSITE for reading or downloading at: www.acf.dhhs.gov/programs/ocs/kits1.htm.

If this Program Announcement is not available at these sources, it may be obtained by telephoning or writing the office listed under FOR FURTHER INFORMATION CONTACT above.

The Catalog of Federal Domestic Assistance number for this program is ``93.593''. The title is ``Job Opportunities for Low-Income Individuals (JOLI) Program''.

Part I--Preamble

  1. Legislative Authority

    Section 505 of the Family Support Act of 1988, Public Law 100-485, as amended, authorizes the Secretary of HHS to enter into agreements with non-profit organizations (including community development corporations) for the purpose of conducting projects designed to create employment and business opportunities for certain low-income individuals.

    The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Public Law 104-193, reauthorized Section 505 of the Family Support Act of 1988. The Act also amended certain subsections of Section 505 of the Family Support Act of 1988 to be effective July 1, 1997.

  2. Definitions of Terms

    For purposes of this Program Announcement, the following definitions apply:

    --Budget period: The interval of time into which a multi-year period of assistance (project period) is divided for budgetary and funding purposes. --Community-level data: Key information to be collected by each grantee that will allow for a national-level analysis of common features of JOLI projects. This consists of data on the population of the target area, including the percentage of TANF recipients and others on public assistance, and the percentage whose incomes fall below the poverty line; the unemployment rate; the number of new business starts and business closings; and a description of the major employers and average wage rates and employment opportunities with those employers. --Community development corporation: A private, nonprofit entity, governed by a board of directors consisting of low-income residents of the community and business, civic leaders, that has as a principal purpose, planning, developing, or managing community economic development projects. --Hypothesis: An assumption made in order to test its validity. It should assert a cause-and-effect relationship between a program intervention and its expected result. Both the intervention and result must be measured in order to confirm the hypothesis. For example, the following is a hypothesis: ``Eighty hours of classroom training in small business planning will be sufficient for participants to prepare a successful loan application.'' In this example, data would be obtained on the number of hours of training actually received by participants (the intervention), and the quality of loan applications (the result), to determine the validity of the hypothesis (that eighty hours of training is sufficient to produce the result). --Intervention: Any planned activity within a project that is intended to produce changes in the target population and/or the environment and that can be formally evaluated. For example, assistance in the preparation of a business plan and loan package are planned interventions. --Job creation: To bring about, by activities and services funded under this program, new jobs, that is, jobs that were not in existence before the start of the project. These activities can include self-employment/ micro-enterprise training, the development of new business ventures or the expansion of existing businesses. --Non-profit organization: Any organization (including a community development corporation) exempt from taxation under section 501(a) of the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of section 501(c) of such code. --Non-traditional employment for women or minorities: Employment in an industry or field where women or minorities currently make up less than twenty-five percent of the work force. --Outcome evaluation: An assessment of project results as measured by collected data which define the net effects of the interventions applied in the project. An outcome evaluation will produce and interpret findings related to whether the interventions produced desirable changes and their potential for replicability. It should answer the question: Did this program work? --Private employers: Third-party non-profit organizations or third- party for-profit businesses operating or proposing to operate in the same community as the applicant and which are proposed or potential employers of project participants. --Process evaluation: The ongoing examination of the implementation of a program. It focuses on the effectiveness and efficiency of the program's activities and interventions (for example, methods of recruiting participants, quality of training activities, or usefulness of follow-up procedures). It should answer questions such as: Who is receiving what services? and are the services being delivered as planned? It is also known as formative evaluation because it gathers information that can be used as a management tool to improve the way a program operates while the program is in progress. It should also identify problems that occurred and how they were dealt with and recommend improved means of future implementation. It should answer the question: ``How

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    was the program carried out?'' In concert with the outcome evaluation, it should also help explain, ``Why did this program work/not work?'' and ``What worked and what did not?'' --Program participant/beneficiary: An individual eligible to receive Temporary Assistance for Needy Families under Title I of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Part A of Title IV of the Social Security Act) and any other individual whose income level does not exceed 100 percent of the official poverty line as found in the most recent revision of the Poverty Income Guidelines published by the Department of Health and Human Services. (See Attachment A.) --Project period: The total time a project is approved for support, including any extensions. --Self-sufficiency: A condition where an individual or family, by reason of employment, does not need and is not eligible for public assistance. --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.

  3. Purpose

    The purpose of this program is to demonstrate and evaluate ways of creating new employment and business opportunities for certain low- income individuals through the provision of technical and financial assistance to private employers in the community, self-employment/ micro-enterprise programs, and/or new business development programs. A low-income individual eligible to participate in a project conducted under this program is any individual eligible to receive Temporary Assistance for Needy Families (TANF) under Part A of Title IV of the Social Security Act, as amended, or any other individual whose income level does not exceed 100 percent of the official poverty line. (See Attachment A.) Within these categories, emphasis should be on individuals who are receiving TANF or its equivalent under State auspices; those who are unemployed; those residing in public housing or receiving housing assistance; non-custodial parents, and those who are homeless.

    Part II--Background Information and Program Requirements

  4. Eligible Applicants

    Organizations eligible to apply for funding under this program are any non-profit organizations (including community development corporations) that are exempt from taxation under section 501(a) of the Internal Revenue Code of 1986 by reason of paragraph (3) or (4) of section 501(c) of such Code.

    Applicants must provide documentation of their tax exempt status. The applicant can accomplish this by providing a copy of the applicant's listing in the Internal Revenue Service's (IRS) most recent list of tax-exempt organizations described in section 501(c)(3) of the IRS code or by providing a copy of the currently valid IRS tax exemption certificate. Failure to provide evidence of section 501(c)(3) or (4) tax exempt status will result in rejection of the application.

    Applicants that have applied to IRS for certification as a 501(c) (3) or (4) tax exempt organization must provide documentation that their application is currently pending IRS determination. However, applicant must have status at time of award.

  5. Project and Budget Periods

    The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Public Law 104-193, reauthorized and modified Section 505 of the Family Support Act of 1988, the JOLI authorizing legislation. Among the modifications effected was the deletion of sub-section (e), which had legislatively mandated project duration. Applicants are therefore free to apply for projects of from one to three years' duration, depending on the proposed work program and the applicant's assessment of the time required to achieve the proposed project goals. OCS has made the programmatic determination that the nature of job creation and career development projects which meet the funding criteria set forth in this Announcement is such that it is not feasible to divide funding into 12-month increments, and that completion of the entire project is in each case necessary to achieve the purposes of the JOLI program. Consequently, budget periods for grants under this Announcement may be up to three years.

    Given the limited funds available for the JOLI program, applicants should make a realistic assessment of the time and funds needed to achieve the goals set forth in their proposal, and design a work program and budget accordingly. The grant request should be for an amount, up to a maximum of $500,000, needed to implement that part of the project plan supported by OCS funds, taking into consideration other cash and in-kind resources mobilized by the applicant in support of the proposed project. (See Paragraph D, below, Mobilization of Resources, and Part IV, Element VI, Budget Appropriateness and Reasonableness.)

  6. Availability of Funds and Grant Amounts

    All grant awards are subject to the availability of appropriated funds. It is anticipated that approximately $5,500,000 will be available in FY 2000 for JOLI. OCS estimates that approximately $5,000,000 will be available for new grants and the remaining $500,000 will be set aside for the national JOLI contract. The 1996 amendments to the JOLI authorizing legislation also deleted the limitation on the number of grants to be made in any one fiscal year. Thus, the Office of Community Services expects to award up to 10 new grants by September 30, 2000, based on the amounts requested and contingent on the availability of funds. Grants of up to $500,000 in OCS funds for project periods and budget periods of up to three years will be awarded to selected organizations under this program in FY 2000.

  7. Mobilization of Resources

    OCS will give favorable consideration in the review process to applicants who mobilize cash and/or third-party in-kind contributions for direct use in the project. The firm commitment of these resources must be documented and submitted with the application in order to be given credit in the review process under the Public-Private Partnerships program element. Except in unusual situations, this documentation must be in the form of letters of commitment from the organization(s)/individual(s) from which resources will be received. Even though there is no matching requirement for the JOLI Program, grantees will be held accountable for any match, cash or in-kind contribution proposed or pledged as part of an approved application. (See Part IV, Element V, and Part VI, B., Instructions for Completing the SF-424A, Section C, Non-Federal Resources)

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  8. Program Participants/beneficiaries

    Projects proposed for funding under this Announcement must result in direct benefits to low-income people or persons at or below the poverty line, as defined in the most recently published Poverty Income Guidelines and individuals eligible to receive TANF under Part A of Title IV of the Social Security Act, as amended.

    Attachment A to this Announcement is an excerpt from the guidelines currently in effect. Annual revisions of these guidelines are normally published in the Federal Register in February or early March of each year. Grantees will be required to apply the most recent guidelines throughout the project period. These revised guidelines also may be obtained at public libraries, Congressional offices, or by writing the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402.

    No other government agency or privately-defined poverty guidelines are applicable for the determination of low-income eligibility for this program.

  9. Prohibition and Restrictions on the Use of Funds

    The use of funds for new construction or the purchase of real property is prohibited. Costs incurred for the rearrangement and alteration of facilities required specifically for the grant program are allowable when specifically approved in advance by ACF in writing.

    If the applicant is proposing a project which will affect a property listed in, or eligible for inclusion in the National Register of Historic Places, it must identify this property in the narrative and explain how it has complied with the provisions of Section 106 of the National Historic Preservation Act of 1966 as amended. If there is any question as to whether the property is listed in or eligible for inclusion in the National Register of Historic Places, the applicant should consult with the State Historic Preservation Officer. (See Attachment D: SF-424B, Item 13 for additional guidelines.) The applicant should contact OCS early in the development of its application for instructions regarding compliance with the Act and data required to be submitted to the Department of Health and Human Services. Failure to comply with the cited Act will result in the application being ineligible for funding consideration.

  10. Multiple Submittals

    Due to the limited amount of funds available under this program, only a single proposal from any one eligible applicant will be funded by OCS from FY 2000 JOLI funds pursuant to this Announcement.

  11. Re-funding

    OCS will not re-fund a previously funded grantee to carry out the same work plan in the same target area.

    I. Sub-contracting or Delegating Projects

    An applicant will not be funded where the proposal indicates that the applicant if funded will serve as a straw-party, that is, act as a mere conduit of funds to a third party without performing a substantive role itself. This prohibition does not bar sub-contracting or sub- awarding for specific services or activities needed to conduct the project.

  12. Maintenance of Effort

    The application must include an assurance that activities funded under this Program Announcement are in addition to, and not in substitution for, activities previously carried out without Federal assistance. (See Part VII-A. 9 and Attachment M.)

    Part III--Application Requirements and Priority Areas

  13. Program Focus

    The Congressional Conference Report on the 1992 appropriations for the Department of Labor, Health and Human Services, and Education and related agencies directed the ACF to require economic development strategies as part of the application process to ensure that highly qualified organizations participate in the demonstration [H.R. Conf. Rep. No. 282, 102d Cong., 1st Sess. 39 (1991)].

    Priority will be given to applications proposing to serve those areas containing the highest percentage of individuals receiving Temporary Assistance to Needy Families (TANF) under Title IV-A of the Social Security Act, as amended.

    While projected employment in future years may be included in the application, it is essential that the focus of the project concentrate on the creation of new full-time, permanent jobs and/or new business development opportunities for TANF recipients and other low-income individuals during the duration of the grant project period. OCS is particularly interested in receiving innovative proposals that grow out of the experience and creativity of applicants and the needs of their clientele and communities.

    Applicants should include strategies which seek to integrate projects financed and jobs created under this program into a larger effort of broad community revitalization which will promote job and business opportunities for eligible program participants and impact the overall economic environment.

    OCS will only fund projects that create new employment and/or business opportunities for eligible program participants. That is, new full-time permanent jobs through the expansion of a pre-identified business or new business development, or by providing opportunities for self-employment. In addition, projects should enhance the participants' capacities, abilities and skills and thus contribute to their progress toward self-sufficiency.

    With national welfare reform a reality, and many States already implementing ``welfare-to-work'' programs, the need for well-paying jobs with career potential for TANF recipients becomes ever more pressing. In this context, the role of JOLI as a vehicle for exploring new and promising areas of employment opportunity for the poor is more important than ever.

    Within the JOLI Program framework of job creation through new or expanding businesses or self-employment, OCS would welcome proposals offering business or career opportunities to eligible participants in a variety of fields. For instance, these might include day care and transportation, which are not only opportunities for employment, but when not available can be serious barriers to employment for TANF recipients; environmental justice initiatives involving activities such as toxic waste clean-up, water quality management, or Brownfields remediation; health-related jobs such as home health aides or medical support services; and non-traditional jobs for women and minorities.

  14. Creation of Jobs and Employment Opportunities

    The requirement for creation of new, full-time permanent employment opportunities (jobs) applies to all applications. OCS has determined that the creation of non-traditional job opportunities for women or minorities in industries or activities where they currently make up less than twenty-five percent of the work force meets the requirements of the JOLI legislation for the creation of new employment opportunities. OCS continues to solicit other JOLI applications to propose the creation of jobs through the expansion of existing businesses, the development of new businesses, or the creation of employment opportunities through self-employment/ microenterprise development.

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    Proposed projects must show that the jobs and/or business/self employment opportunities to be created under this program will contribute to achieving self-sufficiency among the target population. The employment opportunities should provide hourly wages that exceed the minimum wage and also provide benefits such as health insurance, child care, and career development opportunities.

  15. Cooperative Partnership Agreement With the Designated Agency Responsible for the Temporary Assistance for Needy Families (TANF) Program

    A formal, cooperative relationship between the applicant and the designated State agency responsible for administering the Temporary Assistance for Needy Families (TANF) program (as provided for under Title IV-A of the Social Security Act, as amended,) in the area served by the project is a requirement for funding. The application must include a signed, written agreement between the applicant and the designated State agency responsible for administering the TANF program, or a letter of commitment to such an agreement within 6 months of a grant award (contingent only on receipt of OCS funds). The agreement must describe the cooperative relationship, including specific activities and/or actions each of these entities propose to carry out over the course of the grant period in support of the project.

    The agreement, at a minimum, must cover the specific services and activities that will be provided to the target population. (See Attachment I for a list of the State IV-A agencies administering TANF.)

  16. Third-Party Project Evaluation

    Proposals must include provision for an independent, methodologically sound evaluation of the effectiveness of the activities carried out with the grant and their efficacy in creating new jobs and business opportunities. There must be a well-defined process evaluation, and an outcome evaluation whose design will permit tracking of project participants throughout the proposed project period. The evaluation must be conducted by an independent evaluator, i.e., a person with recognized evaluation skills who is organizationally distinct from, and not under the control of, the applicant. It is important that each successful applicant have a third- party evaluator selected, and performing at the very latest by the time the work program of the project is begun, and if possible before that time so that he or she can participate in the final design of the program, in order to assure that data necessary for the evaluation will be collected and available.

  17. Economic Development Strategy

    As noted in A. above, the Congress, in the Conference Report on the FY 1992 appropriation, directed ACF to require economic development strategies as part of the application process for JOLI to ensure that highly qualified organizations participate in the demonstration. Accordingly, applicants must include in their proposal an explanation of how the proposed project is integrated with and supports a larger economic development strategy within the target community. Where appropriate, applicants should document how they were involved in the preparation and planned implementation of a comprehensive community- based strategic plan, such as that required for applying for Empowerment Zones/Enterprise Community (EZ/EC) status, to achieve both economic and human development in an integrated manner, and how the proposed project supports the goals of that plan. (See Part IV, Sub- Element III (b).)

  18. Training and Support for Micro-Business Development

    In the case of proposals for creating self-employment micro- business opportunities for eligible participants, the applicant must detail how it will provide training and support services to potential entrepreneurs. The assistance to be provided to potential entrepreneurs must include, at a minimum: (1) Technical assistance in basic business planning and management concepts; (2) assistance in preparing a business plan and loan application; and (3) access to business loans.

  19. Support for Noncustodial Parents

    The Office of Community Services and the Office of Child Support Enforcement, both in the Administration for Children and Families, signed a Memorandum of Understanding (MOU) to foster and enhance partnerships between OCS grantees and local Child Support Enforcement (CSE) agencies. (See Attachment N for the list of CSE State Offices that can identify local CSE agencies). In the words of the MOU:

    ``The purpose of these partnerships will be to develop and implement innovative strategies in States and local communities to increase the capability of low-income parents and families to fulfill their parental responsibilities. Too many low-income parents are without jobs or resources needed to support their children. A particular focus of these partnerships will be to assist low-income, non-custodial parents of children receiving Temporary Assistance for Needy Families to achieve a degree of self-sufficiency that will enable them to provide support that will free their families of the need for such assistance.''

    Accordingly, a rating factor and a review criterion have been included in this Program Announcement which will award two points to applicants who have entered into partnership agreements with their local CSE agency to provide for referrals to their project in accordance with provisions of the OCS-OCSE MOU. (See Part IV, Sub- Element III (c))

  20. Technical Assistance to Employers

    Technical assistance should be specifically addressed to the needs of the private employer in creating new jobs to be filled by eligible individuals and/or to the individuals themselves in areas such as job- readiness, literacy and other basic skills training, job preparation, self-esteem building, etc. Financial assistance may be provided to the private employer as well as to the individual.

    If the technical and/or financial assistance is to be provided to pre-identified businesses that will be expanded or franchised, written commitments from the businesses to create the planned jobs must be included with the application.

    I. Applicant Experience and Cost-Per-Job

    In the review process, favorable consideration will be given to applicants with a demonstrated record of achievement in promoting job and enterprise opportunities for low-income people. Favorable consideration also will be given to those applicants who show the lowest cost-per-job created for low-income individuals. For this program, OCS views $15,000 in OCS funds as the maximum amount for the creation of a job and, unless there are extenuating circumstances, will not fund projects where the cost-per-job in OCS funds exceeds this amount. Only those jobs created and filled by low-income people will be counted in the cost-per-job formula. (See Part IV, Sub-Element III (d))

  21. Loan Funds

    The creation of a revolving loan fund with funds received under this program is an allowable activity. However, OCS encourages the use of funds from other

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    sources for this purpose. Loans made to eligible beneficiaries for business development activities must be at or below market rate.

    Note: Interest accrued on revolving loan funds may be used to continue or expand the activities of the approved project.

  22. Business Plans

    Where applicant is proposing the development and start-up of a new business or the expansion of an existing business, a Business Plan that follows the outline in Attachment L to this Announcement must be submitted as an appendix to the proposal.

    L. Dissemination of Project Results

    Applications should include a plan for disseminating the results of the project after expiration of the grant period. Applicants may budget up to $2,000 for dissemination purposes. Final Project Reports should include a description of dissemination activities with copies of any materials produced.

  23. General Projects 1.0 and Community Development Corporations Set- Aside 2.0

    All grant awards are subject to the availability of appropriated funds. The Office of Community Services expects to award approximately $5 million by no later than September 30, 2000 for new grants under this announcement: approximately $4 million for General Projects 1.0, and up to $1 million for CDC Set-Aside Projects 2.0. (For definition of Community Development Corporation, See Part I, Section B)

    The same purposes, requirements and prohibitions are applicable to proposals submitted under both General Projects 1.0 and Community Development Corporations Set-Aside 2.0. Applications for the set-aside funds that are not funded due to the limited amount of funds available will also be considered competitively within the larger pool of eligible applicants.

  24. Third Party Agreements

    Any applicant submitting a proposal for funding 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; and

    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:

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

    8. Rates of interest and other fees;

    9. Terms of loan;

    10. Repayment schedules;

    11. Collateral security; and

    12. Default and collection procedures.

      All third party agreements must include written commitments as follows:

      From the third party (as appropriate):

    13. 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;

    14. The grantee will have the right to screen applicants for jobs to be filled by low-income individuals and to verify their eligibility;

    15. 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;

    16. Reports will be made to the grantee regarding the use of grant funds no less than on a quarterly basis;

    17. A procedure will be developed to assure that there are no duplicate counts of jobs created; and

    18. 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:

    19. 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 part 74, to protect adequately any federal funds awarded under the application;

    20. 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.); and

    21. 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 expenditure of grant funds loaned to or invested in the third party and 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 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.

      Part IV--Application Elements and Review Criteria

      Applications that pass the pre-rating review will be assessed and scored by reviewers. Each reviewer will give a numerical score for each application reviewed. These numerical scores will be supported by explanatory statements on a formal rating form describing major strengths and weaknesses under each applicable criterion published in the Announcement.

      The in-depth assessment and review process will use the following criteria coupled with the specific requirements described in Part III. Scoring will be based on a total of 100 points.

      The ultimate goals of the project to be funded under the JOLI Program are: (1) To achieve, through project activities and interventions, the creation of employment opportunities for TANF recipients and other low-income individuals which can lead to economic self-sufficiency of members of the communities served; (2) to evaluate the effectiveness of these interventions and of the project design through which they were implemented; and (3) thus to make possible the replication of successful programs. OCS intends to make the awards of all the above grants on the basis of brief, concise applications. The elements and format of these applications, along with the review criteria that will be used to evaluate them, will be outlined in this Part.

      In order to simplify the application preparation and review process, OCS seeks to keep grant proposals cogent and brief. Applications with project narratives (excluding appendices) of more than 30 letter-sized pages of 12 characters per inch (c.p.i.) type or

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      equivalent on a single side will not be reviewed for funding. Applicants should prepare and assemble their project description using the following outline of required project elements. They should, furthermore, build their project concept, plans, and application description upon the guidelines set forth for each of the project elements.

      For each of the Project Elements or Sub-Elements below, there is, at the end of the discussion, a suggested number of pages to be devoted to the particular element or sub-element. These are suggestions only; but the applicant must remember that the overall Project Narrative cannot be longer than 30 pages.

      The competitive review of proposals will be based on the degree to which applicants incorporate each of the Elements and Sub-Elements below into their proposals, so as to:

    22. Describe convincingly a project that will develop new employment or business opportunities for TANF recipients and other low income individuals that can lead to a transition from dependency to economic self-sufficiency;

    23. Propose a realistic budget and time frame for the project that will support the successful implementation of the work plan to achieve the project's goals in a timely and cost effective manner; and

    24. Provide for the testing and evaluation of the project design, implementation, and outcomes so as to make possible replication of a successful program.

      Element I--Organizational Experience in Program Area and Staff Skills, Resources and Responsibilities

      Sub-Element I (a)--Agency's Experience and Commitment in Program Area (Weight of 0-10 points in proposal review)

      Applicants should cite their organization's capability and relevant experience in developing and operating programs which deal with poverty problems similar to those to be addressed by the proposed project. They should also cite the organization's experience in collaborative programming and operations which involve evaluations and data collection. Applicants should identify agency executive leadership in this section and briefly describe their involvement in the proposed project and provide assurance of their commitment to its successful implementation.

      The application should include documentation that briefly summarizes two similar projects undertaken by the applicant agency and the extent to which the stated and achieved performance targets, including permanent benefits to low-income populations, have been achieved. The application should note and justify the priority that this project will have within the agency, including the facilities and resources that it has available to carry it out.

      It is suggested that applicants use no more than 2 pages for this Sub-Element.

      Note: The maximum number of points will be given only to those organizations with a demonstrated record of achievement in promoting job creation and enterprise opportunities for low-income people. Sub-Element I (b)--Staff Skills, Resources and Responsibilities (Weight of 0-10 points in proposal review)

      The application must identify the two or three individuals who will have the key responsibility for managing the project, coordinating services and activities for participants and partners, and for achieving performance targets. The focus should be on the qualifications, experience, capacity and commitment to the program of the executive officials of the organization and the key staff persons who will administer and implement the project. The person identified as project director should have supervisory experience, experience in finance and business, and experience with the target population. Because this is a demonstration project within an already-established agency, OCS expects that the key staff person(s) would be identified, if not hired.

      The application must also include a resume of the third party evaluator, if identified or hired; or the minimum qualifications and position description for the third-party evaluator, who must be a person with recognized evaluation skills who is organizationally distinct from, and not under the control of, the applicant. (See Element IV, Project Evaluation, below, for fuller discussion of evaluator qualifications.)

      Actual resumes of key staff and position descriptions should be included in an Appendix to the proposal.

      It is suggested that applicants use no more than 3 pages for this Sub-Element.

      Element II: Project Theory, Design, and Plan

      OCS seeks to learn from the application why and how the project as proposed is expected to lead to the creation of new employment opportunities for low-income individuals, which can lead to significant improvements in individual and family self-sufficiency.

      Applicants are urged to design and present their project in terms of a conceptual cause-effect framework. In the following paragraphs, a framework is described that suggests a way to present a project so as to show the logic of the cause-effect relations between project activities and project results. Applicants don't have to use the exact language described; but it is important to present the project in a way that makes clear the cause-effect relationship between what the project plans to do and the results it expects to achieve. Sub-Element II (a)--Description of Target Population, Analysis of Need, and Project Assumptions (Weight of 0-10 points in application review)

      The project design or plan should begin with identifying the underlying assumptions about the program. These are the beliefs on which the proposed program is built. These assumptions include: The needs of the population to be served; the current services available to that population, and where and how they fail to meet their needs; why the proposed services or interventions are appropriate and will meet those needs; and the impact the proposed interventions will have on the project participants.

      In other words, the underlying assumptions of the program are the applicant's analysis of the needs and problems to be addressed by the project, and the applicant's theory of how its proposed interventions will address those needs and problems to achieve the desired result. Thus a strong application is based upon a clear description of the needs and problems to be addressed and a persuasive understanding of the causes of those problems.

      In this sub-element of the proposal, the applicant must precisely identify the target population to be served. The geographic area to be impacted should then be briefly described, citing the percentage of residents who are low-income individuals and TANF recipients, as well as the unemployment rate and other data that are relevant to the project design.

      The application should include an analysis of the identified personal barriers to employment, job retention and greater self- sufficiency faced by the population to be targeted by the project. (These might include such problems as illiteracy, substance abuse, family violence, lack of skills training, health or medical problems, need for childcare, lack of suitable clothing or equipment, or poor self-image.) The application

      [[Page 55348]]

      should also include an analysis of the identified community systemic barriers which the project will seek to overcome. These might include lack of jobs (high unemployment rate); lack of public transportation; lack of markets; unavailability of financing, insurance or bonding; inadequate social service (employment service, child care, job training); high incidence of crime; inadequate health care; or environmental hazards (such as toxic dumpsites or leaking underground tanks). Applicants should be sure not to overlook the personal and family services and support that might be needed by project participants after they are on the job which will enhance job retention and advancement. If the jobs to be created by the proposed project are themselves designed to fill one or more of the needs, or remove one or more of the barriers so identified, this fact should be highlighted in the discussion, e.g., jobs in childcare, health care, or transportation.

      It is suggested that applicants use no more than 4 pages for this Sub-Element. Sub-Element II (b)--Project Strategy and Design: Interventions, Outcomes, and Goals (Weight of 0-10 points in proposal review)

      The work plan must describe the proposed project activities, or interventions, and explain how they are expected to result in outcomes which will meet the needs of the program participants and assist them to overcome the identified personal and systemic barriers to employment, job retention, and self-sufficiency. In other words, what will the project staff do with the resources provided to the project and how will what they do (interventions) assist in creating and sustaining employment and business opportunities for program participants in the face of the needs and problems that have been identified.

      The underlying assumptions concerning client needs and the theory of how they can be effectively addressed, which are discussed above, lead in the project design to the conduct of a variety of project activities or interventions, each of which is assumed to result in immediate changes, or outcomes.

      The immediate changes lead to intermediate outcomes; and the intermediate outcomes lead to the attainment of the final project goals.

      The applicant should describe the major activities, or interventions, which are to be carried out to address the needs and problems identified in Sub-Element II (a); and should discuss the immediate changes, or outcomes, which are expected to result. These are the results expected from each service or intervention immediately after it is provided. For example, a job readiness training program might be expected to result in clients having increased knowledge of how to apply for a job, improved grooming for job interviews, and improved job interview skills; or business training and training in bookkeeping and accounting might be expected to result in project participants making an informed decision about whether they were suited for entrepreneurship.

      At the next level are the intermediate outcomes, which result from these immediate changes. Often an intermediate project outcome is the result of several immediate changes resulting from a number of related interventions such as training and counseling. Intermediate outcomes should be expressed in measurable changes in knowledge, attitudes, behavior, or status/condition. In the above examples, the immediate changes achieved by the job readiness program, coupled with technical assistance to an employer in the expansion of a business, could be expected to lead to intermediate outcomes of creation of new job openings and the participant applying for a job with the company. The acquisition of business skills, coupled with the establishment of a loan fund, could be expected to result in the actual decision to go into a particular business venture or seek the alternative track of pursuing job readiness and training.

      Finally, the application should describe how the achievement of these intermediate outcomes will be expected to lead to the attainment of the project goals: employment in newly created jobs, new careers in non-traditional jobs, successful business ventures, or employment in an expanded business, depending on the project design. Applicants must remember that if the major focus of the project is to be the development and start-up of a new business or the expansion of an existing business, then a Business Plan which follows the outline in Attachment L to this announcement must be submitted as an Appendix to the Proposal. (See Part III K)

      Applicants do not have to use the exact terminology described above, but it is important to describe the project in a way that makes clear the expected cause-and-effect relationship between what the project plans to do--the activities or interventions, the changes that are expected to result, and how those changes will lead to attainment of the project goals of new employment opportunities and greater self- sufficiency. The competitive review of this Sub-Element will be based on the extent to which the application makes a convincing case that the activities to be undertaken will lead to the projected results.

      It is suggested that applicants use no more than 4 pages for this Sub-Element. Sub-Element II (c)--Work Plan (Weight of 0-10 points in proposal review)

      Once the project strategy and design framework is established, the applicant should present the highlights of a work plan for the project. The plan should explicitly tie into the project design framework and should be feasible, i.e., capable of being accomplished with the resources, staff, and partners available. The plan should briefly describe the key project tasks and show the timelines and major milestones for their implementation. Critical issues or potential problems that might affect the achievement of project objectives should be explicitly addressed, with an explanation of how they would be overcome, and how the objectives will be achieved notwithstanding any such problems. The plan should be presented in such a way that it can be correlated with the budget narrative included earlier in the application.

      Applicants may be able to use a simple Gantt or time line chart to convey the work plan in minimal space.

      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 applicant must include: 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 agreement as is available.

      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

      [[Page 55349]]

      business plan. Guidelines for a Business Plan are included in Attachment L.

      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.

      It is suggested that applicants use no more than 3 pages for this Sub-Element.

      Element III--Significant and Beneficial Impact

      Sub-Element III (a)--Quality of Jobs/Business Opportunities (Weight of 0-10 points in proposal review)

      The proposed project is expected to produce permanent and measurable results that will reduce the incidence of poverty in the community and lead welfare recipients from welfare dependency toward economic self-sufficiency. Results are expected to be quantifiable in terms of the creation of permanent, full-time jobs; the development of business opportunities; the expansion of existing businesses; or the creation of non-traditional employment opportunities. In developing business opportunities and self employment for TANF recipients and low- income individuals, the applicant proposes, at a minimum, to provide basic business planning and management concepts, and assistance in preparing a business plan and loan package.

      The application should document that:

      The business opportunities to be developed for eligible participants will contribute significantly to their progress toward self-sufficiency; and/or jobs to be created for eligible participants will contribute significantly to their progress toward self- sufficiency. For example, they should provide salaries that exceed the minimum wage, plus benefits such as health insurance, child care and career development opportunities.

      It is suggested that applicants use no more than 2 pages for this Sub-Element. Sub-Element III (b)--Community Empowerment Consideration (Weight of 0-3 points in proposal review)

      Special consideration will be given to applicants that are located in areas that are characterized by conditions of extreme poverty and other indicators of socio-economic distress such as a poverty rate of at least 20%, designation as an Empowerment Zone or Enterprise Community, high levels of violence, gang activity or drug use; and who document that in response to these conditions they have been involved in the preparation and planned implementation of a comprehensive community-based strategic plan to achieve both economic and human development in an integrated manner; and how the proposed project will support the goals of that plan.

      It is suggested that applicants use no more than 2 pages for this Sub-Element. Sub-Element III(c)--Support for Noncustodial Parents (Weight of 0-2 points in proposal review)

      Applicants that have entered into partnership agreements with local Child Support Enforcement Agencies to develop and implement innovative strategies to increase the capability of low-income parents and families to fulfill their parental responsibilities, and specifically, to this end, to provide for referrals to the funded projects of identified income eligible families and non-custodial parents economically unable to provide child support, will also receive special consideration.

      To receive the full credit of two points, applicants should include as an appendix to the application, a signed letter of agreement with the local CSE Agency for referral of eligible non-custodial parents to the proposed project.

      It is suggested that applicants use no more than 1 page for this Sub-Element. Sub-Element III (d)--Cost-Per-Job (Weight of 0-5 points in proposal review)

      The applicant should document that during the project period the proposed project will create new, permanent jobs through business opportunities or non-traditional employment opportunities for low- income residents at a cost-per-job below $15,000 in OCS funds. The cost per job should be calculated by dividing the total amount of grant funds requested (e.g. $420,000) by the number of jobs to be created (e.g., 60) which would equal the cost-per-job ($7,000)). If any other calculations are used, include the methodology and rationale in this section. In making calculations of cost-per-job, only jobs filled by low-income project participants may be counted. (See Part III, Section I)

      Note: Except in those instances where independent reviewers identify extenuating circumstances related to business development activities, or high wage levels and living costs such as in Hawaii or Alaska, the maximum number of points will be given only to those applicants proposing cost-per-job created estimates of $5,000 or less of OCS requested funds. Higher cost-per-job estimates will receive correspondingly fewer points.

      It is suggested that applicants use no more than 1 page for this Sub-Element.

      Element IV--Project Evaluation

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

      Sound evaluations are essential to the JOLI Program. OCS requires applicants to include in their applications a well thought through outline of an evaluation plan for their project. The outline should explain how the applicant proposes to answer the key questions about how effectively the project is being/was implemented; whether the project activities, or interventions, achieved the expected immediate outcomes, and why or why not (the process evaluation); and whether and to what extent the project achieved its stated goals, and why or why not (the outcome evaluation). Together, the process and outcome evaluations should answer the question: ``What did this program accomplish and why did it work/not work?''

      Applicants are not being asked to submit a complete and final evaluation plan as part of their proposal; but they must include:

    25. A well thought through outline of an evaluation plan that identifies the principal cause-and-effect relationships to be tested, and that demonstrates the applicant's understanding of the role and purpose of both process and outcome evaluations. (See previous paragraph);

    26. A reporting format based on the grantee's documentation of its activities (interventions) and their effectiveness, to be included in the grantee's semi-annual program progress report, which will provide OCS with insights and lessons learned, as they become evident, concerning the various aspects of the work plan, such as recruitment, training, support, public-private partnerships, and coordination with other community resources, as they may be relevant to the proposed project;

    27. The identity and qualifications of the proposed third-party evaluator, or if

      [[Page 55350]]

      not selected, the qualifications which will be sought in choosing an evaluator, which must include successful experience in evaluating social service delivery programs, and the planning and/or evaluation of programs designed to foster self-sufficiency in low income populations; and

    28. A commitment to the selection of a third-party evaluator approved by OCS, and to completion of a final evaluation design and plan, in collaboration with the approved evaluator and the OCS Evaluation Technical Assistance Contractor during the six-month start- up period of the project, if funded.

      Applicants should ensure, above all, that the evaluation outline presented is consistent with their project design. A clear project framework of the type recommended earlier identifies the key project assumptions about the target populations and their needs, as well as the hypotheses, or expected cause-effect relationships to be tested in the project; and the proposed project activities, or interventions, that will address those needs in ways that will lead to the achievement of the project goals of self-sufficiency. It also identifies in advance the most important process and outcome measures that will be used to identify performance success and expected changes in individual participants, the grantee organization, and the community.

      Finally, as noted above, the outline should provide for prompt reporting, concurrently with the semi-annual program progress reports, of lessons learned during the course of the project, so that they may be shared without waiting for the final evaluation report.

      For all these reasons, it is important that each successful applicant have a third-party evaluator selected and performing at the very latest by the time the work program of the project is begun, and if possible before that time so that he or she can participate in the final design of the program, and in order to assure that data necessary for the evaluation will be collected and available. Plans for selecting an evaluator should be included in the application narrative. A third- party evaluator must have knowledge about and have experience in conducting process and outcome evaluations in the job creation field, and have a thorough understanding of the range and complexity of the problems faced by the target population.

      The competitive procurement regulations (45 CFR part 74, Secs. 74.40-74.48, esp. 74.43) apply to service contracts such as those for evaluators.

      It is suggested that applicants use no more than 3 pages for this Element, plus the resume or position description for the evaluator, which should be in an appendix.

      Element V--Public/Private Partnerships

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

      The proposal should briefly describe any public/private partnerships, which will contribute to the implementation of the project. Where partners' contributions to the project are a vital part of the project design and work program, the narrative should describe undertakings of the partners, and a partnership agreement specifying the roles of the partners and making a clear commitment to the fulfilling of the partnership role, must be included in an appendix to the proposal. The firm commitment of mobilized resources must be documented and submitted with the application in order to be given credit under this element. The application should meet the following criteria:

      (a) Where other resources are mobilized, the application must provide documentation that public and/or private sources of cash and/or third-party-in-kind contributions will be available, in the form of letters of commitment from the organization(s)/individual(s) from which resources will be received. Applications that can document dollar for dollar contributions equal to the OCS funds and demonstrate that the partnership agreement clearly relates to the objectives of the proposed project will receive the maximum number of points for this criterion. Lesser contributions will be given consideration based upon the value documented.

      Note: Even though there is no matching requirement for the JOLI Program, grantees will be held accountable for any match, cash or in-kind contribution proposed or pledged as part of an approved application. (See Part II, D--Mobilization of Resources)

      (b) Partners involved in the proposed project should be responsible for substantive project activities and services. Applicants should note that partnership relationships are not created via service delivery contracts.

      It is suggested that applicants use no more than 4 pages for this Element.

      Element VI--Budget Appropriateness and Reasonableness

      (Weight of 0-5 points in proposal review)

      Applicants are required to submit Federal budget forms with their proposals to provide basic applicant and project information (SF 424) and information about how Federal and other project funds will be used (424A). (See Part VI.) Immediately following the completed Federal budget forms, (Attachments B and C), applicants must submit a Budget Narrative, or explanatory budget information which includes a detailed budget breakdown for each of the budget categories in the SF-424A. This Budget Narrative is not considered a part of the Project Narrative, and does not count as part of the thirty pages; but rather should be included in the application following the budget forms.

      The duration of the proposed project and the funds requested in the budget must be commensurate with the level of effort necessary to accomplish the goals and objectives of the project. The budget narrative should briefly explain how grant funds will be expended and show the appropriateness of the Federal funds and any mobilized resources to accomplish project purposes within the proposed timeframe. The estimated cost to the government of the project should be reasonable in relation to the project's duration and to the anticipated results, and include reasonable administrative costs, if an indirect cost rate has not been negotiated with a cognizant Federal agency.

      Applicants are encouraged to use job titles and not specific names in developing the applicant budget. However, the specific salary rates or amounts for staff positions identified must be included in the application budget.

      Resources in addition to OCS grant funds are encouraged both to augment project resources and strengthen the basis for continuing partnerships to benefit the target community. The amounts of such resources, their appropriateness to the project design, and the likelihood that they will continue beyond the project timeframe will be taken into account in judging the application. As noted in Element V, above, even though there is no matching requirement for the JOLI program, grantees will be held accountable for any match, cash or in- kind contribution proposed or pledged as part of an approved application.

      Applicants should include funds in the project budget for travel by Project Directors and Chief Evaluators to attend two national evaluation workshops in Washington, DC (See Part VIII, Evaluation Workshops.) The score for this element will be based on the budget form (SF-424A) and the associated detailed budget narrative.

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      Part V--Application Procedures

  25. Availability of Forms

    Attachments B through N contain all of the standard forms necessary for the application for awards under this OCS program. These attachments and Parts V and VI of this Announcement contain all the instructions required for submittal of applications.

    Additional copies may be obtained by writing or telephoning the office listed under the section entitled FOR FURTHER INFORMATION CONTACT: at the beginning of this announcement. In addition, this Announcement is accessible on the Internet through the OCS website for reading or downloading at the following address: www.acf.dhhs.gov/ programs/ocs/kits1.htm

    The applicant must be aware that in signing and submitting the application for this award, it is certifying that it will comply with the Federal requirements concerning the Drug-Free workplace, Debarment regulations and the Certification Regarding Environmental Tobacco Smoke, set forth in Attachments E, F and J.

    Part IV contains instructions for the substance and development of the project narrative. Part VII, Section A describes the contents and format of the application as a whole.

  26. Application Submission

    Mailing Address: JOLI Applications should 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, SW, Washington, DC 20447; Attention: Application for JOLI Program.

    Number of Copies Required: One signed original application and four copies should be submitted at the time of initial submission. (OMB- 0970-0062, expiration date October 31, 2001)

    Submission Instructions: Mailed applications shall be considered as meeting an announced deadline if they are either received on or before the deadline date or sent on or before the deadline date and received by ACF in time for the independent review.

    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 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 hand carried 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 deadline date, between the hours of 8 a.m. and 4:30 p.m., EST, and 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, SW, Washington, DC 20024, between Monday and Friday (excluding Federal holidays). The address must appear on the envelope/ package containing the application with the note: Attention: Application for JOLI 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 which do not meet the criteria above are considered late applications. ACF shall notify each late applicant that its application will not be considered in the current competition.

    Extension of Deadlines: ACF may extend application deadlines when circumstances such as acts of God (flood, 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.

  27. Paperwork Reduction Act of 1995

    Under the Paperwork Reduction Act of 1995, Public Law 104-13, the Department is required to submit to OMB for review and approval any reporting and record keeping requirements in regulations, including Program Announcements. 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 announcements/applications under OMB Control Number OMB-0970-0062, expiration date October 31, 2001.

  28. Intergovernmental Review

    This program is covered under Executive Order 12372, ``Intergovernmental Review of Federal Programs,'' and 45 CFR part 100, ``Intergovernmental Review of Department of Health and Human Services Program and Activities.'' Under the Order, States may design their own processes for reviewing and commenting on proposed Federal assistance under covered programs.

    Note: State/territory participation in the intergovernmental review process does not signify applicant eligibility for financial assistance under a program. A potential applicant must meet the eligibility requirements of the program for which it is applying prior to submitting an application to its single point of contact (SPOC), if applicable, or to ACF.

    As of March 5, 1999, the following jurisdictions have elected NOT to participate in the Executive Order process:

    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 from these 24 jurisdictions need take no action regarding E.O. 12372. Applicants for projects to be administered by Federally recognized Indian Tribes are also exempt from the requirements of E.O. 12372. Otherwise, applicants should contact their SPOC as soon as possible to alert them of the prospective applications and receive any necessary instructions. Applicants must submit any required material to the SPOC as soon as possible so that the program office can obtain and review SPOC comments as part of the award process. It is imperative that the applicant submit all required materials, if any, to the SPOC and indicate the date of this submittal (or the date of contact if no submittal is required) on the Standard Form 424, item 16a. Under 45 CFR 100.8(a)(2), a SPOC has sixty (60) days from the application deadline to comment on proposed new or competing continuation awards.

    SPOCs are encouraged to eliminate the submission routine endorsements as official recommendations. Additionally, SPOCs are requested to differentiate clearly between mere advisory comments and those official State process recommendations which may

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    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 SPOCs for each State and Territory is included as Attachment G to this Announcement.

  29. Application Consideration

    Applications that meet the screening requirements below will be reviewed competitively. Such applications will be referred to reviewers for numerical scoring and explanatory comments based solely on responsiveness to the guidelines and evaluation criteria published in this Announcement.

    Applications will be reviewed by persons outside of the OCS unit. The results of these reviews will assist the Director and OCS program staff in considering competing applications. Reviewers' scores will weigh heavily in funding decisions, but will not be the only factors considered.

    Applications generally will be considered in order of the average scores assigned by reviewers. However, highly ranked applications are not guaranteed funding since other factors are taken into consideration, including, but not limited to: The timely and proper completion of projects funded with OCS funds granted in the last five (5) years; comments of reviewers and government officials; staff evaluation and input; the amount and duration of the grant requested and the proposed project's consistency and harmony with OCS goals and policy; geographic distribution of applications; previous program performance of applicants; the limitations on project continuation or refunding (see Part II, Section H); the number of previous JOLI grants made to applicants; compliance with grant terms under previous HHS grants, including the actual dedication to program of mobilized resources as set forth in project applications; audit reports; investigative reports; and applicant's progress in resolving any final audit disallowance's on previous OCS or other Federal agency grants.

    OCS reserves the right to discuss applications with other Federal or non-Federal funding sources to verify the applicant's performance record and the documents submitted.

  30. Criteria for Screening Applications

    All applications that meet the published deadline requirements as provided in this Program Announcement will be screened for completeness and conformity with the requirements. Only complete applications that meet the requirements listed below will be reviewed and evaluated competitively. Other applications will be returned to the applicant with a notation that they were unacceptable and will not be reviewed.

    The following requirements must be met by all applicants:

    1. The application must contain a Standard Form 424 ``Application for Federal Assistance'' (SF-424), a budget (SF-424A), and signed ``Assurances'' (SF-424B) completed according to instructions published in Part VI and Attachments C and D, of this Program Announcement.

    2. All JOLI applications must include a signed cooperative partnership agreement within the designated State Agency responsible for administering the TANF Program, or a letter of commitment to such an agreement within six months of a grant award, contingent only on receipt of OCS funds. This cooperative partnership agreement must fully describe the role and/or responsibilities of each partner for specific activities and/or services to be provided which must clearly relate to the objectives of the proposed project.

    3. A project narrative must also accompany the standard forms. OCS requires that the narrative portion of the application be limited to 30 pages, typewritten on one side of the paper only with one-inch margins and type face no smaller than 12 characters per inch (c.p.i.) or equivalent. The Budget Narrative Charts, exhibits, resumes, position descriptions, letters of support, cooperative agreements, and business plans (where required) are not counted against this page limit. It is strongly recommended that applicants follow the format and content for the narrative set out in Part IV.

    4. The SF-424 and the SF-424B must be signed by an official of the organization applying for the grant who has authority to obligate the organization legally. Applicants must also be aware that the applicant's legal name as required on the SF-424 (Item 5) must match that listed as corresponding to the Employer Identification Number (Item 6).

    5. Application must contain documentation of the applicant's tax exempt status as required under Part II, Section A.

    6. Written Agreement When Applicant Proposes to Make Equity Investment or Loan: The application must contain 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 III, Section N.

    Part VI--Instructions for Completing the SF-424

    (Approved by the Office of Management and Budget under Control Number 0970-0062, expiration date October 31, 2001.)

    The standard forms attached to this Announcement shall be used to apply for funds under this Program Announcement.

    It is suggested that you reproduce single-sided copies of the SF- 424 and SF-424A and type your application on the copies. Please prepare your application in accordance with instructions provided on the forms (Attachments B and C) as modified by the OCS specific instructions set forth below:

    Provide line item detail and detailed calculations for each budget object class identified on the Budget Information form. Detailed calculations must include estimation methods, quantities, unit costs, and other similar quantitative detail sufficient for the calculation to be duplicated. The detailed budget must also include a breakout by the funding sources identified in Block 15 of the SF-424.

    Provide a narrative budget justification, which describes how the categorical costs are derived. Discuss the necessity, reasonableness, and allocability of the proposed costs.

  31. SF-424--Application for Federal Assistance

    Top of Page. Please enter the single priority area number under which the application is being submitted (1.0 or 2.0). An application should be submitted under only one priority area.

    Where the applicant is a previous Department of Health and Human Services grantee, enter the Central Registry System Employee Identification Number (CRS/EIN) and the Payment Identifying Number, if one has been assigned, in the Block entitled Federal Identifier located at the top right hand corner of the form.

    Item 1. For the purposes of this Announcement, all projects are considered Applications; there are no Pre-Applications.

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

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

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

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    programs covered under this Announcement is 93.593. The title is ``Job Opportunities for Low-Income Individuals Program''.

    Item 11. In addition to a brief descriptive title of the project, indicate the priority area for which funds are being requested. Use the following letter designations:

    JO--General Project JS--Community Development Corporation Set-Aside

    Item 13. ``Proposed Project''--The ending date should be based on the requested project period, not to exceed three years (36 months).

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

    Item 15b-e. These items should reflect both cash and third-party, in-kind contributions for the three year budget period requested.

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

    In completing these sections, the Federal Funds budget entries will relate to the requested OCS funds only, and Non-Federal will include mobilized funds from all other sources--applicant, state, local, and other. Federal funds other than requested OCS funding should be included in ``Non-Federal'' entries.

    Section A, B, and C of SF-424A should reflect budget estimates for each year of the budget period for which funding is being requested. Section A--Budget Summary

    You need only fill in lines 1 and 5 (with the same amounts) Column (a): Enter Job Opportunities for Low-Income Individuals Program. Column (b): Catalog of Federal Domestic Assistance number is 93.593.

    --Columns (c) and (d): not relevant to this program. --Columns (e)-(g): enter the appropriate amounts (column e should not be more than $500,000). Section B--Budget Categories (Note that the following information supersedes the instructions provided with the Form SF-424A in Attachment C)

    Columns (1)-(5): For each of the relevant Object Class Categories:

    --Column 1: Enter the OCS grant funds for the first year; --Column 2: Enter the OCS grant funds for the second year (where appropriate); --Column 3: Enter the OCS grant funds for the third year (where appropriate); --Column 4: Leave Blank. --Column 5: Enter the total Federal OCS grant funds for the total budget period by Class Categories, showing a total budget of not more than $500,000.

    Note: With regard to Class Categories, only out-of-town travel should be entered under Category c. Travel. Local travel costs should be entered under Category h. Other. Equipment costing less than $5000 should be included in Category e. Supplies. Section C--Non-Federal Resources

    This section is to record the amounts of ``non-Federal'' resources that will be used to support the project. For the purposes of this application, ``non-Federal'' resources means other than the 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 these ``non-Federal'' resources on a separate sheet and describe whether it is a grantee-incurred cost or a third-party cash or 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 review process under the Public-Private Partnerships program element.

    Except in unusual situations, this documentation must be in the form of letters of commitment from the organization(s)/individual(s) from which resources will be received.

    Note: Even though there is no matching requirement for the JOLI Program, grantees will be held accountable for any match, cash or in-kind contribution proposed or pledged as part of an approved application. (See Part IV, Element V.)

    This Section should be completed in accordance with the instructions provided.

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

    A supporting Budget Narrative must be submitted providing details of expenditures under each budget category, and justification of dollar amounts which relate the proposed expenditures to the work program and goals of the project. (See Part IV, Element VI)

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

    All applicants must fill out, sign, date and return the ``Assurances'' with the application. (See Attachment D)

    Part VII--Contents of Application and Receipt Process

  34. Contents of Application

    Each JOLI Application must include all of the following, in the order listed below:

    1. Table of Contents;

    2. An Abstract of the Proposed Project--very brief, not to exceed 250 words, that would be suitable for use in an announcement that the application has been selected for a grant award; which identifies the type of project(s), the target population, and the major elements of the work plan;

    3. Completed Standard Form 424 which has been signed by an Official of the organization applying for the grant who has authority to obligate the organization legally;

      Note: The original SF-424 must bear the original signature of the authorizing representative of the applicant organization.)

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

    5. A narrative budget justification for each object class category required under Section B, SF-424A;

    6. Certifications and Assurance Required for Non-Construction Programs, as follows:

      Applicants requesting financial assistance for a non-construction project must file the Standard Form 424B, ``Assurances: Non- Construction Programs''. Applicants must sign and return the Standard Form 424B with their applications.

      Applicants must provide a Certification Regarding Lobbying. Prior to receiving an award in excess of $100,000, applicants shall furnish an executed copy of the lobbying certification. Applicants must sign and return the certification with their application.

      Applicants must make the appropriate certification of their compliance with the Drug-Free Workplace Act of 1988. By signing and submitting the applications, applicants are providing the certification and need not mail back the certification with the applications.

      Applicants must make the appropriate certification that they are not presently debarred, suspended or otherwise ineligible for award. By signing and submitting the applications, applicants are providing the certification and need not mail back the certification with the applications. Copies of the certifications and assurance are located at the end of this Announcement.

      Applicants must make the appropriate certification of their compliance with all Federal statutes relating to nondiscrimination. By signing and submitting the applications, applicants are providing the certification and need not mail back a certification form.

    7. Certification Regarding Environmental Tobacco Smoke--Signature on the application attests to the applicants intent to comply with the requirements of the Pro-Children Act of 1994 (no signature required on form).

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

      [[Page 55354]]

      described in Part IV of this Announcement set forth in the order there presented; preceded by a consecutively numbered Table of Contents (not to be counted as part of the 30 pages).

    9. Appendices--proof of non-profit tax-exempt status as outlined in Part II, Section A; proof that the organization is a community development corporation, if applying under the CDC Set-aside; commitments from officials of businesses that will be expanded or franchised, where applicable; partnership agreement with the designated State TANF agency and CSE agency; Single Point of Contact comments, if applicable; resumes and position descriptions; a Business Plan, where required; and the Maintenance of Effort Certification (See Part II-J and Attachment M).

      The total number of pages for the narrative portion of the application package must not exceed 30 pages, excluding Appendices and Narrative Table of Contents. See Part V(f) (c) for pages that do not count against the 30-page limit.

      Pages should be numbered sequentially throughout, including Appendices, beginning with the Abstract as Page 1. The application may also contain letters that show collaboration or substantive commitments to the project by organizations other than the designated TANF agency. Such letters are not part of the narrative and should be included in the Appendices. These letters are, therefore, not counted against the 30 page limit.

  35. Application Format

    Applications must be uniform in composition since OCS may find it necessary to duplicate them for review purposes. Therefore, applications must be submitted on white 8\1/2\ x 11 inch paper only. Applications must not include colored, oversized or folded materials. Applications should not include organizational brochures or other promotional materials, slides, films, clips, etc., in the proposal. Such material will not be reviewed and will be discarded if included.

    Applications must be bound or enclosed in loose-leaf binder notebooks. Preferably, applications should be two-holed punched at the top center and fastened separately with a compressor slide paper fastener, or a binder clip.

    C Acknowledgment of Receipt

    Applicants who meet the initial screening criteria outlined in Part V, Section E, will receive within ten days after the deadline date for submission of applications, an acknowledgment with an assigned identification number. To facilitate receipt of this acknowledgment from ACF, applicant is asked to include a cover letter with the application containing an E-mail address and facsimile (FAX) number if these items are available to applicant.

    Applicants are requested to supply a self-addressed mailing label with their application which can be attached to this acknowledgment notice. This mailing label should reflect the mailing address of the authorizing official who is applying on behalf of the organization. This number and the program letter code, i.e., JO or JS, must be referred to in all subsequent communications with OCS concerning the application. If an acknowledgment is not received within three weeks after the deadline date, please notify ACF by telephone (202) 401-5103.

    Part VIII--Post Award Information and Reporting Requirements

  36. Notification of Grant Award

    Following approval of the application selected for funding, notice of project approval and authority to draw down project funds will be made in writing. The official award document is the Financial Assistance Award, which provides the amount of Federal funds approved for use in the project, the project and budget periods for which support is provided, the terms and conditions of the award, and the total project period for which support is contemplated.

  37. Attendance at Evaluation Workshops

    The Project Directors and third-party evaluators will be required to attend two national evaluation workshops in Washington, DC. A three- day program development and evaluation workshop will be scheduled shortly after the effective date of the grant. They also will be required to attend, as presenters, the final evaluation workshop on utilization and dissemination to be held at the end of the project period. Project budgets must include funds for travel to and attendance at these workshops. (See Part IV, Element VI, Budget Appropriateness and Reasonableness.)

  38. Reporting Requirements

    Grantees will be required to submit semi-annual program progress and financial reports (SF 269) as well as a final program progress and financial report within 90 days of the expiration of the grant. An annual evaluation report will be due 30 days after each twelve months. A written draft policies and procedures manual based on the finding of the process evaluation should be submitted along with the first annual evaluation report. A final evaluation report will be due 90 days after the expiration of the grant.

  39. Audit Requirements

    Grantees are subject to the audit requirements in 45 CFR Part 74 (non-profit organization) and OMB Circular A-133.

  40. Prohibitions and Requirements With Regard to Lobbying

    Section 319 of Public Law 101-121, signed into law on October 23, 1989, imposes prohibitions and requirements for disclosure and certification related to lobbying on recipients of Federal contracts, grants, cooperative agreements, and loans. It provides limited exemptions for Indian tribes and tribal organizations. Current and prospective recipients (and their subtier contractors and/or grantees) are prohibited from using appropriated funds for lobbying Congress or any Federal agency in connection with the award of a contract, grant, cooperative agreement or loan. In addition, for each award action in excess of $100,000 (or $150,000 for loans) the law requires recipients and their subtier contractors and/or subgrantees (1) to certify that they have neither used nor will use any appropriated funds for payment to lobbyists, (2) to submit a declaration setting forth whether payments to lobbyists have been or will be made out of non-appropriated funds and, if so, the name, address, payment details, and purpose of any agreements with such lobbyists whom recipients or their subtier contractors or subgrantees will pay with the non-appropriated funds and (3) to file quarterly up-dates about the use of lobbyists if an event occurs that materially affects the accuracy of the information submitted by way of declaration and certification.

    The law establishes civil penalties for noncompliance and is effective with respect to contracts, grants, cooperative agreements and loans entered into or made on or after December 23, 1989. See Attachment H for certification and disclosure forms to be submitted with the applications for this program.

  41. Applicable Federal Regulations

    Attachment K indicates the regulations that apply to all applicants/grantees under the Job Opportunities for Low-Income Individuals Program.

    [[Page 55355]]

    Dated: October 4, 1999. Donald Sykes, Director, Office of Community Services.

    Job Opportunities for Low-Income Individuals; Attachments

    A Poverty Income Guidelines for the 48 Contiguous States and the District of Columbia B Standard Form 424 C Standard Form 424A D Standard Form 424B E Certification Regarding Drug-Free Workplace Requirements F Certification Regarding Debarment, Suspension and Other Responsibility Matters G State Single Point of Contact Listing Maintained by OMB H Certification Regarding Lobbying Activities and Disclosure of Lobbying Activities, SF-LLL I State Human Services Administrators J Certification Regarding Environmental Tobacco Smoke K DHHS Regulations Applying to All Applicants/Grantees Under the Job Opportunities for Low-Income Individuals (JOLI) Program L Business Plan M Certification Regarding Maintenance of Effort N OCSE IV-D Report O Applicant's Checklist

    Attachment A

    Poverty Size of family unit

    guideline

    1999 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES AND THE DISTRICT OF COLUMBIA

    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

    2. 10,320 2.......................................................... 13,840 3.......................................................... 17,360 4.......................................................... 20,880 5.......................................................... 24,400 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

    3. 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 55356]]

      [GRAPHIC] [TIFF OMITTED] TN12OC99.000

      BILLING CODE 4184-01-C

      [[Page 55357]]

      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

    4. Self-explanatory.

    5. Date application submitted to Federal agency (or State if applicable) and applicant's control number (if applicable).

    6. State use only (if applicable).

    7. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank.

    8. 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.

    9. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service.

    10. Enter the appropriate letter in the space provided.

    11. 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.

    12. Name of Federal agency from which assistance is being requested with this application.

    13. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested.

    14. 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.

    15. List only the largest political entities affected (e.g., State, counties, cities).

    16. Self-explanatory.

    17. List the applicant's Congressional District and any District(s) affected by the program or project.

    18. 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.

    19. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process.

    20. 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.

    21. 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 55358]]

      [GRAPHIC] [TIFF OMITTED] TN12OC99.001

      [[Page 55359]]

      [GRAPHIC] [TIFF OMITTED] TN12OC99.002

      BILLING CODE 4184-01-C

      [[Page 55360]]

      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 Column (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year).

      For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f).

      For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non-Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f).

      Line 5--Show the Totals for All Columns Used

      Section B. Budget Categories

      In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories.

      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 of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) on Line 5.

      Line 7--Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the Federal grantor agency in determining the total amount of the grant.

      Section C. Non-Federal Resources

      Lines 8-11 Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet.

      Column (a)--Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary.

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

      Column (c)--Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank.

      Column (d)--Enter the amount of cash and in-kind contributions to be made from all other sources.

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

      Line 12--Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A.

      Section D. Forecasted Cash Needs

      Line 13--Enter the amount of cash needed by quarter from the grantor agency during the first year.

      Line 14--Enter the amount of cash from all other sources needed by quarter during the first year.

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

      Seciton E. Budget Estimates of Federal Funds Needed for Balance of the Project

      Lines 16-19--Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants.

      If more than four lines are needed to list the program titles, submit additional schedules as necessary.

      Line 20--Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line.

      Section F. Other Budget Information

      Line 21--Use this space to explain amounts for individual direct object class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency.

      Line 22--Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be 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

      Assurancs--Non-Construction Programs

      Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing

      [[Page 55361]]

      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 (0348-0040), Washington, DC 20503.

      PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.

      Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.

      As the duly authorized representative of the applicant, I certify that the applicant:

    22. 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.

    23. 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.

    24. 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.

    25. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.

    26. 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 OPMs's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).

    27. 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 confidentiality 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 statute(s) under which application for Federal assistance is being made; and, (j) the requirements of any other nondiscrimination statute(s) which may apply to the application.

    28. 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.

    29. 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.

    30. 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.

    31. 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.

    32. 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).

    33. 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.

    34. 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.).

    35. 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.

    36. 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.

    37. 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.

    38. 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.''

    39. 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 ORGANIZATOIN

      ---------------------------------------------------------------------- DATE SUBMITTED

      Certification Regarding Drug-Free Workplace Requirements

      This certification is required by the regulations implementing the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart, F. Sections 76.630(c) and (d)(2) and 76.645(a)(1) and (b) provide that a Federal agency may designate a central receipt point for STATE- WIDE AND STATE AGENCY-WIDE certifications, and for notification of criminal drug convictions. For the Department of Health and Human Services, the central pint is: Division of Grants Management and Oversight, Office of Management and Acquisition, Department of Health and Human Services, Room 517-D, 200 Independence Avenue, SW, Washington, DC 20201.

      [[Page 55362]]

      Certification Regarding Drug-Free Workplace Requirements (Instructions for Certification)

    40. By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below.

    41. The certification set out below is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act.

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

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

    44. 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.

    45. 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).

    46. 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).

    47. 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 pea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes;

      Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance;

      Employee means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) All direct charge employees; (ii) All indirect charge employees unless their impact or involvement is insignificant to the performance of the grant; and, (iii) Temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces).

      Certification Regarding Drug-Free Workplace Requirements

      Alternate I. (Grantees Other Than Individuals)

      The grantee certifies that it will or will continue to provide a drug-free workplace by:

      (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition;

      (b) Establishing an ongoing drug-free awareness program to inform employees about:

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

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

      (3) Any available drug counseling, rehabilitation, and employee assistance programs; and

      (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

      (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a);

      (d) Notifying the employee in the statement required by paragraph (a) that, as condition of employment under the grant, the employee will--

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

      (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

      (e) Notifying the agency in writing, within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant;

      (f) Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d)(2), with respect to any employee who is so convicted--

      (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or

      (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

      (g) Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f).

      (B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant:

      Place of Performance (Street address, city, country, state, zip code) ---------------------------------------------------------------------- ----------------------------------------------------------------------

      Check if there are workplaces on file that are not identified here.

      Alternate II. (Grantees Who Are Individuals)

      (a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;

      (b) If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, he or she will report the conviction, in writing, within 10 calendar days of the conviction, to every grant officer or other designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made to such a central point, it shall include the identification number(s) of each affected grant.

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

      Attachment F

      Certification Regarding Debarment, Suspension and Other Responsibility Matters

      Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions

      Instructions for Certification

    48. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below.

    49. 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.

    50. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default.

    51. The prospective primary participant shall provide immediate written notice to the

      [[Page 55363]]

      department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

    52. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations.

    53. The perspective 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 proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction.

    54. 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.

    55. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs.

    56. 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.

    57. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default.

      Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions

      (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principles:

      (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency:

      (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

      (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

      (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default.

      (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

      Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions

      Instructions for Certification

    58. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below.

    59. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

    60. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or had become erroneous by reason of changed circumstances.

    61. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations.

    62. The prospective lower tier participant agrees by submitting this proposal that, [[Page 33043]] should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

    63. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled ``Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction,'' without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

    64. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs.

    65. 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.

    66. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

      Certification Regarding Debarment, Suspension, Ineligibility an Voluntary Exclusion--Lower Tier Covered Transactions

      (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

      (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such

      [[Page 55364]]

      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 #12372, ``Intergovernmental Review of Federal Programs,'' Section 4, ``the Office of Management and Budget (OMB) shall maintain a list of official State entities designated at the States 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.

      August 23, 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 Services

      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 for Community Assistance

      Iowa Department of Economic Development

      200 East Grand Avenue

      Des Monies, 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 Officer 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: (313) 961-4266 FAX: (313) 961-4869

      Mississippi

      Cathy Mallette Clearinghouse Officer Department of Finance and 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) 225-2308

      Rhode Island

      Kevin Nelson Review Coordinator Department of Administration

      [[Page 55365]]

      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) 936-2681

      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, WY 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: (671) 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 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

      CERTIFICATION REGARDING LOBBYING

      Certification for Contracts, Grants, Loans, and Cooperative Agreements

      The undersigned certifies, to the best of his or her knowledge and belief, that:

      (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

      (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, 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 the transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

      Statement for Loan Guarantees and Loan Insurance

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

      If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ``Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

      ---------------------------------------------------------------------- Signature

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

      ---------------------------------------------------------------------- Organization

      BILLING CODE 4184-01-M

      [[Page 55366]]

      [GRAPHIC] [TIFF OMITTED] TN12OC99.003

      BILLING CODE 4184-01-C

      [[Page 55367]]

      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.

    67. 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.

    68. Identify the status of the covered Federal action.

    69. Identify the appropriate classification of this report. It 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.

    70. 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 if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

    71. If the organization filing the report in item 4 checks ``Subawardee,'' then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known.

    72. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

    73. Enter the Federal program name or description of the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number of grants, cooperative agreements, loans, and loan commitments.

    74. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., ``RFP-DE-90-001.''

    75. For a covered Federal action where there has been an award of loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.

    76. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 of influence the covered Federal action.

      (b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI).

    77. The certifying official shall sign and date the form, print his/her name, title, and telephone number.

      According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 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 (0348-0046), Washington, DC 20503. to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503.

      Attachment I

      State Human Services Administrators

      A

      Mr. Tony Petelos Commissioner Alabama State Department of Human Resources 50 Ripley Street Montgomery, AL 36130-4000 Phone: (334) 242-1160 FAX: (334) 242-0198

      Ms. Karen Perdue Commissioner Alaska Department of Health and Social Services P.O. Box 110601 Juneau, AK 99811-0601 Phone: (907) 465-3030 FAX: (907) 465-3068

      Ms. Marie Ma'o Director American Samoa Department of Social Services Pago Pago, AS 96799 Phone: 011 (684) 633-2969 FAX: 011 (684) 633-7449

      Mr. John L. Clayton Director Arizona Department of Economic Security P.O. Box 6123, Site Code 010A Phoenix, AZ 85005 Phone: (602) 542-5678 FAX: (602) 542-5339

      Mr. Kurt Knickrehm Director Arkansas Department of Human Services P.O. Box 1437--Suite 329 Little Rock, AR 72203-1437 Phone: (501) 682-8650 FAX: (501) 682-6836

      C

      Mr. Grantland Johnson Secretary California Health and Welfare Agency 1600 Ninth Street, Room 460 Sacramento, CA 95814 Phone: (916) 654-3345 FAX: (916) 654-3343

      Mrs. Marva Livingston Hammons Executive Director Colorado Department of Human Services 1575 Sherman Street, 8th Floor Denver, CO 80203-1714 Phone: (303) 866-5096 FAX: (303) 866-4740

      Ms. Patricia A. Wilson-Coker Commissioner Connecticut Department of Social Services 25 Sigourney Street Hartford, CT 06106 Phone: (860) 424-5008 FAX: (860) 424-4960

      D

      Dr. Gregg C. Sylvester Secretary Delaware Department of Health & Social Services Herman M. Holloway Campus Administration Building, 1st floor 1901 N. DuPont Highway New Castle, DE 19720 Phone: (302) 577-4500 FAX: (302) 577-4510

      Mrs. Jearline Williams Director D.C. Department of Human Services 801 East Building 2700 Martin Luther King, Jr. Avenue Washington, DC 20032 Phone: (202) 279-6002 FAX: (202) 279-6014

      F

      Judge Kathleen Kearney Secdretary Florida Department of Children and Families Building 1, Room 202 1317 Winewood Boulevard Tallahassee, FL 32399-0700 Phone: (850) 487-1111 FAX: (850) 922-2993

      Mr. Robert G. Brooks Secretary Florida Department of Health 2020 Capital Circle, S.E., BIN 800 Tallahassee, FL 32399-0701 Phone: (850) 487-2945 FAX: (850) 487-3729

      G

      Ms. Audrey Horne Commissioner Georgia Department of Human Resources 2 Peach Tree Street, N.W., Suite 29-250 Atlanta, GA 30303 Phone: (404) 656-5680 FAX: (404) 651-8669

      Mr. Dennis G. Rodriguez Director Guam Department of Public Health and Social Services

      [[Page 55368]]

      P.O. Box 2816 Agana, GU 96932 Phone: 011 (671) 734-7102 FAX: 011 (671) 734-5910

      H

      Ms. Susan Chandler Director Hawaii Department of Human Services P.O. Box 339 Honolulu, HI 96809-0339 Phone: (808) 586-4997 FAX: (808) 586-4890

      I

      Mr. Karl Kurtz Director Idaho Department of Health and Welfare P.O. Box 83720 Boise, ID 83720-0036 Phone: (208) 334-5500 FAX: (208) 334-6558

      Mr. Howard Peters Secretary Illinois Department of Human Services Harris Building, 3rd floor 100 South Grand Avenue, East Springfiled, IL 62762 Phone: (217) 557-1602 FAX: (217) 557-1647

      Mr. Peter Sybinsky Secretary Indiana Family and Social Services Administration 402 West Washington Street, Room W-461 Indianapolis, IN 46207-7083 Phone: (317) 233-4452 FAX: (317) 233-4693

      Ms. Jessie Rasmussen Director Iowa Department of Human Services 5th floor, Hoover State Office Building Des Moines, IA 50319 Phone: (515) 281-5452 FAX: (515) 281-4597

      K

      Ms. Rochelle B. Cronister Secretary Kansas Department of Social and Rehabilitation Services Docking State Office Building, 6th floor 915 Harrison Street Topeka, KS 66612-1570 Phone: (785) 296-3271 FAX: (785) 296-4685

      Ms. Viola P. Miller Secretary Kentucky Cabinet for Families and Children 275 East Main Street, 4th floor West Frankfort, KY 40621 Phone: (502) 564-7130 FAX: (502) 564-3866

      L

      Ms. Gwendolyn P. Hamilton Secretary Louisiana Department of Social Services P.O. Box 3776 Baton Rouge, LA 70821 Phone: (504) 342-0286 FAX: (504) 342-8636

      M

      Mr. Kevin W. Concannon Commissioner Maine Department of Human Services 11 Statehouse Station 221 State Street Augusta, ME 04333 Phone: (207) 287-3106 FAX: (207) 287-3005

      Ms. Lynda G. Fox Secretary Maryland Department of Human Resources Saratoga State Center 311 West Saratoga Street Baltimore, MD 21201 Phone: (410) 767-71109 FAX: (410) 333-0099

      Mr. William O'Leary Commissioner Massachusetts Department of Social Services 24 Farnsworth Street Boston, MA 02210 Phone: (617) 727-0900 FAX: (617) 439-4482

      Ms. Claire McIntire Commissioner Massachusetts Department of Transitional Assistance 600 Washington Street Boston, MA 02111 Phone: (617) 348-8400 FAX: (617) 348-8575

      Mr. Douglas Howard Director Michigan Family Independence Agency 235 South Grand Avenue Lansing, MI 48909 Phone: (517) 373-2000 FAX: (617) 335-6101

      Mr. Michael O'Keefe Commissioner Minnesota Department of Human Services 444 Lafayette Road St. Paul, MN 55155-3815 Phone: (651) 296-2701 FAX: (651) 296-5868

      Mr. Donald Taylor Executive Director Missippi Department of Human Services 750 North State Street Jackson, MS 39202 Phone: (601) 359-4480 FAX: (601) 359-4477

      Mr. Gary J. Stangler Director Missouri Department of Social Services Broadway State Office Building 221 W. High Street Jefferson City, MO 65102 Phone: (573) 751-4815 FAX: (573) 751-3203

      Ms. Laurie Ekanger Director Montana Department of Public Health and Human Services P.O. Box 4210 Helena, MT 59604-4210 Phone: (406) 444-5622 FAX: (406) 444-1970

      N

      Mr. Ron Ross Director Nebraska Department of Health and Human Services P.O. Box 95044 Lincoln, NE 68509-5044 Phone: (402) 471-9106 FAX: (402) 471-0820

      Ms. Charlotte Crawford Director Nevada Department of Human Resources 505 East King Street, Suite 600 Carson City, NV 89710 Phone: (775) 684-4000 FAX: (775) 684-4010

      Mr. Donald L. Shumway Commissioner New Hampshire Department of Health and Human Services 129 Pleasant Street Concord, NH 03301 Phone: (603) 271-4334 FAX: (603) 271-4912

      Ms. Michelle Guhl Commissioner New Jersey Department of Human Services 222 South Warren Street Trenton, NJ 08625-0700 Phone: (609) 292-3717 FAX: (609) 292-3824

      Mr. Alex Valdez Secretary New Mexico Human Services Department P.O. Box 2348 Santa Fe, NM 87504-2348 Phone: (505) 827-7750 FAX: (505) 827-6286

      Mr. Brian Wing Commissioner New York State Office of Temporary and Disability Assistance 40 North Pearl Street Albany, NY 12243 Phone: (518) 473-9772 and 474-9475 FAX: (518-6255

      Mr. John A. Johnson Commissioner New York State Office of Children and Family Services 52 Washington Street Rensselaer, NY 12144 Phone: (518) 473-8437 FAX: (518) 473-9131

      Mr. James McGowan Commissioner New York State Department of Labor State Campus, Building 12 Albany, NY 12240 Phone: (518) 457-2741 FAX: (518) 457-6908

      Dr. H. David Bruton Secretary North Carolina Department of Health and Human Services

      101 Blair Drive Raleigh, NC 27603 Phone: (919) 733-4534 FAX: (919) 715-4645

      Ms. Carol K. Olson Executive Director North Dakota Department of Human Services State Capitol--Judicial Wing--Dept. 325 600 East Boulevard Bismarck, ND 58505 Phone: (701) 328-2310 FAX: (701) 328-1545

      O

      Ms. Jacqueline Romer-Sensky Director Ohio Department of Human Services

      [[Page 55369]]

      30 East Broad Street, 32nd Floor Columbus, OH 43266-0423 Phone: (614) 466-6282 FAX: (614) 466-2815

      Mr. Howard A. Hendrick Director Oklahoma Department of Human Services P.O. Box 25352 Oklahoma City, OK 73125 Phone: (405) 521-3646 FAX: (405) 521-6458

      Mr. Gary Weeks Director Oregon Department of Human Resources 500 Summer Street, N.E. Salem, OR 97310-1012 Phone: (503) 945-5944 FAX: (503) 378-2897

      P

      Ms. Feather O. Houstoun Secretary Pennsylvania Department of Public Welfare P.O. Box 2675 Harrisburg, PA 17105-2675 Phone: (717) 787-2600 FAX: (717) 772-2062

      Ms. Angie Varela-Llavona Secretary Puerto Rico Department of The Family P.O. Box 11398 San Juan, PR 00910-1398 Phone: (787) 723-8722 FAX: (787) 723-1223

      R

      Ms. Chistine Fereguson Director Rhode Island Department of Human Services 600 New London Avenue Cranston, RI 02920 Phone: (401) 464-2121 FAX: (401) 463-3677

      S

      Ms. Elizabeth G. Patterson, J.D. Director South Carolina Department of Social Services P.O. Box 1520 Columbia: SC 29202-1520 Phone: (803) 898-7360 FAX: (803) 898-7277

      Mr. James W. Ellenbecker Secretary South Dakota Department of Social Services 700 Governors Drive Pierre, SD 57501-2291 Phone: (605) 773-5990 FAX: (605) 773-5483

      T

      Ms. Natasha Metcalf Commissioner Tennessee Department of Human Services Citizens Plaza Building, 15th Floor 400 Deaderick Street Nashville, TN 37248-0001 Phone: (615) 313-4700 FAX: (615) 741-4165

      Mr. Eric M. Bost Commissioner Texas Department of Human Services 701 West 51st Street P.O. Box 149030 Austin, TX 78714-9030 Phone: (512) 438-3030 FAX: (512) 538-4220

      Ms. Diane D. Rath Chair and Commissioner Representing the Public Texas Work Force Commission 101 East 15th Street Austin, TX 78778 Phone: (512) 463-2222 FAX: (512) 475-2321

      U

      Mrs. Robin Arnold-Williams Director Utah Department of Human Services P.O. Box 45599 Salt Lake City, UT 94114-0250 Phone: (801) 538-3998 FAX: (801) 538-4016

      Mr. Robert C. Gross Executive Director Utah Department of Workforce Services 140 E. Third Street South Salt Lake City, UT 84114 Phone: (801) 536-7400 FAX: (801) 526-9211

      V

      Mr. Cornelius Hogan Secretary Vermont Agency of Human Services 103 South Main Street Waterbury, VT 05671-0204 Phone: (802) 241-2220 FAX: (802) 241-2979

      Ms. Sedonia Halbert Acting Commissioner Virgin Islands Department of Human Services Knudhansen Complex Building A 1304 Hospital Grounds St. Thomas, VI 00802 Phone: (809) 774-1166 FAX: (809) 774-3466

      Mr. Clarence H. Carter Commissioner Virginia Department of Social Services 730 East Broad Street, 9th floor Richmond, VA 23219-1849 Phone: (804) 692-1900 FAX: (804) 692-1964

      W

      Mr. Lyle Quasim Secretary Washington Department of Social and Health Services P.O. Box 45010 Olympia, WA 98504-5010 Phone: (360) 902-7800 FAX: (360) 902-7848

      Ms. Joan E. Ohl Secretary West Virginia Department of Health and Human Resources State Capitol Complex Building 3, Room 206 1900 Kanawha Boulevard, East Charleston, WV 25305-0500 Phone: (304) 558-0684 FAX: (304) 558-1130

      Mr. Joseph Leean Secretary Wisconsin Department of Health and Family Services P.O. Box 7850 Madison, WI 53707-7850 Phone: (608) 266-9622 FAX (608) 266-7882

      Ms. Shirley R. Carson Director Wyoming Department of Family Services Hathaway Building, 3rd floor 2300 Capitol Avenue Cheyenne, WY 82002-0490 Phone: (307) 777-7561 FAX: (307) 777-7747

      Attachment J

      Certification Regarding Environmental Tobacco Smoke

      Public Law 103227, Part C Environmental Tobacco Smoke, also known as the Pro Children Act of 1994, requires that smoking not be permitted in any portion of any indoor routinely owned or leased or contracted for by an entity and used routinely or regularly for provision of health, day care, education, or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law does not apply to children's services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1000 per day and/or the imposition of an administrative compliance order on the responsible entity. By signing and submitting this application the applicant/grantee certifies that it will comply with the requirements of the Act.

      The applicant/grantee further agrees that it will require the language of this certification be included in any subawards which contain provisions for the children's services and that all subgrantees shall certify accordingly.

      Attachment K

      DHHS Regulations Applying to All Applicants/ Grantees Under the Job Opportunities for Low-Income Individuals (JOLI) Program

      Title 45 of the Code of Federal Regulations:

      Part 16--Department of Grant Appeals Process Part 74--Administration of Grants (grants and sub-grants to entities) Part 75--Informal Grant Appeal Procedures Part 76--Debarment and Suspension from Eligibility for Financial Assistance

      Subpart F--Drug Free Workplace Requirements

      Part 80--Non-Discrimination Under Programs Receiving Federal Assistance through the Department of Health and Human Services Effectuation of Title VI of the Civil Rights Act Of 1964 Part 81--Practice and Procedures for Hearings Under Part 80 of this Title Part 83--Regulation for the Administration and Enforcement of Sections 799A and 845 of the Public Health Service Act Part 84--Non-discrimination on the Basis of Handicap in Programs and Activities Receiving Federal Financial Assistance

      [[Page 55370]]

      Part 85--Enforcement of Non-Discrimination on the Basis of Handicap in Programs or Activities Conducted by the Department of Health and Human Services Part 86--Nondiscrimination on the Basis of Sex in Education Programs and Activities Receiving or Benefiting from Federal Financial Assistance Part 91--Non-discrimination on the Basis of Age in Health and Human Services Programs or Activities Receiving Federal Financial Assistance Part 92--Uniform Administrative Requirements for Grants and Cooperative Agreements to States and Local Governments (Federal Register, March 11, 1988) Part 93--New Restrictions on Lobbying Part 100--Intergovernmental Review of Department of Health and Human Services Programs and Activities

      Attachment L

      Business Plan

      The business plan is one of the major components that will be evaluated by OCS to determine the feasibility of a jobs creation project. A business plan must be included if, the applicant is proposing to establish a new identified business, or if the applicant will be providing assistance to a private third party employer for the development or expansion of a pre-identified business.

      The following guidelines were written to cover a variety of possibilities regarding the requirements of a business plan. Rigid adherence to them is not possible nor even desirable for all projects. For example, a business plan for a service business would not require discussion of manufacturing nor product designs. Therefore, the business plans should be prepared in accordance with the following guidelines:

    78. The business and its industry. This section should describe the nature and history of the business and include background on its industry.

      1. The Business: as a legal entity; the general business category;

      2. Description and Discussion of Industry: Current status and prospects for the industry.

    79. Products and Services: This section deals with the following:

      1. Description: Describe in detail the products or services to be sold;

      2. Proprietary Position: Describe proprietary features, if any, of the product, e.g. patents, trade secrets; and,

      3. Potential: Features of the product or service that may give it an advantage over the competition.

    80. Market Research and Evaluation: This section should present sufficient information to show that the product or service has a substantial market and can achieve sales in the face of competition;

      1. Customers: Describe the actual and potential purchasers for the product or service by market segment;

      2. Market Size and Trends: State the size of the current total market for the product or service offered;

      3. Competition: An assessment of the strengths and weaknesses of competitive products and services; and,

      4. Estimated Market Share and Sales: Describe the characteristics of the product or service that will make it competitive in the current market.

    81. Marketing Plan: The marketing plan must describe what is to be done, how it will be done and who will do it. The marketing plan should detail the product, pricing, distribution, and promotion strategies that will be used to achieve the estimated market share and sales projections. The plan should address the following topics--Overall Marketing Strategy, Packaging, Service and Warranty, Pricing, Distribution and Promotion.

    82. Design and Development Plans: This section of the plan should cover items such as Development Status, Tasks, Difficulties and Risks, Product Improvement, New Products and Costs. If the product, process or service of the proposed venture requires any design and development before it is ready to be placed on the market, the nature and extent and cost of this work should be fully discussed.

    83. Manufacturing and Operations Plan: A manufacturing and operations plan should described the kind of facilities, plant location, space, capital equipment and labor force (part and/or full time and wage structure) that are required to provide the company's product or service.

    84. Management Team: This section must include a description of: the key management personnel and their primary duties; compensation and/or ownership; the organizational structure; Board of Directors; management assistance and training needs; and, supporting professional services. The management team is key in starting and operating a successful business. The management team should be committed with a proper balance of technical, managerial and business skills, and experience in operating the proposed business.

    85. Overall Schedule: This section must include a month-by-month schedule that shows the timing of such major events, activities and accomplishments involving product development, market planning, sales programs, and production and operations. Sufficient detail should be included to show the correlation between the timing of the primary tasks required to accomplish each activity.

    86. Critical Risks and Assumptions: This section should include a description of the risks and critical assumptions/problems relating to the industry, the venture, its personnel, the product's market appeal, and the timing and financing of the venture. Identify and discuss the critical assumptions/problems to overcome in the Business Plan. Major problems must clearly identify problems to be solved to develop the venture.

    87. Community Benefits: The applicant should describe how the proposed project will contribute to the local economy, community and human economic development within the project's target area.

    88. The Financial Plan: The Financial Plan is basic to the development of a Business Plan. Its purpose is to indicate the project's potential and the timetable for financial self-sufficiency of the business. In developing the Financial Plan, the following exhibits must be prepared for the first three years of the business' operation:

      1. Profit and Loss Forecasts--quarterly for each year; b. Cash Flow Projections--quarterly for each year; c. Pro forma balance sheets--quarterly for each year; d. Initial sources of project funds; e. Initial uses of project funds; and f. Any future capital requirements and sources.

    89. Facilities: If rearrangement or alteration of existing facilities is required to implement the project, the applicant must describe and justify such changes and related costs.

      Attachment M

      Certification Regarding Maintenance of Effort

      In accordance with the applicable program statute(s) and regulation(s), the undersigned certifies that financial assistance provided by the Administration for Children and Families, for the specified activities to be performed under the ________ Program by

      (Applicant Organization), will be in addition to, and not in substitution for, comparable activities previously carried on without Federal assistance.

      ---------------------------------------------------------------------- Signature of Authorized Certifying Official

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

      ---------------------------------------------------------------------- Date

      Attachment N

      Alabama

      Carolyn Lapsley, Director Department of Human Resources, Division of Child Support 50 Ripley Street Montgomery, AL 36130-1801 IVD Director's Phone: (334) 242-9300 IVD Director's Fax: (334) 242- 0606 In State Office Phone: 1-800-282-4347 (334) 242-9300 Nationwide Office Phone: Office Fax: (334) 242-0606 E-Mail: DHRCSE@zebra.net

      Alaska

      Barbara Miklos, Director Child Support Enforcement Division 550 West 7th Avenue, Suite 312 Anchorage, AK 99501-6699 IVD Director's Phone: (907) 269-6804 IVD Director's Fax: (907) 269- 6868 In State Office Phone: (800) 478-3300 (907) 269-6813 Nationwide Office Phone: Office Fax: (907) 269-6813 E-Mail: Barbara__Miklos@revenue.state.ak.us

      American Somoa

      Fainuulelei L Ala'ilma-Uta, Assistant Attorney General Office of the Attorney General P.O. Box 7 Pago Pago, AS 96799 IVD Director's Phone: (684) 633-7161 or 633-4163 IVD Director's Fax: (684) 633-1838 In State Office Phone:

      [[Page 55371]]

      Nationwide Office Phone: Office Fax:

      Arizona

      Nancy Mendoza, Director Department of Economic Security, Division of Child Support Enforcement P.O. Box 40458, Site Code 021A (Street Address: 3443 N. Central Avenue, 4th Floor, Phoenix, AZ 85012) Phoenix, AZ 85067 IVD Director's Phone: (602) 274-7646 IVD Director's Fax: (602) 274- 8250 In State Office Phone: (602) 252-4045 Nationwide Office Phone: Office Fax:

      Arkansas

      Dan Mc Donald, Administrator Office of Child Support Enforcement, Division of Revenue P.O. Box 8133 (712 W. 3rd Street ZIP 72201) Little Rock, AR 72203 IVD Director's Phone: (501) 682-6169 IVD Director's Fax: (501) 682- 6002 In State Office Phone: (501) 682-8398 Nationwide Office Phone: (800) 264-2445 (payments) (800) 247-4549 (program) Office Fax: (501) 682-6002 E-Mail: dan.mcdonald@mail.state.ar.us

      California

      Bill Walsh, Acting Chief Office of Child Support P.O. Box 944245 Sacramento, CA 95814 IVD Director's Phone: (916) 654-1556 IVD Director's Fax: (916) 653- 8690 In State Office Phone: (916) 654-1532 (800) 952-5253 Nationwide Office Phone: Office Fax: (916) 657-3791 E-Mail: bill.walsh@dss.ca.gov

      Colorado

      Pauline Burton, Director Department of Human Services, Division of Child Support Enforcement 1575 Sherman Street, 2nd floor Denver, CO 80203-1714 IVD Director's Phone: (303) 839-1203 IVD Director's Fax: (303) 839- 1332 In State Office Phone: (303) 866-5994 Nationwide Office Phone: Office Fax: (303) 866-2214 E-Mail: Pauline.Burton@state.co.us

      Connecticut

      Diane Fray, Director Department of Social Services, Bureau of Child Support Enforcement 25 Sigourney Street Hartford, CT 06105-5033 IVD Director's Phone: (860) 424-5251 IVD Director's Fax: (860) 951- 2996 In State Office Phone: (860) 424-5251 Nationwide Office Phone: (800) 228-5437 (problems) (800) 647-8872 (info) (800) 698-0572 (payments) Office Fax: (860) 951-2996 E-Mail: Diane.Fray@po.state.ct.us

      Delaware

      Karryl D. Hubbard, Director Department of Health and Social Services, Division of Child Support Enforcement Herman Hallaway Campus (street addr: 1901 North Dupont Hwy) P.O. Box 904 New Castle, DE 19720 IVD Director's Phone: (302) 577-4807 IVD Director's Fax: (302) 577- 4873 In State Office Phone: (302) 577-4863 (302) 577-4800 Nationwide Office Phone: Office Fax: (302) 577-4873 E-Mail: Khubbard@state.de.us

      District of Columbia

      Phil Browning, Chief Office of Paternity and Child Support Enforcement 441 Fourth Street NW 5th Floor Washington, DC 20024-2480 IVD Director's Phone: (202) 724-1548 IVD Director's Fax: (202) In State Office Phone: (202) 724-1444 Nationwide Office Phone: Office Fax: E-Mail: DCIVD Browning@hotmail.com

      Florida

      Lillie Bogan, Director Department of Revenue, Child Support Enforcement Program P.O. Box 8030 Tallahassee, FL 32314-8030 IVD Director's Phone: (850) 488-8733 IVD Director's Fax: (850) 921- 0792 In State Office Phone: (850) 922-9590 Nationwide Office Phone: Office Fax: (850) 414-1698 E-Mail: boganl@dor.state.fl.us

      Georgia

      Martin Elmore, Director Department of Human Resources, Child Support Enforcement P.O. Box 38450 (2 Peachtree Street, N.W., Suite 15-107, Zip 30303) Atlanta, GA 30334-0450 IVD Director's Phone: (404) 657-3851/3856 IVD Director's Fax: (404) 657-3326 In State Office Phone: (404) 657-3851 (800) 227-7993 (for area codes 706 and 912) (for 404 and 770 dial c) Nationwide Office Phone: Office Fax: (404) 657-3326 E-Mail: mdelmore@dhr.state.ga.us

      Guam

      Kathy Montague, Deputy Attorney General Department of Law, Child Support Enforcement Unit 238 Archbishop F.C. Flores Street Agana, GU 96910 IVD Director's Phone: (671) 475-3360/3363 IVD Director's Fax: (617) 477-6118 In State Office Phone: 011 (671) 475-3360 Nationwide Office Phone: Office Fax: E-Mail: kmontague@ns.gu

      Hawaii

      Mike L. Meaney, Administrator Department of Attorney General, Child Support Enforcement Agency Kakuhihewa State Office Building Kapolei, HI 96707 IVD Director's Phone: (808) 692-7000 IVD Director's Fax: (808) 692- 7134 In State Office Phone: (808) 587-3695 Nationwide Office Phone: Office Fax: E-Mail: csca-adm@pixi.com

      Idaho

      Tamara Prisock, Chief Department of Health and Welfare, Bureau of Child Support Services P.O. Box 83720 (450 West State Street, 6th Floor Zip 83702) Boise, ID 83720-0036 IVD Director's Phone: (208) 334-5719 IVD Director's Fax: (208) 334- 5817 In State Office Phone: (208) 334-2479 Nationwide Office Phone: (800) 356-9868 Office Fax: (208) 334-0666 E-Mail: Prisockt@idhw.sate.id.us

      Illinois

      Robert Lyons, Administrator Illinois Department of Public Aid, Division of Child Support Enforcement 32 W. Randolph Street, Rm 923 Chicago, IL 60601 IVD Director's Phone: (217) 524-4602 IVD Director's Fax: (217) 524- 4608 In State Office Phone: (217) 524-4602 (800) 447-4278 Nationwide Office Phone: Office Fax: (217) 524-4608 E-Mail: AIDD5107@DPAO84R2.state.i1.us

      Indiana

      Joe Mamlin, Director Child Support Bureau 402 West Washington Street, Rm W360 Indianapolis, IN 46204 IVD Director's Phone: (317) 232-4877 IVD Director's Fax: (317) 233- 4925 In State Office Phone: (317) 233-5437 Nationwide Office Phone: Office Fax: (317) 233-4932 E-Mail: jmamlin@fssa.state.in.us

      Iowa

      Nancy Thoma, Director Department of Human Services, Bureau of Collections Hoover Building--5th Floor Des Moines, IA 50319 IVD Director's Phone: (515) 281-8886 IVD Director's Fax: (515) 281- 8854 In State Office Phone: (515) 281-5580 Nationwide Office Phone: Office Fax: (515) 281-8854 E-Mail: nthoma@dhs.state.ia.us

      Kansas

      James A. Robertson, Administrator Department of Social & Rehabilitation Services, Child Support Enforcement Program P.O. Box 497 (Street Address: 300 S.W. Oakley Street, Biddle Bldg, Topeka, KS 66606) Topeka, KS 66601 IVD Director's Phone: (785) 296-3237 IVD Director's Fax: (785) 296- 5206 In State Office Phone: (913) 296-3237 Nationwide Office Phone: (800) 432-0152 (withholding) (800) 570-6743 (collections) (800) 432-3913 (fraud hot) Office Fax: (913) 296-5206 E-Mail: jaxr@srbiddle.wpo.state.ks.us

      Kentucky

      Steven P. Veno, Director

      [[Page 55372]]

      Cabinet for Human Resources, Division of Child Support Enforcement 275 East Main Street Frankfort, KY 40621 IVD Director's Phone: (502) 564-2285 ex 404 IVD Director's Fax: (502) 564-5988 In State Office Phone: (502) 564-2285 Nationwide Office Phone: Office Fax: (502) 564-5988 E-Mail: steven.veno@mail.state.ky.us

      Louisiana

      Gordon Hood, Director Support Enforcement Services, Office of Family Support P.O. Box 94065 Baton Rouge, LA 70804-4065 IVD Director's Phone: (504) 342-4780 IVD Director's Fax: (504) 342- 7397 In State Office Phone: (504) 342-4780 (800) 256-4650 (payments) Nationwide Office Phone: Office Fax: (504) 342-7397 E-Mail: ghood@dss.state.la.us

      Maine

      Stephen L. Hussey, Director Dept of Human Services, Bureau of Family Independence, Div of Support Enforcement and Recovery State House Station Augusta, ME 04333 IVD Director's Phone: (207) 287-2886 IVD Director's Fax: (207) 287- 5096 In State Office Phone: (207) 287-2886 (800) 371-3101 Nationwide Office Phone: Office Fax: (207) 287-2886 E-Mail: stephen.L.hussey@state.me.us

      Maryland

      Theresa Kaiser, Acting Executive Director Child Support Enforcement Administration 311 West Saratoga Street Baltimore, MD 21201 IVD Director's Phone: (410) 767-7674 or 7358 IVD Director's Fax: (410) 333-8992 In State Office Phone: (410) 767-7619 (800) 332-6347 Nationwide Office Phone: Office Fax: (410) 333-8992

      Massachusetts

      Amy Pitter, Deputy Commissioner Department of Revenue, Child Support Enforcement Division 141 Portland Street Cambridge, MA 02139-1937 IVD Director's Phone: (617) 577-7200 ex 30482 or 30405 IVD Director's Fax: (617) 621-4991 In State Office Phone: (617) 577-7200 Nationwide Office Phone: (800) 332-2733 Office Fax: (617) 621-4991 E-Mail: pitter@ma-cse.org

      Michigan

      Wallace Dutkowski, Director Family Independency Agency, Office of Child Support P.O. Box 30478 (Street Address: 7109 W. Saginaw Hwy., Lansing, MI) Lansing, MI 48909-7978 IVD Director's Phone: (517) 373-7570 IVD Director's Fax: (517) 373- 4980 In State Office Phone: (517) 373-7570 Nationwide Office Phone: Office Fax: (517) 373-4980 E-Mail: dutkowskiw@state.mi.us

      Minnesota

      Laura Kadwell, Director Department of Human Services, Office of Child Support Enforcement 444 Lafayette Road, 4th floor St. Paul, MN 55155-3846 IVD Director's Phone: (651) 297-8232 IVD Director's Fax: (651) 297- 4450 In State Office Phone: (651) 296-2542 Nationwide Office Phone: Office Fax: (651) 297-4450 E-Mail: laura.kadwell@state.mn.us

      Mississippi

      Richard Harris, Director Department of Human Services, Division of Child Support Enforcement P.O. Box 352 Jackson, MS 39205 IVD Director's Phone: (601) 359-4863 IVD Director's FAX: (601) 359- 4415 In State Office Phone: (601) 359-4861 (800) 354-6039 (Hins, Rankin, and Madison counties) Nationwide Office Phone: (800) 435-5437 Office Fax: (601) 359-4415 E-Mail: rharris@mdhs.state.ms.us

      Missouri

      Brian Kinkade, Director Department of Social Services, Division of Child Support Enforcement P.O. Box 2320 (227 Metro Drive) Jefferson City, MO 65101-2320 IVD Director's Phone: (573) 751-1374 IVD Director's Fax: (573) 751- 8450 In State Office Phone: (573) 751-4301 Nationwide Office Phone; (800) 859-7999 Office Fax: (573) 751-8450 E-Mail: bkinkade@mail.state.mo.us

      Montana

      Mary Ann Wellbank, Administrator Department of Social and Rehabilitation Services, Child Support Enforcement Division P.O. Box 202943 (Street Address: 3075 N. Montana Ave., Suite 112, Helena, MT 59620) Helena, MT 59620 IVD Director's Phone: (406) 444-3338 IVD Director's Fax: 406) 444- 1370 In State Office Phone: (406) 442-7278 (800) 346-5437 Nationwide Office Phone: Office Fax: (406) 444-1370 E-Mail:mwellbank@mt.gov

      Nebraska

      Daryl D. Wusk, CSE Administrator Department of Health and Human Services, Child Support Enforcement Office P.O. Box 94728 West Campus Folsom and West Prospector Place Lincoln, NE 68509-4728 IVD Director's Phone: (402) 479-5555 IVD Director's Fax: (402) 479- 5543 In State Office Phone: (402) 471-9160 (800) 831-4573 Nationwide Office Phone: Office Fax: (402) 471-9455 E-Mail: Daryl.Wusk@hhss.state.ne.us

      Nevada

      Leland Sullivan, Chief Child Support Enforcement Program, Nevada State Welfare Division 2527 North Carson Street, Capitol complex Carson City, NV 89716 IVD Director's Phone: (702) 687-4744 IVD Director's Fax: (702) 684- 8026 In State Office Phone: (792) 687-4744 (800) 922-0900 Nationwide Office Phone: Office Fax; (702) 684-6026 E-Mail: 1dimmick@govmail.state.nv.us

      New Hampshire

      Lloyd Peterson, Acting Administrator Office of Program Support, Office of Child Support Health and Human Services Building 6 Hazen Drive Concord, NH 03301 IVD Director's Phone: (603) 271-4287 IVD Director's Fax: (603) 271- 4787 In State Office Phone: (603) 271-4427 (800) 852-3345 ext 4427 Nationwide Office Phone: Office Fax: (603) 271-4787 E-Mail: dhhs.state.nh.us

      New Jersey

      Alisha Griffin, Director Department of Human Services, Bureau of Child Support and Paternity Programs, Division of Family Dev P.O. Box 716 Trenton, NJ 08625-0716 IVD Director's Phone: (609) 588-2402 IVD Director's Fax: (609) 588- 3369 In State Office Phone: (609) 588-2915 Nationwide Office Phone: (800) 621-5437 Office Fax: (609) 588-2354 E-Mail: agriffin@dhs.state.nj.us

      New Mexico

      Ben Silva, Director Department: Human Services Department, Child Support Enforcement Bureau P.O. Box 25109 (Street Address: 2025 S. Pacheco, Santa Fe, NM 87504) Santa Fe, NM 73512 IVD Director's Phone: (505) 827-7200 IVD Director's Fax: (505) 827- 7285 In State Office Phone: (505) 827-7200 (800) 432-6217 Nationwide Office Phone: Office Fax: (505) 827-7285

      New York

      Robert Doar, Director Department of Social Services, Office of Child Support Enforcement P.O. Box 14 (Street Address: One Commerce Plaza, Albany, NY 12260) Albany, NY 12260-0014 IVD Director's Phone: (518) 474-9081 IVD Director's Fax: (518) 486- 3127 In State Office Phone: (518) 474-9081 Nationwide Office Phone: (800) 343-8859 Office Fax: (518) 486-3127 E-Mail: robert.doar@dfa.state.ny.us

      North Carolina

      Barry A. Miller, Chief

      [[Page 55373]]

      Department of Human Resources, Division of Social Services, Child Support Enforcement Section 100 East Six Forks Road Raleigh, NC 27609-7750 IVD Director's Phone: (919) 420-7982 IVD Director's Fax (919) 571- 4126 In State Office Phone: (919) 571-4114 (800) 992-9457 Nationwide Office Phone: Office Fax: (919) 571-4126 E-Mail: bmiller3@dhr.state.nc.us

      North Dakota

      Mike Schwindt, Director Department of Human Services, Child Support Enforcement Agency P.O. Box 7190 (Street Address: 1929 North Washington Street, Bismarck, ND 58507- 7190) Bismarck, ND 58507-7190 IVD Director's Phone: (701) 328-3582 or 5493, IVD Director's Fax: (701) 328-6575 In State Office Phone: (701) 328-3582, (800) 755-8530 Nationwide Office Phone: Office Fax: (701) 328-5497 E-Mail: soschm@state.nd.us

      Ohio

      Barbara Saunders, Deputy Director Department of Human Services, Office of Child Support Enforcement 30 East Broad Street, 31st Floor Columbus, OH 43266-0423 IVD Director's Phone: (614) 752-6561, IVD Director's Fax: (614) 752- 9760 In State Office Phone: (614) 752-6561 (800) 686-1556 Nationwide Office Phone: Office Fax: (614) 752-9760 E-Mail: saundb@odhs.state.oh.us

      Oklahoma

      Ray Weaver, Administrator Department of Human Services, Child Support Enforcement Division P.O. Box 53552 (Street Address: 2409 N. Kelley Avenue, Annex Building, Oklahoma City, OK 73152 Oklahoma City, OK 73152 IVD Director's Phone: (405) 522-5871, IVD Director's Fax: (405) 522- 2753 In State Office Phone: (405) 522-5871 Nationwide Office Phone: (800) 522-2922 Office Fax: (405) 522-2753 E-Mail: Elaine.Hudson@dhs.oklaosf.state.ok.us

      Oregon

      Kevin Aguirre, Director Department of Human Resources, Adult and Family Services Division Oregon Child Support Program 500 Summer St. NE Salem, OR 97310-1013 IVD Director's Phone: (503) 945-5600, IVD Director's Fax: (503) 373- 7492 In State Office Phone: (503) 378-5567, (800) 850-0288 (800) 850-0294 (rotary) Nationwide Office Phone: Offixe Fax: (503) 391-5526 E-Mail: kevin.aguirre@state.or.us

      Pennsylvania

      Daniel Richard, Director Department of Public Welfare, Bureau of Child Support Enforcement P.O. Box 8018 (Street Address: 1303 North Seventh St., 17102 Commerce Bldg., 12th Floor, Harri Harrisburg, PA 17105 IVD Director's Phone: (717) 783-5441 IVD Director's FAX: (717) 772- 4936 In State Office Phone: (717) 787-3672 Nationwide Office Phone: (800) 932-0211 Office Fax: (717) 787-9706

      Puerto Rico

      Miguel Verdiales, Administrator Department of Social Services, Administration for Child Support P.O. Box 3349 San Juan, PR 00902 IVD Director's Phone: (787) 767-1886 IVD Director's FAX: (787) 282- 8324 In State Office Phone: (787) 767-1500 Nationwide Office Phone: (800) 932-0211 Office Fax: (787) 723-6187 E-Mail: mverdial@coqui.net

      Rhode Island

      John F. Murphy, Administrator Department of Administration, Division of Child Support Enforcement 77 Dorrance Street Providence, RI 02903 IVD Director's Phone: (401) 222-2847 IVD Director's FAX: (401) 222- 2887 In State Office Phone: (410) 277-2847 (800) 922-0536 Nationwide Office Phone: Office Fax: (401) 277-6674 E-Mail: MurphyJF@tax.state.ri.us

      South Carolina

      Larry J. McKeown, Director Department of Social Services, Child Support Enforcement Division P.O. Box 1469 (Street Address: 3150 Harden Street, Columbia, SC 29202-1469) Columbia, SC 29202-1469 IVD Director's Phone: (803) 737-5870 IVD Director's FAX: (803) 737- 6032 In State Office Phone: (803) 737-5875 (800) 768-6779 (payments) Nationwide Office Phone: (803) 768-5858 Office Fax: (803) 737-6032 E-Mail: mthigpen@dss.state.sc.us

      South Dakota

      Terry Walter, Program Administrator Department of Social Services, Office of Child Support Enforcement 700 Governor's Drive, Suite 84 Pierre, SD 57501-2291 IVD Director's Phone: (605) 773-3641 IVD Director's Fax: (605) 773- 5246 In State Office Phone: (605) 773-3641 Nationwide Office Phone: Office Fax: (605) 773-5246 E-Mail: Terry.Walter@State.sd.us

      Tennessee

      Glenda Sherron, Director Department of Human Services, Child Support Services Citizens Plaza Building, 12th Floor 400 Deadrick Street Nashville, TN 37248-7400 IVD Director's Phone: (615) 313-4879 IVD Director's Fax: (615) 741- 4165 In State Office Phone: (615) 313-4880 (800) 874-0530 (payments) Nationwide Office Phone: Office Fax: (615) 532-2791 E-Mail: gshearon@mail.state.tn.us

      Texas

      Howard Baldwin, Director Office of the Attorney General, Child Support Division P.O. Box 12017 (Street Address: 5500 E. Oltorf, Austin, TX 78741) Austin, TX 78711-2017 IVD Director's Phone: (512) 460-6000 IVD Director's Fax: (512) 460- 6028 In State Office Phone: (512) 460-6000 Nationwide Office Phone: (800) 252-8014 Office Fax: (512) 834-9712 E-Mail: Howard.Baldwin@oag.state.tx.us

      Utah

      James Kidder, Director Department of Human Services, Bureau of Child Support Services P.O. Box 45011 (515 East, 100 South, Salt Lake City, UT 84145-0011) Salt Lake, UT 84145-0011 IVD Director's Phone: (801) 536-8911 IVD Director's Fax: (801) 536- 8509 In State Office Phone: (801) 536-8500 Nationwide Office Phone: (800) 257-9156 Office Fax: (801) 536-8509 E-Mail: hsorsslc.jkidder@state.ut.us

      Vermont

      Jeffery Cohen, Director Office of Child Support 103 South Main Street Waterbury, VT 05671-1901 IVD Director's Phone: (802) 241-2319 IVD Director's Fax: (802) 244- 1483 In State Office Phone: (802) 244-1483 Nationwide Office Phone: (800) 786-3214 Office Fax: (802) 244-1483 E-Mail: jeffc@wpgatel.ahs.state.vt.us

      Virgin Islands

      Cisselon D Nichols, Director Department of Justice, Paternity and Child Support Division GERS Building, 2nd Floor 48B-50C Krondprans Gade St. Thomas, VI 00802 IVD Director's Phone: (809) 775-3070 IVD Director's Fax: (809) 775- 3808 In State Office Phone: (809) 774-4339 Nationwide Office Phone: Office Fax: (809) 774-9710

      Virginia

      Nathaniel Young, Jr., Director Department of Social Services, Division of Child Support Enforcement 730 East Broad Street Richmond, VA 23219 IVD Director's Phone: (804) 692-1501 IVD Director's Fax: (804) 692- 1543 In State Office Phone: (804) 692-1428 (800) 468-8894 Nationwide Office Phone: Office Fax: (804) 692-1405 E-Mail: NLY900@dcse.dss.state.va.us

      Washington

      Meg Sollenberger, Director

      [[Page 55374]]

      DSHS, Division of Child Support P.O. Box 9162 (Street Address: 712 Pear St., SE, Olympia, WA 98507) Olympia, WA 98507 IVD Director's Phone: (360) 664-5441 IVD Director's Fax: (360) 586- 3274 In State Office Phone: (360) 664-5005 Nationwide Office Phone: (800) 457-6202 Office Fax: (206) Seattle Area Code E-Mail: msollenb@dshs.wa.gov

      West Virginia

      Lena S Hill, Commissioner Department of Health & Human Resources, Bureau of Child Support Enforcement Building 6, Room 817 State Capitol Complex Charleston, WV 25305 IVD Director's Phone: (304) 558-3780 IVD Director's Fax: (304) 558- 4092 In State Office Phone: (304) 558-3780 Nationwide Office Phone: (800) 249-3778 Office Fax:

      Wisconsin

      Susan Pfeiffer, Director Bureau of Child Support, Division of Economic Support P.O. Box 7935 (Street Address: 1 West Wilson Street, Room 382, Madison, WI 53707) Madison, WI 53707-7935 IVD Director's Phone: (608) 266-9909 IVD Director's Fax: (608) 267- 2824 In State Office Phone: (608) 266-9909 Nationwide Office Phone: Office Fax: (608) 267-2824 E-Mail: pfeifsu@dwd.state.wi.us

      Wyoming

      William D Schaad, Administrator Department of Family Services, Child Support Enforcement Program Hathaway Building, Rm 361 2300 Capital Avenue Cheyenne, WY 82002-0170 IVD Director's Phone: (307) 777-3695 IVD Director's Fax: (307) 777- 3693 In State Office Phone: (307) 777-7631 Nationwide Office Phone: (800) 457-3659 Office Fax: (307) 777-3693 E-Mail: dschaa@missc.state.wy.us

      BILLING CODE 4184-01-M

      [[Page 55375]]

      [GRAPHIC] [TIFF OMITTED] TN12OC99.004

      [FR Doc. 99-26386Filed10-8-99; 8:45 am]

      BILLING CODE 4184-01-C

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