Archived Information

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION & REHABILITATIVE SERVICES
OFFICE OF SPECIAL EDUCATION PROGRAMS
WASHINGTON, D.C. 20202

FISCAL YEAR 2004

APPLICATION FOR NEW GRANTS UNDER THE
INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA)

TECHNOLOGY AND MEDIA SERVICES FOR INDIVIDUALS

WITH DISABILITIES (CFDA 84.327)

Cultural Experiences for Deaf or Hard of Hearing Individuals

(CFDA 84.327T)

DATED MATERIAL - OPEN IMMEDIATELY

CLOSING DATE: July 30, 2004
FORM APPROVED - OMB No. 1820-0028, EXP. DATE: 05/31/06
 TABLE OF CONTENTS

Dear Applicant Letter................................................................….….……………….A1

Priority (Competition) Description by Program

Technology and Media Services for Individuals with Disabilities

Cultural Experiences for Deaf or Hard of Hearing Individuals

(CFDA No. 84.327T) ................................….............……….…………………….B2

Selection Criteria and Format for 84.327T............................................…………….

…B6

General Information on Completing an Application ..........................................……...

…….C1

Application Transmittal Instructions and Requirements for Intergovernmental

Review (Executive Order 12372). .................................................................…………..
D1

Notice to All Applicants (Ensuring Equitable Access) and Application

Forms and Instructions.............................................................................……………E1

Part I: Application for Federal Assistance (ED Form 424)

Part II: Budget Information -- Non-Construction Programs and Instructions

(ED Form 524)

Part III: Application Narrative

Part IV: Assurances and Certifications

Assurances -- Non-Construction Program

Certifications Regarding Lobbying; Debarment, Suspension, and

Other Responsibility Matters; and Drug-Free Workplace Requirements
(ED Form 80-0013)

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary

Exclusion -- Lower Tier Covered Transactions (ED Form 80-0014)

Disclosure of Lobbying Activities

Important Notice to Prospective Participants in USDE Contract and Grant

Programs

Survey on Ensuring Equal Opportunity for Applicants

Notice to All Applicants: The Government Performance and Results Act (GPRA)
 Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond
to a collection of information unless such collection displays a valid OMB control
number. The valid OMB control number for this information collection is 1820-0028.
The time required to complete this information collection is estimated to average 45
hours and 40 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information
collection. If you have any comments concerning the accuracy of the time estimate(s) or
suggestions for improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. If you have comments or concerns regarding the status
of your individual submission of this form, write directly to: Office of Special Education
Programs, U.S. Department of Education, 600 Independence Avenue, S.W., MES 3527,
Washington, D.C. 20202-4651.
Dear Applicant:

This application packet contains information and the required forms for you to use in
submitting a new application for funding under one program authorized by the Individuals with
Disabilities Education Act (IDEA). This packet covers one competition under the Technology and
Media Services for Individuals with Disabilities (CFDA 84.327) program--Cultural Experiences for
Deaf or Hard of Hearing Individuals.

An application for an award must be: (1) hand-delivered, submitted electronically, or mailed by
the closing date; and, (2) have an original signature on at least one copy of the assurances and
certifications (Part IV of the application form). It is also important to include the appropriate Catalog of
Federal Domestic Assistance (CFDA) numeric and alpha in Item #3 on ED Form 424 (e.g., CFDA No.
84.327T).

Please note the following:

• APPLICATION SUBMISSION. Based on the precautionary procedures the U.S. Postal

Service is using to process mail, we are experiencing delays in the delivery of mail to the
Department. Therefore, you may want to consider sending your application by overnight
courier or submitting your application electronically.

• MAXIMUM AWARD AMOUNT. In addition to providing detailed budget information for

the total grant period requested, the competition included in this package has a maximum award
amount (See Page B-3 of this package). Please be advised that for the priority in this package,
the maximum award amount covers all project costs including indirect costs.

• STRICT PAGE LIMITS. The competition included in this package limits the Part III
Application Narrative to a specified number of double-spaced pages. This page limitation
applies to all material presented in the application narrative -- including, for example, any
charts, tables, figures, and graphs. (See Pages B-3 and 4 of this package). The Department will
reject, and will NOT consider an application that does not adhere to the page limit requirements
for the competition.

• FORMAT FOR APPLICATIONS. Please note that additional information regarding

formatting applications has been included on Pages C-3 and 4 of the “General Information on
Completing An Application” section of this package.

• PROTECTION OF HUMAN SUBJECTS IN RESEARCH. The Application for Federal

Education Assistance (Form ED 424) requires applicants to indicate whether they plan to
conduct research involving human subjects at any time during the proposed project period.
(See section 12-12a of Form ED 424 and the Instructions and Definitions for Form ED 424).
The Definitions for Form ED 424 attachment includes information that applicants need to
complete the protection of human subjects item and, as appropriate, to provide additional
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 information to the Department regarding human subjects research projects. Additional
information on completing the protection of human subjects item is also available and can be
accessed on the INTERNET at:

http://www.ed.gov/about/offices/list/ocfo/gcsindex.html
http://www.ed.gov/about/offices/list/ocfo/humansub.html

• RESPONSE TO GPRA. As required by the Government Performance and Results Act

(GPRA) of 1993 OSEP has developed a strategic plan for measuring GPRA performance.
The program included in this announcement is authorized under Part D National Programs
of the Individuals with Disabilities Education Act. A copy of the Technical Assistance and
Dissemination to Improve Services and Results for Children with Disabilities program’s
performance measures under GPRA is included in the back of this package. Applicants are
encouraged to consider this information as applications are prepared.

• COPIES OF THE APPLICATION. Current Government-wide policy requires that an

original and two copies need to be submitted. OSEP would appreciate receiving three
additional copies to facilitate the peer review process. This means an original and two copies
are required but we would appreciate your voluntarily submitting an additional three copies (six
applications in all).

A program officer is available to provide information to you regarding this competition.

Please refer to the name of the program contact at the end of the priority description. For
information about other U.S. Department of Education grant and contract opportunities, we
encourage you to use the Department's grant information web page which can be accessed on the
INTERNET at:
http://www.ed.gov/about/offices/list/ocfo/gcsindex.html

We appreciate your efforts to improve the provision of services for individuals with disabilities.

Sincerely,

Louis C. Danielson, Ph.D.

Director
Research to Practice Division
Office of Special Education
Programs

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 PRIORITY DESCRIPTION

AND

SELECTION CRITERIA

FOR THE

TECHNOLOGY AND MEDIA SERVICES

FOR INDIVIDUALS WITH DISABILITIES

B-1
 CULTURAL EXPERIENCES FOR DEAF OR HARD OF HEARING
INDIVIDUALS
(CFDA 84.327T)

DEADLINE: 07/30/04

ABSOLUTE PRIORITY:

Background: Past projects funded under this program supported a variety of activities,
including: theatrical experiences in which cast members included deaf, hard-of-hearing, and
hearing performers; theater and set design, directing, dance, and storytelling for deaf, hard-
of-hearing, and hearing individuals; cultural experiences focusing on Native American art
and culture; hands-on theater experience involving persons from minority groups; a touring
“instant theater;” producing videos of performances and documentaries of performances; and
drama workshops.

Priority: This priority supports a variety of cultural activities designed to enrich the lives
of deaf or hard-of-hearing individuals, including children or adults. These activities must use an
approach that integrates deaf or hard-of-hearing individuals with those who can hear, while
providing cultural experiences that will increase public awareness and understanding of deafness,
deaf culture, and of the artistic and intellectual achievements of deaf and hard-of-hearing
individuals.

A grantee may not use funds under this priority for passive activities, such as viewing a
play or video, or passively watching a storyteller or artist at work.

To be considered for funding under this priority, a project must --

(a) Use an integrated approach that mixes children or adults who are deaf or hard-of-
hearing with those who can hear in carrying out project activities;

(b) Develop and implement strategies that will increase public awareness and
understanding of deafness and deaf culture, and of the artistic and intellectual achievements of
deaf and hard-of-hearing individuals;

(c) Budget for a two-day Project Directors’ meeting in Washington, DC during each year
of the project; and

(d) If the project has a Web site, include relevant information and documents in an
accessible form for individuals with disabilities.
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Note: Outreach activities such as promoting the project to schools, community organizations,
news media, and relevant national organizations are encouraged.

Program Authority: 20 U.S.C. 1487.

PERFORMANCE MEASURES: Under the Government Performance and Results Act

(GPRA), the Department is currently developing measures that will yield information on various
aspects of the quality of the Technology and Media Services to Improve Services and Results for
Children with Disabilities program (e.g. the extent to which projects are of high quality, are
relevant to the needs of children with disabilities, and contribute to improving results for children
with disabilities. Data on these measures will be collected from the projects funded under this
notice.

Grantees will also be required to report information on their projects’ performance in

annual reports to the Department (EDGAR, 34 CFR 75.590).

We will notify grantees of the performance measures once they are developed.

APPLICATIONS AVAILABLE: June 25, 2004.

DEADLINE FOR TRANSMITTAL OF APPLICATIONS: July 30, 2004.

DEADLINE FOR INTERGOVERNMENTAL REVIEW: September 28, 2004.

ESTIMATED AVAILABLE FUNDS: $550,000.

ESTIMATED AVERAGE SIZE OF AWARDS: $110,000.

MAXIMUM AWARDS: We will reject any application that proposes a budget exceeding
$110,000 for a single budget period of 12 months. The Assistant Secretary for the Office of
Special Education and Rehabilitative Services may change the maximum amount through a
notice published in the Federal Register.

ESTIMATED NUMBER OF AWARDS: 5.

Note: The Department is not bound by any estimates in this notice.

PROJECT PERIOD: Up to 36 months.

PAGE LIMITS: If you are an applicant, Part III of an application submitted under this notice,
the application narrative, is where an applicant addresses the selection criteria that are used by
reviewers to evaluate the application. You must limit Part III to the equivalent of no more than
40 pages, using the following standards:
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 • A "page" is 8.5" x 11", (on one side only) with one-inch margins (top, bottom, and
sides).

• Double-space (no more than three lines per vertical inch) all text in the application
narrative, including titles, headings, footnotes, quotations, references, and captions, as
well as all text in charts, tables, figures, and graphs.

• Use a font that is either 12-point or larger or no smaller than 10 pitch (characters per
inch).
The page limit does not apply to Part I, the cover sheet; Part II, the budget section,
including the narrative budget justification; Part IV, the assurances and certifications; or the one-
page abstract, the resumes, the bibliography, references, or the letters of support. However, you
must include all of the application narrative in Part III.

We will reject any application if --

• You apply these standards and exceed the page limit; or

• You apply other standards and exceed the equivalent of the page limit.

GENERAL REQUIREMENTS:

(a) Projects funded under this notice must make positive efforts to employ and advance
in employment qualified individuals with disabilities in project activities (see section 606 of
IDEA); and

(b) Applicants and grant recipients funded under this notice must involve individuals
with disabilities or parents of individuals with disabilities in planning, implementing, and
evaluating the projects (see section 661(f)(1)(A) of IDEA);

APPLICABLE REGULATIONS:

(a) The Education Department General Administrative Regulations (EDGAR) in 34 CFR

parts 75, 77, 79, 80, 81, 82, 84, 85, 86, 97, 98, and 99; and (b) The selection criteria for this
program are drawn from EDGAR in 34 CFR 75.210.

Note: The regulations in 34 CFR part 79 apply to all applicants except federally recognized
Indian tribes.

Note: The regulations in 34 CFR part 86 apply to institutions of higher education only.

ELIGIBLE APPLICANTS:

State educational agencies, local educational agencies, institutions of higher education,

other public agencies, nonprofit private organizations, outlying areas, freely associated States,
Indian tribes and tribal organizations, and for-profit organizations.
B-4
INTERGOVERNMENTAL REVIEW:

The program in this notice is subject to the requirements of Executive Order 12372 and
the regulations in 34 CFR part 79. One of the objectives of the Executive Order is to foster an
intergovernmental partnership and a strengthened federalism. The Executive order relies on
processes developed by State and local governments for coordination and review of proposed
Federal financial assistance.

This document provides early notification of our specific plans and actions for this
program.

For further information about this priority contact:

Ernest Hairston, Competition Manager

Research to Practice Division
Office of Special Education Programs
Telephone: (202) 245-7366 (Voice and TTY) or 205-8170 (TTY)
FAX: (202) 245-7617
Internet: [email protected]
Federal Information Relay Service: TTD: 1-800-877-8339

B-5
SELECTION CRITERIA AND FORMAT FOR THE CULTURAL EXPERIENCES FOR
DEAF OR HARD OF HEARING INDIVIDUALS (CFDA 84.327T) COMPETITION

Part III of the application form requires a narrative that addresses the selection criteria that will
be used by reviewers in evaluating individual proposals. Applications are more likely to receive
favorable reviews by panels when they are organized according to the format suggested below.
This format was published in the FEDERAL REGISTER as an appendix to the program
regulations, and it addresses all the selection criteria used to evaluate applications required by
regulations. If you prefer to use a different format, you may wish to cross-reference the sections
of your application to the selection criteria to be sure that reviewers are able to find all relevant
information.

The selection criteria that will be used to evaluate applications submitted to the Cultural
Experiences for Deaf or Hard of Hearing Individuals (CFDA 84.327T) competition are the
selection criteria for new grants required by the EDGAR general selection criteria menu. The
maximum score for all of the criteria is 100 points.

A one-page abstract should precede the application narrative. The application narrative should
include the following sections in this order:

(a) Need for project (10 points)

(1) The Secretary considers the need for the proposed project.

(2) In determining the need for the proposed project, the Secretary considers the
following factors:

(i) The magnitude of the need for the services to be provided or the activities to be carried
out by the proposed project; and

(ii) The extent to which the proposed project will focus on serving or otherwise
addressing the needs of disadvantaged individuals.

(b) Quality of project services (30 points)

(1) The Secretary considers the quality of the services to be provided by the proposed
project.

(2) In determining the quality of the services to be provided by the proposed project, the
Secretary considers the quality and sufficiency of strategies for ensuring equal access and
treatment for eligible project participants who are members of groups that have traditionally been
underrepresented based on race, color, national origin, gender, age, or disability.

(3) In addition, the Secretary considers the following factor:

B-6
 (i) The extent to which the services to be provided by the proposed project are
appropriate to the needs of the intended recipients or beneficiaries of those services.

(c) Quality of project personnel (20 points)

(1) The Secretary considers the quality of the personnel who will carry out the proposed
project.

(2) In determining the quality of project personnel, the Secretary considers the extent to
which the applicant encourages applications for employment from persons who are members of
groups that have traditionally been underrepresented based on race, color, national origin,
gender, age, or disability.

(3) In addition, the Secretary considers the following factors:

(i) The qualifications, including relevant training and experience, of the project director
or principal investigator;

(ii) The qualifications, including relevant training and experience, of key project
personnel; and

(iii) The qualifications, including relevant training and experience, of project consultants
or subcontractors.

(d) Quality of the management plan (20 points)

(1) The Secretary considers the quality of the management plan for the proposed project.

(2) In determining the quality of the management plan for the proposed project, the
Secretary considers the following factors:

(i)The adequacy of the management plan to achieve the objectives of the proposed
project on time and within budget, including clearly defined responsibilities, timelines, and
milestones for accomplishing project tasks;

(ii) The adequacy of procedures for ensuring feedback and continuous improvement in
the operation of the proposed project; and

(iii) The adequacy of mechanisms for ensuring high-quality products and services from
the proposed project.

(e) Adequacy of resources (20 points)

(1) The Secretary considers the adequacy of resources for the proposed project.

B-7
 (2) In determining the adequacy of resources for the proposed project, the Secretary
considers the following factors:

(i) The adequacy of support, including facilities, equipment, supplies, and other
resources, from the applicant organization or the lead applicant organization;

(ii) The relevance and demonstrated commitment of each partner in the proposed project
to the implementation and success of the project;

(iii) The extent to which the budget is adequate to support the proposed project;

(iv) The extent to which the costs are reasonable in relation to the objectives, design, and
potential significance of the proposed project;

(v) The extent to which the costs are reasonable in relation to the number of persons to be
served and to the anticipated results and benefits; and

(vi) The potential for continued support of the project after Federal funding ends,
including, as appropriate, the demonstrated commitment of appropriate entities to such support.

B-8
GENERAL INFORMATION

ON COMPLETING

AN APPLICATION

C-1
 GENERAL INFORMATION ON COMPLETING AN APPLICATION

Potential applicants frequently direct questions to officials of the Department regarding

application notices and programmatic and administrative regulations governing various direct grant
programs. To assist potential applicants, the Office of Special Education Programs staff have
assembled the following most commonly raised issues. In general, this information applies to the
grant competitions covered by this application package.

• EXTENSION OF DEADLINES

Waivers for individual applications are not granted, regardless of the circumstances. Under very
extraordinary circumstances a closing date may be changed. Such changes are announced in the
Federal Register.

• COPIES OF THE APPLICATION

Current Government-wide policy is that only an original and two copies need to be submitted.
OSEP would appreciate receiving three additional copies to facilitate the peer review process.
This would mean an original and two copies need to be submitted and we would appreciate your
voluntarily submitting an additional three copies (six applications in all). Copies of the
application may be bound, but it is not necessary or required. If bound, one copy should be left
unbound to facilitate electronic scanning and any necessary reproduction. Applicants should not
use colored paper, foldouts, photographs, or other materials that are hard to duplicate.

• MAKING APPLICATIONS MORE ACCESSIBLE TO REVIEWERS WHO ARE BLIND OR

HAVE LOW VISION

The Department will accept one copy of the application in an accessible format (i.e., IBM PC
compatible WordPerfect or ASCII code diskette) along with the original and two print copies of
the application. The accessible format copy can be used with available software to convert the
text of the application into Braille, or with text to voice applications. If there are any differences
in the print original provided on the disk and in print, the print original is assumed to be the
correct version. Please note that it is not a requirement that one copy of the application be in an
accessible format.

• MISSED DEADLINES AND SUBMISSION UNDER OTHER COMPETITIONS

Should an application miss the deadline for a particular competition, it may be submitted to
another competition. However, if an application is properly prepared to meet the specifications
of one competition, it is extremely unlikely that it would be favorably evaluated under a
different competition.

• SUBMISSION TO MORE THAN ONE PROGRAM

Applications may be submitted to more than one Federal program if you are unsure of the most
appropriate program. Each application should be prepared following the instructions for that
particular program as closely as possible (which may require some reformulation). It is very

C-2
 helpful if each program is notified that an identical or similar application is being submitted to
another program.

• HELP PREPARING APPLICATIONS

We are happy to provide general program information. Clearly it would not be appropriate for
staff to participate in the actual writing of an application, but we can respond to specific questions
about our application requirements and evaluation criteria, or about the announced priorities.
Applicants should understand that such previous contact is not required, nor does it guarantee the
success of an application.

• NOTIFICATION OF FUNDING

The time required to complete the evaluation of applications is variable. Once applications have
been received staff must determine the areas of expertise needed to appropriately evaluate the
applications, identify and contact potential reviewers, convene peer review panels, and
summarize and review the recommendations of the review panels. You can expect to receive
notification within 3 to 6 months of the application closing date, depending on the number of
applications received and the number of competitions with closing dates at about the same time.
The requested start date can be no later than January 1 of the year following the closing date of
the competition.

• POSSIBILITY OF LEARNING THE OUTCOME OF REVIEW PANELS PRIOR TO

OFFICIAL NOTIFICATION

Every year we are called by a number of applicants who have legitimate reasons for needing to
know the outcome of the review prior to official notification. Some applicants need to make job
decisions, some need to notify a local school district, etc. Regardless of the reason, we cannot
share information about the review with anyone until the Assistant Secretary has approved a slate
of projects recommended for funding. You will be notified as quickly as possible either by
telephone (if your application is recommended for funding), or through a letter (if your
application is not successful).

• FORMAT FOR APPLICATIONS

The application narrative (Part III of the application form) should be organized to follow the
exact sequence of the components in the selection criteria used to evaluate applications. (The
selection criteria for the competitions covered by this packet are listed following the specific
competition information in section “B” of this packet.) A table of contents, list of priority
requirements, and a one-page abstract summarizing the objectives, activities, project participants,
and expected outcomes of the proposed project should precede the application narrative. If you
prefer to use a different format, you may wish to cross-reference the sections of your application
to the selection criteria to be sure that reviewers are able to find all relevant information.

To aid in screening and reviewing the application, applicants should list in Part II and prior to the
abstract, all general, special, and other requirements for the priority and corresponding page
number (s) where requirements are addressed within the application. Page limits do not

C-3
 apply to this list. (All requirements are found in each priority description included in this
application package.) The format included below is an example of how you might provide this
information in your application.

Page # Requirements

______ (a) Projects funded under this notice must make positive efforts to employ
and advance in employment qualified individuals with disabilities in project
activities. (See Section 606 of IDEA)

______ (b) Applicants and grant recipients funded under this notice must involve
individuals with disabilities or parents of individuals with disabilities in
planning, implementing, and evaluating the projects.
(See Section 661(f)(1)(A) of IDEA)

______ (c) Applicant must describe steps to ensure equitable access to, and
participation in, its program for students, teachers, and other program
beneficiaries with special needs. (See Section 427, GEPA)

______ (d) Projects funded under these priorities must budget for a two-day
Project’s Directors’ meeting in Washington, D.C. during each year of the
project.

• BEST WAY TO PREPARE PROGRAM ABSTRACT

The program abstract should be one page in length. It would be helpful if it included; the title of
the program, the name of the Absolute Priority, and the CFDA Number (e.g., 84.327T, etc.).

• PAGE LIMITS
Please note that all applications submitted under the competition in this application package must
adhere to the Part III - Application Narrative page limit requirements that are specified under each
priority/competition description. Your application should provide enough information to allow
the review panel to evaluate the importance and impact of the project as well as to make
knowledgeable judgments about the methods you propose to use (design, subjects, sampling
procedures, measures, instruments, data analysis strategies, etc.). It is often helpful to have:

(l) Staff Vitae--They should include each person's title and role in the proposed project and
contain only information that is relevant to this proposed project's activities and/or
publications. Vitae for consultants and Advisory Council members should be similarly
brief.
(2) Instruments--except in the case of generally available and well known instruments.
(3) Agreements--when the participation of an agency other than the applicant is critical to the
project. This is particularly critical when an intervention will be implemented within an
agency, or when subjects will be drawn from particular agencies. Letters of cooperation
should be specific, indicating agreement to implement a particular intervention or to
provide access to a particular group of students.

The items listed above are not included under page limits.

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• MAKING SURE APPLICATION IS ASSIGNED TO THE CORRECT COMPETITION

Applicants should clearly indicate in Item 3 on the application (ED Form 424) the CFDA number
of the program priority (e.g., 84.327T, etc.) representing the competition in which the application
should be considered. If this information is not provided, your application may inadvertently be
assigned and reviewed under a different competition from the one you intended.

• RETURN OF NON-FUNDED APPLICATIONS

We do not return original copies of applications. Thus, applicants should retain at least one copy
of the application. Copies of reviewer comments will be mailed to all applicants.

• PROPOSED STAFF AVAILABILITY TO PROJECT

For each staff person named in the application, please provide documentation of all internal and
external time commitments. In instances where a staff person is committed on a federally
supported project, please provide the project name, Federal office, program title, the project
Federal award number, and the amount of committed time by each project year. This information
(e.g., Staff: Jane Doe; Project Name: Succeeding in the General Curriculum; Federal office:
Office of Special Education Programs; Program title: Field Initiated Research; Award number:
H324C980624; Time commitments: Year 1—30%; Year 2—25% and Year 3—40%) can be
provided as an Appendix to the application.

In general, we will not reduce time commitments on currently funded grants from the time
proposed in the original application. Therefore, we will not consider for funding any application
where key staff are bid above a time commitment level that staff have available to bid. Further,
the time commitments stated in newly submitted applications will not be negotiated down to
permit the applicant to receive a new grant award.

• USE OF PERSON LOADING CHARTS

It is important for applicants to include proposed time commitments for all project personnel.
Also, program officials and applicants often find person loading charts useful formats for
showing project personnel and their time commitments to individual activities. A person loading
chart is a tabular representation of major evaluation activities by number of days spent by each
key person involved in each activity, as shown in the following example.

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 Table #
Person Loading Chart - Time in Day(s) by Person*

Time in Day(s) by Person

Activity Person A Person B Person C Person D

Library Research 15 20 0 0
Hire Staff 0 0 0 5
Prepare Materials 5 25 0 0
Train Raters 0 2 0 0
Data Collection 60 60 0 0
Data Analysis 0 0 25 5
Dissemination 0 1 0 10
(manuscripts, etc.)
*Note: All figures represent FTE for the academic year.

• DELIVERING/SENDING APPLICATIONS TO THE COMPETITION MANAGER

Applications can be mailed or hand delivered, or submitted electronically but in either case must
go to the Application Control Center at the address listed in the Application Transmittal
Instructions. Delivering or sending the application to the competition manager in the program
office may prevent it from being logged in on time to the appropriate competition and may result
in the application not being reviewed.

• ALLOWED TRAVEL UNDER THESE PROJECTS

Travel is allowed if the travel specifically relates to the expressed goals of the project. Travel by
students to further their education under the project's goals is also allowed. Travel to conferences
is the travel item that is most likely to be questioned during negotiations. Such travel is
sometimes allowed when it is for purposes of dissemination, when there will be results to be
disseminated, and when it is clear that a conference presentation or workshop is an effective way
of reaching a particular target group.

• FUNDING OF APPROVED APPLICATIONS

It is often the case that the number of applications recommended for approval by the reviewers
exceeds the dollars available for funding projects under a particular competition. When the panel
reviews are completed for a particular competition, the individual reviewer scores and
applications are ranked. The higher ranked, approved applications are funded first, and there are
often lower ranked, approved applications that do not receive funding. Sometimes, one or two
applications that are approved and fall next in rank order (after those projects selected for
funding) are placed on hold. If dollars become available as a result of negotiations, or if a higher
ranked applicant declines the award, the projects on hold may receive funding. If you receive a

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 letter stating that you will not receive funding, then your project has neither been selected for
funding nor placed on hold.

• INDIRECT COST RATE

There is no maximum indirect cost for the competitions in this application package. An
organization’s current effective indirect cost rate is the rate that should be reflected in your
proposed budget.

• ISSUES RAISED DURING DISCUSSIONS PRIOR TO AWARD

If your application is recommended for funding, discussions may be held prior to award to clarify
technical or budget issues. These are issues that have been identified during panel and staff
review. Generally, technical issues are minor issues that require clarification. Alternative
approaches may be presented for your consideration, or you may be asked to provide additional
information or rationale for something you have proposed to do. Sometimes, concerns are stated
as "conditions". These are concerns that have been identified as so critical that the award cannot
be made unless those conditions are met. Questions are also raised about the proposed budget
during the discussion phase. Generally, budget issues are raised because there is inadequate
justification or explanation of the particular budget item, or because the budget item does not
seem critical to the successful completion of the project. A Federal project officer will present the
issues to you and ask you to respond. If you do not understand the question, you should ask for
clarification. In responding to discussion items you should provide any additional information or
clarification requested. You may feel that an issue was addressed in the application. It may not,
however, have been explained in enough detail to make it understood by reviewers, and more
information should be provided. If you are asked to make changes that you feel could seriously
affect the project's success, you may provide reasons for not making the changes, or provide
alternative suggestions. Similarly, if proposed budget reductions will, in your opinion, seriously
affect the proposed activities, you may want to explain why and provide additional justification
for the proposed expenses. Your changes, explanations, and alternative suggestions will be
carefully evaluated by staff. In some instances, an applicant may again be contacted for
additional information. An award cannot be made until all issues have been resolved and
conditions met.

• TREATING A PRIORITY AS TWO SEPARATE COMPETITIONS. In the past, there have been
problems in finding peer reviewers without conflicts of interest where applications are made by
many entities throughout the country. The Standing Panel requirements under the IDEA
Amendments of 1997 have also placed additional constraints on the availability of reviewers.
Therefore, The Department has determined that, for some discretionary priorities, applications
may be ranked and selected for funding in two or more groups, which will ensure the availability
of a much larger group of reviewers without conflicts of interest. This procedure will increase the
quality, independence and fairness of the review process and will permit panel members to review
applications under discretionary priorities to which they have also submitted applications.

C-7
• SUCCESSFUL APPLICATIONS AND ESTIMATED/PROJECTED BUDGET AMOUNTS IN
SUBSEQUENT YEARS

There is a maximum award amount specified for the priority/competitions included in this
package. The Department rejects and does not consider an application that proposes a budget
exceeding the maximum amount for any single budget period of 12 months for the priorities
included in this package. Please refer to the priority description to determine the maximum
award for any one particular competition. Since the yearly budgets for multi-year projects will be
negotiated at the time of the initial award, applicants must include detailed budgets for each year
of their proposed project. Generally, out-year funding levels most likely will not exceed 1st year
budgets. However, budget modifications during the negotiation process, the findings from the
previous year, or needed changes in the study design can affect your budget requirements in
subsequent years, but in no case will out-year budgets exceed the maximum award amount.

• REQUIREMENT TO REPORT THE RESULTS OF GRANT ACTIVITIES

The Department shall, where appropriate, require recipients of all grants, contracts and
cooperative agreements under Part D of the Individuals with Disabilities Education Act to prepare
reports describing their procedures, findings, and other relevant information. The Department
shall require their delivery to the Department of Education and other networks as The Department
may determine appropriate. (20 U.S.C. 1461)

• DIFFERENCE BETWEEN A COOPERATIVE AGREEMENT AND A GRANT

A cooperative agreement is similar to a grant in that its principal purpose is to accomplish a

public purpose of support or stimulation as authorized by a Federal statute. It differs from a grant
in the sense that in a cooperative agreement substantial involvement is anticipated between the
executive agency (in this case the Department of Education) and the recipient during the
performance of the contemplated activity.

• DIFFERENCE BETWEEN AN ABSOLUTE PRIORITY, AN INVITATIONAL PRIORITY,

AND A COMPETITIVE PRIORITY

An absolute priority is a priority that an applicant must address in order to receive an award. If
an applicant does not address an absolute priority, their application will be returned as being non-
responsive to the priority.

An invitational priority is a priority that reflects a particular interest of the Department, and an
applicant is encouraged to address the invitational priority along with the required
absolute priority. However, an applicant choosing to address an invitational priority, will not
receive any competitive preference over other applications.

A competitive priority is like an invitational priority in that it reflects a particular interest of the
Department, and an applicant is encouraged to address the competitive priority along with the
required absolute priority. A competitive priority may be handled in one of two ways: (1) an

C-8
 application may be awarded additional points depending on how effectively it addresses the
competitive priority; or (2) an application that meets a competitive priority may be selected over
an application of comparable merit that does not address the competitive priority. The type of
competitive priority for a particular competition is always included in the FEDERAL REGISTER
announcement.

• OBTAINING COPIES OF THE FEDERAL REGISTER, PROGRAM REGULATIONS AND

FEDERAL STATUTES

Copies of these materials can usually be found at your local library. If not, they can be obtained
by writing to:

Superintendent of Documents
U.S. Government Printing Office
Washington, D.C. 20402
Telephone: (202) 512-1800.

Information about the Department's funding opportunities, including copies of application

notices for discretionary grant competitions, can be viewed on the Department's grant information web
page which can be accessed on the INTERNET at:
www.ed.gov/about/offices/list/ocfo/gcsindex.html
However, the official application notice for a discretionary grant competition is the notice published in
the FEDERAL REGISTER.

C-9
 APPLICATION TRANSMITTAL INSTRUCTIONS

AND

REQUIREMENTS FOR INTERGOVERNMENTAL REVIEW

D-0
 Application Transmittal Instructions

ATTENTION ELECTRONIC APPLICANTS: Please note that you must follow the
Application Procedures as described in the Federal Register notice announcing the
grant competition. Some programs may require electronic submission of applications,
and those programs will have specific requirement and waiver instructions in the
Federal Register notice.

An original and two copies of an application for an award must be mailed or

hand-delivered by the application deadline date unless it is submitted
electronically. To help expedite our review of your application, we would
appreciate your voluntarily including an additional 3 copies of your application.

Applications Submitted Electronically

You must submit your grant application through the Internet using the
software provided on the e-Grants Web site (http://e-grants.ed.gov) by 4:30
p.m. (Washington, DC time) on the application deadline date. The regular
hours of operation of the e-Grants website are 6:00 a.m. Monday until 7:00
p.m. Wednesday; and 6:00 a.m. Thursday until midnight Saturday
(Washington, DC time). Please note that the system is unavailable on
Sundays, and after 7:00 p.m. on Wednesday for maintenance (Washington, DC
time). Any modifications to these hours are posted on the e-Grants Web site.

If you submit your application through the Internet via the e-Grants Web site,
you will receive an automatic acknowledgment when we receive your
application.

Applications Delivered by Mail

Applications sent by mail must be addressed to:

U.S. Department of Education

Application Control Center
Attention: (CFDA# 84.327T)
400 Maryland Avenue, SW.
Washington, D.C. 20202

Applicants must show proof of mailing consisting of one of the following:

(1) A legibly dated U.S. Postal Service Postmark

(2) A legible mail receipt with the date of mailing stamped by the U.S.
Postal Service.
(3) A dated shipping label, invoice, or receipt from a commercial carrier

D-1
 (4) Any other proof of mailing acceptable to the U.S. Secretary of
Education

If an application is sent through the U.S. Postal Service, the Secretary does not
accept either of the following as proof of mailing:

(1) A private metered postmark, or

(2) A mail receipt that is not dated by the U.S. Postal Service

Applicants should note that the U.S. Postal Service does not uniformly provide
a dated postmark. Before relying on this method, you should check with your
local post office.

If you send your application by mail or if you or your courier deliver it by hand,
the Application Control Center will mail a Grant Application Receipt
Acknowledgment to you. If you do not receive the notification of application
receipt within 15 days from the mailing of the application, you should call the
U.S. Department of Education Application Control Center at (202) 245-6288.

You must indicate on the envelope and—if not provided by the Department—in
Item 4 of the Application for Federal Education Assistance (ED 424 (exp.
11/30/2004)) the CFDA number – and suffix letter, if any – of the competition
under which you are submitting your application.

If your application is late, we will notify you that we will not consider the
application.

Applications Delivered by Hand/Courier Service

An application that is hand-delivered must be taken to:

U.S. Department of Education

Application Control Center
Room 7041
Potomac Center Plaza
550 12th Street, SW
Washington, D.C. 20202

The Application Control Center accepts deliveries daily between 8:00 a.m. and
4:30 p.m. (Washington, D.C. time), except Saturdays, Sundays and Federal
holidays.

A person delivering an application must show identification to enter

the building.
D-2
D-3
 Appendix

Intergovernmental Review of Federal Programs

This appendix applies to each program that is subject to the requirements of Executive Order
12372 (Intergovernmental Review of Federal Programs) and the regulations in 34 CFR
part 79.

The objective of the Executive order is to foster an intergovernmental partnership and to

strengthen federalism by relying on State and local processes for State and local government
coordination and review of proposed Federal financial assistance.

Applicants must contact the appropriate State Single Point of Contact to find out about, and to
comply with, the State's process under Executive Order 12372. Applicants proposing to perform
activities in more than one State should immediately contact the Single Point of Contact for each of
those States and follow the procedure established in each of those States under the Executive order. A
listing containing the Single Point of Contact for each State is included in this appendix.

In States that have not established a process or chosen a program for review, State, areawide,
regional, and local entities may submit comments directly to the Department.

Any State Process Recommendation and other comments submitted by a State Single Point of
Contact and any comments from State, areawide, regional, and local entities must be mailed or hand-
delivered by the date indicated in the actual application notice to the following address:

The Secretary
EO 12372--CFDA# [commenter must insert number--including suffix letter, if any]
U.S. Department of Education Room 7W301
400 Maryland Avenue, SW.
Washington, D.C. 20202

Proof of mailing will be determined on the same basis as applications (see 34 CFR 75.102).
Recommendations or comments may be hand-delivered until 4:30 p.m. (Washington, DC time) on the
date indicated in the actual application notice.

PLEASE NOTE THAT THE ABOVE ADDRESS IS NOT THE SAME ADDRESS AS
THE ONE TO WHICH THE APPLICANT SUBMITS ITS COMPLETED APPLICATION.
DO NOT SEND APPLICATIONS TO THE ABOVE ADDRESS.

D-4
This publication by the U.S. Department of Education is an unofficial version of the State Single Point of
Contact (SPOC) List published by the Office of Management and Budget (OMB). This publication
incorporates the most recent revisions made by OMB. The Department has made every effort to ensure
the accuracy of the information contained in this unofficial version. However, the only official version of
the State Single Point of Contact (SPOC) List is posted on the Grants Management section of the OMB
web site http://www.whitehouse.gov/omb/grants/spoc.html. You may save a text version of this
document at the aforementioned site. Please note it will be necessary to put a row of space between
each state listing.

STATE SINGLE POINTS OF CONTACT (SPOCs)

Executive Order 12372, “Intergovernmental Review of Federal Programs,” was issued with
the desire to foster the intergovernmental partnership and strengthen federalism by relying on
State and local processes for the coordination and review of proposed Federal financial
assistance and direct Federal development. The Order allows each State to designate an entity to
perform this function. Below is the official list of those entities. For those States that have a home
page for their designated entity, a direct link has been provided on the official version
http://www.whitehouse.gov/omb/grants/spoc.html.

States that are not listed on this page have chosen not to participate in the
intergovernmental review process, and therefore do not have a SPOC. If you are located
within one of these States, you may still send application material directly to a Federal
awarding agency.

Contact information for Federal agencies that award grants can be found in Appendix IV of
the Catalog of Federal Domestic Assistance. [www.cfda.gov/public/cat-app4-index.htm]

ARKANSAS CALIFORNIA

Tracy L. Copeland Grants Coordination

Manager, State Clearinghouse State Clearinghouse
Office of Intergovernmental Services Office of Planning and Research
Department of Finance and Administration P.O. Box 3044, Room 222
1515 7th Street, Room 412 Sacramento, California 95812-3044
Little Rock, Arkansas 72203 Telephone: (916) 445-0613
Telephone: (501) 682-1074 FAX: (916) 323-3018
FAX: (501) 682-5206 [email protected]
[email protected]
DELAWARE DISTRICT OF COLUMBIA

Sandra R. Stump Luisa Montero-Diaz

Executive Department Office of Partnerships and Grants
Office of the Budget Development
540 S. Dupont Highway, 3rd Floor Executive Office of the Mayor
Dover, Delaware 19901 District of Columbia Government
Telephone: (302) 739-3323 414 4th Street, NW, Suite 530 South
FAX: (302) 739-5661 Washington, DC 20001
[email protected] Telephone: (202) 727-8900
FAX: (202) 727-1652
D-5
 [email protected]

FLORIDA GEORGIA

Lauren P. Milligan Barbara Jackson

Florida State Clearinghouse Georgia State Clearinghouse
Florida Department of Environmental 270 Washington Street, SW
Protection Atlanta, Georgia 30334
3900 Commonwealth Blvd., Mail Station Telephone: (404) 656-3855
47 FAX: (404) 656-7901
Tallahassee, Florida 32399-3000 [email protected]
Telephone: (850) 245-2161
FAX: (850) 245-2190
[email protected]
ILLINOIS IOWA

Roukaya McCaffrey Steven R. McCann

Department of Commerce and Community Division of Community and Rural
Affairs Development
620 East Adams, 6th Floor Iowa Department of Economic
Springfield, Illinois 62701 Development
Telephone: (217) 524-0188 200 East Grand Avenue
FAX: (217) 558-0473 Des Moines, Iowa 50309
[email protected] Telephone: (515) 242-4719
FAX: (515) 242-4809
[email protected]
KENTUCKY MAINE

Ron Cook Joyce Benson

Department for Local Government State Planning Office
1024 Capital Center Drive, Suite 340 184 State Street
Frankfort, Kentucky 40601 38 State House Station
Telephone: (502) 573-2382 Augusta, Maine 04333
FAX: (502) 573-2512 Telephone: (207) 287-3261
[email protected] Telephone: (207) 1461 (direct)
FAX: (207) 287-6489
[email protected]

D-6
MARYLAND MASSACHUSETTS

Linda Janey Bradley T. Crate

Manager, Clearinghouse and Plan Review Grants Management
Unit Governor’s Legislative & Intergovernment
Maryland Office of Planning Affairs Office
301 West Preston Street – Room 1104 State House Room 280
Baltimore, Maryland 21201-2305 Boston, MA 02133
Telephone: (410) 767-4490 Phone: (617) 725-4020 x35215
FAX: (410) 767-4480 Fax: (617) 727-8136
[email protected] [email protected]
MICHIGAN MISSISSIPPI

Richard Pfaff Cathy Mallette

Southeast Michigan Council of Clearinghouse Officer
Governments Department of Finance and Administration
535 Griswold, Suite 300 1301 Woolfolk Building, Suite E
Detroit, Michigan 48226 501 North West Street
Telephone: (313) 961-4266 Jackson, Mississippi 39201
FAX: (313) 961-4869 Telephone: (601) 359-6762
[email protected] FAX: (601) 359-6758

MISSOURI NEVADA

Angela Boessen Heather Elliott

Federal Assistance Clearinghouse Department of Administration
Office of Administration State Clearinghouse
P.O. Box 809 209 E. Musser Street, Room 200
Truman Building, Room 840 Carson City, Nevada 89701-4298
Jefferson City, Missouri 65102 Telephone: (775) 684-0209
Telephone: (573) 751-4834 FAX: (775) 684-0260
FAX: (573) 522-4395 [email protected]
[email protected]

D-7
NEW HAMPSHIRE NEW MEXICO
Jeffrey H. Taylor, Director Ken Hughes
New Hampshire Office of State Planning Local Government Division
Attn: Intergovernmental Review Process Room 201, Bataan Memorial Building
Mike Blake Santa Fe, New Mexico 87503
2½ Beacon Street Telephone: (505) 827-4370
Concord, New Hampshire 03301 FAX: (505) 827-4948
Telephone: (603) 271-2155 [email protected]
FAX: (603) 271-1728
[email protected]
NEW YORK NORTH DAKOTA

Linda Shkeli Jim Boyd

Office of Public Security Division of Community Services
Homeland Security Grants Coordination 600 East Boulevard Ave, Dept 105
633 #rd Street Bismarck, North Dakota 58505-0170
New York, NY 10017 Telephone: (701) 328-2094
Telephone: (212) 867-1289 FAX: (701) 328-2308
FAX: (212) 867-1725 [email protected]
RHODE ISLAND SOUTH CAROLINA

Kevin Nelson SC Clearinghouse

Department of Administration Budget and Control Board
Statewide Planning Program Office of State Budget
One Capitol Hill 1122 Ladies Street – 12th Floor
Providence Rhode Island 02908-5870 Columbia, South Carolina 29201
Telephone: (401) 222-2093 Telephone: (803) 734-0494
FAX: (401) 222-2083 FAX: (803) 734-0645
[email protected] [email protected]
TEXAS UTAH
Denise S. Francis Clare Walters
Director, State Grants Team Utah State Clearinghouse
Governor’s Office of Budget and Planning Governor’s Office of Planning and Budget
P.O. Box 12428 State Capitol, Room 114
Austin, Texas 78711 Salt Lake City, Utah 84114
Telephone: (512) 305-9415 Telephone: (801) 538-1555
FAX: (512) 936-2681 FAX: (801) 538-1547
[email protected] [email protected]

D-8
WEST VIRGINIA WISCONSIN

Fred Cutlip, Director Jeff Smith

Community Development Division Section Chief, Federal/State Relations
West Virginia Development Office Wisconsin Department of Administration
Building #6, Room 553 101 East Wilson Street – 6th Floor
Charleston, West Virginia 25305
Telephone: (304) 558-4010 P.O. Box 7868
FAX: (304) 558-3248 Madison, Wisconsin 53707
[email protected] Telephone: (608) 266-0267
FAX: (608) 267-6931
[email protected]
AMERICAN SAMOA
GUAM
Pat M. Galea'i
Federal Grants/Programs Coordinator Director
Office of Federal Programs Bureau of Budget and Management
Office of the Governor/Department Research
of Commerce Office of the Governor
American Samoa Government P.O. Box 2950
Pago Pago, American Samoa 96799 Agana, Guam 96910
Telephone: (684) 633-5155 Telephone: 011-671-472-2285
Fax: (684) 633-4195 FAX: 011-671-472-2825
[email protected] [email protected]
PUERTO RICO NORTHERN MARIANA ISLANDS

Jose Caballero / Mayra Silva Ms. Jacoba T. Seman

Puerto Rico Planning Board Federal Programs Coordinator
Federal Proposals Review Office Office of Management and Budget
Minillas Government Center Office of the Governor
P.O. Box 41119 Saipan, MP 96950
San Juan, Puerto Rico 00940-1119 Telephone: (670) 664-2289
Telephone: (787) 723-6190 FAX: (670) 664-2272
FAX: (787) 722-6783 [email protected]
VIRGIN ISLANDS

Ira Mills
Director, Office of Management & Budget
# 41 Norre Gade Emancipation Garden
Station, Second Floor
Saint Thomas, Virgin Islands 00802
Telephone: (340) 774-0750
FAX: (787) 776-0069
[email protected]

D-9
Changes to this list can be made only after OMB is notified by a State’s officially
designated representative. E-mail messages can be sent to [email protected]. If you
prefer, you may send correspondence to the following postal address:

Attn: Grants Management

Office of Management and Budget
New Executive Office Building, Suite 6025
725 17th Street, NW
Washington, DC 20503

Please note: Inquiries about obtaining a Federal grant should not be sent to the OMB e-mail
or postal address shown above. The best source for this information is the Catalog of Federal
Domestic Assistance (CFDA) [http://www.cfda.gov/].

D-10
 NOTICE TO ALL APPLICANTS

(ENSURING EQUITABLE ACCESS)

AND

APPLICATION FORMS AND INSTRUCTIONS

E-0
 OMB Control No. 1801-0004 (Exp. 9/30/2004)

NOTICE TO ALL APPLICANTS

The purpose of this enclosure is to inform you about a new provision in the Department of
Education's General Education Provisions Act (GEPA) that applies to applicants for new grant
awards under Department programs. This provision is Section 427 of GEPA, enacted as part of
the Improving America's Schools Act of 1994 (Pub. L. 103-382).

To Whom Does This Provision Apply?

Section 427 of GEPA affects applicants for new grant awards under this program. ALL
APPLICANTS FOR NEW AWARDS MUST INCLUDE INFORMATION IN THEIR APPLICATIONS TO
ADDRESS THIS NEW PROVISION IN ORDER TO RECEIVE FUNDING UNDER THIS PROGRAM.

(If this program is a State-formula grant program, a State needs to provide this description
only for projects or activities that it carries out with funds reserved for State-level uses. In
addition, local school districts or other eligible applicants that apply to the State for funding
need to provide this description in their applications to the State for funding. The State would
be responsible for ensuring that the school district or other local entity has submitted a sufficient
section 427 statement as described below.)

What Does This Provision Require?

Section 427 requires each applicant for funds (other than an individual person) to include in
its application a description of the steps the applicant proposes to take to ensure equitable
access to, and participation in, its Federally-assisted program for students, teachers, and other
program beneficiaries with special needs.

This provision allows applicants discretion in developing the required description. The statute
highlights six types of barriers that can impede equitable access or participation: gender, race,
national origin, color, disability, or age. Based on local circumstances, you should determine
whether these or other barriers may prevent your students, teachers, etc. from such access or
participation in, the Federally-funded project or activity. The description in your application of
steps to be taken to overcome these barriers need not be lengthy; you may provide a clear and
succinct description of how you plan to address those barriers that are applicable to your
circumstances. In addition, the information may be provided in a single narrative, or, if
appropriate, may be discussed in connection with related topics in the application.

Section 427 is not intended to duplicate the requirements of civil rights statutes, but rather to
ensure that, in designing their projects, applicants for Federal funds address equity concerns
that may affect the ability of certain potential beneficiaries to fully participate in the project and
to achieve to high standards. Consistent with program requirements and its approved

E-1
application, an applicant may use the Federal funds awarded to it to eliminate barriers it
identifies.

What are Examples of How an Applicant Might Satisfy the Requirement of This Provision?

The following examples may help illustrate how an applicant may comply with Section 427.

(1) An applicant that proposes to carry out an adult literacy project serving, among others,
adults with limited English proficiency, might describe in its application how it intends to
distribute a brochure about the proposed project to such potential participants in their native
language.

(2) An applicant that proposes to develop instructional materials for classroom use might
describe how it will make the materials available on audio tape or in braille for students who
are blind.

(3) An applicant that proposes to carry out a model science program for secondary students
and is concerned that girls may be less likely than boys to enroll in the course, might indicate
how it intends to conduct "outreach" efforts to girls, to encourage their enrollment.

We recognize that many applicants may already be implementing effective steps to ensure
equity of access and participation in their grant programs, and we appreciate your cooperation
in responding to the requirements of this provision.

Estimated Burden Statement for GEPA Requirements

The time required to complete this information collection is estimated to vary from 1 to 3 hours
per response, with an average of 1.5 hours, including the time to review instructions, search
existing data resources, gather and maintain the data needed, and complete and review the
information collection. If you have any comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write to: U.S. Department of
Education, Washington, DC 20202-4651.
E-2
 APPLICATION FORMS AND INSTRUCTIONS

The application is divided into four parts. These parts are organized in the same manner that

the submitted application should be organized. These parts are as follows:

Part I: Application for Federal Education Assistance (ED 424) and Instructions.

Part II: Budget Information -- Non-Construction Programs (ED Form 524) and Instructions.

Part III: Application Narrative.

Part IV: Assurances and Certifications --

Assurances -- Non-Construction Programs (Standard Form 424B).

Certifications Regarding Lobbying; Debarment, Suspension and Other

Responsibility Matters; and Drug-Free Workplace Requirements (ED Form 80-
0013).

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary

Exclusion -- Lower Tier Covered Transactions (ED Form 80-0014) and
Instructions.

Disclosure of Lobbying Activities.

Important Notice to Prospective Participants in USDE Contract and Grant

Programs.

An applicant may submit information on a photostatic copy of the application and budget
forms, the assurances, and the certifications. However, the application form, the assurances,
and the certifications must each have an original signature. No grant may be awarded unless a
completed application form has been received.
Application for Federal U.S. Department of Education
Education Assistance (ED 424)
Form Approved
OMB No. 1875-0106
Exp. 11/30/2004

Applicant Information Organizational Unit

1. Name and Address
Legal Name:________________________________________________________________

Address: __________________________________________________________________

______________________________________________________________________________________________________________

_______________________________________________ _______ ______________________ ____________ - ________

City State County ZIP Code + 4

2. Applicant’s D-U-N-S Number |___|___|___|___|___|___|___|___|___| 6. Novice Applicant ___Yes ___No

3. Applicant’s T-I-N |___|___| - |___|___|___|___|___|___|___| 7. Is the applicant delinquent on any Federal debt? ___Yes ___No
(If “Yes,” attach an explanation.)
4. Catalog of Federal Domestic Assistance #: 84._3__|__2__|_7___|_T___|

Title: Cultural Experiences for Deaf or Hard of Hearing Individuals 8. Type of Applicant (Enter appropriate letter in the box.) |____|

____________________________________________________ A - State F - Independent School District

B - Local G - Public College or University
C - Special District H - Private, Non-profit
5. Project Director:___________________________________________
College or University
D - Indian Tribe I - Non-profit Organization
Address:_________________________________________________ E - Individual J - Private, Profit-Making Organization

_____________________________ ______ _________ _______ K - Other (Specify): ______________________________________

City State Zip code + 4
Tel. #: ( ) _______-________ Fax #: ( )_______-________

E-Mail Address: __________________________________________

Application Information
9. Type of Submission: 12. Are any research activities involving human subjects planned at
-PreApplication -Application any time during the proposed project period?
___ Construction ___ Construction ___ Yes (Go to 12a.) ___ No (Go to item 13.)
___ Non-Construction ___ Non-Construction
12a. Are all the research activities proposed designated to be
10. Is application subject to review by Executive Order 12372 process? exempt from the regulations?
___ Yes (Date made available to the Executive Order 12372 ___ Yes (Provide Exemption(s) #): _______________________
process for review): ____/____/_________
___ No (Provide Assurance #): __________________________
___ No (If “No,” check appropriate box below.)
___ Program is not covered by E.O. 12372. 13. Descriptive Title of Applicant’s Project:
___ Program has not been selected by State for review.
________________________________________________________
11. Proposed Project Dates: ____/____/________ ____/____/_________
Start Date: End Date: ________________________________________________________

Estimated Funding Authorized Representative Information

15. To the best of my knowledge and belief, all data in this preapplication/application are true
14a. Federal $ ________________. 00 and correct. The document has been duly authorized by the governing body of the applicant
b. Applicant $ ________________. 00 and the applicant will comply with the attached assurances if the assistance is awarded.
c. State $ ________________. 00 a. Authorized Representative (Please type or print name clearly.)
d. Local $ ________________. 00 ________________________________________________________________________________
e. Other $ ________________. 00 b. Title: _________________________________________________________________________
f. Program Income $ ________________. 00 c. Tel. #: ( ) ________-____________ Fax #: ( ) ________-____________
d. E-Mail Address: _______________________________________________________________
g. TOTAL $ ________________. 00 e. Signature of Authorized Representative

_____________________________________________________________ Date:___/____/______
 Instructions for Form ED 424
1. Legal Name and Address. Enter the legal name of 8. Type of Applicant. Enter the appropriate letter in
applicant and the name of the primary the box provided.
organizational unit which will undertake the
assistance activity. 9. Type of Submission. See “Definitions for Form
ED 424” attached.
2. D-U-N-S Number. Enter the applicant’s D-U-N-S
Number. If your organization does not have a D-U- 10. Executive Order 12372. See “Definitions for
N-S Number, you can obtain the number by calling Form ED 424” attached. Check “Yes” if the
1-800-333-0505 or by completing a D-U-N-S application is subject to review by E.O. 12372.
Number Request Form. The form can be obtained Also, please enter the month, day, and four (4) digit
via the Internet at the following URL: year (e.g., 12/12/2001). Otherwise, check “No.”
http://www.dnb.com.
11. Proposed Project Dates. Please enter the month,
3. Tax Identification Number. Enter the taxpayer’s day, and four (4) digit year (e.g., 12/12/2001).
identification number as assigned by the Internal
Revenue Service. 12. Human Subjects Research. (See I.A.
“Definitions” in attached page entitled “Definitions
4. Catalog of Federal Domestic Assistance (CFDA) for Form ED 424.”)
Number. Enter the CFDA number and title of the
program under which assistance is requested. The If Not Human Subjects Research. Check “No” if
CFDA number can be found in the federal register research activities involving human subjects are
notice and the application package. not planned at any time during the proposed project
period. The remaining parts of Item 12 are then
5. Project Director. Name, address, telephone and not applicable.
fax numbers, and e-mail address of the person to
be contacted on matters involving this application. If Human Subjects Research. Check “Yes” if
research activities involving human subjects are
6. Novice Applicant. Check “Yes” or “No” only if planned at any time during the proposed project
assistance is being requested under a program that period, either at the applicant organization or at any
gives special consideration to novice applicants. other performance site or collaborating institution.
Otherwise, leave blank. Check “Yes” even if the research is exempt from
the regulations for the protection of human
Check “Yes” if you meet the requirements for subjects. (See I.B. “Exemptions” in attached page
novice applicants specified in the regulations in 34 entitled “Definitions for Form ED 424.”)
CFR 75.225 and included on the attached page
entitled “Definitions for Form ED 424.” By 12a. If Human Subjects Research is Exempt from
checking “Yes” the applicant certifies that it meets the Human Subjects Regulations. Check “Yes” if
these novice applicant requirements. Check “No” all the research activities proposed are designated to
if you do not meet the requirements for novice be exempt from the regulations. Insert the
applicants. exemption number(s) corresponding to one or more
of the six exemption categories listed in I.B.
7. Federal Debt Delinquency. Check “Yes” if the “Exemptions.” In addition, follow the instructions
applicant’s organization is delinquent on any in II.A. “Exempt Research Narrative” in the
Federal debt. (This question refers to the attached page entitled “Definitions for Form ED
applicant’s organization and not to the person who 424.” Insert this narrative immediately following
signs as the authorized representative. Categories the ED 424 face page.
of debt include delinquent audit disallowances,
loans and taxes.) Otherwise, check “No.” 12a. If Human Subjects Research is Not Exempt
from Human Subjects Regulations. Check “No”
if some or all of the planned research activities are
 covered (not exempt). In addition, follow the program funding, use totals and show breakdown
instructions in II.B. “Nonexempt Research using same categories as item 14.
Narrative” in the page entitled “Definitions for
Form ED 424.” Insert this narrative immediately 15. Certification. To be signed by the authorized
following the ED 424 face page. representative of the applicant. A copy of the
governing body’s authorization for you to sign this
12a. Human Subjects Assurance Number. If the application as official representative must be on file
applicant has an approved Federal Wide (FWA) or in the applicant’s office. Be sure to enter the
Multiple Project Assurance (MPA) with the Office telephone and fax number and e-mail address of the
for Human Research Protections (OHRP), U.S. authorized representative. Also, in item 15e, please
Department of Health and Human Services, that enter the month, day, and four (4) digit year (e.g.,
covers the specific activity, insert the number in the 12/12/2001) in the date signed field.
space provided. If the applicant does not have an
approved assurance on file with OHRP, enter
“None.” In this case, the applicant, by signature on
the face page, is declaring that it will comply with
34 CFR 97 and proceed to obtain the human
subjects assurance upon request by the designated
ED official. If the application is
recommended/selected for funding, the designated
ED official will request that the applicant obtain the
assurance within 30 days after the specific formal
request.

Note about Institutional Review Board Approval.

ED does not require certification of Institutional
Review Board approval with the application.
However, if an application that involves non-exempt
human subjects research is recommended/selected for
funding, the designated ED official will request that
the applicant obtain and send the certification to ED
within 30 days after the formal request.

13. Project Title. 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.

14. Estimated Funding. 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
Paperwork Burden Statement. According to the Paperwork If you have any comments concerning the accuracy of the
Reduction Act of 1995, no persons are required to respond to a estimate(s) or suggestions for improving this form, please write
collection of information unless such collection displays a valid to: U.S. Department of Education, Washington, D.C. 20202-
OMB control number. The valid OMB control number for this 4651. If you have comments or concerns regarding the status of
information collection is 1875-0106. The time required to your individual submission of this form write directly to: Joyce
complete this information collection is estimated to average I. Mays, Application Control Center, U.S. Department of
between 15 and 45 minutes per response, including the time to Education, 550 12th Street, S.W. Potomac Center Plaza, Room
review instructions, search existing data resources, gather the 7067, Washington, D.C. 20202
data needed, and complete and review the information collection.
 Definitions for Form ED 424
contribute to generalizable knowledge it is research. Activities which
Novice Applicant (See 34 CFR 75.225). For discretionary grant meet this definition constitute research whether or not they are
programs under which the Secretary gives special consideration to
novice applications, a novice applicant means any applicant for a grant conducted or supported under a program which is considered research
from ED that— for other purposes. For example, some demonstration and service
programs may include research activities.
• Has never received a grant or subgrant under the program
—Human Subject
from which it seeks funding;
The regulations define human subject as “a living individual about
• Has never been a member of a group application, submitted whom an investigator (whether professional or student) conducting
in accordance with 34 CFR 75.127-75.129, that received a research obtains (1) data through intervention or interaction with the
grant under the program from which it seeks funding; and individual, or (2) identifiable private information.” (1) If an activity
involves obtaining information about a living person by manipulating
• Has not had an active discretionary grant from the Federal that person or that person’s environment, as might occur when a new
instructional technique is tested, or by communicating or interacting
government in the five years before the deadline date for
with the individual, as occurs with surveys and interviews, the
applications under the program. For the purposes of this
definition of human subject is met. (2) If an activity involves
requirement, a grant is active until the end of the grant’s
obtaining private information about a living person in such a way that
project or funding period, including any extensions of those
the information can be linked to that individual (the identity of the
periods that extend the grantee’s authority to obligate funds.
subject is or may be readily determined by the investigator or
associated with the information), the definition of human subject is
In the case of a group application submitted in accordance with 34
met. [Private information includes information about behavior that
CFR 75.127-75.129, a group includes only parties that meet the
occurs in a context in which an individual can reasonably expect that
requirements listed above.
no observation or recording is taking place, and information which has
been provided for specific purposes by an individual and which the
Type of Submission. “Construction” includes construction of new individual can reasonably expect will not be made public (for
buildings and acquisition, expansion, remodeling, and alteration of example, a school health record).]
existing buildings, and initial equipment of any such buildings, or any
combination of such activities (including architects’ fees and the cost B. Exemptions.
of acquisition of land). “Construction” also includes remodeling to
meet standards, remodeling designed to conserve energy, renovation or Research activities in which the only involvement of human subjects
remodeling to accommodate new technologies, and the purchase of will be in one or more of the following six categories of exemptions
existing historic buildings for conversion to public libraries. For the are not covered by the regulations:
purposes of this paragraph, the term “equipment” includes machinery,
utilities, and built-in equipment and any necessary enclosures or (1) Research conducted in established or commonly accepted
structures to house them; and such term includes all other items educational settings, involving normal educational practices, such as
necessary for the functioning of a particular facility as a facility for the (a) research on regular and special education instructional strategies,
provision of library services. or (b) research on the effectiveness of or the comparison among
instructional techniques, curricula, or classroom management
Executive Order 12372. The purpose of Executive Order 12372 is to methods.
foster an intergovernmental partnership and strengthen federalism by
relying on State and local processes for the coordination and review of (2) Research involving the use of educational tests (cognitive,
proposed Federal financial assistance and direct Federal development. diagnostic, aptitude, achievement), survey procedures, interview
The application notice, as published in the Federal Register, informs procedures or observation of public behavior, unless: (a) information
the applicant as to whether the program is subject to the requirements obtained is recorded in such a manner that human subjects can be
of E.O. 12372. In addition, the application package contains identified, directly or through identifiers linked to the subjects; and (b)
information on the State Single Point of Contact. An applicant is still any disclosure of the human subjects’ responses outside the research
eligible to apply for a grant or grants even if its respective State, could reasonably place the subjects at risk of criminal or civil liability
Territory, Commonwealth, etc. does not have a State Single Point of or be damaging to the subjects’ financial standing, employability, or
Contact. For additional information on E.O. 12372 go to reputation. If the subjects are children, exemption 2 applies only to
www.cfda.gov/public/eo12372.htm. research involving educational tests and observations of public
behavior when the investigator(s) do not participate in the activities
PROTECTION OF HUMAN SUBJECTS IN RESEARCH being observed. Exemption 2 does not apply if children are surveyed
or interviewed or if the research involves observation of public
I. Definitions and Exemptions behavior and the investigator(s) participate in the activities being
observed. [Children are defined as persons who have not attained the
A. Definitions. legal age for consent to treatments or procedures involved in the
research, under the applicable law or jurisdiction in which the research
A research activity involves human subjects if the activity is research, will be conducted.]
as defined in the Department’s regulations, and the research activity
will involve use of human subjects, as defined in the regulations. (3) Research involving the use of educational tests (cognitive,
diagnostic, aptitude, achievement), survey procedures, interview
procedures or observation of public behavior that is not exempt under
—Research
section (2) above, if the human subjects are elected or appointed
public officials or candidates for public office; or federal statute(s)
The ED Regulations for the Protection of Human Subjects, Title 34,
require(s) without exception that the confidentiality of the personally
Code of Federal Regulations, Part 97, define research as “a systematic
identifiable information will be maintained throughout the research
investigation, including research development, testing and evaluation,
and thereafter.
designed to develop or contribute to generalizable knowledge.” If an
activity follows a deliberate plan whose purpose is to develop or
(4) Research involving the collection or study of existing data, for the involvement of special classes of subjects, such as children,
documents, records, pathological specimens, or diagnostic specimens, children with disabilities, adults with disabilities, persons with mental
if these sources are publicly available or if the information is recorded disabilities, pregnant women, prisoners, institutionalized individuals,
by the investigator in a manner that subjects cannot be identified, or others who are likely to be vulnerable
directly or through identifiers linked to the subjects.
(2) Sources of Materials: Identify the sources of research material
(5) Research and demonstration projects which are conducted by or obtained from individually identifiable living human subjects in the
subject to the approval of department or agency heads, and which are form of specimens, records, or data. Indicate whether the material or
designed to study, evaluate, or otherwise examine: (a) public benefit data will be obtained specifically for research purposes or whether use
or service programs; (b) procedures for obtaining benefits or services will be made of existing specimens, records, or data.
under those programs; (c) possible changes in or alternatives to those
programs or procedures; or (d) possible changes in methods or levels (3) Recruitment and Informed Consent: Describe plans for the
of payment for benefits or services under those programs. recruitment of subjects and the consent procedures to be followed.
Include the circumstances under which consent will be sought and
(6) Taste and food quality evaluation and consumer acceptance obtained, who will seek it, the nature of the information to be provided
studies, (a) if wholesome foods without additives are consumed or (b) to prospective subjects, and the method of documenting consent. State
if a food is consumed that contains a food ingredient at or below the if the Institutional Review Board (IRB) has authorized a modification
level and for a use found to be safe, or agricultural chemical or or waiver of the elements of consent or the requirement for
environmental contaminant at or below the level found to be safe, by documentation of consent.
the Food and Drug Administration or approved by the Environmental
Protection Agency or the Food Safety and Inspection Service of the (4) Potential Risks: Describe potential risks (physical, psychological,
U.S. Department of Agriculture. social, legal, or other) and assess their likelihood and seriousness.
Where appropriate, describe alternative treatments and procedures that
II. Instructions for Exempt and Nonexempt Human Subjects might be advantageous to the subjects.
Research Narratives
(5) Protection Against Risk: Describe the procedures for protecting
If the applicant marked “Yes” for Item 12 on the ED 424, the applicant against or minimizing potential risks, including risks to confidentiality,
must provide a human subjects “exempt research” or “nonexempt and assess their likely effectiveness. Where appropriate, discuss
research” narrative and insert it immediately following the ED 424 provisions for ensuring necessary medical or professional intervention
face page. in the event of adverse effects to the subjects. Also, where
appropriate, describe the provisions for monitoring the data collected
A. Exempt Research Narrative. to ensure the safety of the subjects.

If you marked “Yes” for item 12 a. and designated exemption (6) Importance of the Knowledge to be Gained: Discuss the
numbers(s), provide the “exempt research” narrative. The narrative importance of the knowledge gained or to be gained as a result of the
must contain sufficient information about the involvement of human proposed research. Discuss why the risks to subjects are reasonable in
subjects in the proposed research to allow a determination by ED that relation to the anticipated benefits to subjects and in relation to the
the designated exemption(s) are appropriate. The narrative must be importance of the knowledge that may reasonably be expected to
succinct. result.

B. Nonexempt Research Narrative. (7) Collaborating Site(s): If research involving human subjects will
take place at collaborating site(s) or other performance site(s), name
If you marked “No” for item 12 a. you must provide the “nonexempt the sites and briefly describe their involvement or role in the research.
research” narrative. The narrative must address the following seven
points. Although no specific page limitation applies to this section of Copies of the Department of Education’s Regulations for the
the application, be succinct. Protection of Human Subjects, 34 CFR Part 97 and other pertinent
materials on the protection of human subjects in research are
(1) Human Subjects Involvement and Characteristics: Provide a available from the Grants Policy and Oversight Staff, Office of the
detailed description of the proposed involvement of human subjects. Chief Financial Officer, U.S. Department of Education,
Describe the characteristics of the subject population, including their Washington, D.C. 20202-4248, telephone: (202) 708-8263, and on
anticipated number, age range, and health status. Identify the criteria the U.S. Department of Education’s Protection of Human Subjects
for inclusion or exclusion of any subpopulation. Explain the rationale in Research Web Site at
http://www.ed.gov/about/offices/list/ocfo/humansub.html
 U.S. DEPARTMENT OF EDUCATION OMB Control Number: 1890-0004

BUDGET INFORMATION
Expiration Date: OMB APPROVED
NON-CONSTRUCTION PROGRAMS

Applicants requesting funding for only one year should complete the column under "Project
Name of Institution/Organization
Year 1." Applicants requesting funding for multi-year grants should complete all applicable
columns. Please read all instructions before completing form.

SECTION A – BUDGET SUMMARY

U.S. DEPARTMENT OF EDUCATION FUNDS
Project Year 1 Project Year 2 Project Year 3 Project Year 4 Project Year 5 Total
Budget Categories (a) (b) (c) (d) (e) (f)

1. Personnel

2. Fringe Benefits

3. Travel

4. Equipment

5. Supplies

6. Contractual

7. Construction

8. Other

9. Total Direct Costs

(lines 1-8)

10. Indirect Costs

11. Training Stipends

12. Total Costs

(lines 9-11)
ED Form No. 524
Name of Institution/Organization Applicants requesting funding for only one year should complete the column under "Project Year 1." Applicants
requesting funding for multi-year grants should complete all applicable columns. Please read all instructions
before completing form.

SECTION B – BUDGET SUMMARY

NON-FEDERAL FUNDS

Project Year 1 Project Year 2 Project Year 3 Project Year 4 Project Year 5 Total
Budget Categories (a) (b) (c) (d) (e) (f)

1. Personnel

2. Fringe Benefits

3. Travel

4. Equipment

5. Supplies

6. Contractual

7. Construction

8. Other

9. Total Direct Costs

(lines 1-8)

10. Indirect Costs

11. Training Stipends

12. Total Costs

(lines 9-11)

SECTION C - OTHER BUDGET INFORMATION (see instructions)

ED FORM NO. 524

Public reporting burden for this collection of information is estimated to vary from 13 to 22 hours per response, with an
average of 17.5 hours per response, including the time reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden, to the U.S. Department of Education, Information Management and Compliance Division,
Washington, D.C. 20202-4651; and the Office of Management and Budget, Paperwork Reduction Project 1875-0102,
Washington DC 20503.

INSTRUCTIONS FOR ED FORM 524

General Instructions Lines 1-11, column (f): Show the multi-year total for
each budget category. If non-Federal contributions
This form is used to apply to individual U.S. are provided for only one year, leave this column
Department of Education discretionary grant blank.
programs. Unless directed otherwise, provide the
same budget information for each year of the multi- Line 12, columns (a)-(e): Show the total matching or
year funding request. Pay attention to applicable other contribution for each project year.
program specific instructions, if attached.
Line 12, column (f): Show the total amount to be
Section A - Budget Summary contributed for all years of the multi-year project. If
U.S. Department of Education Funds

All applicants must complete Section A and provide a non-Federal contributions are provided for only one
breakdown by the applicable budget categories shown year, leave this space blank.
in lines 1-11.
Section C - Other Budget Information
Lines 1-11, columns (a)-(e): For each project year for Pay attention to applicable program specific
which funding is requested, show the total amount instructions, if attached.
requested for each applicable budget category.
1. Provide an itemized budget breakdown, by project
Lines 1-11, column (f): Show the multi-year total for year, for each budget category listed in Sections A
each budget category. If funding is requested for only and B.
one project year, leave this column blank.
2. If applicable to this program, enter the type of
Line 12, columns (a)-(e): Show the total budget indirect rate (provisional, predetermined, final or
request for each project year for which funding is fixed) that will be in effect during the funding
requested. period. In addition, enter the estimated amount of
the base to which the rate is applied, and the total
Line 12, column (f): Show the total amount requested indirect expense.
for all project years. If funding is requested for only
one year, leave this space blank. 3. If applicable to this program, provide the rate and
base on which fringe benefits are calculated.
Section B - Budget Summary
Non-Federal Funds 4. Provide other explanations or comments you
deem necessary.
If you are required to provide or volunteer to provide
matching funds or other non-Federal resources to the
project, these should be shown for each applicable
budget category on lines 1-11 of Section B.

Lines 1-11, columns (a)-(e): For each project year for

which matching funds or other contributions are
provided, show the total contribution for each
applicable budget category.
 PART III - APPLICATION NARRATIVE
This narrative section of the application requires applicants to address the selection criteria

that will be used by reviewers in evaluating individual applications. Please refer to the “Selection Criteria

and Format” sections in this package for the competition to which you wish to submit an application.

Also, all of the competitions covered by this package have page limitations for the

application narrative. Please refer to the “Page Limits” information for the competition to which you wish

to submit an application.
 OMB Approval No. 0348-0040
ASSURANCES - NON-CONSTRUCTION PROGRAMS

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send 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:

1. Has the legal authority to apply for Federal assistance, and the nondiscrimination in the sale, rental or financing of housing; (i)
institutional, managerial and financial capability (including funds any other nondiscrimination provisions in the specific statute(s)
sufficient to pay the non-Federal share of project cost) to ensure under which application for Federal assistance is being made;
proper planning, management, and completion of the project and (j) the requirements of any other nondiscrimination statute(s)
described in this application. which may apply to the application.

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

United States, and if appropriate, the State, through any 7. Will comply, or has already complied, with the requirements of
authorized representative, access to and the right to examine all Titles II and III of the uniform Relocation Assistance and Real
records, books, papers, or documents related to the award; and Property Acquisition Policies Act of 1970 (P.L. 91-646)
will establish a proper accounting system in accordance with which provide for fair and equitable treatment of persons
generally accepted accounting standards or agency directives. displaced or whose property is acquired as a result of Federal or
federally assisted programs. These requirements apply to all
3. Will establish safeguards to prohibit employees from using their interests in real property acquired for project purposes regardless
positions for a purpose that constitutes or presents the of Federal participation in purchases.
appearance of personal or organizational conflict of interest, or
personal gain. 8. Will comply, as applicable, with the provisions of the Hatch Act
(5 U.S.C. §§1501-1508 and 7324-7328) which limit the political
4. Will initiate and complete the work within the applicable time activities of employees whose principal employment activities
frame after receipt of approval of the awarding agency. are funded in whole or in part with Federal funds.

5. Will comply with the Intergovernmental Personnel Act of 1970

(42 U.S.C. §§4728-4763) relating to prescribed standards for
merit systems for programs funded under one of the 19 statutes
or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 C.F.R. 900, Subpart
F).

6. Will comply with all Federal statutes relating to

nondiscrimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as amended (20
U.S.C. §§1681-1683, and 1685-1686), which prohibits
discrimination on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which
prohibits discrimination on the basis of handicaps; (d) the Age
Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-
6107), which prohibits discrimination on the basis of age; (e) the
Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-
616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; (g) §§ 523 and 527 of the Public
Health Service Act of 1912 (42 U.S.C. §§ 290 dd-3 and 290 ee
3), as amended, relating to confidentiality of alcohol and drug
abuse patient records; (h) Title VIII of the Civil Rights Act of
1968 (42 U.S.C. § 3601 et seq.), as amended, relating to
9. Will comply, as applicable, with the provisions of the Davis- 12 Will comply with the Wild and Scenic Rivers Act of 1968 (16
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §§1721 et seq.) related to protecting components or
U.S.C. §276c and 18 U.S.C. §§874) and the Contract Work potential components of the national wild and scenic rivers
Hours and Safety Standards Act (40 U.S.C. §§ 327-333), system.
regarding labor standards for federally assisted construction
subagreements. 13. Will assist the awarding agency in assuring compliance with
Section 106 of the National Historic Preservation Act of 1966, as
10. Will comply, if applicable, with flood insurance purchase amended (16 U.S.C. §470), EO 11593 (identification and
requirements of Section 102(a) of the Flood Disaster Protection protection of historic properties), and the Archaeological and
Act of 1973 (P.L. 93-234) which requires recipients in a special Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.).
flood hazard area to participate in the program and to purchase
flood insurance if the total cost of insurable construction and 14. Will comply with P.L. 93-348 regarding the protection of human
acquisition is $10,000 or more. subjects involved in research, development, and related activities
supported by this award of assistance.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of 15. Will comply with the Laboratory Animal Welfare Act of 1966
environmental quality control measures under the National (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to
Environmental Policy Act of 1969 (P.L. 91-190) and Executive the care, handling, and treatment of warm blooded animals held
Order (EO) 11514; (b) notification of violating facilities pursuant for research, teaching, or other activities supported by this award
to EO 11738; (c) protection of wetlands pursuant to EO 11990; of assistance.
(d) evaluation of flood hazards in floodplains in accordance with
EO 11988; (e) assurance of project consistency with the 16. Will comply with the Lead-Based Paint Poisoning Prevention
approved State management program developed under the Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead-
Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et based paint in construction or rehabilitation of residence
seq); (f) conformity of Federal actions to State (Clear Air) structures.
Implementation Plans under Section 176(c) of the Clear Air Act
of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection 17. Will cause to be performed the required financial and compliance
of underground sources of drinking water under the Safe audits in accordance with the Single Audit Act Amendments of
Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) 1996 and OMB Circular No. A-133, “Audits of States, Local
protection of endangered species under the Endangered Species Governments, and Non-Profit Organizations.”
Act of 1973, as amended, (P.L. 93-205).
18. Will comply with all applicable requirements of all other Federal
laws, executive orders, regulations and policies governing this
program.

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE

APPLICANT ORGANIZATION DATE SUBMITTED

Standard Form 424B (Rev. 7-97) Back

CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, (c) Are not presently indicted for or otherwise criminally or
SUSPENSION AND OTHER civilly charged by a governmental entity (Federal, State, or local)
RESPONSIBILITY MATTERS; AND DRUG-FREE with commission of any of the offenses enumerated in paragraph
WORKPLACE REQUIREMENTS (1)(b) of this certification; and

Applicants should refer to the regulations cited below to

determine the certification to which they are required to attest. (d) Have not within a three-year period preceding this application
Applicants should also review the instructions for certification had one or more public transaction (Federal, State, or local)
included in the regulations before completing this form. terminated for cause or default; and
Signature of this form provides for compliance with certification
requirements under 34 CFR Part 82, “New Restrictions on B. Where the applicant is unable to certify to any of the
Lobbying,” and 34 CFR Part 85, “Government-wide Debarment statements in this certification, he or she shall attach an
and Suspension (Nonprocurement) and Government-wide
Requirements for Drug-Free Workplace (Grants).” The explanation to this application.
certifications shall be treated as a material representation of fact
upon which reliance will be placed when the Department of
Education determines to award the covered transaction, grant, or
cooperative agreement.

1. LOBBYING 3. DRUG-FREE WORKPLACE

(GRANTEES OTHER THAN INDIVIDUALS)
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 34 CFR Part 82, for persons entering into a grant As required by the Drug-Free Workplace Act of 1988, and
or cooperative agreement over $100,000, as defined at 34 CFR implemented at 34 CFR Part 85, Subpart F, for grantees, as
Part 82, Sections 82.105 and 82.110, the applicant certifies that: defined at 34 CFR Part 85, Sections 85.605 and 85.610 -

(a) No Federal appropriated funds have been paid or will be paid, A. The applicant certifies that it will or will continue to provide a
by or on behalf of the undersigned, to any person for influencing drug-free workplace by:
or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an (a) Publishing a statement notifying employees that the unlawful
employee of a Member of Congress in connection with the manufacture, distribution, dispensing, possession, or use of a
making of any Federal grant, the entering into of any cooperative controlled substance is prohibited in the grantee’s workplace and
agreement, and the extension, continuation, renewal, amendment, specifying the actions that will be taken against employees for
or modification of any Federal grant or cooperative agreement; violation of such prohibition;
(b) If any funds other than Federal appropriated funds have been (b) Establishing an on-going drug-free awareness program to
paid or will be paid to any person for influencing or attempting to inform employees about-
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 grant or (1) The dangers of drug abuse in the workplace;
cooperative agreement, the undersigned shall complete and
submit Standard Form - LLL, “Disclosure Form to Report (2) The grantee’s policy of maintaining a drug-free workplace;
Lobbying,” in accordance with its instructions;

(c) The undersigned shall require that the language of this (3) Any available drug counseling, rehabilitation, and employee
certification be included in the award documents for all assistance programs; and
subawards at all tiers (including subgrants, contracts under grants
and cooperative agreements, and subcontracts) and that all (4) The penalties that may be imposed upon employees for drug
subrecipients shall certify and disclose accordingly. abuse violations occurring in the workplace;

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

2. DEBARMENT, SUSPENSION, AND OTHER the performance of the grant be given a copy of the statement
RESPONSIBILITY MATTERS required by paragraph (a);

As required by Executive Order 12549, Debarment and (d) Notifying the employee in the statement required by
Suspension, and implemented at 34 CFR Part 85, for prospective paragraph (a) that, as a condition of employment under the grant,
participants in primary covered transactions, as defined at 34 the employee will-
CFR Part 85, Sections 85.105 and 85.110--
(1) Abide by the terms of the statement; and
A. The applicant certifies that it and its principals:
(2) Notify the employer in writing of his or her conviction for a
(a) Are not presently debarred, suspended, proposed for violation of a criminal drug statute occurring in the workplace no
debarment, declared ineligible, or voluntarily excluded from later than five calendar days after such conviction;
covered transactions by any Federal department or agency;
(e) Notifying the agency, in writing, within 10 calendar days after
(b) Have not within a three-year period preceding this application receiving notice under subparagraph (d)(2) from an employee or
been convicted of or had a civil judgement rendered against them otherwise receiving actual notice of such conviction. Employers
for commission of fraud or a criminal offense in connection with of convicted employees must provide notice, including position
obtaining, attempting to obtain, or performing a public (Federal, title, to: Director, Grants and Contracts Service, U.S. Department
State, or local) transaction or contract under a public transaction; of Education, 600 Independence Avenue, S.W. (Room 3600, GSA
violation of Federal or State antitrust statutes or commission of Regional Office Building No. 3), Washington, DC 20202-4130.
embezzlement, theft, forgery, bribery, falsification or destruction Notice shall include the identification number(s) of each affected
of records, making false statements, or receiving stolen property; grant;
(f) Taking one of the following actions, within 30 calendar days
of receiving notice under subparagraph (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
drug-free workplace through implementation of paragraphs
(GRANTEES WHO ARE INDIVIDUALS)
(a), (b), (c), (d), (e), and (f).
As required by the Drug-Free Workplace Act of 1988, and
B. The grantee may insert in the space provided below the site(s) implemented at 34 CFR Part 85, Subpart F, for grantees, as
for the performance of work done in connection with the specific defined at 34 CFR Part 85, Sections 85.605 and 85.610-
grant:
A. As a condition of the grant, I certify that I will not engage in
the unlawful manufacture, distribution, dispensing, possession,
or use of a controlled substance in conducting any activity with
the grant; and

B. If convicted of a criminal drug offense resulting from a

violation occurring during the conduct of any grant activity, I will
report the conviction, in writing, within 10 calendar days of the
conviction, to: Director, Grants and Contracts Service,
Place of Performance (Street address. city, county, state, zip code) Department of Education, 600 Independence Avenue, S.W.
(Room 3600, GSA Regional Office Building No. 3), Washington,
DC 20202-4130. Notice shall include the identification
number(s) of each affected grant.

Check [ ] if there are workplaces on file that are not identified

here.

As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.

NAME OF APPLICANT PR/AWARD NUMBER AND/OR PROJECT NAME

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE DATE
ED 80-0013
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion -- Lower Tier Covered Transactions

This certification is required by the Department of Education regulations implementing Executive Order 12549,
Debarment and Suspension, 34 CFR Part 85, for all lower tier transactions meeting the threshold and tier requirements
stated at Section 85.110.

Instructions for Certification transaction, unless authorized by the department or

agency with which this transaction originated.
1. By signing and submitting this proposal, the
prospective lower 6. The prospective lower tier participant further agrees
tier participant is providing the certification set out by submitting this proposal that it will include the
below. clause titled Certification Regarding Debarment,
Suspension, Ineligibility, and Voluntary Exclusion-Lower
Tier Covered Transactions,
without modification, in all lower tier covered
2. The certification in this clause is a material transactions and in all solicitations for lower tier
representation of fact upon which reliance was placed covered transactions.
when this transaction was entered into. If it is later
determined that the prospective lower tier participant
knowingly rendered an erroneous certification, in 7. A participant in a covered transaction may rely upon
a certification of a prospective participant in a lower
addition to other remedies available to the Federal tier covered transaction that it is not debarred,
Government, the department or agency with which this suspended, ineligible, or voluntarily excluded from the
transaction originated may pursue available remedies, covered transaction, unless it
including suspension and/or debarment.
knows that the certification is erroneous. A participant
may decide the method and frequency by which it
3. The prospective lower tier participant shall provide determines the eligibility of its principals. Each
immediate written notice to the person to which this participant may but is not required to, check the
proposal is submitted if at any time the prospective Nonprocurement List.
lower tier participant learns that its certification was
erroneous when submitted or has become erroneous
by reason of changed circumstances. 8. Nothing contained in the foregoing shall be
construed to require establishment of a system of
records in order to render in good faith the certification
4. The terms, covered transaction, debarred, required by this clause. The knowledge
suspended, ineligible, lower tier covered transaction, and information of a participant is not required to
participant, person, primary covered transaction, exceed that which is normally possessed by a prudent
principal, proposal, and voluntarily excluded, as used in person in the ordinary course of business dealings.
this clause, have the meanings
set out in the Definitions and Coverage sections of
rules implementing Executive Order 12549. You may 9. Except for transactions authorized under paragraph
contact the person to which this proposal is submitted 5 of these instructions, if a participant in a covered
for assistance in obtaining a copy of those regulations. transaction knowingly enters into a lower tier covered
transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded
5. The prospective lower tier participant agrees by from participation in this transaction, in addition to
submitting this proposal that, should the proposed other remedies available to the Federal Government,
covered transaction be entered into, it shall not the department or agency with which this transaction
knowingly enter into any lower tier covered originated may pursue available remedies, including
transaction with a person who is debarred, suspended, suspension and/or debarment.
declared ineligible, or voluntarily excluded from
participation in this covered

Certification

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

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

NAME OF APPLICANT PR/AWARD NUMBER AND/OR

PROJECT NAME

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

 SIGNATURE DATE

ED 80-0014, 9/90 (Replaces GCS-009 (REV.12/88), which is obsolete)

 Approved by OMB
0348-0046
Disclosure of Lobbying Activities

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352

(See reverse for public burden disclosure)

1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:

a. contract a. bid/offer/application a. initial filing
____ b. grant _____ b. initial award _____ b. material change
c. cooperative agreement c. post-award
d. loan For material change only:
e. loan guarantee Year _______ quarter _______
f. loan insurance Date of last report___________

4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name
____ Prime _____ Subawardee and Address of Prime:
Tier______, if Known:

Congressional District, if known: Congressional District, if known:

6. Federal Department/Agency:

CFDA Number, if applicable: __________________

8. Federal Action Number, if known:

$
10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if
(if individual, last name, first name, MI): different from No. 10a)
(last name, first name, MI):

11. Information requested through this form is authorized by

title 31 U.S.C. section 1352. This disclosure of lobbying activities Signature: __________________________________
is a material representation of fact upon which reliance was
placed by the tier above when this transaction was made or Print Name:_________________________________
entered into. This disclosure is required pursuant to 31 U.S.C.
1352. This information will be reported to the Congress semi-
Title:______________________________________
annually and will be available for public inspection. Any person
who fails to file the required disclosure shall be subject to a civil
penalty of not less than $10,000 and not more than $100,000 for Telephone No.: ________________ Date: _______
each such failure.

Federal Use Only Authorized for Local Reproduction

Standard Form - LLL (Rev. 7-97)
 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of
a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required
for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a
covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing
guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a
covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information
previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report
by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the
appropriate classification of the reporting entity that designates 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.

5. 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.

6. 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.

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

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

9. For a covered Federal action where there has been an award or 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.

10. (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 to 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).

11. 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
 IMPORTANT NOTICE TO PROSPECTIVE PARTICIPANTS
IN U.S. DEPARTMENT OF EDUCATION
GRANT AND CONTRACT PROGRAMS

GRANTS

Applicants for grants from the U.S. Department of Education (ED) have to compete for
limited funds. Deadlines assure all applicants that they will be treated fairly and equally,
without last minute haste. For these reasons, ED must set strict deadlines for grant
applications. Prospective applicants can avoid disappointment if they understand that:

Failure to meet a deadline will mean that an applicant will be rejected without any
consideration.

The rules, including the deadline, for applying for each grant are published, individually, in
the Federal Register. Six-month or one-year subscriptions to the daily, official Federal
Register may be ordered from the U. S. Government Printing Office at the following url:
bookstore.gpo.gov/regulatory/fed-reg.html. The Federal Register Complete Service is also
available in microfiche on the same web page. In addition, the Federal Register is available
on-line for free on Government Printing Office (GPO) Access: www.access.gpo.gov/nara.
Depository Library location and Federal Register services: www.nara.archives.gov

The instructions in the Federal Register must be followed exactly. Do not accept any other
advice you may receive. No ED employee is authorized to extend any deadline published
in the Register. No ED employee is authorized to extend any deadline published in the
Federal Register. Questions regarding submission of applications may be addressed to:

U.S. Department of Education

Application Control Center
Washington, D.C. 20202-4725

CONTRACTS

Competitive procurement actions undertaken by the ED are governed by the Federal

Acquisition Regulations and implementing Department of Education Acquisition
Regulations.

Generally, prospective competitive procurement actions are synopsized in the Commerce

Business Daily (CBD). Prospective offerors are therein advised of the nature of the
procurement and where to apply for copies of the Request for Proposals (RFP). All of ED’s
RFP’s are now available on-line for downloading at the following url:
http://www.ed.gov/fund/contract/apply/currrfp.html
Offerors are advised to be guided solely by the contents of the CBD synopsis and the
instructions contained in the RFP. Questions regarding the submission of offers should be
addressed to the Contracts Specialist identified on the face page of the RFP. Offers are
judged in competition with others, and failure to conform with any substantive requirements
of the RFP will result in rejection of the offer without any consideration whatever.

Do not accept any advice you receive that is contrary to instructions contained in either the
CBD synopsis or the RFP. No ED employee is authorized to consider a proposal, which is
non-responsive to the RFP. Six-month or one-year subscriptions to the CBD may be ordered
from the U.S. Government Printing Office at the following url:
bookstore.gpo.gov/regulatory/cbd.html. Information included in the Federal Acquisition
Regulation is contained in Title 48, Code of Federal Regulations, Chapter 1. The foregoing
publication may be obtained by sending your check or money order only, no cash or stamps,
to:

Superintendent of Documents
U.S. Government Printing Office
Washington, D.C. 20402-9371

In addition, the Commerce Business Daily is available on-line for free at the following url:
http://cbdnet.access.gpo.gov/. The Federal Acquisition Regulations are available on-line at
the following url: www.arnet.gov/far/.

ED FORM 5348, 10/01

 Survey on Ensuring Equal Do not enter information below unless instructed to do so.

Opportunity OMB No. 1890-0014 Exp. 1/31/2006

FOR APPLICANTS

Purpose: This form is for applicants that are nonprofit private organizations (not including private universities). Please complete
it to assist the Federal government in ensuring that all qualified applicants, small or large, non-religious or faith-based, have an
equal opportunity to compete for Federal funding. Information provided on this form will not be considered in any way in making
funding decisions and will not be included in the Federal grants database.

Instructions for Submitting Survey

If submitting hard copy, please place the completed survey in an envelope labeled “Applicant Survey.” Seal the envelope and include
it with your application package.

If submitting electronically, please include the PR Award Number assigned to your e-application in the box above entitled “Do not
enter information below unless instructed to do so.” Place and seal the completed survey in an envelope and mail it to: Joyce I.
Mays, Application Control Center, U.S. Department of Education, 550 12th Street, SW, Potomac Center Plaza, Room 7067,
Washington, DC 20202.

1. Does the applicant have

501(c)(3) status? $150,000 - $299,999

$300,000 - $499,999
Yes No $500,000 - $999,999

2. How many full-time $1,000,000 - $4,999,999

equivalent employees does
the applicant have? (Check $5,000,000 or more
only one box).

3 or Fewer 15-50
4. Is the applicant a faith-
4-5 51-100 based/religious
organization?
6-14
Yes No
over
100 5. Is the applicant a non-
religious community-based
3. What is the size of the organization?
applicant’s annual budget?
Yes No
(Check only one box.)

Less Than $150,000

6. Is the applicant an or contract (Federal, State,
intermediary that will
manage the grant on behalf or local )?
of other organizations?
Yes No
Yes No
8. Is the applicant a local
affiliate of a national
7. Has the applicant ever organization?
received a government grant
Yes No

Survey Instructions on Ensuring Equal

Opportunity for Applicant

1. 501(c)(3) status is a legal organization spends each

designation provided on year on all of its activities.
application to the Internal
Revenue Service by eligible
organizations. Some grant 4. Self-identify.
programs may require
nonprofit applicants to have 5. An organization is
501(c)(3) status. Other grant considered a community-
programs do not. based organization if its
headquarters/service
location shares the same zip
2. For example, two part-time code as the clients you
employees who each work serve.
half-time equal one full-time
equivalent employee. If the 6. An “intermediary” is an
applicant is a local affiliate organization that enables a
of a national organization, group of small organizations
the responses to survey to receive and manage
questions 2 and 3 should government funds by
reflect the staff and budget administering the grant on
size of the local affiliate. their behalf.

3. Annual budget means the 7. Self-explanatory.

amount of money your
8. Self-explanatory.

Paperwork Burden Statement

According to the Paperwork

Reduction Act of 1995, no
persons are required to respond
to a collection of information
unless such collection displays a
valid OMB control number. The
valid OMB control number for
this information collection is
1890-0014. The time required to
complete this information
collection is estimated to average
five (5) minutes per response,
including the time to review
instructions, search existing data
resources, gather the data
needed, and complete and
review the information
collection. If you have any
comments concerning the
accuracy of the time
estimate(s) or suggestions for
improving this form, please
write to: U.S. Department of
Education, Washington, D.C.
20202-4651. If you have
comments or concerns
regarding the status of your
individual submission of this
form, write directly to: Joyce
I. Mays, Application Control
Center, U.S. Department of
Education, 550 12th Street, SW,
Potomac Center Plaza, Room
7067, Washington, DC 20202.
 NOTICE TO ALL APPLICANTS:
Program Performance Measures Under The Government Performance
And Results Act (GPRA)

What is GPRA
The Government Performance and Results Act of 1993 is a straightforward statute that requires all
Federal agencies to manage their activities with attention to the consequences of those activities.
Each agency is to clearly state what it intends to accomplish, identify the resources required, and
periodically report it’s progress to the Congress. In doing so, it is expected that GPRA will contribute
to improvements in accountability for the expenditures of public funds, improve Congressional
decision-making through more objective information on the effectiveness of Federal programs, and
promote a new government focus on results, service delivery, and customer satisfaction.

How has the United States Department of Education responded to the GPRA Requirements?

As required by GPRA, the United States Department of Education (the Department) has prepared a
strategic plan for 2002-2007. This plan reflects the Department’s priorities and integrates them with
its mission and program authorities and describes how the Department will work to improve education
for all children and adults in the United States. The Department’s goals, as listed in the plan, are:

Goal 1: Create a Culture of Achievement: Create a culture of achievement throughout the

nation's education system by effectively implementing the new law, the No Child Left
Behind Act of 2001, and by basing all federal education programs on its principles:
accountability, flexibility, expanded parental options and doing what works.

Goal 2: Improve Student Achievement: Improve student achievement for all groups of
students by putting reading first, expanding high-quality mathematics and science
teaching, reforming high schools, and boosting teacher and principal quality, thereby
closing the achievement gap.

Goal 3: Develop Safe Schools and Strong Character: Establish disciplined and drug-free
education environments that foster the development of good character and citizenship.

Goal 4: Transform Education into an Evidence-based Field: Strengthen the quality of

education research.

Goal 5: Enhance the Quality of and Access to Postsecondary and Adult Education:
Increase opportunities for students and the effectiveness of institutions.

Goal 6: Establish Management Excellence: Create a culture of accountability throughout the

Department of Education.

WHAT ARE THE PERFORMANCE INDICATORS FOR THE IDEA: TECHNOLOGY AND MEDIA SERVICES FOR INDIVIDUALS WITH
DISABILITIES PROGRAM WHICH IS INCLUDED IN THIS ANNOUNCEMENT?

THE PROGRAM INCLUDED IN THIS ANNOUNCEMENT IS AUTHORIZED UNDER PART D OF THE INDIVIDUALS WITH DISABILITIES
EDUCATION ACT, TITLED "NATIONAL ACTIVITIES TO IMPROVE EDUCATION OF CHILDREN WITH DISABILITIES". THE
DEPARTMENT'S SPECIFIC GOAL FOR THE IDEA NATIONAL ACTIVITIES PROGRAMS IS "to link best scientifically-based
practices to states, school systems, and families to improve results for infants, toddlers, and children
with disabilities." The goal, objectives and performance indicators for this program is as follows:

Goal 8: To promote the development, demonstration, and use of technology and media services
to improve results for children with disabilities..
 Objective 8.1: Increase the relevance of technology and media projects to the needs of
children with disabilities.

Indicator 8.1.1: RELEVANCE: By 2013, all technology and media projects will be of high
relevance to improving educational outcomes of children with disabilities.

PROGRAM STRATEGIES:

1. Identify children with developmental delay in the first year of life.

2. Identify children with learning and behavior difficulty prior to third grade.
3. Serve children with disabilities ages birth through five in settings typical for non-disabled peers.
4. Provide effective coordination of services for children with disabilities.
5. Identify knowledge and performance attributes of teachers and service providers that are
related to improved outcomes for children with disabilities.
6. Improve reading skills of children with disabilities who are not progressing in the general
education curriculum with effective interventions.
7. Improve language/communication, cognitive functioning, and pre-reading skills of preschool
children with disabilities.
8. Improve functional abilities and development of infants and toddlers with disabilities.
9. Improve development and use of universally designed educational standards, curriculum,
instruction and assessment.
10. Enhance school completion and prevent dropout.
11. Improve transition and academic goals for adolescents with disabilities.
12. Enhance the capacity of States to improve results for children with disabilities.

Objective 8.2: Improve the quality of technology and media projects.

Indicator 8.2.1: HIGH QUALITY: By 2013, all technology and media projects will be of high
quality.

Objective 8.3: Products and services will be used to improve results for children with
disabilities.

Indicator 8.3.1: USEFUL PRODUCTS: By 2013, all technology and media projects will
produce findings, products, and/or services that contribute to improving results for children with
disabilities.

The Office of Special Education Programs (OSEP) will collect information to assess progress
and performance by requiring the applicant to report evaluation data in the projects' annual
performance reports (EDGAR, 34 CFR 75.590). See Performance Measures on page B-3 of the
Priority Description section of this application package.
DUNS Number Instructions

D-U-N-S No.: Please provide the applicant's D-U-N-S Number. You can obtain your D-U-N-S Number at no
charge by calling 1-800-333-0505 or by completing a D-U-N-S Number Request Form. The
form can be obtained via the Internet at the following URL:

www.dnb.com/dbis/aboutdb/intlduns.htm

The D-U-N-S Number is a unique nine-digit number that does not convey any information about the recipient.
A built in check digit helps assure the accuracy of the D-U-N-S Number. The ninth digit of each
number is the check digit, which is mathematically related to the other digits. It lets computer
systems determine if a D-U-N-S Number has been entered correctly.

Dun & Bradstreet, a global information services provider, has assigned D-U-N-S numbers to over 43 million
companies worldwide.
GRANT APPLICATION RECEIPT ACKNOWLEDGEMENT__________

If you fail to receive the notification of application within fifteen (15)

days from the closing date, call:

U.S. Department of Education

Application Control Center
(202) 245-6288

GRANT AND CONTRACT FUNDING INFORMATION

The Department of Education provides information about grant and

contract opportunities electronically in several ways:

ED Internet Home Page http://www.ed.gov/ (WWW address)