TEGL_28_12.pdf

ETA Advisory File Text

Attachment A-1 USDOL ETA Senior Community Service Employment ProgramPY 2013 Authorized Positions and Funding for State Agencies and Territories by State States Positions Dollars State Agencies Alabama 162 1 571 842 Alaska 187 1 814 197 Ariz o na 116 1 128 679 Arkansas 159 1 544 144 California 750 7 277 561 Colorado 89 858 628 Co nne c t ic ut 96 927 872 De laware 187 1 814 197 District of Col 51 491 634 Florida 516 5 006 353 Ge orgia 194 1 883 441 Hawaii 187 1 814 197 Ida ho 47 451 677 Illinois 341 3 302 946 India na 229 2 222 738 Iowa 112 1 087 134 Kansas 89 865 552 Ke nt uc ky 166 1 613 389 Lo uis ia na 148 1 433 354 Ma ine 54 526 255 Maryland 121 1 170 226 Massachusetts 191 1 848 819 Michigan 292 2 832 086 Minne s o t a 208 2 015 006 Mississippi 109 1 052 512 Mis s ouri 216 2 098 098 Mo nt a na 55 533 181 Ne bra s ka 67 650 895 Ne vada 47 451 677 Ne w Ha mps hire 47 451 677 New Jersey 247 2 395 848 Ne w Me xico 49 477 784 Ne w York 578 5 608 777 North Carolina 229 2 222 738 North Dakota 53 512 407 O hio 382 3 704 563 Oklahoma 141 1 364 110 Ore gon 129 1 246 395 Pe nns y lv a nia 468 4 542 417 Pue rt o Ric o 120 1 163 302 Rho de Is la nd 47 457 012 So ut h Ca ro lina 119 1 156 378 South Dakota 61 588 576 Tennessee 179 1 731 104 Te xas 486 4 708 603 Utah 59 567 802 V e rmo nt 49 470 860 Virginia 190 1 841 895 Washington 129 1 253 319 We st Virginia 99 955 570 Wisconsin 224 2 174 267 Wyoming 47 451 677 State Age ncie s Total 9 318 90 335 371 Te rrit orie s Ame rican Samoa 99 955 811 G ua m 99 955 811 Nort he rn Marianas 33 318 604 Virg in Is la nds 99 955 811 Te rrit orie s Tot al 330 3 186 037 Based on cost per position of 9 698 with enacted minimum wage increase effective 7 24 09 U. S. De par tme nt o f Labo r Empl o yme nt Tr ai ni ng Admi ni str ati o n Senior Community Service Employment Program PY 2013 Authorized Positions for Non-Minority National Sponsors by State Attachment A-2 State AARP ABLE ANPPM ES EW G II Mat ure NAPCA NCBA NCOA NULI SER SSAI A4TD Total Al abama 0 0 0 186 0 0 0 0 0 0 0 0 448 0 634 Al as ka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Ar i zo n a 107 0 111 0 0 116 0 0 0 0 0 0 0 0 334 Ar kans as 185 0 0 0 348 0 0 0 90 0 0 0 0 0 623 California 325 0 409 0 282 0 0 88 0 259 0 908 336 0 2 607 Colorado 160 0 0 0 0 0 0 0 0 0 0 186 0 0 346 Co nne c ti c ut 0 0 0 187 0 0 0 0 0 0 0 0 0 189 376 De l aw ar e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Di stri ct of Col 0 0 59 0 0 0 0 0 138 0 0 0 0 0 197 Florida 1 300 0 0 0 481 0 0 0 120 0 0 118 0 0 2 019 Georgia 205 0 0 0 429 0 0 0 0 124 0 0 0 0 758 Haw ai i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Idaho 0 0 0 0 165 0 0 0 0 0 0 0 0 0 165 Illinois 66 0 0 155 330 0 0 38 154 0 0 165 358 0 1 266 Indi ana 215 0 0 0 247 231 0 0 0 0 0 0 203 0 896 Io w a 156 0 0 0 202 0 0 0 0 0 0 0 80 0 438 Kans as 0 0 0 0 0 0 0 0 0 0 0 337 0 0 337 Ke ntuc ky 0 0 0 0 308 0 0 0 0 220 120 0 0 0 648 Lo ui si ana 152 0 138 0 170 0 0 0 0 63 0 0 0 0 523 Mai ne 0 211 0 0 0 0 0 0 0 0 0 0 0 0 211 Mar yl and 0 0 0 0 0 0 0 0 0 0 0 0 470 0 470 Massachusetts 0 200 0 0 0 0 0 49 0 0 126 0 325 0 700 Michigan 358 0 0 0 349 0 0 0 148 0 234 0 0 0 1 089 Mi nne so ta 0 0 0 0 463 0 0 0 0 0 0 0 332 0 795 Mi ssi ssi ppi 0 0 0 0 103 0 0 0 77 0 0 0 242 0 422 Mi ssouri 257 0 0 0 566 0 0 0 0 0 0 0 0 0 823 Mo ntana 0 0 0 0 213 0 0 0 0 0 0 0 0 0 213 Ne br aska 0 0 0 0 253 0 0 0 0 0 0 0 0 0 253 Ne vada 168 0 0 0 0 0 0 0 0 0 0 0 0 0 168 Ne w Hampshi r e 0 165 0 0 0 0 0 0 0 0 0 0 0 0 165 New Jersey 0 0 0 314 156 0 0 0 0 390 107 0 0 0 967 New Mexico 0 0 0 0 0 165 0 0 0 0 0 0 0 0 165 New York 488 0 0 349 374 0 0 96 0 215 176 0 501 0 2 199 No r th Car o l i na 0 0 0 0 0 0 0 0 269 145 0 0 481 0 895 No r th Dako ta 0 0 0 0 205 0 0 0 0 0 0 0 0 0 205 Ohi o 264 0 0 133 339 0 500 0 158 0 0 0 98 0 1 492 Okl aho ma 146 0 0 0 265 0 0 0 0 0 0 0 0 0 411 Oregon 0 0 0 173 330 0 0 0 0 0 0 0 0 0 503 P e nns yl vani a 356 0 129 0 191 194 0 0 212 452 99 0 160 0 1 793 Puerto Rico 169 0 0 0 301 0 0 0 0 0 0 0 0 0 470 Rho de Isl and 0 0 0 0 0 0 0 0 0 0 0 182 0 0 182 So uth Car o l i na 198 0 0 0 268 0 0 0 0 0 0 0 0 0 466 So uth Dako ta 0 0 0 0 212 0 0 0 0 0 0 0 0 0 212 Tennessee 0 0 0 0 0 0 0 0 0 160 0 0 539 0 699 Te xas 1 080 0 0 0 318 0 0 0 0 0 0 313 129 0 1 840 Utah 0 0 0 228 0 0 0 0 0 0 0 0 0 0 228 Vermont 0 0 0 0 0 0 0 0 0 0 0 0 0 187 187 Virginia 217 0 0 0 66 227 0 0 0 213 0 0 0 0 723 Washi ng to n 263 0 0 0 0 181 0 0 0 0 0 0 0 0 444 West Virginia 0 0 0 0 112 0 0 0 0 273 0 0 0 0 385 Wi sconsi n 0 0 0 0 323 0 0 0 0 0 0 274 252 0 849 Wyo mi ng 0 0 0 0 165 0 0 0 0 0 0 0 0 0 165 To t al 6 835 576 846 1 725 8 534 1 114 500 271 1 366 2 514 862 2 483 4 954 376 32 956 Based on cost per position of 9 698 with enacted minimum wage increase effective 7 24 09 U. S. Department of Labor Employment Training Administration Attachment A-3 Senior Community Service Employment Program PY 2013 Authorized Funding for Non-Minority National Sponsors by State StateAARPABLEANPPMESEWGIIMatureNAPCANCBANCOANULISERSSAIA4TDTotal Alabama 0 0 0 1 803 839 0 0 0 0 0 0 0 0 4 344 732 0 6 148 571 Alaska 00000000000000 0 Arizona 1 037 06201 075 831001 124 29100000000 3 237 184 Arkansas 1 794 9430003 376 434000873 21600000 6 044 593 California 3 152 44703 967 23302 735 35400853 58602 512 25708 807 4513 259 1450 25 287 473 Colorado 1 551 45800000000001 803 56900 3 355 027 Connecticut 0001 813 3850000000001 832 780 3 646 165 Delaware 00000000000000 0 District of Col 00570 912 000001 335 35300000 1 906 265 Florida 12 604 4050004 663 6300001 163 483001 144 09200 19 575 610 Georgia 1 989 0730004 162 49900001 203 1460000 7 354 718 Hawaii 00000000000000 0 Idaho 00001 598 009000000000 1 598 009 Illinois 639 999001 503 0283 199 99600368 4841 493 332001 599 9983 471 5110 12 276 348 Indiana 2 084 1650002 394 3662 239 2660000001 967 8400 8 685 637 Iowa 1 513 4270001 959 6940000000776 1170 4 249 238 Kansas 000000000003 271 84400 3 271 844 Kentucky 00002 988 36500002 134 5461 164 298000 6 287 209 Louisiana 1 474 70001 338 87201 649 3350000611 2240000 5 074 131 Maine 02 044 903000000000000 2 044 903 Maryland 0000000000004 561 1720 4 561 172 Massachusetts 01 940 92500000475 527001 222 78203 154 0020 6 793 236 Michigan 3 470 6090003 383 3590001 434 77702 268 498000 10 557 243 Minne sota 00004 489 20300000003 219 0400 7 708 243 Mississippi 0000998 223000746 2440002 345 3380 4 089 805 Missouri 2 491 4900005 487 096000000000 7 978 586 Montana 00002 065 698000000000 2 065 698 Nebraska 00002 453 883000000000 2 453 883 Nevada 1 628 9910000000000000 1 628 991 New Hampshire 01 598 009000000000000 1 598 009 New Jersey 0003 045 4511 513 02700003 782 5661 037 781000 9 378 825 New Mexico 000001 598 00900000000 1 598 009 New York 4 733 394003 385 1533 627 64300931 16002 085 4091 707 12604 859 4890 21 329 374 North Carolina 000000002 608 4601 406 047004 664 1990 8 678 706 North Dakota 00001 989 447000000000 1 989 447 Ohio 2 559 812001 289 6033 287 03204 848 13001 532 009000950 2330 14 466 819 Oklahoma 1 415 8900002 569 937000000000 3 985 827 Oregon 0001 678 4233 201 616000000000 4 880 039 Pennsylvania 3 453 19401 251 29801 852 6971 881 797002 056 3964 384 393960 29801 551 9970 17 392 070 Puerto Rico 1 640 0810002 921 091000000000 4 561 172 Rhode Island 000000000001 760 69600 1 760 696 South Carolina 1 920 3370002 599 245000000000 4 519 582 South Dakota 00002 058 766000000000 2 058 766 Tennessee 0000000001 551 788005 227 5840 6 779 372 Texas 10 472 8550003 083 6740000003 035 1891 250 9240 17 842 642 Utah 0002 211 2680000000000 2 211 268 Vermont 00000000000001 816 151 1 816 151 Virginia 2 103 406000639 7462 200 3370002 064 6340000 7 008 123 Washington 2 549 85200001 754 84100000000 4 304 693 West Virginia 00001 084 90100002 644 4460000 3 729 347 Wisconsin 00003 133 0110000002 657 7242 444 3310 8 235 066 Wyoming 00001 598 009000000000 1 598 009 Total 66 281 5905 583 8378 204 14616 730 15082 764 98610 798 5414 848 1302 628 75713 243 27024 380 4568 360 78324 080 56348 047 6543 648 931319 601 794 Based on cost per position of 9 698 with enacted minimum wage increase effective 7 24 09 Attachment A-4 U. S. De par tme nt o f Labo r Empl o yme nt Tr ai ni ng Admi ni str ati o n Senior Community Service Employment Program PY 2013 Authorized Positions for Minority National Sponsors by State State NAPCA NICOA Total Al abama 0 11 11 Al as ka 0 0 0 Ar i zo n a 0 141 141 Ar kans as 0 0 0 California 254 55 309 Colorado 0 6 6 Co nne c ti c ut 0 0 0 De l aw ar e 0 0 0 Di stri ct of Col 0 0 0 Florida 0 4 4 Georgia 0 0 0 Haw ai i 0 0 0 Idaho 0 0 0 Illinois 66 0 66 Indi ana 0 0 0 Io w a 0 0 0 Kans as 0 0 0 Ke ntuc ky 0 0 0 Lo ui si ana 0 0 0 Mai ne 0 0 0 Mar yl and 0 0 0 Massachusetts 45 0 45 Michigan 0 0 0 Mi nne so ta 0 33 33 Mi ssi ssi ppi 0 0 0 Mi ssouri 0 0 0 Mo ntana 0 0 0 Ne br aska 0 0 0 Ne vada 0 0 0 Ne w Hampshi r e 0 0 0 New Jersey 0 0 0 New Mexico 0 52 52 New York 61 0 61 No r th Car o l i na 0 19 19 No r th Dako ta 0 24 24 Ohi o 0 0 0 Okl aho ma 0 149 149 Oregon 0 0 0 P e nns yl vani a 57 0 57 Puerto Rico 0 0 0 Rho de Isl and 0 0 0 So uth Car o l i na 0 0 0 So uth Dako ta 0 45 45 Tennessee 0 0 0 Te xas 59 0 59 Utah 0 7 7 Vermont 0 0 0 Virginia 0 0 0 Washi ng to n 60 25 85 West Virginia 0 0 0 Wi sconsi n 0 32 32 Wyo mi ng 0 0 0 To t al 602 603 1 205 Based on cost per position of 9 698 with enacted minimum wage increase effective 7 24 09 Attachment A-5 U. S. De par tme nt o f Labo r Empl o yme nt Tr ai ni ng Admi ni str ati o n Senior Community Service Employment Program PY 2013 Authorized Funding for Minority National Sponsors by State State NAPCA NICOA Total Al abama 0 106 639 106 639 Al as ka 0 0 0 Ar i zo n a 0 1 366 913 1 366 913 Ar kans as 0 0 0 California 2 462 381 533 193 2 995 574 Colorado 0 58 166 58 166 Co nne c ti c ut 0 0 0 De l aw ar e 0 0 0 Di stri ct of Col 0 0 0 Florida 0 38 778 38 778 Georgia 0 0 0 Haw ai i 0 0 0 Idaho 0 0 0 Illinois 639 831 0 639 831 Indi ana 0 0 0 Io w a 0 0 0 Kans as 0 0 0 Ke ntuc ky 0 0 0 Lo ui si ana 0 0 0 Mai ne 0 0 0 Mar yl and 0 0 0 Massachusetts 436 249 0 436 249 Michigan 0 0 0 Mi nne so ta 0 319 916 319 916 Mi ssi ssi ppi 0 0 0 Mi ssouri 0 0 0 Mo ntana 0 0 0 Ne br aska 0 0 0 Ne vada 0 0 0 Ne w Hampshi r e 0 0 0 New Jersey 0 0 0 New Mexico 0 504 110 504 110 New York 591 359 0 591 359 No r th Car o l i na 0 184 194 184 194 No r th Dako ta 0 232 666 232 666 Ohi o 0 0 0 Okl aho ma 0 1 444 468 1 444 468 Oregon 0 0 0 P e nns yl vani a 552 582 0 552 582 Puerto Rico 0 0 0 Rho de Isl and 0 0 0 So uth Car o l i na 0 0 0 So uth Dako ta 0 436 249 436 249 Tennessee 0 0 0 Te xas 571 971 0 571 971 Utah 0 67 861 67 861 Vermont 0 0 0 Virginia 0 0 0 Washi ng to n 581 665 242 360 824 025 West Virginia 0 0 0 Wi sconsi n 0 310 221 310 221 Wyo mi ng 0 0 0 To t al 5 836 038 5 845 734 11 681 772 Based on cost per position of 9 698 with enacted minimum wage increase effective 7 24 09 ATTACHMENT B B-1 PROGRAM NARRATIVE INSTRUCTIONS FOR PROGRAM YEAR PY 2013 FUNDS Formatting instructions Include the grantee s name and number the pages. Double space the application. Properly label graphs maps and tables. Use brief topic headings to identify sections. Do not exceed 20 pages in length excluding any attachments. Content All grantees must provide a narrative that covers the following areas A. Job placement preparation and employer engagement 1. Grantees must describe the strategies they will use to help participants obtain meaningful community service assignments training and subsequent unsubsidized employment. At a minimum the description must explain how the grantee assists the participants in identifying realistic career goals that match jobs available in the area recruits sufficient host agencies to provide appropriate skill development for participants and develops effective approaches for participants to achieve computer literacy and the ability to submit on-line applications. The grantee should provide details on how it will incorporate specialized training opportunities and the use of supportive services during the host agency assignment in order to obtain and retain unsubsidized employment for SCSEP participants. 2. Grantees must describe how they engage employers to help their job-ready participants move into unsubsidized employment. The narrative may include a types of unsubsidized employment opportunities for participants in the geographic areas they serve b their effective strategies for working with employers in the area including working with American Job Center partner programs. B. Training and technical assistance strategies for all staff. 1. Grantees must describe how they deliver consistent quality training and technical assistance on policies and procedures to grantee staff sub-recipients and local staff. Grantees must discuss the management systems used to train monitor and ensure timely compliance on the following Data collection system to submit accurate and timely data Required financial management reports and Compliance with statutes regulations and policy guidance. B-2 2. Grantees must explain how they implement and track the required and optional policies in the following chart to ensure uniformity and consistency within the program. Required Policies Optional Grievances of applicants participants employees and sub-recipients Host agency rotation requires Department of Labor DOL approval Individual durational limits requires DOL approval Termination for cause requires DOL approval Breaks in participation LWP IEP-related termination requires DOL approval Federal holiday observances Sick leave Terminations due to o Providing false information o Incorrect initial eligibility determination at enrollment o Income ineligibility at recertification o Individual durational limit o Employment while enrolled C. Service to Minorities OAA Title V Section 515 . Grantees must include a detailed description of their efforts to serve individuals from minority populations. Using the PY 2011 SCSEP Minority Report and the data available in SPARQ for PY 2012 grantees must describe a changes in enrollment levels or outcomes for minority individuals during PY 2011 and PY 2012 b the factors that may have caused these changes in enrollment and outcomes and c the steps the grantee will take to address any under- service or disparities in outcomes for minorities. D. Organizational Structure . Grantees must describe the organizational structure by a Identifying the grant s key staff including their primary responsibilities and the amount of time they are assigned to the grant b Including an organizational chart depicting key staff may be included as an attachment and c Indicating whether the grantee has sub-recipients or local affiliates implementing the grant. If the grantee uses either entity include a table indicating their names locations the number of authorized positions for which they are responsible and their experience if any in implementing SCSEP. C-1 ATTACHMENT C PROGRAMMATIC ASSURANCES PROGRAM YEAR PY 2013 GRANT ETA has determined that the programmatic assurances below reflect standard grant requirements and are consistent with sound program practices. Grantees must certify that they will conform to these assurances throughout the period of the grant by checking each of the assurances below. These assurances apply at all levels regardless of the grantee administrative structure. These assurances apply fully to any sub-recipient local project or grantee staff involved in the delivery of services Grantees can complete this form electronically to check off the assurances go to the View function choose Toolbars click on the left side of Forms then click on the small lock. For Word 2007 double left-click on box then under default value click Checked and then click OK. The grantee agrees to Recruitment and Selection of Participants Develop and implement methods to recruit and select eligible participants to assure maximum participation in the program. Use income definitions and income inclusions and exclusions for SCSEP eligibility as described in TEGL No. 12-06 to determine and document participant eligibility. Accesss TEGL No. 12-06 at http wdr.doleta.gov directives corr doc.cfm DOCN 2291 . Develop and implement methods to recruit minority populations to ensure at least proportional representation in the assigned service area. Develop and implement strategies to recruit applicants who have priority of service as defined in OAA section 518 b 1 - 2 and by the Jobs for Veterans Act JVA Pub. L. 107-288. Individuals have priority who fall into one or more of these categories a Are covered persons in accordance with the JVA covered persons veterans and eligible spouses including widows and widowers who are eligible for SCSEP must receive services instead of or before non-covered persons b Are 65 years or older c Have a disability d Have limited English proficiency e Have low literacy skills f Reside in a rural area g Have low employment prospects h Have failed to find employment after utilizing services provided through the One- Stop Delivery System i Are homeless or are at risk for homelessness. C-2 Assessment Assess participants at least twice per 12-month period. Use assessment information to determine the most appropriate community service assignments for participants. Individual Employment Plan IEP Establish an initial goal of unsubsidized employment for all participants. Update the IEP at least as frequently as assessments occur at least twice per 12-month period . Modify the IEP as necessary to reflect other approaches to self-sufficiency if it becomes clear to the program staff and participant that unsubsidized employment is not feasible. For participants who will reach the individual durational limit or would not otherwise achieve unsubsidized employment include a provision in the IEP to transition to other services. Rotate participants to a new host agency or a different assignment within the current host agency based on a rotation policy approved by DOL in the grant agreement and only when an individualized determination determines that the rotation is in the best interest of the participant. Such rotation must further the acquisition of skills listed in the IEP. Community Service Assignment CSA Base the initial CSA on the assessment done at enrollment. Select as host agencies only designated IRS 501 c 3 organizations or public agencies. Put in place procedures to ensure adequate supervision of participants at host agencies. Ensure safe and healthy working conditions at CSA through annual monitoring Recertification of Participants Recertify the income eligibility of each participant at least once every 12 months or more frequently if circumstances warrant. Physical Examinations Offer physical examinations to participants upon program entry and each year thereafter as a benefit of enrollment. Obtain a written waiver from each participant who declines to have a physical examination. Does not obtain a copy or use the results of the physical examination to establish eligibility or for any other purpose. C-3 Host Agencies Develop and implement methods for recruiting new host agencies to provide a variety of training options that will enable participants to increase their skill level and transition to unsubsidized employment. Maintenance of Effort Ensure that CSAs do not reduce the number of employment opportunities or vacancies that would otherwise be available to individuals who are not SCSEP participants. Grantees must specifically ensure that CSAs do not displace currently-employed workers including partial displacement such as a reduction in non-overtime work wages or employment benefits . impair existing contracts or result in the substitution of Federal funds for other funds in connection with work that would otherwise be performed. assign or continue to assign a participant to perform the same work or substantially the same work as that performed by an individual who is on layoff. Orientation Provide orientations for its participants and host agencies including information on Program Overview Project goals and objectives CSAs Training opportunities Available supportive services Availability of free physical examinations Participant rights and responsibilities Host agencies Local staff must address the topics listed above and provide sufficient orientation to applicants and participants on SCSEP goals and objectives Grantee and local project roles policies and procedures Documentation requirements Holiday and sick leave Assessment process Development and implementation of IEPs Evaluation of participant progress Health and safety issues related to each participants assignment Role of supervisors and host agencies Maximum individual duration policy including the possibility of waiver if applicable Termination policy Grievance procedures C-4 Wages Provide participants with the highest applicable required wage the highest of the Federal state or local minimum wage for time spent while in orientation training and community service assignment. Participant Benefits Provide workers compensation and other benefits required by state or Federal law such as unemployment insurance and the costs of physical examinations. Establish written policies relating to compensation for scheduled work hours during which the participant s host agency is closed for Federal holidays. Establish written policies relating to approved breaks in participation and any necessary sick leave that is not part of an accumulated sick leave program. Do not use grant funds to pay the cost of pension benefits annual leave accumulated sick leave or bonuses. Procedures for Payroll and Workers Compensation Make all required payments for participant payroll and pay workers compensation premiums on a timely basis. Ensure that host agencies do not pay workers compensation costs for participants. Durational Limits Maximum Average Project Duration 27 Months Maintain average project duration of 27 months or less unless ETA approves an extension to 36 months. Maximum Individual Participant Duration 48 Months Allow participants to participate in the program no longer than 48 months whether or not consecutively unless the grantee s approved policy allows for an extension of time and the participant meets the extension criteria. Notify participants of its policy pertaining to the maximum duration requirement including the possibility of an extension if applicable at the time of enrollment and each year thereafter and whenever ETA has approved a change of policy. Provide 30-day written notice to participants prior to durational limit exit from the program. Transition Services Develop a system to transition participants to unsubsidized employment or other assistance before each participant s maximum enrollment duration has expired. C-5 Termination Procedures Provide a 30-day written notice for all terminations that states the reason for termination and informs the participants of grievance procedures and right to appeal. Written Termination Policies Maintain written termination policies in effect and provide to participants at enrollment for Provision of false eligibility information by participant Incorrect initial eligibility determination at enrollment Income ineligibility determined at recertification Participant has reached individual durational limit Participant has become employed while enrolled Cause a for-cause termination policy must be approved by the ETA prior to implementation IEP-related termination IEP terminations are based solely on a participant s refusal to accept a reasonable number of job offers or referrals to unsubsidized employment or refusal to conduct a reasonable search for employment consistent with their IEP unless there are extenuating circumstances . Equitable Distribution Comply with the equitable distribution ED plan for each state in which grantee operates and only make changes in the location of authorized positions within a state in accordance with the state ED plan and with prior ETA approval. Comply with the authorized position allocations ED listed in www.scseped.org in order to equitably serve participants. Collaborate on a state-by-state basis with all grantees authorized to serve in each state to achieve compliance with authorized positions while minimizing disruption to the participants. Over-Enrollment Manage over-enrollment to minimize impact on participants and avoid layoffs. Administrative Systems Ensure representation at all ETA-sponsored required grantee meetings. Communicate grant policy data collection and performance developments and directives to staff sub-recipients and local project operators on a regular basis. Develop a written monitoring tool that lists items the grantee will review during monitoring visits and provides this tool to sub-recipients and local project operators. C-6 Develop an annual monitoring schedule unless the FPO approves a different standard notify sub-recipients and local project operators of monitoring plans and monitor sub- recipients and local project operators on a regular basis. Develop and provide training to increase sub-recipients and local project operators skills knowledge and abilities. When appropriate prescribe corrective action and follow-up procedures for sub- recipients and local project operators to ensure that identified problems are remedied. Monitor the financial systems and expenditures of sub-recipients and local project operators on a regular basis. Ensure that sub-recipients and local project operators receive adequate resources to effectively operate local projects. Train sub-recipients and local project operators on SCSEP financial requirements to help them effectively manage their own expenditures and provide general financial training as needed. Ensure that all financial reports are accurate and submit them in a timely manner as required. Ensure full implementation and monitoring of requirements for customer satisfaction surveys including participant host agency and employer surveys. Develop a written plan for both disaster response and recovery so SCSEP may continue to operate and provide services. Collaboration and Leveraged Resources Collaborate with other organizations to maximize opportunities for participants to obtain workforce development education and supportive services to help them move into unsubsidized employment. These organizations may include but are not limited to workforce investment boards American Job Centers One-Stop Career Centers vocational rehabilitation providers disability networks basic education and literacy providers and community colleges. Supportive Services Provide supportive services as needed to help participants participate in their community service assignment and to obtain and retain unsubsidized employment. Establish criteria to assess the need for supportive services and to determine when participants will receive supportive services including after obtaining unsubsidized employment. Sub-Recipient Selection If Applicable In selecting sub-recipients in areas with a substantial population of individuals with barriers to employment national grantees should give special consideration to C-7 organizations with demonstrated expertise in serving individuals with barriers to employment including former recipients of national grants as defined in the statute. Complaint Resolution Establish and use written grievance procedures for complaint resolution for applicants employees sub-recipients and participants. Provide applicants employees sub-recipients and participants with a copy of the grievance policy and procedures. Maintenance of Files and Privacy Information Maintain participant files for three program years after the program year in which the participant received his her final follow-up activity. Ensure that all participant records are securely stored by grantee or sub-recipient and access is limited to appropriate staff in order to safeguard personal identifying information. Ensure that all participant medical records are securely stored separately by grantee or sub-recipient from all other participant records and access is limited to authorized staff for authorized purposes. Establish safeguards to preclude tampering with electronic media e.g. personal identification numbers PINs and SPARQ logins. Ensure that the ETA SCSEP national office is immediately notified by grantee in the event of any potential security breach of personal identifying information whether electronic files paper files or equipment are involved. Comply with and ensure that authorized users under its grant comply with all SPARQ access and security rules. Documentation Maintain documentation of waivers of physical examinations by participant. Maintain documentation of the provision of complaint procedures to participants. Maintain documentation of eligibility determinations and recertifications. Maintain documentations of terminations and reasons for termination. Maintain records of grievances and outcomes. Maintain records required for data validation. Maintain documentation of monitoring reports for sub-recipients and host agencies. C-8 Data Collection and Reporting Ensure the collection and reporting of all SCSEP required data according to specified time schedules. Ensure the use of the OMB-approved SCSEP data collection forms and the SCSEP Internet data collection and evaluation system SPARQ. Ensure at the grantee or sub-recipient level that those capturing and recording data are familiar with the latest instructions for data collection including ETA administrative issuances e.g. TEGLs the Data Collection and Data Validation Handbooks and Internet postings on the Ask the Experts and SCSEP-Help Web sites. See olderworkers.workforce3one.org Ensure data are entered directly into the WDCS SPARQ. Legally obligate sub-recipients to turn over complete data files in the specified electronic format as well as hard copy case files to the grantee when sub-recipients cease to administer SCSEP. Legally obligate new sub-recipients to enter complete data related to any participants whom they acquire upon becoming sub-recipients including any participants who are still in the follow-up period. If any box is not checked the grantee must provide information on a separate attachment indicating what specific steps the grantee is taking to conform to those standard grant requirement s . By checking the boxes above I certify that my organization will comply with each of the listed requirements and will remain in compliance for the program year for which we are submitting this application. Signature of Authorized Representative Date D-1 ATTACHMENT D PROGRAM YEAR 2013 OPTIONAL SPECIAL REQUESTS Grantees with special requests in one or more of the following areas must submit each request in a separate document. Please appropriately title each request. Requests for approval must provide a substantive rationale e.g. improved program management better service to participants or least disruption possible to participants. 1. Change 48-Month Individual Durational Limit IDL Waiver Options . Submit only if requesting a change. To make changes to the current IDL policy grantees must request and receive approval for one of the following IDL policies to take effect in PY 2013. Please note that any change in policy for PY 2013 requires Departmental approval and must have an effective date of at least 120 days after written approval by ETA. 1 Option 1 No extensions to any participants i.e. all participants exit the program at 48 months. 2 Option 2 Extensions to every participant who meets at least one of the seven waiver factors. 3 Option 3 Grantee offers extensions to every participant who meets a specific subset of the seven waiver factors and or an extension is limited to one time only. If any grantee proposes to change its existing IDL policy it must describe a Its currently-approved IDL policy. b Which of the three options above the grantee proposes to adopt and the effective date of implementing this revised policy for new and current enrollees. c A reasonable transition plan that addresses when and how grantees will notify participants of the change and the planned activities to prepare participants for their exits from the program. 2. Additional Funds for Participant Training and Supportive Services Older Americans Act OAA Section 502 c 6 C . Approvals expire at the end of each program year unless the grantee submits a new request. Any grantee that wishes to request the use of additional existing grant funds for training and supportive services for PY 2013 must provide the specific information listed in this section. Grantees requesting additional funds for participant training and supportive services must not submit a separate budget narrative for these activities. Instead the detailed budget narrative in the grant application must identify the specific training and supportive service activities that if approved the grantee will provide to participants. The grantee must also include costs associated with this request in the SF-424 and SF-424A. The 2006 Amendments to the OAA permit an exception to the 75 percent minimum level of expenditures on participant wages and fringe benefits. This exception allows grantees to request to use not less than 65 percent of program funds for wages benefits and other costs so D-2 that up to an additional 10 percent of funds are available for training and supportive services directly to benefit participants. As required in sec. 502 c 6 C IV of the OAA and 20 CFR641.874 grantees seeking this waiver must provide a work plan that includes the following a A detailed description of the additional training and supportive services b An explanation of how activities will directly benefit participants improve project effectiveness and improve employment outcomes for individuals served c A sequence and timeline for these activities d If applicable an explanation concerning whether displacement of eligible individuals or elimination of positions will occur and information on the number of individuals displaced or positions eliminated and e Those performance measures the grantee expects will improve from the expenditure of additional funds and the amounts by which it expects each measure will improve. 3. Increase in Administrative Cost Limitations 20 CFR 641.870 . Approvals expire at the end of each program year unless the grantee submits a new request. Any grantee that wishes to request additional funds for PY 2013 must provide the specific information listed in this section. ETA may authorize an increase in the amount available for administrative costs to not more than 15 percent if it determines that it is necessary to carry out the project and if the grantee demonstrates that a It is incurring major administrative cost increases in necessary program components or b The number of employment positions or eligible minority individuals participating in the project will decline if administrative costs are not increased or c The project size is so small that the amount of administrative expenses incurred to carry out the project necessarily exceeds 13.5 percent of project funding. General statements that costs have increased will not constitute adequate justification. The grantee must identify which costs have increased why they have increased and how these costs relate to program operations. 4. Extension of Average Project Duration OAA Section 502 b 1 C ii . Approvals expire at the end of each program year unless the grantee submits a new request. The maximum average project duration based on overall participation is 27 months. Applicants may request permission from ETA to increase their maximum average project duration to 36 months. A request must include 1. A statement of the grantee s current average duration and an estimate of its average duration for the coming program year. 2. A description of its efforts to achieve 27-month average duration. 3. The factors constituting exceptional circumstances that warrant an extension to 36 months as set forth in the regulations i. High rates of unemployment or of poverty or of participation in the program of block grants to states for temporary assistance for needy families established under part A of title IV of the Social Security Act in D-3 the areas served by a grantee relative to other areas of the state involved or the nation ii. Significant downturns in the economy of an area served by the grantee or in the national economy iii. Significant numbers or proportions of participants with one or more barriers to employment including most-in-need individuals as described in 20 CFR 641.710 a 6 served by a grantee relative to such numbers or proportions for grantees serving other areas of the state or nation iv. Changes in Federal state or local minimum wage requirements or v. Limited economies of scale for the provision of community service employment and other authorized activities in the areas served by the grantee. 5. On-the-Job Experience OJE Training Option . Approvals expire at the end of each program year unless the grantee submits a new request. If a grantee wishes to utilize OJE as an additional training option it must meet the requirements stipulated in Older Worker Bulletin 04-04. Each year grantees must provide an OJE policy and sample contracts to the Department for approval before they can exercise this option. 6. Cross-Border Agreements 20 CFR 641.515 c . Approvals expire at the end of each program year unless the grantee submits a new request. State grantees may enter into agreements to permit cross-border enrollment of eligible participants. These agreements must cover both state and national grantee slots and must be submitted for Departmental approval. 7. Rotation Policy 20 CFR 641.575 . Approvals expire at the end of each program year unless the grantee submits a new request. Grantees may establish a policy of rotating participants to a new host agency or a different assignment within the current host agency. Grantees must make an individualized determination that a rotation is in the best interest of the participant and will further the acquisition of skills listed in the IEP. ETA added the Rotation policy item this year as a way to further streamline the process for grantees to request an optional Rotation policy. INSTRUCTIONS FOR THE SF-424 This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under discretionary programs. Some of the items are required and some are optional at the discretion of the applicant or the federal agency agency . Required fields on the form are identified with an asterisk and are also specified as Required in the instructions below. In addition to these instructions applicants must consult agency instructions to determine other specific requirements. Item Entry Item Entry 10. Name Of Federal Agency Required Enter the name of the federal agency from which assistance is being requested with this application. 1. Type of Submission Required Select one type of submission in accordance with agency instructions. Pre-application Application Changed Corrected Application Check if this submission is to change or correct a previously submitted application. Unless requested by the agency applicants may not use this form to submit changes after the closing date. 11. Catalog Of Federal Domestic Assistance Number Title Enter the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested as found in the program announcement if applicable. 12. Funding Opportunity Number Title Required Enter the Funding Opportunity Number and title of the opportunity under which assistance is requested as found in the program announcement. 13. Competition Identification Number Title Enter the competition identification number and title of the competition under which assistance is requested if applicable. 2. Type of Application Required Select one type of application in accordance with agency instructions. New An application that is being submitted to an agency for the first time. Continuation - An extension for an additional funding budget period for a project with a projected completion date. This can include renewals. Revision - Any change in the federal government s financial obligation or contingent liability from an existing obligation. If a revision enter the appropriate letter s . More than one may be selected. If Other is selected please specify in text box provided. A. Increase Award D. Decrease Duration B. Decrease Award E. Other specify C. Increase Duration 14. Areas Affected By Project This data element is intended for use only by programs for which the area s affected are likely to be different than the place s of performance reported on the SF-424 Project Performance Site Location s Form. Add attachment to enter additional areas if needed. 3. Date Received Leave this field blank. This date will be assigned by the Federal agency. 15. Descriptive Title of Applicant s Project Required Enter a brief descriptive title of the project. If appropriate attach a map showing project location e.g. construction or real property projects . For pre-applications attach a summary description of the project. 4. Applicant Identifier Enter the entity identifier assigned buy the Federal agency if any or the applicant s control number if applicable. 5a. Federal Entity Identifier Enter the number assigned to your organization by the federal agency if any. 5b. Federal Award Identifier For new applications leave blank. For a continuation or revision to an existing award enter the previously assigned federal award identifier number. If a changed corrected application enter the federal identifier in accordance with agency instructions. 6. Date Received by State Leave this field blank. This date will be assigned by the state if applicable. 7. State Application Identifier Leave this field blank. This identifier will be assigned by the state if applicable. 8. Applicant Information Enter the following in accordance with agency instructions 16. Congressional Districts Of 15a. Required Enter the applicant s congressional district. 15b. Enter all district s affected by the program or project. Enter in the format 2 characters state abbreviation 3 characters district number e.g. CA-005 for California 5 th district CA-012 for California 12 district NC-103 for North Carolina s 103 district. If all congressional districts in a state are affected enter all for the district number e.g. MD-all for all congressional districts in Maryland. If nationwide i.e. all districts within all states are affected enter US-all. If the program project is outside the US enter 00-000. This optional data element is intended for use only by programs for which the area s affected are likely to be different than place s of performance reported on the SF-424 Project Performance Site Location s Form. Attach an additional list of program project congressional districts if needed. a. Legal Name Required Enter the legal name of applicant that will undertake the assistance activity. This is the organization that has registered with the Central Contractor Registry CCR . Information on registering with CCR may be obtained by visiting www.Grants.gov. 17. Proposed Project Start and End Dates Required Enter the proposed start date and end date of the project. b. Employer Taxpayer Number EIN TIN Required Enter the employer or taxpayer identification number EIN or TIN as assigned by the Internal Revenue Service. If your organization is not in the US enter 44-4444444. 18. Estimated Funding Required Enter the 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. c. Organizational DUNS Required Enter the organization s DUNS or DUNS 4 number received from Dun and Bradstreet. Information on obtaining a DUNS number may be obtained by visiting www.Grants.gov. 19. Is Application Subject to Review by State Under Executive Order 12372 Process Required Applicants should contact the State Single Point of Contact SPOC for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. Select the appropriate box. If a. is selected enter the date the application was submitted to the State. d. Address Enter address Street 1 Required city Required County Parish State Required if country is US Province Country Required 9-digit zip postal code Required if country US . 20. Is the Applicant Delinquent on any Federal Debt Required Select the appropriate box. This question applies to the applicant organization not the person who signs as the authorized representative. Categories of federal debt include but may not be limited to delinquent audit disallowances loans and taxes. If yes include an explanation in an attachment. e. Organizational Unit Enter the name of the primary organizational unit department or division that will undertake the assistance activity. f. Name and contact information of person to be contacted on matters involving this application Enter the first and last name Required prefix middle name suffix title. Enter organizational affiliation if affiliated with an organization other than that in 7.a. Telephone number and email Required fax number. 21. Authorized Representative To be signed and dated by the authorized representative of the applicant organization. Enter the first and last name Required prefix middle name suffix. Enter title telephone number email Required and fax number. A copy of the governing body s authorization for you to sign this application as the official representative must be on file in the applicant s office. Certain federal agencies may require that this authorization be submitted as part of the application. Type of Applicant Required Select up to three applicant type s in accordance with agency instructions. 9. A. State Government B. County Government C. City or Township Government D. Special District Government E. Regional Organization F. U.S. Territory or Possession G. Independent School District H. Public State Controlled Institution of Higher Education I. Indian Native American Tribal Government Federally Recognized J. Indian Native American Tribal Government Other than Federally Recognized K. Indian Native American Tribally Designated Organization L. Public Indian Housing Authority M. Nonprofit N. Private Institution of Higher Education O. Individual P. For-Profit Organization Other than Small Business Q. Small Business R. Hispanic-serving Institution S. Historically Black Colleges and Universities HBCUs T. Tribally Controlled Colleges and Universities TCCUs U. Alaska Native and Native Hawaiian Serving Institutions V. Non-US Entity W. Other specify OMB Number 4040-0004 Expiration Date 04 31 2012 Application for Federal Assistance SF-424 Version 02 1. Type of Submission Preapplication Application Changed Corrected Application 2. Type of Application New Continuation Revision If Revision select appropriate letter s Other Specify 3. Date Received 4. Application Identifier 5a. Federal Entity Identifier 5b. Federal Award Identifier State Use Only 6. Date Received by State 7. State Application Identifier 8. APPLICANT INFORMATION a. Legal Name b. Employer Taxpayer Identification Number EIN TIN c. Organizational DUNS d. Address Street1 Street 2 City County State Province Country Zip Postal Code e. Organizational Unit Department Name Division Name f. Name and contact information of person to be contacted on matters involving this application Prefix First Name Middle Name Last Name Suffix Title Organizational Affiliation Telephone Number Fax Number Email OMB Number 4040-0004 Expiration Date 04 31 2012 Application for Federal Assistance SF-424 Version 02 9. Type of Applicant 1 Select Applicant Type Type of Applicant 2 Select Applicant Type Type of Applicant 3 Select Applicant Type Other specify 10. Name of Federal Agency 11. Catalog of Federal Domestic Assistance Number CFDA Title 12. Funding Opportunity Number Title 13. Competition Identification Number Title 14. Areas Affected by Project Cities Counties States etc. 15. Descriptive Title of Applicant s Project Attach supporting documents as specified in agency instructions. OMB Number 4040-0004 Expiration Date 04 31 2012 Application for Federal Assistance SF-424 Version 02 16. Congressional Districts Of a. Applicant b. Program Project Attach an additional list of Program Project Congressional Districts if needed. 17. Proposed Project a. Start Date b. End Date 18. Estimated Funding a. Federal b. Applicant c. State d. Local e. Other f. Program Income g. TOTAL 19. Is Application Subject to Review By State Under Executive Order 12372 Process a. This application was made available to the State under the Executive Order 12372 Process for review on b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372 20. Is the Applicant Delinquent On Any Federal Debt If Yes provide explanation. Yes No 21. By signing this application I certify 1 to the statements contained in the list of certifications and 2 that the statements herein are true complete and accurate to the best of my knowledge. I also provide the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false fictitious or fraudulent statements or claims may subject me to criminal civil or administrative penalties. U.S. Code Title 218 Section 1001 I AGREE The list of certifications and assurances or an internet site where you may obtain this list is contained in the announcement or agency specific instructions. Authorized Representative Prefix Middle Name Last Name Suffix First Name Title Telephone Number Fax Number Email Signature of Authorized Representative Date Signed OMB Number 4040-0004 Expiration Date 04 31 2012 Application for Federal Assistance SF-424 Version 02 Applicant Federal Debt Delinquency Explanation The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4 000. Try and avoid extra spaces and carriage returns to maximize the availability of space. Budget-1 OMB Approval No. 0348 - 0044 BUDGET INFORMATION - Non-Construction Programs SECTION A - BUDGET SUMMARY Grant Program Function or Activity a Catalog of Federal Domestic AssistanceNumber b Estimated Unobligated FundsNew or Revised Budget Federal c Non-Federal d Federal e Non-Federal f Total g 1. SCSEP 17.235 - - - - 2. - - - - - 3. - - - - - 4. - - - - - 5. Totals - - - - - SECTION B - BUDGET CATEGORIES 6. Object Class Categories GRANT PROGRAM FUNCTION OR ACTIVITY 1 2 3 4 5 a. Personnel - - - - b. Fringe Benefits - - - - c. Travel - - - - - d. Equipment - - - - - e. Supplies - - - - - f. Contractual - - - - - g. Construction - - - - - h. Other - - - - - i. Total Direct Charges sum of 6a - 6h - - - - - j. Indirect Charges - - - - - k TOTALS sum of 6i and 6 j - - - - - 7. Program Income - - - - - Authorized for Local Reproduction Standard Form 424A Rev.7-97 Previous Editions Usable Prescribed by OMB Circular A-102 Budget-2 c State d Other Sources e TOTALS 8. 9. 10. 11. 12.TOTAL sum of lines 8 - 11 Total for 1st Year2nd Quarter3rd Quarter4th Quarter 13.Federal - - - 14.NonFederal - - - 15. TOTAL sum of lines 13 and 14 c Second d Third e Fourth 16. - - - 17. Amount of Grant Funds Remaining after first year estimates are entered - 18. Amount of Grant Funds Remaining after future funding periods are estimated - 19. 20. TOTAL sum of lines 16 - 19 21.Direct Charges 23.RemarksSee Budget Narrative See Budget Narrative SECTION F - OTHER BUDGET INFORMATION 22. Indirect Charges See Budget Narrative SECTION E - BUDGET ESTIMATES FOR FEDERAL FUNDS FOR BALANCE OF THE PROJECT a Grant ProgramFUTURE FUNDING PERIODS Years b First - SECTION C - NON-FEDERAL RESOURCES - SCSEP a Grant Program b Applicant SECTION D - FORECASTED CASH NEEDS 1st Quarter - Budget - 3 Name of Grantee Organization B D of Time of Months 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. to Funding Period of Months Amount Awarded TOTAL PERSONNEL Position Object Class Category a. PERSONNEL Monthly Salary Wage Cost E C A Budget Narrative - PERSONNEL Responses exceeding 250 characters should use separate sheet Budget - 4 BC Benefit sRate 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. Position s A Budget Narrative - FRINGE BENEFITS Responses exceeding 250 characters should use separate s Base Amount TOTAL FRINGE BENEFITS Object Class Category b. FRINGE BENEFITS Cost D E Budget - 4 Budget - 5 B CD of Staff of Units Unit Type 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. EF Budget Narrative TRAVEL Responses exceeding 250 characters should use separate sheet TOTAL TRAVEL Item Object Class Category c. TRAVEL Cost per UnitCost A Budget - 6 B of Items 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. CD Budget Narrative EQUIPMENT Responses exceeding 250 characters should use separate sheet TOTAL EQUIPMENT Item Object Class Category d. EQUIPMENT Includes equipment costing 5 000 or more and a useful life of more than one year Cost per ItemCost A Budget - 7 B C of Units Unit Type 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. D E Budget Narrative SUPPLIES Responses exceeding 250 characters should use separate sheet TOTAL SUPPLIES Item Object Class Category e. SUPPLIES Includes equipment costing less than 5 000 Cost per UnitCost A Budget - 8 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. TOTAL CONTRACTUAL Budget Narrative CONTRACTUAL Responses exceeding 250 characters should use separate shee Brief Description Object Class Category f. CONTRACTUAL Cost AB Budget - 9 B C of Units Unit Type 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 14. 16. 17. 18. 19. 20. DE Budget Narrative OTHER COSTS Responses exceeding 250 characters should use separate TOTAL OTHER COSTS Item Object Class Category h. OTHER COSTS Including Training Expenses Cost per UnitCost A Budget - 10 Federal agency that issued the agreement W hat is the approved rate W hat is the base against which rate is applied Note enter description as specified in the agreement W hat is the the base amount Enter the rate that will be used for this grant Enter the amount that will be used for this grant OPTION B Enter fixed amount that will be used TOTAL INDIRECT CHARGES For grantees that have an approved Indirect Cost Rate Agreement For grantees that DO NOT have an approved Indirect Cost Rate Agreement Object Class Category i. INDIRECT CHARGES OPTION A Choose one of the following options to apply indirect charges to the grant Budget Narrative - INDIRECT CHARGES Responses exceeding 250 characters should use separate - - Note This will be only temporary until your Indirect Cost Rate Application is Submitted and Approved Budget - 11 Pursuant to 20 CFR 641.867 and 641.870 grantees are advised that there is a 13.5 limitation on administrative costs on funds administered under this grant. The Grant Officer may however approve additional administrative costs up to a maximum of 15 of the total grant award amount if adequate justification is provided by the grantee at the time of the award. In no event may administrative costs exceed 15 of the total award amount. The cost of administration shall include those activities enumerated in 20 CFR 641.853-861. Budget Narrative - ADMINISTRATIVE COSTS ADMINISTRATIVE COSTS 5 7 2013 ATTACHMENT H PROGRAM YEAR PY 2013 FEDERAL PROJECT OFFICER FPO LIST FOR SCSEP GRANTEES Grantee Region FPO Name Phone E-Mail Alabama III Linda Lundy 404 302 -5369 lundy.linda dol.gov Alaska VI Ingrid Nyberg 415 625 -794 7 nyberg.ingrid dol.gov Arizona VI Latha Seshadri 415 625 -79 37 seshadri.latha dol.gov Arkansas IV Marilyn Brandenburg 972 850 -46 17 bra ndenburg.marilyn dol.gov California VI John Jacobs 415 625 -7940 jacobs.john dol.gov Colorado IV Cynthia Green 972 850 -4619 green.cynthia sdol.gov Connecticut I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov Delaware II Christopher Ransome 215 861 -5222 ransome.christopher dol.gov District of Columbia II Christopher Ransome 215 861 -5222 ransome.christopher dol.gov Florida III Linda Lundy 404 302 -5369 lundy.linda dol.gov Georgia III Linda Lundy 404 302 -5369 lundy.linda dol.gov Hawai i VI John Jacobs 415 625 -7940 jacobs.john dol.gov Idaho VI John Jacobs 415 625 -794 0 jacobs.john dol.gov Illinois V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Indiana V Alice Mitchell 312 596 -54 13 mitchell.alice dol.gov Iowa V Alice Mit chell 312 596 -5413 mitchell.alice dol.gov Kansas V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Kentucky III Linda Lundy 404 302 -5369 lundy.linda dol.gov Louisiana IV Rebecca Sarmiento 972 850 -46 21 sarmiento.rebecca dol.gov Maine I Micha el Hotard 617 788 -0114 hotard.michael dol.gov Maryland II Christopher Ransome 215 861 -5222 ransome.christopher dol.gov Massachusetts I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov Michigan V Alice Mitchell 312 596 -5413 mitchell.alice dol .gov Minnesota V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Mississippi III Linda Lundy 404 302 -5369 lundy.linda dol.gov Missouri V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Montana IV Jesus Morales 972 850 -4616 morales.jesus d ol.gov Nebraska V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Nevada VI John Jacobs 415 625 -794 0 jacobs.john dol.gov New Hampshire I Michael Hotard 617 788 -0114 hotard.michael dol.gov New Jersey I Suzanne Pouliot 617 788 -0180 pouliot.su zanne dol.gov New Mexico IV Roseana Smith 972 850 -46 15 smith. roseana dol.gov New York I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov North Carolina III Linda Lundy 404 302 -5369 lundy.linda dol.gov North Dakota IV Bill Martin 972 850 -46 35 martin.bill dol.gov Ohio V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Oklahoma IV Felecia Blair 972 850 -46 43 blair.felecia dol.gov Oregon VI John Jacobs 415 625 -7940 jacobs.john dol.gov Pennsylvania II Christopher Ransome 215 861 -522 2 ransome.christopher dol.gov Puerto Rico I Michael Hotard 617 788 -0114 hotard.michael dol.gov Rhode Island I Michael Hotard 617 788 -0114 hotard.michael dol.gov South Carolina III Linda Lundy 404 302 -5369 lundy.linda dol.gov South Dakota IV Berni e Cutter 972 850 -4618 cutter.bernarda dol.gov Tennessee III Linda Lundy 404 302 -53 69 lundy.linda dol.gov Texas IV Kajuana Donahue 972 850 -46 13 donahue.kajuana dol.gov Utah IV Bill Martin 972 850 -4635 martin.bill dol.gov Vermont I Suzanne Poulio t 617 788 -0180 pouliot.suzanne dol.gov Virginia II Christopher Ransome 215 861 -5222 ransome.christopher dol.gov Washington VI John Jacobs 415 625 -7946 jacobs.john dol.gov West Virginia II Christopher Ransome 215 861 -5222 ransome.christopher dol. gov Wisconsin V Alice Mitchell 312 596 -54 13 mitchell.alice dol.gov Wyoming IV Jesus Morales 972 850 -46 16 morales.jesus dol.gov American Samoa VI Janice Shordike 415 625 -79 43 shordike.janice dol.gov Guam VI Janice Shordike 415 625 -7943 shordike. janice dol.gov Northern Mariana Islands VI Janice Shordike 415 625 -7943 shordike.janice dol.gov Virgin Islands I Michael Hotard 617 788 -0114 hotard.michael dol.gov Grantee Region FPO Name Phone E-Mail AARP Foundation II Barbara Shelly 215 861 -5541 shelly.barbara dol.gov Asociaci n Nacional Pro Personas Mayores VI John Jacobs 415 625 -7946 jacobs.john dol.gov Associates for Training and Development Inc. 4ADT I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov Easter Seals Inc. V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov Experience Works Inc. III Connie Taylor 404 302 -5338 taylor.connie doleta.gov Goodwill Industries International Inc. II Barbara Shelly 215 861 -5541 shelly.barbara dol.gov Mature Services Inc. V Alice Mitchell 312 596 -5413 mitchell.alice dol.gov National Able Network I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov National Asian Pacific Center on Aging VI John Jacobs 415 625 -7940 jacobs.john dol.gov National Caucus and Center on Black Aged Inc. II Barbara Shelly 215 861 -5541 shelly.barbara dol.gov National Council on the Aging Inc. II Barbara Shelly 215 861-5541 shelly.barbara dol.gov National Indian Council on Aging IV Brie Burleson 972 850 -4652 burleson.brie dol.gov National Urban League I Suzanne Pouliot 617 788 -0180 pouliot.suzanne dol.gov Senior Service America Inc. II Barbara Shelly 215 861 -5541 shelly.barbara dol.gov SER - Jobs for Progress National Inc. IV Patricia Evans 972 850 -4644 evans.patricia do l.gov