Back to Federal guidance
Revised 2012 SCSEP national grant planning
Summary ETA revised program year 2012 Senior Community Service Employment Program national grantee planning and first-quarter allotments. It rescinded the base TEGL 26-11 and attached funding and application materials; TEGL 28-12 later rescinded this change.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 26-11, Change 1
Date issued
June 6, 2012
Status
Rescinded
TEGL 28-12 expressly rescinded TEGL 26-11, Change 1. This change PDF prints Expiration Date: September 30, 2012 and rescinds the base TEGL 26-11; ETA lists it Canceled as of 2026-10-24.
Status last verified October 24, 2026
Is this still the rule?
This document has been rescinded. Ezel checks what federal law requires today, under current federal labor law, and answers your situation with citations.
About this page: The full text below is the official document from U.S. Department of Labor, Employment and Training Administration (ETA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
Accessible letter PDF: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Acc.Final.pdf
CLASSIFICATION
EMPLOYMENT AND TRAINING ADMINISTRATION SCSEP
ADVISORY SYSTEM CORRESPONDENCE SYMBOL
U.S. DEPARTMENT OF LABOR DNPTTA
Washington, D.C. 20210 DATE
June 6, 2012
ADVISORY: TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 26-11,
Change 1
TO: SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM
NATIONAL GRANTEES
FROM: JANE OATES /s/
Assistant Secretary
SUBJECT: Revised Program Year 2012 Planning Instructions and Allotments for Senior
Community Service Employment Program (SCSEP) National Grantees
1. Purpose. This Training and Employment Guidance Letter (TEGL) Change 1 gives current
SCSEP national grantees the application instructions, allocations, and the process and
procedures for the first quarter of Program Year (PY) 2012. It also provides information on
the transition to grants that will be awarded under the SCSEP Solicitation for Grant
Applications (SGA) to provide SCSEP services.
2. References.
TEGL 26-11, Program Year 2012 Planning Instructions and Allotments for Senior
Community Service Employment Program (SCSEP) State and Territorial Grant
Applicants, April 30, 2012;
SGA/DFA PY-11-04, Solicitation for Grant Applications, March 8, 2012;
Department of Labor Appropriations Act, 2012, Title I of Division F of the Consolidated
Appropriation Act, 2012, P.L. 112-74;
2006 Older Americans Act Amendments (OAA), P.L. 109-365, 42 U.S.C. 3056 et.
20 CFR Part 641;
1. SCSEP Final Rule, 75 FR 53785 (Sep 1, 2010)
2. SCSEP Final Rule, Additional Indicator for Volunteering, 77 FR 4654 (Jan
31, 2012)
Training and Employment Guidance Letter (TEGL) 12-06, Revised Income Inclusions
and Exclusions and Procedures for Determining SCSEP Eligibility;
TEGL 16-11, 2012 Federal Poverty Guidelines;
Priority of Service for Covered Persons Final Rule, 20 CFR Part 1010, 73 FR 78132 (Dec
19, 2008);
RESCISSIONS EXPIRATION DATE
TEGL 26-11 September 30, 2012
Americans with Disabilities Act, as amended, P.L. 110-325;
SCSEP Performance Data Collection Approval (Office of Management and Budget No.
1205-0040);
Jobs for Veterans Act, P.L. 107-288.
3. Background. The planned transition of participants following the national grantee
competition is scheduled for October 1, 2012. Therefore, current national grantees will
continue service through the first quarter of PY 2012. The original TEGL 26-11, issued on
April 30, 2012, provided funding and allocation information for only the states and territories
but did not include the national grantee allocations. This change1 includes the allocations and
necessary planning instructions for current national grantees for the PY 2012 1st quarter.
4. Overall Approach. The Department of Labor (the Department) will issue new grants to
current grantees for the first quarter of PY 2012 to continue services in their current areas.
These new grants will be one quarter’s proportional share, i.e. 25 percent of the PY 2012
funding to serve clients during the first quarter (July 1 – September 30, 2012). Current
grantees must submit the requested documents (see #7 below) by June 18, 2012. The
remaining PY 2012 funds will be allocated after the announcement of the SGA results.
After the results of the SGA are announced, current national grantees who applied under the
competition and were successful will receive a modification of the new grant for the
remainder of the program year October 1, 2012 – June 30, 2013.
5. Notice of Obligation (NOO). The Department will issue NOOs with new grant numbers
and allocation amounts for the SCSEP program to continuing national grantees for PY 2012
1st quarter.
6. PY 2012 Program Allotments. See Attachment A for funding amounts and authorized
positions.
7. Inquiries. Questions regarding these allotments may be directed to the appropriate Federal
Project Officer. Information on the allotments and planning requirements may also be found
in the SGA/ DFA PY-11-04 available at www.doleta.gov/grants/find_grants.cfm.
8. Schedule and Action Requested. Current national grantees must submit
• SF-424
• SF-424A
• Budget Narrative for the first quarter allocations
• Signed Programmatic Assurances
• Program Narrative
• Any Optional Special Requests
No other narrative information will be required. We will provide a generic Statement of
Work to grantees for PY 2012 to use in place of a more detailed Program Narrative. Funding
amounts and authorized position allocations are in Attachment A. Documents should be
submitted to [email protected] by June 18, 2012.
9. Attachments.
Attachment A: Funding Allocations and Authorized Positions
Attachment B: Program Narrative Instructions
Attachment C: Programmatic Assurances
Attachment D: Optional Special Requests
Attachment E: SF-424 Instructions
Attachment F: SF-424
Attachment G: SF-424A
Attachment H: List of Federal Project Officers (FPOs)
Attachment 1: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att1.pdf
U. S. Department of Labor / Employment & Training Administration Attachment A-1
Senior Community Service Employment Program
PY 2012 Authorized Positions* for Non-Minority National Sponsors, by State
State AARP ABLE ANPPM ES EW GII Mature NCBA NCOA NULI QCSI SER SSAI TWI VATD Total
Alabama 0 0 0 196 0 0 0 0 0 0 0 0 467 0 0 663
Alaska 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arizona 119 0 126 0 0 104 0 0 0 0 0 0 0 0 0 349
Arkansas 183 0 0 0 351 0 0 118 0 0 0 0 0 0 0 652
California 366 0 408 0 316 0 0 0 234 0 0 1,019 384 0 0 2,727
Colorado 140 0 0 0 0 0 0 0 0 0 0 222 0 0 0 362
Connecticut 0 0 0 186 0 0 0 0 0 0 0 0 0 207 0 393
Delaware 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District of Col 0 0 63 0 0 0 0 143 0 0 0 0 0 0 0 206
Florida 1,308 0 0 0 510 0 0 150 0 0 0 143 0 0 0 2,111
Georgia 203 0 0 0 450 0 0 0 140 0 0 0 0 0 0 793
Hawaii 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Idaho 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 172
Illinois 85 0 0 176 396 0 0 94 0 0 0 172 401 0 0 1,324
Indiana 234 0 0 0 279 207 0 0 0 0 0 0 217 0 0 937
Iowa 155 0 0 0 209 0 0 0 0 0 0 0 94 0 0 458
Kansas 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 353
Kentucky 100 0 0 0 342 0 0 0 236 0 0 0 0 0 0 678
Louisiana 126 0 159 0 191 0 0 0 71 0 0 0 0 0 0 547
Maine 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 220
Maryland 0 0 0 0 0 0 0 0 0 0 0 0 492 0 0 492
Massachusetts 0 198 0 0 0 0 0 0 0 149 0 0 385 0 0 732
Michigan 362 0 0 0 388 0 0 198 0 190 0 0 0 0 0 1,138
Minnesota 0 0 0 0 382 0 0 0 0 0 155 0 294 0 0 831
Mississippi 0 0 0 0 132 0 0 101 0 0 0 0 208 0 0 441
Missouri 263 0 0 0 597 0 0 0 0 0 0 0 0 0 0 860
Montana 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 223
Nebraska 0 0 0 0 265 0 0 0 0 0 0 0 0 0 0 265
Nevada 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176
New Hampshire 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0 172
New Jersey 0 0 0 345 182 0 0 0 353 131 0 0 0 0 0 1,011
New Mexico 0 0 0 0 0 172 0 0 0 0 0 0 0 0 0 172
New York 502 0 0 375 400 0 0 0 333 194 0 0 496 0 0 2,300
North Carolina 0 0 0 0 0 0 0 266 161 0 0 0 509 0 0 936
North Dakota 0 0 0 0 215 0 0 0 0 0 0 0 0 0 0 215
Ohio 260 0 0 0 372 0 527 143 0 137 0 0 121 0 0 1,560
Oklahoma 171 0 0 0 259 0 0 0 0 0 0 0 0 0 0 430
Oregon 0 0 0 178 348 0 0 0 0 0 0 0 0 0 0 526
Pennsylvania 368 0 114 0 207 210 0 177 502 118 0 0 179 0 0 1,875
Puerto Rico 185 0 0 0 307 0 0 0 0 0 0 0 0 0 0 492
Rhode Island 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 190
South Carolina 203 0 0 0 284 0 0 0 0 0 0 0 0 0 0 487
South Dakota 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 222
Tennessee 0 0 0 0 0 0 0 0 153 0 0 0 578 0 0 731
Texas 988 0 0 0 428 0 0 0 0 0 0 298 210 0 0 1,924
Utah 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 238
Vermont 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 196
Virginia 246 0 0 0 87 225 0 0 198 0 0 0 0 0 0 756
Washington 261 0 0 0 0 203 0 0 0 0 0 0 0 0 0 464
West Virginia 0 0 0 0 98 0 0 0 304 0 0 0 0 0 0 402
Wisconsin 0 0 0 0 361 0 0 0 0 0 0 254 273 0 0 888
Wyoming 0 0 0 0 172 0 0 0 0 0 0 0 0 0 0 172
Total 7,004 590 870 1,694 9,145 1,121 527 1,390 2,685 919 155 2,651 5,308 207 196 34,462
* 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-2
Senior Community Service Employment Program
PY 2012 Authorized Funding* for Non-Minority National Sponsors, by State X .25
State AARP ABLE ANPPM ES EW GII Mature NCBA NCOA NULI QCSI SER SSAI TWI VATD Total
Alabama $0 $0 $0 $475,189 $0 $0 $0 $0 $0 $0 $0 $0 $1,132,210 $0 $0 $1,607,399
Alaska $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 0
Arizona $288,562 $0 $305,536 $0 $0 $252,188 $0 $0 $0 $0 $0 $0 $0 $0 $0 846,286
Arkansas $443,527 $0 $0 $0 $850,699 $0 $0 $285,990 $0 $0 $0 $0 $0 $0 $0 1,580,216
California $887,260 $0 $989,077 $0 $766,050 $0 $0 $0 $567,265 $0 $0 $2,470,267 $930,896 $0 $0 6,610,814
Colorado $339,207 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $537,886 $0 $0 $0 877,093
Connecticut $0 $0 $0 $451,135 $0 $0 $0 $0 $0 $0 $0 $0 $0 $502,069 $0 953,204
Delaware $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 0
District of Col $0 $0 $152,408 $0 $0 $0 $0 $345,941 $0 $0 $0 $0 $0 $0 $0 498,348
Florida $3,170,913 $0 $0 $0 $1,236,365 $0 $0 $363,637 $0 $0 $0 $346,667 $0 $0 $0 5,117,582
Georgia $492,196 $0 $0 $0 $1,091,076 $0 $0 $0 $339,446 $0 $0 $0 $0 $0 $0 1,922,718
Hawaii $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 0
Idaho $0 $0 $0 $0 $417,762 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 417,762
Illinois $206,039 $0 $0 $426,622 $959,900 $0 $0 $227,855 $0 $0 $0 $416,926 $972,020 $0 $0 3,209,362
Indiana $567,058 $0 $0 $0 $676,108 $501,628 $0 $0 $0 $0 $0 $0 $525,861 $0 $0 2,270,655
Iowa $375,947 $0 $0 $0 $506,922 $0 $0 $0 $0 $0 $0 $0 $227,994 $0 $0 1,110,863
Kansas $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $855,347 $0 $0 $0 855,347
Kentucky $242,425 $0 $0 $0 $829,094 $0 $0 $0 $572,123 $0 $0 $0 $0 $0 $0 1,643,643
Louisiana $305,559 $0 $385,586 $0 $463,188 $0 $0 $0 $172,180 $0 $0 $0 $0 $0 $0 1,326,512
Maine $0 $534,592 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 534,592
Maryland $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $1,192,411 $0 $0 1,192,411
Massachusetts $0 $480,375 $0 $0 $0 $0 $0 $0 $0 $361,494 $0 $0 $934,062 $0 $0 1,775,931
Michigan $877,943 $0 $0 $0 $941,000 $0 $0 $480,201 $0 $460,799 $0 $0 $0 $0 $0 2,759,942
Minnesota $0 $0 $0 $0 $926,333 $0 $0 $0 $0 $0 $375,868 $0 $712,937 $0 $0 2,015,139
Mississippi $0 $0 $0 $0 $320,028 $0 $0 $244,870 $0 $0 $0 $0 $504,286 $0 $0 1,069,183
Missouri $637,871 $0 $0 $0 $1,447,942 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 2,085,813
Montana $0 $0 $0 $0 $540,028 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 540,028
Nebraska $0 $0 $0 $0 $641,510 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 641,510
Nevada $425,861 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 425,861
New Hampshire $0 $417,762 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 417,762
New Jersey $0 $0 $0 $836,693 $441,386 $0 $0 $0 $856,094 $317,701 $0 $0 $0 $0 $0 2,451,873
New Mexico $0 $0 $0 $0 $0 $417,762 $0 $0 $0 $0 $0 $0 $0 $0 $0 417,762
New York $1,217,036 $0 $0 $909,141 $969,750 $0 $0 $0 $807,317 $470,329 $0 $0 $1,202,490 $0 $0 5,576,062
North Carolina $0 $0 $0 $0 $0 $0 $0 $644,778 $390,261 $0 $0 $0 $1,233,805 $0 $0 2,268,843
North Dakota $0 $0 $0 $0 $520,094 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 520,094
Ohio $630,335 $0 $0 $0 $901,864 $0 $1,277,640 $346,684 $0 $332,138 $0 $0 $293,348 $0 $0 3,782,009
Oklahoma $414,377 $0 $0 $0 $627,624 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1,042,001
Oregon $0 $0 $0 $431,725 $844,046 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1,275,771
Pennsylvania $892,375 $0 $276,442 $0 $501,961 $509,236 $0 $429,213 $1,217,316 $286,142 $0 $0 $434,063 $0 $0 4,546,747
Puerto Rico $448,366 $0 $0 $0 $744,045 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1,192,411
Rhode Island $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $460,292 $0 $0 $0 460,292
South Carolina $492,510 $0 $0 $0 $689,028 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1,181,538
South Dakota $0 $0 $0 $0 $538,216 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 538,216
Tennessee $0 $0 $0 $0 $0 $0 $0 $0 $370,948 $0 $0 $0 $1,401,359 $0 $0 1,772,307
Texas $2,395,303 $0 $0 $0 $1,037,642 $0 $0 $0 $0 $0 $0 $722,470 $509,123 $0 $0 4,664,538
Utah $0 $0 $0 $578,084 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 578,084
Vermont $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $474,790 474,790
Virginia $596,162 $0 $0 $0 $210,838 $545,271 $0 $0 $479,838 $0 $0 $0 $0 $0 $0 1,832,109
Washington $633,015 $0 $0 $0 $0 $492,345 $0 $0 $0 $0 $0 $0 $0 $0 $0 1,125,361
West Virginia $0 $0 $0 $0 $237,675 $0 $0 $0 $737,276 $0 $0 $0 $0 $0 $0 974,950
Wisconsin $0 $0 $0 $0 $875,207 $0 $0 $0 $0 $0 $0 $615,797 $661,860 $0 $0 2,152,864
Wyoming $0 $0 $0 $0 $417,762 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 417,762
Total 16,979,847 1,432,728 2,109,048 4,108,587 22,171,139 2,718,430 1,277,640 3,369,168 6,510,062 2,228,602 375,868 6,425,651 12,868,724 502,069 474,790 83,552,353
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
Attachment A-3
U. S. Department of Labor / Employment & Training Administration
Senior Community Service Employment Program
PY 2012 Authorized Positions* for Minority National Sponsors, by State
State IID NAPCA NICOA Total
Alabama 0 0 0 0
Alaska 0 0 0 0
Arizona 0 0 134 134
Arkansas 56 0 0 56
California 0 268 68 336
Colorado 0 0 0 0
Connecticut 0 0 0 0
Delaware 0 0 0 0
District of Col 0 0 0 0
Florida 0 0 0 0
Georgia 0 0 0 0
Hawaii 0 0 0 0
Idaho 0 0 0 0
Illinois 0 68 0 68
Indiana 0 0 0 0
Iowa 0 0 0 0
Kansas 0 0 0 0
Kentucky 0 0 0 0
Louisiana 74 0 0 74
Maine 0 0 0 0
Maryland 0 0 0 0
Massachusetts 0 47 0 47
Michigan 0 0 0 0
Minnesota 0 0 21 21
Mississippi 26 0 0 26
Missouri 0 0 0 0
Montana 0 0 0 0
Nebraska 0 0 0 0
Nevada 0 0 0 0
New Hampshire 0 0 0 0
New Jersey 0 0 0 0
New Mexico 0 0 48 48
New York 0 63 0 63
North Carolina 0 0 0 0
North Dakota 0 0 0 0
Ohio 0 0 0 0
Oklahoma 0 0 141 141
Oregon 0 0 0 0
Pennsylvania 0 60 0 60
Puerto Rico 0 0 0 0
Rhode Island 0 0 0 0
South Carolina 0 0 0 0
South Dakota 0 0 32 32
Tennessee 0 0 0 0
Texas 0 62 0 62
Utah 0 0 0 0
Vermont 0 0 0 0
Virginia 0 0 0 0
Washington 0 63 0 63
West Virginia 0 0 0 0
Wisconsin 0 0 29 29
Wyoming 0 0 0 0
Total 156 631 473 1,260
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
Attachment A-4
U. S. Department of Labor / Employment & Training Administration
Senior Community Service Employment Program
PY 2012 Authorized Funding* for Minority National Sponsors, by State X .25
State IID NAPCA NICOA Total
Alabama $0 $0 $0 $0
Alaska $0 $0 $0 0
Arizona $0 $0 $324,782 324,782
Arkansas $135,730 $0 $0 135,730
California $0 $649,565 $164,815 814,380
Colorado $0 $0 $0 0
Connecticut $0 $0 $0 0
Delaware $0 $0 $0 0
District of Col $0 $0 $0 0
Florida $0 $0 $0 0
Georgia $0 $0 $0 0
Hawaii $0 $0 $0 0
Idaho $0 $0 $0 0
Illinois $0 $164,815 $0 164,815
Indiana $0 $0 $0 0
Iowa $0 $0 $0 0
Kansas $0 $0 $0 0
Kentucky $0 $0 $0 0
Louisiana $179,357 $0 $0 179,357
Maine $0 $0 $0 0
Maryland $0 $0 $0 0
Massachusetts $0 $113,916 $0 113,916
Michigan $0 $0 $0 0
Minnesota $0 $0 $50,899 50,899
Mississippi $63,018 $0 $0 63,018
Missouri $0 $0 $0 0
Montana $0 $0 $0 0
Nebraska $0 $0 $0 0
Nevada $0 $0 $0 0
New Hampshire $0 $0 $0 0
New Jersey $0 $0 $0 0
New Mexico $0 $0 $116,340 116,340
New York $0 $152,696 $0 152,696
North Carolina $0 $0 $0 0
North Dakota $0 $0 $0 0
Ohio $0 $0 $0 0
Oklahoma $0 $0 $341,749 341,749
Oregon $0 $0 $0 0
Pennsylvania $0 $145,425 $0 145,425
Puerto Rico $0 $0 $0 0
Rhode Island $0 $0 $0 0
South Carolina $0 $0 $0 0
South Dakota $0 $0 $77,560 77,560
Tennessee $0 $0 $0 0
Texas $0 $150,273 $0 150,273
Utah $0 $0 $0 0
Vermont $0 $0 $0 0
Virginia $0 $0 $0 0
Washington $0 $152,696 $0 152,696
West Virginia $0 $0 $0 0
Wisconsin $0 $0 $70,289 70,289
Wyoming $0 $0 $0 0
Total 378,105 1,529,386 1,146,433 3,053,924
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
Attachment 2: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att2.pdf
ATTACHMENT B
PROGRAM NARRATIVE INSTRUCTIONS
FOR PROGRAM YEAR 2012 FUNDS
Format: The text of the application must be double-spaced with one-inch margins at the top,
bottom, and sides. Pages must be numbered and include the applicant’s name. The Department
of Labor permits the use of graphs, maps, and tables that are properly labeled. The Department
encourages applicants to use brief topic headings for paragraphs in the text. The narrative must
not exceed five pages in length, excluding any attachments.
Content: All applicants must provide a narrative that covers the following area:
Organizational Structure, Monitoring, and Audits (OMB Circular A-102) as an attachment
to SF-424, Item f. Applicants should describe their organizational structure:
(a) Identify the grant’s key staff; briefly identify their primary responsibilities and the
amount of time assigned to the grant. Include an organizational chart, as an
attachment, depicting key staff.
(b) Indicate whether the applicant has sub-recipients or local affiliates implementing the
grant.
(c) Describe how the grantee ensures that policy and other important information is
communicated and implemented throughout the program area.
Attachment 3: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att3.pdf
ATTACHMENT C
PROGRAMMATIC ASSURANCES—PROGRAM YEAR 2012 GRANT
The programmatic assurances below reflect standard grant requirements that DOL has
determined are consistent with sound program practices.
Applicants, please certify that your agency or organization will conform to these assurances
throughout the period of the grant by checking off the assurances below. This form can be
completed electronically; to check off the assurances, go to the “View” function, choose
“Toolbars,” click on the left side of “Forms,” then click on small lock.
PARTICIPANT ASSURANCES
The Applicant agrees to:
Recruitment and Selection of Participants
Develops and implements methods to recruit and select participants to assure that a
maximum number of eligible individuals are able to participate in the program.
Uses income definitions and income inclusions and exclusions for SCSEP eligibility, as
described in TEGL 12-06, to determine and document participant eligibility. (TEGL 12-
06 may be accessed at olderworkers.workforce3one.org under “Resources.”)
Develops and implements methods to recruit minority populations to ensure they are
enrolled at least in proportion to their numbers in the population in the area.
Develops and implements 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, P.L. 107-288.
Individuals have priority who:
a) Are covered persons in accordance with the Jobs for Veterans Act (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.
Assessment
Assesses participants at least twice per 12 month period.
Uses assessment information to determine the most appropriate community service
assignments for participants.
Individual Employment Plan (IEP)
Establishes an initial goal of unsubsidized employment for all participants.
Updates the IEP at least as frequently as assessments occur (at least twice per 12 month
period).
Modifies the IEP as necessary to reflect other approaches to self-sufficiency, if it
becomes clear that unsubsidized employment is not feasible for a participant.
For participants who will reach the individual durational limit or would not otherwise
achieve unsubsidized employment, includes provision in the IEP to transition to other
services.
Community Service Assignment (CSA)
Ensures that the initial CSA is based on the assessment done at enrollment.
Uses the IEP to determine when, if appropriate, to rotate participants through assignments
to acquire skills necessary for unsubsidized employment.
Selects host agencies that are designated 501(c) (3) organizations or public agencies.
Ensures procedures are in place to assure adequate supervision of participants at host
agencies.
Ensures procedures are in place to ensure safe and healthy working conditions.
Recertification of Participants
Recertifies the income eligibility of each participant at least once every 12 months, or
more frequently if circumstances warrant.
Physical Examinations
Offers physical examinations to participants upon program entry, and each year
thereafter, as a benefit of enrollment.
Obtains a written waiver from each participant who declines to have a physical
examination.
Grantee does not receive a copy or use the results of the physical examination to establish
eligibility or for any other purpose.
Host Agencies
Develops and implements 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: Community service assignments do not reduce the number of
employment opportunities or vacancies that would otherwise be available to individuals
who are not SCSEP participants.
Community service assignments do not displace currently employed workers
(including partial displacement, such as a reduction in non-overtime work, wages,
or employment benefits).
Community service assignments do not impair existing contracts or result in the
substitution of Federal funds for other funds in connection with work that would
otherwise be performed.
Community service assignments do not 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
Provides orientations for its participants and host agencies, including information on:
Program Overview
Project goals and objectives
Community service assignments
Training opportunities
Available supportive services
Availability of free physical examinations
Participant rights and responsibilities
Host agencies
Sub-recipients must also provide sufficient orientation to applicants and participants,
which should include the following information:
SCSEP goals and objectives
Grantee and local project roles, policies, and procedures
Documentation requirements
Holiday and sick leave
Assessment process
Development and implementation of Individual Employment Plans
Evaluation of participant progress
Provision of safe working environment
Annual monitoring and safety assessment
Role of supervisors and host agencies
Maximum individual duration policy, including the possibility of waiver, if
applicable
Termination policies
Grievance procedures
Wages
Provides participants with the highest applicable required wage for time spent while in
orientation, training and community service assignment. The applicable wage is the
highest of the Federal, state, or local minimum wage.
Participant Benefits
Provides workers’ compensation and other benefits that are required by state or Federal
law (such unemployment insurance), and the costs of physical examinations.
Establishes written policies relating to compensation for scheduled work hours during
which grantee or sub-recipients are closed for Federal holidays.
Establishes written policies relating to approved breaks in participation and any necessary
sick leave that is not part of an accumulated sick leave program.
Does not use grant funds to pay the cost of pension benefits, annual leave, accumulated
sick leave, or bonuses.
Durational Limits
Maximum Average Project Duration: 27 Months
Complies with average project duration of 27 months or less, unless DOL approves an
extension to 36 months.
Maximum Individual Participant Duration: 48 Months
Complies with the requirement that participants may 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.
Notifies participants of its policy pertaining to the maximum duration requirement,
including the possibility of a waiver, if applicable, at the time of enrollment and each
year.
Provides 30-day written notice to participants prior to durational limit exit from the
program
Transition Services
Develops a system to transition participants to unsubsidized employment or other
assistance before the participants’ maximum enrollment duration has expired.
.
Termination Procedures
Provides a 30-day written notice for all terminations that states the reason for termination
and informs the participants of grievance policies and right to appeal.
Written Termination Policies
Written termination policies are in effect and provided to participants at enrollment for:
Provision of false information
Incorrect initial eligibility determination
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 Department 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 to conduct a reasonable search for employment) consistent with their
IEP, unless there are extenuating circumstances.
Equitable Distribution
Complies with the Equitable Distribution (ED) plan for each state in which grantee
operates and will only make changes in the location of authorized positions within a state
in accordance with the state ED plan and with the approval of the Department.
Over-Enrollment
Manage over-enrollment to minimize impact on participants and avoid layoffs.
Administrative Systems
Ensures representation at all DOL-sponsored required grantee meetings.
Communicates grant policy, data collection, and performance developments and
directives to staff, sub-recipients, and local project operators on a regular basis.
Develops 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.
Develops a monitoring schedule; notifies sub-grantees and local project operators of
monitoring plans; and monitors sub-grantees and local project operators on a regular
basis.
Develops and provides training to increase sub-recipients’ and local project operators’
skills, knowledge, and abilities.
When appropriate, prescribes corrective action and follow-up procedures for sub-
recipients and local project operators to ensure that identified problems are remedied.
Monitors the financial systems and expenditures of sub-recipients and local project
operators on a regular basis.
Ensures that sub-recipients and local project operators receive adequate resources to
effectively operate local projects.
Trains sub-recipients and local project operators on SCSEP financial requirements to help
them effectively manage their own expenditures, and provide more general financial
training as needed.
Ensures that all financial reports are accurate and submits them in a timely manner, as
required.
Develops a written plan for both disaster response and recovery so SCSEP may continue
to operate and provide services.
Collaboration and Leveraged Resources
Collaborates 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, One-Stop Career Centers, vocational rehabilitation
providers, disability networks, basic education and literacy providers, and community
colleges.
Supportive Services
Provides supportive services, as needed, to help participants participate in their
community service assignment and to obtain and retain unsubsidized employment.
Establishes 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 give special consideration to organizations
(including former recipients of national grants) with demonstrated expertise in serving
individuals with barriers to employment, as defined in the statute.
Complaint Resolution
Establishes and uses written grievance procedures for complaint resolution for applicants,
employees, sub-recipients, and participants.
Provides applicants, employees, sub-recipients, and participants with a copy of the
grievance policy and procedures.
Procedures for Payroll and Workers’ Compensation
Makes all required payments for participant payroll and pays workers’ compensation
premiums on a timely basis.
Ensures that host agencies do not pay workers’ compensation costs for participants.
Maintenance of Files and Privacy Information
Maintains participant files for three program years after the program year in which all
follow-up activity for a participant is completed.
Ensures that participant records are securely stored and access is limited to appropriate
staff in order to safeguard personal identifying information.
Ensures that participant medical records are securely stored separately from all other
participant records and access is limited to authorized staff for authorized purposes.
Establishes safeguards to preclude tampering with electronic media, e.g., personal
identification numbers (PINs).
Ensures that the SCSEP national office at DOL is immediately notified in the event of
any potential security breach of personal identifying information, whether electronic files,
paper files, or equipment are involved.
Complies with, and ensures that authorized users under its grant comply with all SPARQ
access and security rules.
Documentation
Maintains documentation of waivers of physical examinations by participant.
Maintains documentation of the provision of complaint procedures to participants.
Maintains documentation of eligibility determinations and recertifications.
Maintains documentations of terminations and reasons for termination.
Maintains records of grievances and outcomes.
Maintains records required for data validation.
Data Collection and Reporting
Ensures the collection and reporting of all SCSEP required data according to specified
time schedules.
Ensures the use of the OMB-approved SCSEP data collection forms and the SCSEP data
collection and evaluation system, SPARQ, including in WDCS.
Ensures data will be entered directly into the WDCS.
Ensures that those capturing and recoding data are familiar with the latest instructions for
data collection, including DOL administrative issuances, e.g., Older Worker Bulletins,
TEGLs, Data Collection Handbook, Data Validation Handbook, and Internet postings.
Legally obligates 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 obligates 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(es) is not checked, information must be provided 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
Attachment 4: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att4.pdf
ATTACHMENT D
PROGRAM YEAR 2012 OPTIONAL SPECIAL REQUESTS
Applicants with special requests in one or more of the following areas must submit their requests
and any supporting documentation as an attachment to their PY 2012 grant applications.
Requests for approval should provide a substantive rationale, e.g., improved program
management, better service to participants, or least disruption possible to participants.
Additional Funds for Participant Training and Supportive Services – Older Americans Act
(OAA), Section 502(c)(6)(C). Any applicant that wishes to request additional funds must
provide the specific information listed in this section. Applicants requesting additional funds for
participant training and supportive services should not submit a separate budget narrative for
these activities. Instead, the detailed budget narrative in the grant application should identify the
specific training and supportive service activities that, if approved, the applicant will provide to
participants. The applicant should 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 that up to
an additional 10 percent of funds are available for training and supportive services to directly
benefit participants. As required in Section 502(C)(6)(C)(IV) of the OAA, applicants 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) Which performance measures the applicant expects will improve from the
expenditure of additional funds, and the amounts by which it expects each measure
will improve.
Increase in Administrative Cost Limitations – 20 CFR 641.870. The Department of Labor
(Department) 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
applicant 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 do not constitute adequate justification. The
applicant must identify which costs have increased, why they have increased, and how these
costs relate to program operations.
Change 4-Year Durational Limit Waiver Options. Grantees received approval for one of the
following durational limit policies to take effect in PY 2011:
(1) Option 1: Grantee does not offer extensions to any participants
(2) Option 2: Grantee offers extensions to each and every participant who meets any
one of the seven waiver factors
(3) Option 3: Grantee offers extensions to each and every participant who meets a
specific subset of the seven waiver factors.
Applicants should describe: (a) their currently-approved individual durational limit policy; and
(b) which of the three options above the applicant proposes to adopt, and the effective date of
implementing this revised policy for new and current enrollees. Please note that any new policy
for 2012 requires Departmental approval and must have an effective date of at least 120 days
after approval receipt.
Extension of Maximum Project Duration – OAA Section. 502(b)(1)(C)(ii). The maximum
average project duration based on overall participation is 27 months. Applicants may request
permission from the Department to increase their maximum average project duration to 36
months.
On-the-Job Experience (OJE) Training Option. If an applicant wishes to utilize OJE as an
additional training option, it must meet the requirements stipulated in Older Worker Bulletin 04-
04. Applicants must provide an OJE policy and sample contracts to the Department for approval
before they can exercise this option.
Cross-Border Agreements – 20 CFR 641.515(c). State applicants 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 approval by the Department.
Attachment 5: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att5.pdf
ATTACHMENT E
STANDARD FORM (SF)-424 INSTRUCTIONS
Applicant must prepare their application using SF-424 (Attachment F).
The following instructions are intended to clarify the process of completing the SF-424
grant application for Senior Community Service Employment Program. The applicant
should review the current authorizing legislation and regulations, as well as Older
Worker Bulletin No. 00-20, “Allocation of Indirect Costs”; Office of Management and
Budget (OMB) Circular A-87, “Cost Principles for State, Local and Indian Tribal
Governments”; and OMB Circular A-122, “Cost Principles for Non-Profit
Organizations.” Sufficient administrative funding must go to local levels of program
operation.
Clarifying Instructions for SF-424. Grantees must complete all required items, which
are identified with asterisks, as well as items that are noted below. If additional space is
needed to complete an item, use an additional electronic document page.
Item 1. For type of submission, check “Application.”
Item 2. For type of application, check “New.”
Item 10. For name of Federal agency, list “U.S. Department of Labor,
Employment and Training Administration.”
Item 12. This item does not need to be filled in as this is not a competitive grant.
Item 14. This item must be completed; however, it contains similar information
to that requested in the program narrative (Attachment B) under “Geographic
Areas Served.” Grantees should indicate in this box to “See attached Excel
spreadsheet” and thoroughly address this item in “Geographic Areas Served.”
ATTACHMENT F
SF-424
APPLICATION FOR FEDERAL ASSISTANCE
ATTACHMENT G
SF-424A
The Employment and Training Administration’s Region Offices 2 and 6
developed a helpful budget tool that consisted of an interactive SF-242A
with tabs and instructions, “How to Develop a Budget.” We have included
with this planning Training and Employment Guidance Letter the interactive
form. The instructions are available upon request to
[email protected]. Grantees are encouraged to use this tool in
developing their budget narratives. NOTE: The narrative tabs in this
budget tool will hold a maximum of 251 characters without spaces. When
the user exceeds 251 characters, the form will display “######.” Please use
additional electronic pages if you exceed the 251 character maximum.
Attachment 6: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att6.pdf
ATTACHMENT F
SF-424
APPLICATION FOR FEDERAL ASSISTANCE
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
*1. Type of Submission: *2. Type of Application * If Revision, select appropriate letter(s)
Preapplication New
Application Continuation *Other (Specify)
Changed/Corrected Application Revision
3. Date Received : 4. Applicant 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:
*Street 1:
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: 01/31/2009
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:
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
*a. Applicant: *b. Program/Project:
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: *First Name:
Middle Name:
*Last Name:
Suffix:
*Title:
*Telephone Number: Fax Number:
* Email:
*Signature of Authorized Representative: *Date Signed:
Authorized for Local Reproduction Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A-102
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Application for Federal Assistance SF-424 Version 02
*Applicant Federal Debt Delinquency Explanation
The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
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:
1. Type of Submission: (Required) Select one type of submission 10. Name Of Federal Agency: (Required) Enter the name of the
in accordance with agency instructions. federal agency from which assistance is being requested with this
• Pre-application application.
• Application
• Changed/Corrected Application – Check if this submission is to 11. Catalog Of Federal Domestic Assistance Number/Title:
change or correct a previously submitted application. Unless Enter the Catalog of Federal Domestic Assistance number and
requested by the agency, applicants may not use this form to title of the program under which assistance is requested, as found
submit changes after the closing date. in the program announcement, if applicable.
2. Type of Application: (Required) Select one type of application in 12. Funding Opportunity Number/Title: (Required) Enter the
accordance with agency instructions. Funding Opportunity Number and title of the opportunity under
which assistance is requested, as found in the program
• New – An application that is being submitted to an agency for announcement.
the first time.
• Continuation - An extension for an additional funding/budget
period for a project with a projected completion date. This can 13. Competition Identification Number/Title: Enter the competition
include renewals. identification number and title of the competition under which
• Revision - Any change in the federal government’s financial assistance is requested, if applicable.
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
14. Areas Affected By Project: This data element is intended for use
provided.
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
A. Increase Award D. Decrease Duration
Project/Performance Site Location(s) Form. Add attachment to
B. Decrease Award E. Other (specify)
enter additional areas, if needed.
C. Increase Duration
3. Date Received: Leave this field blank. This date will be assigned 15. Descriptive Title of Applicant’s Project: (Required) Enter a
by the Federal agency. 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 16. Congressional Districts Of: 15a. (Required) Enter the
organization by the federal agency, if any. applicant’s congressional district. 15b. Enter all district(s) affected
5b. Federal Award Identifier: For new applications leave blank. For a by the program or project. Enter in the format: 2 characters state
continuation or revision to an existing award, enter the previously abbreviation – 3 characters district number, e.g., CA-005 for
assigned federal award identifier number. If a changed/corrected California 5th district, CA-012 for California 12 district, NC-103 for
application, enter the federal identifier in accordance with agency North Carolina’s 103 district. If all congressional districts in a state
instructions. are affected, enter “all” for the district number, e.g., MD-all for all
6. Date Received by State: Leave this field blank. This date will be congressional districts in Maryland. If nationwide, i.e. all districts
assigned by the state, if applicable. within all states are affected, enter US-all. If the program/project
is outside the US, enter 00-000. This optional data element is
7. State Application Identifier: Leave this field blank. This identifier
intended for use only by programs for which the area(s) affected
will be assigned by the state, if applicable. are likely to be different than place(s) of performance reported on
8. Applicant Information: Enter the following in accordance with the SF-424 Project/Performance Site Location(s) Form. Attach an
agency instructions: additional list of program/project congressional districts, if needed.
a. Legal Name: (Required) Enter the legal name of applicant that 17. Proposed Project Start and End Dates: (Required) Enter the
will undertake the assistance activity. This is the organization that proposed start date and end date of the project.
has registered with the Central Contractor Registry (CCR).
Information on registering with CCR may be obtained by visiting
www.Grants.gov.
b. Employer/Taxpayer Number (EIN/TIN): (Required) Enter the 18. Estimated Funding: (Required) Enter the amount requested, or
employer or taxpayer identification number (EIN or TIN) as to be contributed during the first funding/budget period by each
assigned by the Internal Revenue Service. If your organization is contributor. Value of in-kind contributions should be included on
not in the US, enter 44-4444444. 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 19. Is Application Subject to Review by State Under Executive
DUNS or DUNS+4 number received from Dun and Bradstreet. Order 12372 Process? (Required) Applicants should contact the
Information on obtaining a DUNS number may be obtained by State Single Point of Contact (SPOC) for Federal Executive Order
visiting www.Grants.gov. 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); 20. Is the Applicant Delinquent on any Federal Debt?
County/Parish, State (Required if country is US), Province, (Required) Select the appropriate box. This question applies to
Country (Required), 9-digit zip/postal code (Required if country the applicant organization, not the person who signs as the
US). 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 21. Authorized Representative: To be signed and dated by the
organizational unit, department or division that will undertake the authorized representative of the applicant organization. Enter the
assistance activity. 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
f. Name and contact information of person to be contacted on
application as the official representative must be on file in the
matters involving this application: Enter the first and last name
applicant’s office. (Certain federal agencies may require that this
(Required); prefix, middle name, suffix, title. Enter organizational
authorization be submitted as part of the application.)
affiliation if affiliated with an organization other than that in 7.a.
Telephone number and email (Required); fax number.
9. Type of Applicant: (Required) Select up to three applicant type(s)
in accordance with agency instructions.
A. State Government M. Nonprofit
B. County Government N. Private Institution of
C. City or Township Higher Education
Government O. Individual
D. Special District P. For-Profit Organization
Government (Other than Small
E. Regional Organization Business)
F. U.S. Territory or Q. Small Business
Possession R. Hispanic-serving
G. Independent School Institution
District S. Historically Black
H. Public/State Controlled Colleges and
Institution of Higher Universities (HBCUs)
Education T. Tribally Controlled
I. Indian/Native American Colleges and
Tribal Government Universities (TCCUs)
(Federally Recognized) U. Alaska Native and
J. Indian/Native American Native Hawaiian
Tribal Government Serving Institutions
(Other than Federally V. Non-US Entity
Recognized) W. Other (specify)
K. Indian/Native American
Tribally Designated
Organization
L. Public/Indian Housing
Authority
Attachment 7: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att7.pdf
APPLICATION FOR Version 7/03
FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier
1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier
Application Preapplication
Construction Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
X Non-Construction Non-Construction
5. APPLICANT INFORMATION
Legal Name: Organizational Unit:
Department:
Organizational DUNS: Division:
Address: Name and telephone number of person to be contacted on matters
Street: involving this application (give area code)
Prefix: First Name:
City: Middle Name
County: Last Name
State: Zip Code Suffix:
Country: Email:
6. EMPLOYER IDENTIFICATION NUMBER (EIN): Phone Number (give area code) Fax Number (give area code)
8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types)
State
New Continuation Revision
If Revision, enter appropriate letter(s) in box(es) Other (specify)
(See back of form for description of letters.)
Other (specify) 9. NAME OF FEDERAL AGENCY:
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
TITLE (Name of Program):
Public Health and Social Services Emergency Fund
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF:
Start Date: Ending Date: a. Applicant b. Project
15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. Federal $ THIS PREAPPLICATION/APPLICATION WAS MADE
a. YES. AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
b. Applicant $ - PROCESS FOR REVIEW ON
c. State $ - DATE:
d. Local $ -
b. NO. PROGRAM IS NOT COVERED BY E.O. 12372
e. Other $ - OR PROGRAM HAS NOT BEEN SELECTED BY
STATE FOR REVIEW
f. Program Income $ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT
g. TOTAL $ - Yes. If "Yes," attach an explanation. No.
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Authorized Representative
Prefix First Name Middle Name
Last Name Suffix
b. Title c. Telephone Number (give area code)
d. Signature of Authorized Representative e. Date Signed
Previous Edition Usable Standard form 424 (Rev.9-2003)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
OMB Approval No. 0348-0044
BUDGET INFORMATION -- Non-Construction Programs
SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance Number
or Activity Federal Non-Federal Federal Non-Federal Total
(a) (b) (c) (d) (e) (f) (g)
1 $0 $0
2
3.
4.
5. TOTALS $0 $0
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY Total
6. Object Class Categories (5)
(3) (4)
a. Personnel $0.00
b. Fringe Benefits $0.00
c. Travel $0.00
d. Equipment $0.00
e. Supplies $0.00
f. Contractual $0.00
g. Construction $0.00
h. Other $0.00
i. Total Direct Charges (sum of 6a - 6h) $0.00
j. Indirect Charge $0.00
k. TOTALS (sum of 6i and 6j) $0.00
7. Program Income
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant ( c ) State (d) Other Resources (e) TOTALS
8. $0
9.
10.
11.
12. TOTALS (sum of lines 8-11) $0 $0 $0 $0
SECTION D - FORECASTED CASH NEEDED
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal
14. NonFederal
15. TOTAL (sum of lines 13 and 14)
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
Grant Program
(b) First ( c) Second (d) Third (e) Fourth
$0.00
17. $0
18. $0
19. $0
20. Totals (sum of lines 16-19) $0.00
SECTION F - OTHER BUDGET INFORMATION
(Attach additional Sheets if Necessary)
21. Direct Charges:
22. Indirect Changes: Prelimary Indirect Cost Rate
23. Remarks:
SF 424A (4-88) Page 2Prescribed by OMB Circular A-102
Attachment 8: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_26_11_Change1_Att8.pdf
ATTACHMENT H
PROGRAM YEAR 2012 FEDERAL PROJECT OFFICER LIST FOR SCSEP GRANTEES
Grantee Region FPO Name Phone E-Mail
AARP Foundation II Barbara Shelly (215) 861-5541 [email protected]
Asociación Nacional Pro VI Marc Lambert (415) 625-7957 [email protected]
Personas Mayores
Easter Seals, Inc. V Alice Mitchell (312) 596-5413 [email protected]
Experience Works, Inc. III Connie Taylor (404) 302-5338 [email protected]
Goodwill Industries
International, Inc. II Barbara Shelly (215) 861-5541 [email protected]
Institute for Indian IV Cynthia Joseph (972) 850-4645 [email protected]
Development, Inc.
Mature Services, Inc. V Alice Mitchell (312) 596-5413 [email protected]
National Able Network I Suzanne Pouliot (617) 788-0180 [email protected]
National Asian Pacific Center VI Karen Connor (415) 625-7962 [email protected]
on Aging
National Caucus and Center II
on Black Aged, Inc. Barbara Shelly (215) 861-5541 [email protected]
National Council on the II
Aging, Inc. Barbara Shelly (215) 861-5541 [email protected]
National Indian Council on IV Brie Burleson (972) 850-4652 [email protected]
Aging
National Urban League I Suzanne Pouliot (617) 788-0180 [email protected]
Quality Career Services, Inc. V Alice Mitchell (312) 596-5413 [email protected]
Senior Service America, Inc. II Barbara Shelly (215) 861-5541 [email protected]
SER - Jobs for Progress IV Patricia Evans (972) 850-4644 [email protected]
National, Inc.
Vermont Associates for I Keeva Davis (617) 788-0141 [email protected]
Training and Development,
Inc.
The Workplace, Inc. I Suzanne Pouliot (617) 788-0180 [email protected]
What does federal law require today?
This guidance has been rescinded. Ezel checks current federal labor law as it stands now and answers your situation with citations.
Opens in Ezel Pro.
- Checks the law as it stands today, not only this page
- Cites every source it relies on, so you can verify it
- Chat, drafting and research in one workspace