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2010 SCSEP grant planning and allotments

Summary ETA instructed Senior Community Service Employment Program grant applicants on program year 2010 applications, allotments, deadlines and required forms. Ten linked attachments include funding tables, templates and a spreadsheet budget form. The letter rescinded TEGL 28-08 and was later rescinded by TEGL 25-10.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 28-09
Date issued
May 18, 2010
Status
Rescinded
TEGL 25-10 expressly rescinded this letter on May 10, 2011. Its signed letter prints Expiration Date: June 30, 2011 and itself rescinds TEGL 28-08. ETA lists it Canceled as of 2026-10-24.
Status last verified October 24, 2026

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This document has been rescinded
TEGL 25-10 expressly rescinded this letter on May 10, 2011. Its signed letter prints Expiration Date: June 30, 2011 and itself rescinds TEGL 28-08. ETA lists it Canceled as of 2026-10-24. It no longer reflects the agency's current position. Treat this page as historical context, not current guidance, and verify current law before relying on anything here.
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/2010/TEGL28-09acc.pdf

CLASSIFICATION
                                                     SCSEP
   EMPLOYMENT AND TRAINING ADMINISTRATION
               ADVISORY SYSTEM                       CORRESPONDENCE SYMBOL
                                                     OWI-DAS
          U.S. DEPARTMENT OF LABOR
             Washington, D.C. 20210                  DATE
                                                     May 18, 2010


ADVISORY:           TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 28-09

TO:                 SENIOR COMMUNITY SERVICE EMPLOYMENT
                    PROGRAM (SCSEP) GRANTEES

FROM:               JANE OATES /s/
                    Assistant Secretary

SUBJECT:            Program Year 2010 Planning Instructions and Allotments for
                    Senior Community Service Employment Program (SCSEP) Grant
                    Applicants

1. Purpose. This guidance provides SCSEP grant applicants with application
instructions, procedures, and allotments for Program Year (PY) 2010 funds, with a
period of performance beginning July 1, 2010.

2. References. For additional information:
       ƒ 2006 Older Americans Act Amendments (OAA), (P.L. 109-365; 42 USC 3056
          et. seq. 20 CFR part 641)
       ƒ SCSEP Performance Accountability Interim Rule (72 Fed. Reg. 35831; June 29,
          2007)
       ƒ “Revised Income Inclusions & Exclusions and Procedures for Determining
          SCSEP Eligibility,” Training and Employment Guidance Letter (TEGL) 12-06
       ƒ “2009 Federal Poverty Guidelines” TEGL 12-08 [Congress has extended the 2009
          Poverty Guidelines until further notice]
       ƒ Priority of Service for Covered Persons (Final Rule 20 CFR Part 1010, 73 Fed.
          Reg. 78132, Dec. 19, 2008)
       ƒ The Americans with Disabilities Act (ADA), as amended (P.L. 110-325)
       ƒ SCSEP Performance Data Collection Approval (OMB No. 1205-0040)
       ƒ Jobs for Veterans Act (JVA), (P.L. 107-288)
3. Background. The 2006 Amendments to the OAA were signed into law on October
17, 2006. A “planning guidance” TEGL is released each year to assist all SCSEP grant
applicants in preparing their application for the annual OAA Title V appropriation (P.L.
109-365 USC 3056 et. seq.; 20 CFR part 641).
 RESCISSIONS                                        EXPIRATION DATE
 TEGL 28-08                                         June 30, 2011

                                             2



4. Overall Approach. For PY 2010, the Department of Labor has chosen an approach to
the narrative requirements that align with the vision and goals of the Department’s
focus on “Good Jobs for Everyone.” This vision emphasizes successful recruitment,
training, and employment strategies that meet the current economic challenges.
Applicants must describe strategies for employer engagement and participant training
that will lead to employment opportunities, including possible training and
employment in green industries.

Individual participant durational limits will come into effect for the first time on July 1,
2011; therefore, applicants will be also asked to describe transition planning and service
strategies during PY 2010 for the participants who will reach their individual durational
limits at the end of this program year. It is especially important that applicants have
developed a thoughtful overall strategy of participant training and transition out of the
program, whether to employment or other services. This year’s approach also
addresses continual efforts toward increased minority enrollments.

5. Grant Application Procedural Requirements. All SCSEP grant applicants must
submit a grant application package in order to receive PY 2010 funding. The Grant
Officer will not approve a grant application that fails to provide any of the required
information outlined in this guidance. The Department requires the following items in
the grant application package:

       Program Narrative (Attachment B). Applicants must provide a narrative in
       accordance with the description in Attachment B.

       Programmatic Assurances (Attachment C). Applicants must submit signed
       programmatic assurances that reflect standard grant management requirements.

       Optional Special Requests (Attachment D). Additional optional narratives,
       described in Attachment D, are required from applicants with special requests in
       one or more of the following areas:

          ⎯ Waiver for additional funds for training and supportive services
          ⎯ Administration cap increase
          ⎯ Reduction of maximum participant duration
          ⎯ Extension of maximum project duration
          ⎯ On-the-job experience (OJE) training option
          ⎯ Cross-border agreements

       Budget Forms (Attachments E-H). A signed Application for Federal Assistance
       SF-424, SF-424A, and a detailed budget narrative must be submitted. These
       forms and instructions can be found in Attachments E through H.

                                           3



      Applicants should not include manuals and operating procedures in the
      application. Federal Project Officers (FPOs) may request these separately as
      needed. When the Grant Officer returns the PY 2010 grant agreement for the
      applicant’s signature, it will incorporate the programmatic assurances, as well as
      the grant narrative as the Scope of Work.

      Geographic Areas to Be Served. List the cities and counties where you will
      operate the grant. Include the number of SCSEP authorized positions that you
      will establish in each jurisdiction with PY 2010 funds. Applicants serving a city
      as well as its surrounding counties or jurisdictions must list authorized positions
      in the surrounding counties and jurisdictions. This information can be submitted
      in an Excel spreadsheet as a separate attachment, and will also serve to provide
      information for item 14 on the SF-424.

6. PY 2010 Program Allotments. See Attachment A for funding levels and authorized
positions.

7. Schedule and Action Requested. Applicants must comply with the following:
          ⎯ Provide the grant application forms SF-424 and SF-424A with narrative to
            the State Office on Aging (if not the grantee) and Area Agencies on Aging
            no later than the date of submission to the Department.
          ⎯ Submit the PY 2010 grant application to the Department of Labor,
            Employment and Training Administration, Office of Workforce
            Investment, Division of Adult Services no later than May 28, 2010.
            Applicants are encouraged to submit their applications as soon as
            possible.

8. Method of Submission. Applicants must submit electronic copies of the items listed
in Section 5 of this TEGL. Materials should be sent via email to
[email protected] and to the applicant’s FPO (Attachment I). If an applicant is
unable to submit electronically, the applicant must submit hard copy applications by
fax to 202-693-3817, or by overnight delivery to the address below:

                Ms. Alexandra Kielty
                Division of Adult Services
                U.S. Department of Labor
                200 Constitution Avenue, NW
                Room S-4209
                Washington, D.C. 20210-0001

      Please note that all application packages must have an electronic or actual date
      stamp no later than May 28, 2010.

                                         4



9. Grant Application Intergovernmental Review. In accordance with Section 502(d)
of the 2006 Amendments to the OAA, applicants must share applications on an
intrastate basis and provide appropriate Area Agencies on Aging (AAAs) with
copies of the SF-424, Application for Federal Assistance, a summary of project
locations, and an explanation of services that the applicant will provide in each state.
In addition, state applicants should follow procedures established by Executive
Order 12372, which implements the Single Point of Contact (SPOC) system, unless
the state SPOC has waived this requirement. Applicants should include
documentation supporting these requirements with the grant application.

10. Eligibility Review/Responsibility Review/Grant Application Review. The
Department will conduct a grant application review as provided at Section 514 of
the 2006 OAA Amendments and 20 CFR 641.430-440 of the current regulations. The
Department will not issue final approval for PY 2010 funding if grantees:
       ⎯ Fail to meet the eligibility tests of Section 514(c) of the 2006 OAA
         Amendments and criteria as provided at 20 CFR 641.430 of the current
         regulations.
       ⎯ Fail to meet the responsibility tests of Section 514(d) of the 2006 OAA
         Amendments and criteria as provided at 20 CFR 641.440 of the current
         regulations.
       ⎯ Fail to submit the materials listed in this TEGL.

11. Inquiries. Questions may be directed to the appropriate FPO.


12. Attachments.

       Attachment A: Funding Allocations and Authorized Positions
       Attachment B: Program Narrative Instructions
       Attachment C: Programmatic Assurances
       Attachment D: Optional Special Requests (Waivers)
       Attachment E: SF-424 Instructions
       Attachment F: SF-424
       Attachment G: SF-424A Instructions—Developing a Budget
       Attachment H: SF-424A with Budget Tool
       Attachment I: List of Federal Project Officers (FPOs)

Attachment 1 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a1.pdf

Attachment A-1
                                            USDOL/ETA
               Senior Community Service Employment Program
                 PY 2010 Authorized Positions and Funding*
                  for State Agencies and Territories, by State

                  States                            Positions                     Dollars
                                          State Agencies
Alabama                                                         228                     $2,212,280
Alaska                                                          263                      2,553,380
Arizona                                                         226                      2,191,315
Arkansas                                                        224                      2,173,297
California                                                    1,056                     10,242,758
Colorado                                                        126                      1,223,037
Connecticut                                                     135                      1,305,927
Delaware                                                        263                      2,553,380
District of Col                                                  71                        691,947
Florida                                                         727                      7,046,160
Georgia                                                         289                      2,798,642
Hawaii                                                          263                      2,553,380
Idaho                                                            66                        641,598
Illinois                                                        479                      4,648,711
Indiana                                                         323                      3,128,378
Iowa                                                            158                      1,530,079
Kansas                                                          126                      1,218,216
Kentucky                                                        234                      2,270,754
Louisiana                                                       208                      2,017,365
Maine                                                            76                        740,675
Maryland                                                        170                      1,647,028
Massachusetts                                                   268                      2,602,109
Michigan                                                        411                      3,986,002
Minnesota                                                       292                      2,836,006
Mississippi                                                     153                      1,481,350
Missouri                                                        304                      2,952,955
Montana                                                          77                        750,421
Nebraska                                                         94                        916,098
Nevada                                                           73                        712,782
New Hampshire                                                    66                        641,598
New Jersey                                                      348                      3,372,021
New Mexico                                                       72                        701,753
New York                                                        814                      7,894,038
North Carolina                                                  323                      3,128,378
North Dakota                                                     74                        721,184
Ohio                                                            538                      5,213,963
Oklahoma                                                        198                      1,919,908
Oregon                                                          181                      1,754,231
Pennsylvania                                                    659                      6,393,196
Puerto Rico                                                     189                      1,830,960
Rhode Island                                                     66                        643,218
South Carolina                                                  173                      1,681,705
South Dakota                                                     85                        828,387
Tennessee                                                       251                      2,436,432
Texas                                                           683                      6,627,094
Utah                                                             82                        799,150
Vermont                                                          68                        662,709
Virginia                                                        267                      2,592,363
Washington                                                      186                      1,804,573
West Virginia                                                   139                      1,344,910
Wisconsin                                                       316                      3,060,158
Wyoming                                                          66                        641,598
                State Agencies Total                         13,227                   $128,319,557
                                             Territories
American Samoa                                                   139                      1,350,956
Guam                                                             139                      1,350,956
Northern Marianas                                                 46                        450,320
Virgin Islands                                                   139                      1,350,956
                 Territories Total                               463                     $4,503,188

* 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 2010 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             262                0            0         0        0         0         0         0        0      625        0        0              887
Alaska                           0                0               0               0                0            0         0        0         0         0         0        0        0        0        0                0
Arizona                        160                0             170               0                0          138         0        0         0         0         0        0        0        0        0              468
Arkansas                       245                0               0               0              469            0         0      158         0         0         0        0        0        0        0              872
California                     489                0             547               0              423            0         0        0       313         0         0    1,365      513        0        0            3,650
Colorado                       188                0               0               0                0            0         0        0         0         0         0      296        0        0        0              484
Connecticut                      0                0               0             249                0            0         0        0         0         0         0        0        0      277        0              526
Delaware                         0                0               0               0                0            0         0        0         0         0         0        0        0        0        0                0
District of Col                  0                0              84               0                0            0         0      191         0         0         0        0        0        0        0              275
Florida                      1,750                0               0               0              683            0         0      201         0         0         0      191        0        0        0            2,825
Georgia                        272                0               0               0              602            0         0        0       187         0         0        0        0        0        0            1,061
Hawaii                           0                0               0               0                0            0         0        0         0         0         0        0        0        0        0                0
Idaho                            0                0               0               0              231            0         0        0         0         0         0        0        0        0        0              231
Illinois                       115                0               0             235              529            0         0      127         0         0         0      230      536        0        0            1,772
Indiana                        313                0               0               0              374          277         0        0         0         0         0        0      290        0        0            1,254
Iowa                           207                0               0               0              280            0         0        0         0         0         0        0      126        0        0              613
Kansas                           0                0               0               0                0            0         0        0         0         0         0      472        0        0        0              472
Kentucky                       135                0               0               0              457            0         0        0       315         0         0        0        0        0        0              907
Louisiana                      168                0             213               0              255            0         0        0        96         0         0        0        0        0        0              732
Maine                            0              295               0               0                0            0         0        0         0         0         0        0        0        0        0              295
Maryland                         0                0               0               0                0            0         0        0         0         0         0        0      658        0        0              658
Massachusetts                    0              264               0               0                0            0         0        0         0       200         0        0      516        0        0              980
Michigan                       486                0               0               0              520            0         0      264         0       254         0        0        0        0        0            1,524
Minnesota                        0                0               0               0              512            0         0        0         0         0       207        0      394        0        0            1,113
Mississippi                      0                0               0               0              177            0         0      136         0         0         0        0      277        0        0              590
Missouri                       352                0               0               0              800            0         0        0         0         0         0        0        0        0        0            1,152
Montana                          0                0               0               0              298            0         0        0         0         0         0        0        0        0        0              298
Nebraska                         0                0               0               0              354            0         0        0         0         0         0        0        0        0        0              354
Nevada                         235                0               0               0                0            0         0        0         0         0         0        0        0        0        0              235
New Hampshire                    0              231               0               0                0            0         0        0         0         0         0        0        0        0        0              231
New Jersey                       0                0               0             462              243            0         0        0       473       176         0        0        0        0        0            1,354
New Mexico                       0                0               0               0                0          231         0        0         0         0         0        0        0        0        0              231
New York                       671                0               0             503              536            0         0        0       446       259         0        0      663        0        0            3,078
North Carolina                   0                0               0               0                0            0         0      356       216         0         0        0      681        0        0            1,253
North Dakota                     0                0               0               0              287            0         0        0         0         0         0        0        0        0        0              287
Ohio                           349                0               0               0              497            0       705      191         0       184         0        0      162        0        0            2,088
Oklahoma                       229                0               0               0              346            0         0        0         0         0         0        0        0        0        0              575
Oregon                           0                0               0             238              466            0         0        0         0         0         0        0        0        0        0              704
Pennsylvania                   494                0             153               0              276          280         0      237       672       158         0        0      240        0        0            2,510
Puerto Rico                    247                0               0               0              411            0         0        0         0         0         0        0        0        0        0              658
Rhode Island                     0                0               0               0                0            0         0        0         0         0         0      254        0        0        0              254
South Carolina                 272                0               0               0              380            0         0        0         0         0         0        0        0        0        0              652
South Dakota                     0                0               0               0              297            0         0        0         0         0         0        0        0        0        0              297
Tennessee                        0                0               0               0                0            0         0        0       205         0         0        0      773        0        0              978
Texas                        1,322                0               0               0              573            0         0        0         0         0         0      399      281        0        0            2,575
Utah                             0                0               0             319                0            0         0        0         0         0         0        0        0        0        0              319
Vermont                          0                0               0               0                0            0         0        0         0         0         0        0        0        0      262              262
Virginia                       329                0               0               0              117          300         0        0       265         0         0        0        0        0        0            1,011
Washington                     350                0               0               0                0          271         0        0         0         0         0        0        0        0        0              621
West Virginia                    0                0               0               0              131            0         0        0       407         0         0        0        0        0        0              538
Wisconsin                        0                0               0               0              482            0         0        0         0         0         0      341      366        0        0            1,189
Wyoming                          0                0               0               0              231            0         0        0         0         0         0        0        0        0        0              231

Total                        9,378              790           1,167           2,268            12,237    1,497          705     1,861     3,595     1,231      207    3,548     7,101     277      262           46,124

* 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 2010 Authorized Funding* 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      $2,542,054                $0           $0          $0           $0           $0           $0          $0           $0   $6,064,060          $0          $0        $8,606,114
Alaska                           0             0               0               0                 0            0           0            0            0            0           0            0            0           0           0                0
Arizona                  1,551,300             0       1,648,257               0                 0    1,337,997           0            0            0            0           0            0            0           0           0         4,537,554
Arkansas                 2,377,112             0               0               0         4,550,471            0           0    1,532,994            0            0           0            0            0           0           0         8,460,577
California               4,741,921             0       5,304,358               0         4,101,907            0           0            0    3,035,217            0           0   13,236,651    4,974,654           0           0        35,394,708
Colorado                 1,824,069             0               0               0                 0            0           0            0            0            0           0    2,871,939            0           0           0         4,696,008
Connecticut                      0             0               0       2,415,922                 0            0           0            0            0            0           0            0            0   2,687,591           0         5,103,513
Delaware                         0             0               0               0                 0            0           0            0            0            0           0            0            0           0           0                0
District of Col                  0             0         815,010               0                 0            0           0    1,853,177            0            0           0            0            0           0           0         2,668,187
Florida                 16,973,359             0               0               0         6,624,459            0           0    1,949,511            0            0           0    1,852,521            0           0           0        27,399,850
Georgia                  2,639,079             0               0               0         5,840,903            0           0            0    1,814,367            0           0            0            0           0           0        10,294,349
Hawaii                           0             0               0               0                 0            0           0            0            0            0           0            0            0           0           0                0
Idaho                            0             0               0               0         2,236,756            0           0            0            0            0           0            0            0           0           0         2,236,756
Illinois                 1,115,157             0               0       2,278,800         5,129,724            0           0    1,231,522            0            0           0    2,230,315    5,197,603           0           0        17,183,121
Indiana                  3,034,460             0               0               0         3,625,840    2,685,448           0            0            0            0           0            0    2,811,480           0           0        12,157,228
Iowa                     2,008,417             0               0               0         2,716,699            0           0            0            0            0           0            0    1,222,514           0           0         5,947,630
Kansas                           0             0               0               0                 0            0           0            0            0            0           0    4,579,578            0           0           0         4,579,578
Kentucky                 1,309,837             0               0               0         4,434,041            0           0            0    3,056,286            0           0            0            0           0           0         8,800,164
Louisiana                1,630,019             0       2,066,632               0         2,474,137            0           0            0      931,440            0           0            0            0           0           0         7,102,228
Maine                            0     2,862,236               0               0                 0            0           0            0            0            0           0            0            0           0           0         2,862,236
Maryland                         0             0               0               0                 0            0           0            0            0            0           0            0    6,384,243           0           0         6,384,243
Massachusetts                    0     2,561,459               0               0                 0            0           0            0            0    1,940,499           0            0    5,006,489           0           0         9,508,447
Michigan                 4,712,319             0               0               0         5,041,988            0           0    2,559,778            0    2,462,817           0            0            0           0           0        14,776,902
Minnesota                        0             0               0               0         4,963,215            0           0            0            0            0   2,006,612            0    3,819,349           0           0        10,789,176
Mississippi                      0             0               0               0         1,717,342            0           0    1,319,540            0            0           0            0    2,687,591           0           0         5,724,473
Missouri                 3,412,314             0               0               0         7,755,260            0           0            0            0            0           0            0            0           0           0        11,167,574
Montana                          0             0               0               0         2,891,344            0           0            0            0            0           0            0            0           0           0         2,891,344
Nebraska                         0             0               0               0         3,434,684            0           0            0            0            0           0            0            0           0           0         3,434,684
Nevada                   2,280,087             0               0               0                 0            0           0            0            0            0           0            0            0           0           0         2,280,087
New Hampshire                    0     2,236,756               0               0                 0            0           0            0            0            0           0            0            0           0           0         2,236,756
New Jersey                       0             0               0       4,479,243         2,355,965            0           0            0    4,585,892    1,706,378           0            0            0           0           0        13,127,478
New Mexico                       0             0               0               0                 0    2,236,756           0            0            0            0           0            0            0           0           0         2,236,756
New York                 6,508,260             0               0       4,878,770         5,198,849            0           0            0    4,325,908    2,512,130           0            0    6,430,665           0           0        29,854,582
North Carolina                   0             0               0               0                 0            0           0    3,451,332    2,094,067            0           0            0    6,602,127           0           0        12,147,526
North Dakota                     0             0               0               0         2,784,617            0           0            0            0            0           0            0            0           0           0         2,784,617
Ohio                     3,384,550             0               0               0         4,819,831            0   6,836,984    1,852,289            0    1,784,404           0            0    1,571,052           0           0        20,249,110
Oklahoma                 2,221,872             0               0               0         3,357,064            0           0            0            0            0           0            0            0           0           0         5,578,936
Oregon                           0             0               0       2,309,194         4,521,364            0           0            0            0            0           0            0            0           0           0         6,830,558
Pennsylvania             4,791,124             0       1,483,891               0         2,676,822    2,715,617           0    2,298,575    6,517,480    1,532,384           0            0    2,327,671           0           0        24,343,564
Puerto Rico              2,396,517             0               0               0         3,987,726            0           0            0            0            0           0            0            0           0           0         6,384,243
Rhode Island                     0             0               0               0                 0            0           0            0            0            0           0    2,464,434            0           0           0         2,464,434
South Carolina           2,639,079             0               0               0         3,686,949            0           0            0            0            0           0            0            0           0           0         6,326,028
South Dakota                     0             0               0               0         2,881,641            0           0            0            0            0           0            0            0           0           0         2,881,641
Tennessee                        0             0               0               0                 0            0           0            0    1,989,012            0           0            0    7,500,030           0           0         9,489,042
Texas                   12,821,719             0               0               0         5,557,371            0           0            0            0            0           0    3,869,793    2,725,343           0           0        24,974,226
Utah                             0             0               0       3,095,096                 0            0           0            0            0            0           0            0            0           0           0         3,095,096
Vermont                          0             0               0               0                 0            0           0            0            0            0           0            0            0           0   2,542,054         2,542,054
Virginia                 3,192,121             0               0               0         1,135,192    2,910,749           0            0    2,571,162            0           0            0            0           0           0         9,809,224
Washington               3,395,874             0               0               0                 0    2,629,376           0            0            0            0           0            0            0           0           0         6,025,250
West Virginia                    0             0               0               0         1,271,027            0           0            0    3,948,916            0           0            0            0           0           0         5,219,943
Wisconsin                        0             0               0               0         4,672,670            0           0            0            0            0           0    3,305,769    3,548,127           0           0        11,526,566
Wyoming                          0             0               0               0         2,236,756            0           0            0            0            0           0            0            0           0           0         2,236,756

Total                   90,960,566     7,660,451      11,318,148      21,999,079      118,682,614    14,515,943   6,836,984   18,048,718   34,869,747   11,938,612   2,006,612   34,411,000   68,872,998   2,687,591   2,542,054      447,351,117

* 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 2010 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                  180                180
Arkansas                                               75                   0                    0                 75
California                                              0                 359                   91                450
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                  91                    0                 91
Indiana                                                 0                   0                    0                  0
Iowa                                                    0                   0                    0                  0
Kansas                                                  0                   0                    0                  0
Kentucky                                                0                   0                    0                  0
Louisiana                                              99                   0                    0                 99
Maine                                                   0                   0                    0                  0
Maryland                                                0                   0                    0                  0
Massachusetts                                           0                  63                    0                 63
Michigan                                                0                   0                    0                  0
Minnesota                                               0                   0                   28                 28
Mississippi                                            35                   0                    0                 35
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                   64                 64
New York                                                0                  85                    0                 85
North Carolina                                          0                   0                    0                  0
North Dakota                                            0                   0                    0                  0
Ohio                                                    0                   0                    0                  0
Oklahoma                                                0                   0                  189                189
Oregon                                                  0                   0                    0                  0
Pennsylvania                                            0                  80                    0                 80
Puerto Rico                                             0                   0                    0                  0
Rhode Island                                            0                   0                    0                  0
South Carolina                                          0                   0                    0                  0
South Dakota                                            0                   0                   43                 43
Tennessee                                               0                   0                    0                  0
Texas                                                   0                  82                    0                 82
Utah                                                    0                   0                    0                  0
Vermont                                                 0                   0                    0                  0
Virginia                                                0                   0                    0                  0
Washington                                              0                  84                    0                 84
West Virginia                                           0                   0                    0                  0
Wisconsin                                               0                   0                   38                 38
Wyoming                                                 0                   0                    0                  0

Total                                                 209                 844                  633            1,686

* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09

                                                                                                       Attachment A-5

                            U. S. Department of Labor / Employment & Training Administration
                     Senior Community Service Employment Program
            PY 2010 Authorized Funding* for Minority National Sponsors, by State

State                                   IID                  NAPCA                    NICOA              Total
Alabama                                            $0                     $0                      $0                $0
Alaska                                              0                      0                       0                 0
Arizona                                             0                      0               1,745,673         1,745,673
Arkansas                                      727,364                      0                       0           727,364
California                                          0              3,481,648                 882,535         4,364,183
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                882,535                       0           882,535
Indiana                                             0                      0                       0                 0
Iowa                                                0                      0                       0                 0
Kansas                                              0                      0                       0                 0
Kentucky                                            0                      0                       0                 0
Louisiana                                     960,120                      0                       0           960,120
Maine                                               0                      0                       0                 0
Maryland                                            0                      0                       0                 0
Massachusetts                                       0                610,986                       0           610,986
Michigan                                            0                      0                       0                 0
Minnesota                                           0                      0                 271,549           271,549
Mississippi                                   339,436                      0                       0           339,436
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                 620,684           620,684
New York                                            0                824,346                       0           824,346
North Carolina                                      0                      0                       0                 0
North Dakota                                        0                      0                       0                 0
Ohio                                                0                      0                       0                 0
Oklahoma                                            0                      0               1,832,956         1,832,956
Oregon                                              0                      0                       0                 0
Pennsylvania                                        0                775,855                       0           775,855
Puerto Rico                                         0                      0                       0                 0
Rhode Island                                        0                      0                       0                 0
South Carolina                                      0                      0                       0                 0
South Dakota                                        0                      0                 417,022           417,022
Tennessee                                           0                      0                       0                 0
Texas                                               0                795,251                       0           795,251
Utah                                                0                      0                       0                 0
Vermont                                             0                      0                       0                 0
Virginia                                            0                      0                       0                 0
Washington                                          0                814,647                       0           814,647
West Virginia                                       0                      0                       0                 0
Wisconsin                                           0                      0                 368,531           368,531
Wyoming                                             0                      0                       0                 0

Total                                      2,026,920               8,185,268               6,138,950        16,351,138

* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09

Attachment 2 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a2.pdf

ATTACHMENT B




                       PROGRAM NARRATIVE INSTRUCTIONS
                              FOR PY 2010 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
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 20 pages in length, excluding any attachments.

Content: All applicants must provide a narrative that covers the following areas:

Strategies for Employment Opportunities. Applicants must address unique challenges
that they encounter in finding employment opportunities for participants in the
geographic areas they serve. They should describe (a) host agency strategies for
providing sufficient skill development for participants; (b) specialized training
opportunities, in detail; and (c) strategies to engage employers - paying particular
attention to the local job market and skills needed by employers - to successfully
transition participants in the current economic climate.

Green Jobs Efforts. Applicants must address continued green jobs efforts and describe:
(a) regional green high-growth industries; (b) current participant assignments that assist
or enable greening efforts; (c) success in providing training for participants in green
industries; (d) challenges and (e) strategies to overcome these challenges.

Individual Participant Durational Limits and Individual Participant Transition
Planning. Applicants must describe the individual participant durational limit that will
apply to their participants in PY 2010: 48 months with the possibility of waiver; 48
months without the possibility of waiver; or less than 48 months if a separate request is
included in the grant application and approved by the Department (see Optional
Special Request, Attachment D, #3). Applicants whose policy provides for 48 months
with a waiver should describe the criteria for determining which participants will
qualify for a waiver. Applicants must also explain how they will inform participants of
the durational policy and of the possibility of a waiver, if applicable, under the
grantee’s durational policy.

In addition, applicants must provide a detailed description of the transitional services
and planning process for participants who will not achieve unsubsidized employment
prior to reaching their durational limit. Applicants should list specific action steps that
will be taken to ensure participants receive timely and coordinated transition planning
to the most appropriate services and identify other relevant community partners and
services, including partners in the One-Stop Career Centers.

                                            2




Service to Minorities, Older Americans Act, Title V, Section 515. Applicants must
include a detailed description of their efforts to serve minority individuals. In April
2010, applicants received an analysis of their service to minorities for PY 2008. Using
this information, applicants should describe (a) changes in enrollment levels or
outcomes for minority individuals during PYs 2008 and 2009; (b) to what are changes in
enrollment and outcomes attributed; and (c) steps that the applicant will take to address
any under-service to minorities or discrepancies in outcomes revealed in the analysis.

Organizational Structure, Monitoring, and Audits. Describe the organizational
structure:
    a) Identify the grant’s key staff; briefly identify their primary responsibilities and
       the amount of time they are assigned to the grant.
    b) Include an organizational chart depicting key staff (may be included as an
       attachment).
    c) Indicate whether the applicant has sub-recipients or local affiliates implementing
       the grant. If they do, include a table indicating their name, location, the number
       of authorized positions for which they are responsible and their experience (if
       any) in implementing SCSEP.

Attachment 3 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a3.pdf

ATTACHMENT C



                 PROGRAMMATIC ASSURANCES—PY 2010 GRANT

The programmatic assurances below reflect standard grant requirements that the
Department has determined are consistent with sound program practices.

Applicants, please certify that your agency or organization conforms, and will continue
to conform, to these assurances throughout the period of the grant by checking off the
assurances below. This form is interactive; 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:

Recruitment and Selection of Participants
        Has developed and implemented 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 on www.doleta.gov/seniors under “Technical
Assistance”.
        Has developed 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.
Priority is to be afforded to individuals who:
    a) Are covered persons in accordance with the Jobs for Veterans Act.
    b) Are 65 years or older.
    c) Have a disability.
    d) Have limited English proficiency or low literacy skills.
    e) Reside in a rural area.
    f) Have low employment prospects.
    g) Have failed to find employment after utilizing services provided through the
        One-Stop Delivery System.
    h) Are homeless or are at risk for homelessness.
In addition, veterans’ priority of service means that “covered persons” (veterans and
certain spouses, including widows and widowers) who are eligible for SCSEP must
receive services instead of, or before, non-covered persons.

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 the assessments.

       For participants who will reach the individual durational limit or would not
       otherwise achieve unsubsidized employment, has provision in the IEP to
       transition to unsubsidized employment or 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.
       Has procedures in place to assure adequate supervision of participants at host
       agencies.
       Has procedures 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.
       Has a written policy setting forth actions to deal with participants found to be
       ineligible (including notification of their right to appeal the finding).

Physical Examinations
       Offers physicals to participants upon program entry and each year thereafter as a
       benefit.
       Obtains a written waiver from each participant who declines to have a physical.

Host Agencies
    Has developed and implemented 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.



                                             2

    Maintenance of Effort: Does not reduce the number of employment opportunities
    or vacancies that would otherwise be available to individuals who are not SCSEP
    participants.
   ƒ Does not displace currently employed workers (including partial displacement,
      such as a reduction in non-overtime work, wages, or employment benefits).
   ƒ Does not impair existing contracts or result in the substitution of federal funds
      for other funds in connection with work that would otherwise be performed.
   ƒ Does 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
     The availability of a free physical examination
     Participant rights and responsibilities
     Host agencies
     Sub-recipients must also provide sufficient orientation, which may include the
     following information:
       ƒ Grantee and local project roles, policies, and procedures
       ƒ SCSEP goals and objectives
       ƒ Role of supervisors
       ƒ Evaluation of participant progress
       ƒ Maximum individual duration policy
       ƒ Provision of safe working environment
       ƒ Annual monitoring and safety assessment
       ƒ Documentation requirements
       ƒ Termination policies
       ƒ Grievance procedures
Participant Benefits
    Provides benefits that are required by state or Federal law (such as workers’
   compensation or unemployment insurance), and the costs of physical examinations.




                                            3

       Has established written policies relating to compensation for scheduled work
       hours during which grantee or sub-recipients are closed for Federal holidays.
       Has established written policies relating to approved breaks in participation and
       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 Project Duration: 27 Months
       Complies with an aggregate participant duration cap of 27 months, unless a
       waiver is approved.

       Maximum 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 participant
       receives a waiver or unless the grantee has in place a policy providing a duration
       of less than 48 months as approved by the Department.
       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.
Termination Procedures
   Provides a reason for termination and informs participants of grievance policies.

   Written Termination Policies Are in Effect for:
   •     Provision of false information (immediate).
   •     Incorrect initial eligibility determination (30 days written notice).
   •     Income ineligibility determined at recertification (30 days written notice).
   •     Cause (immediate or corrective action, depending on infraction).
   •     IEP Terminations: An IEP termination policy must be approved by the
         Department prior to implementation. If applicable and there are no extenuating
         circumstances to hinder a move to unsubsidized employment, refusal without
         good cause to accept a reasonable number of job offers or referrals that are
         consistent with the IEP.

Equitable Distribution
    Manages slot allotments within equitable distribution guidelines, to the extent
    feasible, so that potential participants have equal access to the program.



                                                4

Over-Enrollment
    Manages over-enrollment to minimize impact on participants and avoid layoffs.

Administrative Systems
    Ensures representation at any and all required grantee meetings sponsored by the
    Department.
    Communicates grant policy, data collection, and performance developments and
    directives to staff, sub-recipients, and local project operators.

    Has developed a written monitoring tool that lists items to be reviewed during
    monitoring visits, and provides this tool to sub-recipients and local project
    operators.
    Has developed a monitoring schedule; notified sub-grantees and local project
    operators of monitoring plans; and monitors sub-grantees and local project
    operators on a regular basis.
    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.
    Has trained sub-recipients and local project operators on SCSEP financial
    requirements to help them effectively manage their own expenditures, and
    provides more general financial training as needed.
    Ensures that all financial reports are accurate and are submitted in a timely manner,
    as required.
    Has a written plan in place for both disaster response and recovery so the 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, basic education and literacy providers, and community
    colleges.


                                             5

Supportive Services
   Provides supportive services, as needed, to help participants participate in their
   community service assignment and to obtain and retain unsubsidized employment.
    Has established criteria 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 and participants.
    Provides applicants, employees, and participants with a copy of grievance
    procedures.

Procedures for Payroll and Workers’ Compensation
    Makes all required payments for payroll and 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.
    Participant records are securely stored and access is limited to appropriate staff in
    order to safeguard personal identifying information.
    Participant medical records are securely stored separately from all other participant
    records and access is limited to authorized staff for authorized purposes.
    Safeguards to preclude tampering with electronic media are established, e.g.,
    personal identification numbers (PINs).
     Ensures that the SCSEP national office at the Department of Labor is immediately
     notified in the event of any potential security breach of personal identifying
     information, whether electronic files, paper files, or equipment is involved.
     Complies with, and ensures that authorized users under its grant comply with, all
     SPARQ access and security rules.


                                            6

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 that accurate data are submitted a timely manner to SPARQ, as required.
     Ensures that those capturing and recoding data are familiar with the latest
     instructions for data collection, including Department administrative issuances,
     e.g., Older Worker Bulletins, TEGLs, Data Collection 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.
     Non-Web Data Collection System users ensure that accurate data are uploaded to
     SPARQ in accordance with Department timelines and administrative guidance.


If the applicant has not checked a specific box(es) herein, information must be
provided on a separate attachment indicating what specific steps it will take to
conform to this standard grant requirement(s).



Signature of Authorized Representative: __________________________________




                                            7

Attachment 4 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a4.pdf

ATTACHMENT D


                      PY 2010 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 2010
grant application. Requests for approval should provide a substantive rationale, e.g.,
improved program management, better service to participants, or least disruption
possible to participants.

(1) Additional Funds for Participant Training and Supportive Services – Older
Americans Act (OAA), Sec. 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 will be provided to participants should the request be approved.
Costs associated with this request should also be included in the SF 424 and 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), 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 to be displaced or positions to be eliminated; and
     (e) The performance measures that are expected to improve from the expenditure
     of additional funds, and the amounts by which each measure is expected to
     improve.

(2) Increase in Administrative Cost Limitations - 20 CFR 641.870. The 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 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.

(3) Reduction of Maximum Participant Duration - OAA Sec. 518 (a)(3)(B)(i). The
maximum length of time an individual participant can be enrolled in SCSEP during
their lifetime is 48 months (regardless of whether enrollment is consecutive or not).
Applicants who wish to impose a maximum duration of less than 48 months for
participants must request permission from the Department to do so. Any durational
limit must be uniformly applied to participants in all of the applicant’s local projects.

(4) Extension of Maximum Project Duration - OAA Sec. 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.

(5) On-the-Job Experience (OJE). 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.

(6) Cross-Border Agreements - 20 CFR 641.500(b). State applicants may enter into
agreements to permit cross-border enrollment of eligible participants. Such agreements
must cover both state and national grantee slots, and must be submitted for approval by
the Department.




                                             2

Attachment 5 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a5.pdf

ATTACHMENT E

                               SF-424 INSTRUCTIONS

Applicant must prepare their application using Standard Form (SF) 424
(Attachment F).

The following instructions are intended to clarify the process of completing the
SF-424 grant application for SCSEP. The applicant should review the current
authorizing legislation and regulations, as well as Older Worker Bulletin (OWB)
No. 00-20, Allocation of Indirect Costs; 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. If additional space is needed to complete an
item, insert an asterisk and use an additional electronic document page. For the
most part, this form is self-explanatory. Grantees must complete all required items,
which are identified with asterisks, as well as items that are not required but are noted
below.

       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.”

       Item 18. Federal funding for PY 2010 for all applicants is listed in
       Attachment I.

Attachment 6 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a6.pdf

OMB Number: 4040-0004
                                                                                                            Expiration Date: 04/31/2012

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. 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:
   Midd le N a me:
*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:
                                                  - Select One -

Type of Applicant 2: Select Applicant Type:
                                                  - Select One -
Type of Applicant 3: Select Applicant Type:
                                                   - Select One -
*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                                       $0.00
 *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:

 Midd le N ame:

 *Last Name:

 Suffix:
 *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.

                                                               INSTRUCTIONS FOR THE SF-424

Public reporting burden for this collection of information is estimated to average 60 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget,
Paperwork Reduction Project (0348-0043), Washington, DC 20503.

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

This is a standard form (including the continuation sheet) required for use as a cover sheet for submission of preapplications 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 items are identified with an asterisk on the form and are specified in the instructions below. In addition to the instructions
provided below, applicants must consult agency instructions to determine specific requirements.

 Item    Entry:                                                                        Item   Entry:

    1.      Type of Submission: (Required): Select one type of submission in              10.    Name Of Federal Agency: (Required) Enter the name of the
         accordance with agency instructions.                                                 Federal agency from which assistance is being requested with
         x    Preapplication                                                                  this application.
         x    Application
         x    Changed/Corrected Application – If requested by the agency, check        11.    Catalog Of Federal Domestic Assistance Number/Title:
              if this submission is to change or correct a previously submitted               Enter the Catalog of Federal Domestic Assistance number and
              application. Unless requested by the agency, applicants may not                 title of the program under which assistance is requested, as
              use this to submit changes after the closing date.                              found 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
         x   New – An application that is being submitted to an agency for the                which assistance is requested, as found in the program
             first time.                                                                      announcement.
         x   Continuation - An extension for an additional funding/budget period       13.    Competition Identification Number/Title: Enter the
             for a project with a projected completion date. This can include                 Competition Identification Number and title of the competition
             renewals.                                                                        under which assistance is requested, if applicable.
         x   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.    14.    Areas Affected By Project: List the areas or entities using
             A. Increase Award          B. Decrease Award                                     the categories (e.g., cities, counties, states, etc.) specified in
             C. Increase Duration       D. Decrease Duration                                  agency instructions. Use the continuation sheet to enter
             E. Other (specify)                                                               additional areas, if needed.
    3.      Date Received: Leave this field blank. This date will be assigned by the      15.    Descriptive Title of Applicant’s Project: (Required) Enter a
         Federal agency.                                                                      brief descriptive title of the project. If appropriate, attach a
                                                                                              map showing project location (e.g., construction or real
    4.      Applicant Identifier: Enter the entity identifier assigned by the Federal            property projects). For preapplications, attach a summary
         agency, if any, or applicant’s control number, if applicable.                        description of the project.
 5a      Federal Entity Identifier: Enter the number assigned to your                  16.    Congressional Districts Of: (Required) 16a. Enter the
         organization by the Federal Agency, if any.                                          applicant’s Congressional District, and 16b. Enter all District(s)
 5b.     Federal Award Identifier: For new applications leave blank. For a                    affected by the program or project. Enter in the format: 2
         continuation or revision to an existing award, enter the previously                  characters State Abbreviation – 3 characters District Number,
                                                                                                                               th                                   th
         assigned Federal award identifier number. If a changed/corrected                     e.g., CA-005 for California 5 district, CA-012 for California 12
                                                                                                                                             rd
         application, enter the Federal Identifier in accordance with agency                  district, NC-103 for North Carolina’s 103 district.
         instructions.                                                                        x     If all congressional districts in a state are affected, enter
    6.      Date Received by State: Leave this field blank. This date will be                          “all” for the district number, e.g., MD-all for all
         assigned by the State, if applicable.                                                      congressional districts in Maryland.
    7.      State Application Identifier: Leave this field blank. This identifier will           x     If nationwide, i.e. all districts within all states are affected,
         be assigned by the State, if applicable.                                                   enter US-all.
                                                                                              x     If the program/project is outside the US, enter 00-000.
    8.      Applicant Information: Enter the following in accordance with agency
         instructions:

         a. Legal Name: (Required): Enter the legal name of applicant that will        17.    Proposed Project Start and End Dates: (Required) Enter the
         undertake the assistance activity. This is the name that the organization            proposed start date and end date of the project.
         has registered with the Central Contractor Registry. Information on
         registering with CCR may be obtained by visiting the Grants.gov website.
         b. Employer/Taxpayer Number (EIN/TIN): (Required): Enter the
         Employer or Taxpayer Identification Number (EIN or TIN) as assigned by        18.    Estimated Funding: (Required) Enter the amount requested
         the Internal Revenue Service. If your organization is not in the US, enter           or to be contributed during the first funding/budget period by
         44-4444444.                                                                          each contributor. Value of in-kind contributions should be
         c. Organizational DUNS: (Required) Enter the organization’s DUNS or                  included on appropriate lines, as applicable. If the action will
         DUNS+4 number received from Dun and Bradstreet. Information on                       result in a dollar change to an existing award, indicate only the
         obtaining a DUNS number may be obtained by visiting the Grants.gov                   amount of the change. For decreases, enclose the amounts in
         website.                                                                             parentheses.
         d. Address: Enter the complete address as follows: Street address (Line
         1 required), City (Required), County, State (Required, if country is US),     19.    Is Application Subject to Review by State Under Executive
         Province, Country (Required), Zip/Postal Code (Required, if country is               Order 12372 Process? Applicants should contact the State
         US).                                                                                 Single Point of Contact (SPOC) for Federal Executive Order
         e. Organizational Unit: Enter the name of the primary organizational                 12372 to determine whether the application is subject to the
         unit (and department or division, if applicable) that will undertake the

     assistance activity, if applicable.                                                     State intergovernmental review process. Select the
     f. Name and contact information of person to be contacted on                            appropriate box. If “a.” is selected, enter the date the
     matters involving this application: Enter the name (First and last name                 application was submitted to the State
     required), organizational affiliation (if affiliated with an organization other
     than the applicant organization), telephone number (Required), fax                20.   Is the Applicant Delinquent on any Federal Debt?
     number, and email address (Required) of the person to contact on                        (Required) Select the appropriate box. This question applies to
     matters related to this application.                                                    the applicant organization, not the person who signs as the
                                                                                             authorized representative. Categories of debt include
                                                                                             delinquent audit disallowances, loans and taxes.

                                                                                             If yes, include an explanation on the continuation sheet.
9.    Type of Applicant: (Required)                                                    21.   Authorized Representative: (Required) To be signed and
     Select up to three applicant type(s) in accordance with agency                          dated by the authorized representative of the applicant
     instructions.                                                                           organization. Enter the name (First and last name required)
     A. State Government                     M. Nonprofit with 501C3 IRS                     title (Required), telephone number (Required), fax number,
     B. County Government                         Status (Other than Institution             and email address (Required) of the person authorized to sign
     C. City or Township Government               of Higher Education)                       for the applicant.
     D. Special District Government          N. Nonprofit without 501C3 IRS                  A copy of the governing body’s authorization for you to sign
     E. Regional Organization                     Status (Other than Institution             this application as the official representative must be on file in
     F. U.S. Territory or Possession              of Higher Education)                       the applicant’s office. (Certain Federal agencies may require
     G. Independent School District          O. Private Institution of Higher                that this authorization be submitted as part of the application.)
     H. Public/State Controlled                   Education
           Institution of Higher Education P. Individual
     I.    Indian/Native American Tribal     Q. For-Profit Organization
           Government (Federally                  (Other than Small Business)
           Recognized)                       R. Small Business
     J. Indian/Native American Tribal        S. Hispanic-serving Institution
           Government (Other than            T. Historically Black Colleges
           Federally Recognized)                  and Universities (HBCUs)
     K. Indian/Native American               U. Tribally Controlled Colleges
           Tribally Designated                    and Universities (TCCUs)
           Organization                      V. Alaska Native and Native
     L. Public/Indian Housing                     Hawaiian Serving Institutions
           Authority                         W. Non-domestic (non-US)
                                                  Entity
                                             X. Other (specify)

Attachment 7 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a7.pdf

ATTACHMENT G


             SF-424A INSTRUCTIONS – DEVELOPING A BUDGET

   ETA’s Regions 2 and 6 have developed a helpful budget tool which was first
   provided to grantees in 2008, and is also being emailed with this planning
   TEGL. Grantees are strongly encouraged to use this tool in developing their
   budget narratives. These instructions will assist you in completing the
   Budget Tool and its worksheets. References to the 424A and the 424A Budget
   Tool are made at the beginning of each section in bold italics.

   NOTE: The narrative tabs in this budget tool will hold a maximum of 251
   characters without spaces. Please use additional electronic pages if your
   narrative exceeds the maximum allowance.

A. Determining Budget Requirements
The budget is one of the most important pieces of the grant proposal. A
complete and well-developed budget is an effective management tool; a budget
that doesn’t truly represent a project’s needs makes it difficult to assess financial
performance over the life of the project and may result in cost overruns. The
budget also provides ETA with information to assess whether the activities and
services described in the program narrative are consistent with the estimated
costs in the budget.

B. Understanding Key Budgeting Terms and Principles
Before launching into required budget elements, it is important to explain some
key fiscal terminology and principles that may affect the development of the
grant budget.

   •   Administrative Costs:
          o Definition: For SCSEP, the definition of administrative costs is
            unique to the programs funded by the Department of Labor,
            Employment and Training Administration (ETA). ETA’s definition
            of administrative costs is found in the Code of Federal Regulations
            at 20 CFR 641.853-861. ETA uses a function-based definition of
            administration, which means costs associated with certain
            functions - such as accounting, procurement, financial
            management, payroll, etc. - are considered administrative costs.
          o Limitation: An entity that receives a SCSEP grant may not use
            more than 13.5 percent of the total grant award amount to pay
            administrative costs associated with the program. In limited cases,
            the Grant Officer may approve a 15 percent administrative cost
            level, but the grantee must request a higher level in writing as part
            of its grant application, and provide documentation for the need for

                                                              ATTACHMENT G


           the higher level. See Section 502(c)(3) of the Older Americans Act
           (OAA) of 2006 for guidance. Typically, only the grantee
           organization incurs administrative costs. A sub-grantee would
           incur administrative costs only if the sub-grant’s sole purpose is to
           carry out an administrative function. The administrative limit
           applies to the total award amount, and includes both direct
           administrative cots and indirect administrative costs. Not all
           indirect costs are administrative costs under the ETA definition.
           The portion of indirect costs that are administrative, plus any direct
           administrative costs, cannot exceed the 13.5 percent cost limitation.
           Note: The indirect cost line item on the Federal Budget Information
           Form is different from the administrative cost limit.
•   Program Costs: Program costs are related to the direct provision of
    employment and training services to participants and employers. An
    individual such as a program director can incur both program and
    administrative costs, depending on the function which is being
    performed. For instance, when a program director is meeting with project
    partners to discuss how services will be designed and provided to
    participants, the salary associated with that time falls under program
    costs. However, when a project director develops a budget for a
    contractual agreement with a project partner, the salary associated with
    that time is an administrative cost, because budgeting is an administrative
    function.
•   Direct Costs: Direct costs are those that can be specifically identified with
    a particular final cost objective.
•   Indirect Costs: Indirect costs are incurred for common or joint objectives that
    benefit more than one project. They may originate in your unit or in units of
    your organization that supply goods, services, or facilities to the grant. Most
    often, the term “indirect costs” is used to indicate costs that are incurred to
    support the overall operation of the organization. Indirect costs may be both
    administrative and programmatic. The following web site provides valuable
    information on applying for an indirect cost rate from the Department’s
    Division of Cost Determination:
    www.dol.gov/oasam/programs/boc/costdeterminationguide/main.htm#toc
•   Cost Allocation Plan: This document identifies, accumulates, and
    distributes allowable direct and indirect costs, and identifies the allocation
    methods used for distribution of these costs across projects.

                                                                 ATTACHMENT G


C. Process for Developing a Budget
Constructing a project budget takes time and coordination with project staff and
partners. When developing the project budget, it is highly recommended that
grantees review the activities and tasks listed in their statement of work.
Reviewing the statement of work will help grantees assess the following
elements:

   ƒ Who will work on the project and how long their services will be required
       (e.g., grant staff, partner staff, and contractors).
   ƒ What resources are needed to support each task (e.g., rent, utilities,
       computers, telephone service, copiers, office supplies, etc.).
   ƒ Whether partners are willing to donate cash, items, or services needed to
       complete the project either through matching funds or in-kind
       contributions.
The Budget Narrative worksheets in the SF-424A are designed to assist grantees
in meeting the requirements for a detailed cost analysis and may be helpful in
developing your budget projections. It may also be useful to have staff involved
in delivering services participate in preparing the budget since they have direct,
first-hand experience with services and activities. Also, grantees should be
aware that a number of factors might affect budget projections, such as:

   ƒ Staff on the project may be eligible for salary increases or raises during the
       life of the project.
   ƒ Rising health and disability insurance costs may affect fringe benefit rates.
   ƒ Transportation costs may be affected by rising gasoline prices.
Grantees should try to anticipate factors that may affect the budget when
developing their projections and be prepared to provide a narrative explanation
of these factors in the Budget section of the grant proposal. Once grantees have
developed a list of needed resources, it is time to organize the listed items into
the cost categories required by ETA.

D. How to Complete the Budget Section of the SCSEP Application
The Budget part of the application consists of two sections: A – Budget
Information Form, and B – Budget Category Excel Worksheets and Budget
Narrative.

Section A. Budget Information Form - Lines 1-5, Columns (a)-(g).
Note: Column F is pre-set to calculate the 10 percent non-Federal amount. You may
change the formula if you are entering more than 10 percent.

                                                                ATTACHMENT G


A budget tool has been developed to assist grantees in submitting their SF-424A
and detailed budget narrative (see attached). The SF-424A can be found at
http://wdr.doleta.gov/directives/attach/TEGL/TEGL24-09a4.xls. The budget form
has six sections. A - Budget Summary; B - Budget Categories; C - Non-Federal
Resources; D - Forecasted Cash Needs; E - Budget Estimates of Federal Funds
Needed for Balance of the Project; and F - Other Budget Information. Sections A
and B are populated automatically as the Excel worksheets, addressed below, are
completed. The following information should be entered on the first row of
section A: column (a) – SCSEP; column (b) – 17.235. Information in columns (e)
and (g) will be input automatically after the “Amount Awarded” field in the top
left corner of “Personnel” worksheet is filled in. Please note that ETA does not
require sections D and E be completed.

Grantees anticipated expenses are listed in the object class categories in Section B

- Budget Categories. For purposes of this budget, costs associated with
participant wages and fringe benefits should be categorized the following ways:

   ƒ When a participant has a community service assignment at the grantee’s
       facilities and is considered an employee of the grantee, participant wage
       costs should be listed in “Personnel” and fringe benefits in “Fringe
       Benefits”.

   ƒ When a participant has a community service assignment at a host agency
       or sub-recipient’s facilities, but is considered an employee of the grantee,
       participant wages costs should be listed in “Personnel” and fringe benefits
       in “Fringe Benefits”.

   ƒ When a participant has a community service assignment at a host agency
       or sub-recipient’s facilities, and is considered an employee of the host
       agency or sub-recipient, participant wage and fringe benefit costs should
       be listed under “Contractual”.

Other expenses include:

   ƒ Personnel: This refers to wages and salaries paid to employees of the
       grantee organization who are directly involved in grant implementation.
       This line item does not include personnel hired by the sub-grantee; those
       costs are included in the “Contractual” line item.
   ƒ Fringe Benefits: The cost of benefits paid to the personnel on the grant,
       including the cost of employer’s share of FICA, health insurance, workers’
       compensation, vacation, and supplies. Shipping and delivery are a normal
       part of the cost of supplies and should be included in the budgeted
       amount.

                                                              ATTACHMENT G


ƒ Contractual: The cost of any contract or sub-grant agreement.
   Contractual costs could include sick leave, holidays, or unemployment
   insurance. The budget worksheet for this category should contain
   descriptive information about what specific fringe benefits are being
   charged to the grant, including the fringe benefit percentage.
ƒ Travel: Refers to travel costs of personnel that are reasonable and
   necessary to effectively manage and carry out grant activities, provide
   oversight, or measure program effectiveness. Air travel, when necessary,
   should be obtained at the lowest possible customary standard (coach or
   equivalent fare). Travel costs may be charged on an actual basis, or on a
   per-diem or mileage basis in lieu of actual costs. This line item does not
   include travel expenses of the sub-grantee, which are included in the
   “Contractual” line item.
ƒ Equipment: Refers to non-expendable personal property that has a useful
   life of more than one year and a per-unit cost of $5,000 or more. The only
   type of equipment that may be acquired with Federal funds is equipment
   necessary for the operation of the grant. If purchased, the cost of the
   equipment is to be prorated over the projected life of the equipment to
   determine the cost to the grant. Use of grant funds to purchase equipment
   with a unit cost of $5,000 or more requires special review and approval
   from the Grant Officer prior to purchase. Shipping, delivery, and
   installation, if necessary, are a normal part of the cost of equipment and
   should be included in the budgeted amount.
ƒ Supplies: All consumable materials costing less than $5,000 per unit;
   other goods such as copy paper, pens and pencils, computers; any
   materials needed to conduct training, agreements for evaluating the grant,
   providing training, etc. The total costs of all sub-grant contracts are
   reflected in this line item.
ƒ Other: Direct costs that do not fit any of the aforementioned categories,
   such as rent for buildings used to conduct grant activities, utilities, leased
   equipment, child care, transportation expenses, tuition for training, etc.
ƒ Total Direct Cost: This is the total of lines 1 through 7. The SF-424A will
   automatically sum up the direct costs after the worksheets for each
   category are completed.
ƒ Indirect Cost: If the grantee has an approved indirect cost rate and
   wishes to apply it to this grant, a copy of the indirect cost agreement
   signed by the issuing Federal agency must be attached to the grant
   proposal.

                                                                      ATTACHMENT G


   ƒ TOTALS: This category is populated automatically and represents the
       total amount of lines 6(i) and 6(j), equaling to the total amount of funds
       authorized for the project.
Section B. Budget Category Excel Worksheets and Budget Narrative - This
section is directly linked to the color labeled tab in the worksheets. When you complete the
spreadsheet behind each tab, the total will appear in the appropriate line or column in this
section.

Budget Category Excel Worksheets: Section B requires grantees to classify
expenses in the following object class categories: Personnel, Fringe Benefits,
Travel, Equipment, Supplies, Contractual, Construction (not used for SCSEP
grants), Other, and Indirect Costs. The suggested budget tool contains an
individual worksheet for each of these categories. Complete the Budget
Category Worksheets for each category. Each worksheet identifies in detail the
costs attributable to each category in Section B, lines 6(a)–(j) of the SF-424A. The
worksheet cells contain instructions and drop down menus to aid in their
completion. Data from the completed budget worksheets will automatically
populate Sections A and B of the SF-424A. Grantees should distinguish between
costs associated with Federal and non-Federal funding (perhaps bolding Federal
costs).

Budget Narrative: At the bottom of each worksheet is a text block to enter a
budget narrative. The budget narrative explains or justifies the amounts entered
for each category of the SF-424A and the supporting worksheets. Provide a brief
explanation as to how the costs associated with each category relate to the
implementation of the statement of work and the achievement of grant goals.
Grantees should try to anticipate factors that may affect the budget when
developing their projections and provide a narrative explanation of these factors.
In this section, grantees also include a narrative explanation describing the
percent of the award amount that will be spent on administrative costs, including
a description of administrative services being charged to the grant. The narrative
ties the grant budget to the proposal's statement of work.

The following section provides directions for completing the budget category
worksheets, as well as examples of completed worksheets and budget narrative
statements.

Personnel Worksheet

This is the first worksheet in the SF-424A Excel workbook. Grantees should start
by entering the Name of Grantee Organization, Amount Awarded, and Funding
Period (From-To). The period of performance for the FY 2010 Additional
Funding is January 29, 2010-June 30, 2011. For the regular program, the period of

                                                                         ATTACHMENT G


performance begins on July 1 and ends June 30 of the following year. The
worksheet will not calculate values if this initial information is not provided.
Here and on the other worksheets, data can be entered in cells colored in light
green.

The following information to support the staffing plan for the project should be
provided in the Personnel table:

   •   Position: Enter the title for each staff position. These titles should match
       the information provided in the narrative. If the grantee has more than
       one employee in the same position, at the same salary level and employed
       for the same period of time, each employee should be entered on a
       separate line.
   •   Percent of Time: List the percent of time each staff person will devote to
       the project. For example, if a full-time staff person spends 75 percent of
       their time on the project, he or she would be .75 FTE (full-time equivalent).
   •   Monthly Salary/Wage: Enter the average monthly salary, not the average
       full-time salary. Since pay periods vary from organization to
       organization, the average would be the annual total salary divided by 12
       months. If an employee is expected to receive a salary increase during the
       grant period, figure the average monthly salary for the entire year based
       on the sum of the two salary figures for the number of months the
       employee will receive each salary.
   •   Number of Months: Enter the projected number of months the position
       will be filled during the grant period.
   •   Cost: The total cost equals (% of Time) x (Monthly Salary/Wage) x (# of
       Months).

 Name of Grantee Organization                          Funding Period
 The Best Workforce Development Program, Inc.          07/01/08     to                06/30/09

 Amount Awarded                                        # of Months                    12
 $                                 500,000

 Object Class Category (a.): PERSONNEL
 A                                              B          C                 D             E
                                                % of       Monthly           # of
 Position                                                                                  Cost
                                                Time       Salary/Wage       Months

    1. Executive Director                           20.00%     $        3,600         12.00    $8,640
    2. Project Director                            100.00%              2,200         12.00   $26,400
    3. Administrative Assistant                     50.00%              1,200         12.00    $7,200
    4. Job Developer                               100.00%              2,000         12.00   $24,000
    5. Case Worker                                 100.00%              1,600       10.00     $16,000

                                                                            ATTACHMENT G

    6. Case Worker                                     100.00%              800       10.00         $8,000
    7. Outreach Specialist/Recruiter                    40.00%            1,400       12.00         $6,720
 TOTAL PERSONNEL                                                                                $96,960

 Budget Narrative: PERSONNEL
 The total amount for Staff Salaries is projected to be $96,960. The Project anticipates the need
 for seven staff persons, four of whom – Project Director, Job Developer and two Case Workers,
 will work full-time on the project. The Administrative Assistant will dedicate 50 percent of
 his/her time to the project and the Outreach Specialist/Recruiter will spend 40 percent of
 his/her time. Executive Director of the project will spend 20 percent of his/her time on the
 project activities.


Fringe Benefits Worksheet

In this worksheet, grantees should provide a detailed listing of the benefits
provided to employees and the fringe benefit percentage.

   •    Position/s: Using the drop down menu, select the position title. The drop
        down menu reflects positions listed in the Personnel worksheet.
   •    Benefit/s: Using the drop down menu, select the type of benefits that will
        be provided. If multiple benefits are included in the base amount, list
        each of them in a separate row.
   •    Rate: Enter the fringe benefit rate used to calculate benefits for each
        source. If the list of fringe benefits is itemized, list the source for each
        item.
   •    Base Amount: Enter the Gross Salary used against the rate for the
        salary(ies) you are calculating.
   •    Cost: The total cost is (Rate) x (Base Amount)

 Object Class Category (b.): FRINGE BENEFITS
 A                                   B                         C               D            E
                                                                               Base
 Position/s                             Benefit/s              Rate                         Cost
                                                                               Amount
                                        Disability (Long-

    1. Executive Director                  Term)                       1.20%      $    8,640   $    104
    2. Project Director                    Full Package               34.00%          26,400      8,976
    3. Administrative Assistant            Full Package               34.00%           7,200      2,448
    4. Job Developer                       Full Package               34.00%          24,000      8,160
    5. Case Worker                         Full Package               34.00%          16,000      5,440
    6. Case Worker                         Full Package               34.00%           8,000      2,720
    7. Outreach Specialist/Recruiter       Full Package               34.00%           6,720      2,285
 TOTAL FRINGE BENEFITS                                                                      $ 30,133

                                                                                  ATTACHMENT G




 Budget Narrative: FRINGE BENEFITS
 The fringe benefit rate for 6 employees of this project is 34 percent of staff salaries or $30,133 and
 accounts for the full package of benefits that consists of (a) medical, dental and vision coverage;
 (b) short- and long-term disability insurance; (c) holiday and sick leave pay; (d) life insurance;
 and (e) FICA and Unemployment Insurance. Fringe benefit rate for the Executive Director
 position is 1.20 percent and includes the Long-Term Disability Insurance only.


Travel Worksheet

Travel includes mileage, plane fares, meals and incidentals, lodging, parking,
taxi, shuttle service to and from the site, and any other cost associated with travel
for the grant. Travel costs may be charged on an actual basis, or on a per diem
or mileage basis in lieu of actual costs.

Grantees should provide a narrative describing the purpose of the travel and the
assumptions used to generate travel funds. Each type of travel cost (e.g.
mileage, per diem, etc.) should be entered on separate lines.

        •   Item: Enter a brief description of the travel item to be charged to the
            grant. Remember, enter travel for contracted employees under
            “Contractual” category.
        •   Number of Staff: Enter the number of staff who will charge this type
            of travel.
        •   Number of Units: Enter the number of units estimated to be charged
            to the grant per traveler (staff) for the year.
        •   Unit Type: From the drop down menu, choose the unit type to be
            used for the calculation.
        •   Cost per Unit: Enter the cost of the travel item per traveler. If
            calculating based on mileage, enter the cost per mile.
        •   Cost: The total cost is (# of Staff) x (# of Units) x (Cost per Unit)



 Object Class Category (c.): TRAVEL
 A                                          B        C            D           E              F
                                            # of     # of         Unit        Cost per
 Item                                                                                        Cost
                                            Staff    Units        Type        Unit
                                                                                   $

    1.   Mileage - Project Director                1         8,000       Miles      0.42        $   3,360
    2.   Mileage - Job Developer                   1        12,000       Miles      0.42            5,040
    3.   Mileage - Case Manager (Full-
      Time)                                     2        10,000       Miles        0.42          8,400

                                                                            ATTACHMENT G

    4.  Mileage - Outreach Specialist           1         5,000    Miles         0.42            2,100
    5.  Per Diem - Project Director             1            40    Day/s         35.00           1,400
    6.  Per Diem - Job Developer                1         40       Day/s             35.00       1,400
    7.  Per Diem - Case Manager (Full-
     Time)                                   2         40       Day/s             35.00       2,800
    8. Per Diem - Outreach Specialist           1         20       Day/s             35.00         700
    9. Lodging for Training/Conferences         4          3       Day/s            100.00       1,200
    10. Per Diem for
     Training/Conferences                    4          4       Day/s             35.00        560
    11. Plane Tickets for Conferences           4          1       Trip/s           350.00      1,400
    12. Miscellaneous Travel                    5         10      Month/s            50.00      2,500
 TOTAL TRAVEL                                                                             $ 30,860

 Budget Narrative: TRAVEL
 Mileage costs for the Project Director, Job Developer, two Case Managers, and Outreach
 Specialist, are to conduct recruitment and provide outreach throughout the District. Mileage is
 calculated at 42 cents per mile with an estimated total mileage of 45,000 miles over two years.
 Per Diem rates for the staff are calculated at $35 per day based on the organizational travel
 policies; the staff will travel to local community colleges, community-based organizations, and
 high schools to present the program to other populations. Lodging, per diem, and
 transportation ticket costs for Training/Conferences are reserved for the DOL Earmark training
 session. Miscellaneous Travel funds are for transit transportation costs for staff’s local travel.
 Total cost of travel is $30,860.


Equipment Worksheet

Equipment is defined at 29 CFR 97.3 and 95.2 as tangible, non-expendable
personal property with a useful life of more than one year and an acquisition cost
which equals or exceeds the lesser of (a) the capitalization level established by
the organization for the financial statement purposes, or (b) $5,000 per unit. If
the equipment was not charged directly to the grant or sub-grant at the time of
acquisition, then it does not fall under the property management requirements of
Section 95.34. Items that cost less than $5,000 per unit should be entered under
the Supplies worksheet, unless the item is part of a larger system. For example,
if the item is part of the organization’s information technology system, it is
considered equipment regardless of its unit cost (see the example below).
Shipping, delivery, and installation are normal parts of the cost of equipment
and should be included in the budgeted amount.

Grantees wishing to obtain approval for the purchase of equipment at the time of
application should state their intentions in the Budget Narrative section of the
worksheet and provide an explanation of how this equipment will be used to
further the grant’s objectives; justification for the need for the equipment; the
basis for valuation of the equipment; and a description of the equipment to be
purchased. If the equipment is approved, the grant officer will state so in the
letter transmitting the grant award. Otherwise, the grantee must make a

                                                                          ATTACHMENT G


subsequent request in writing to the Grant Officer at a later date for approval to
purchase equipment.

For audit purposes, grantees should maintain equipment records that include the
following data: description; identification number; funding source; title holder;
acquisition date; percentage of Federal participation in the cost; location,
condition and last inventory date; acquisition cost; and ultimate disposition date,
including date of disposal and sale price or current fair market value, including
method used to determine the value. This information is not required in
developing the grant proposal, but should be readily available for monitoring
purposes by Federal staff and auditors.


 Object Class Category (d.): EQUIPMENT
 A                                               B                C                D
 Item                                            # of Items       Cost per Item    Cost

    1. Die Cutting Machine                                 1                  5,500    $       5,500
    2. LAN Equipment                                       1                  6,500            6,500
    3. LAN Monitoring & Administration
     Software                                          1                   1,000           1,000
 TOTAL EQUIPMENT                                                                   $      13,000


 Budget Narrative: Equipment
 Die cutting machine will be used by the program participants to provide the hands-on
 experience on die-cutting and embellishing. The project will be purchasing one machine at
 $5,500. This is an average price for the industrial die cutting machines available on the market
 today. The project will also will also purchase LAN switches and routers, as well as LAN cables
 so that staff on the project can connect their computers to the company network. The total price
 of LAN Equipment to be purchased is $6,500. LAN monitoring and administration software
 will be used to maintain the security of the company network. The software will be purchased
 at $1,000. Prices for LAN equipment and software are estimated based on the average prices of
 LAN equipment and software on the market.




Supplies Worksheet

Supplies refers to consumable materials, items costing less than $5,000 per unit,
and goods such as copy paper, pens and pencils, materials needed to conduct
training, computers, printers, etc. Supply purchases are charged to the grant at
their actual prices after deducting all cash discounts, trade discounts, rebates, or
allowances. Shipping and delivery are a normal part of the cost of supplies.

Supplies should be lumped under larger categorical headings and detailed
information on computations justifying the respective amounts should be
provided. The basis for all estimates should be indicated in the chart or as a
separate narrative.

                                                                             ATTACHMENT G




Object Class Category (e.): SUPPLIES
A                                  B                C                D                E
Item                               # of Units       Unit Type        Cost per Unit    Cost
Office Supplies                         13          Month/s          $          100    $       1,300
Books for Die Cutting Class            100          Item/s                       40            4,000
Protective Eye Wear                    100          Item/s                       12            1,200
Computer and Printer                     4          Item/s                    1,000            4,000
Miscellaneous                            1          Item/s                      175              175
Postage                                 12          Month/s                     100            1,200
TOTAL SUPPLIES                                                                        $       11,875

Budget Narrative: SUPPLIES
Office supplies ($1,300) include file folders, paper, pens, and other basic supplies. The budgeted
amounts listed on the SF-424A worksheets are based on an assessment of per unit costs for
similar projects from last program year (January 1, 2007 to January 1, 2008). Three computers
and one printer ($4,000) will be installed in the classroom and are not a part of the organization’s
IT system. Books for Die Cutting Class are required for the training sessions. One book per
participant will be purchased for the project. Protective eye wear is required for each
participant. Based on past similar training programs, we anticipate $175 in additional training
related miscellaneous supply costs will be incurred. Postage costs will be incurred for mailing of
the outreach and recruitment materials.




Contractual Worksheet

The cost of any contract or sub-grant agreement between the grantee and another
organization (i.e., vendor) should be included on the worksheet. Contractual
costs could include sub-agreements for evaluating the grant, providing training,
maintenance contracts, other service contracts, etc. The budget description
should provide the name of the vendor if known, an explanation of the services
to be provided under the contract or sub-agreement, and the contracted amount.
In most instances, the name of the vendor will not be known since the grantee
will not enter into a procurement action until after the grant is awarded.

The term “procurement” is used to identify the process of acquiring goods and
services from sources outside of the grantee organization. Federal regulations
require that all procurements provide for maximum full and open competition
whenever practicable and possible. Non-competitive procurements can only be
used in very limited circumstances and should be a last resort.

In some limited instances, a partner may be identified in the grant application
prior to the grant award. To qualify as a partner, the partner organization must
be part of the proposal development, have brought resources into the program,
and be an integral part of the project’s scope of work. The involvement of the

                                                                           ATTACHMENT G


partner organization in these activities must be adequately documented in the
procurement record. The procurement record for a partner, as well as service
provider procured after grant award, must provide the procurement history, the
basis for the contractor selection, and if applicable, justification for lack of
competition, and basis for the award cost or price.


 Object Class Category (f.): CONTRACTUAL
 A                                                                                 B
 Brief Description                                                                      Cost
 Contract for Die Cutting Training ABC, Corp.                                       $     100,000
 Contract for mentors                                                                      30,000
 TOTAL CONTRACTUAL                                                                  $     130,000

 Budget Narrative: CONTRACTUAL
 The ABC Corporation will develop a customized training curriculum for high-technology
 manufacturing using instrumentation available at the organization. This is in addition to the die
 cutting machine being purchased with grant funds. ABC is the only entity in the grantee area
 which has this highly sophisticated equipment available, is a partner in the proposal
 development, is providing use of the equipment and training facility at no cost to the grant, and
 is integral to the overall goal of the grant. The total contract amount for ABC Corporation is
 $100,000. We will also hold a free and open competition to procure an entity to provide
 mentoring services to our at-risk participants. Based on past experience, we are budgeting
 $30,000 for this contract.




Other Costs Worksheet

Enter items that do not fit under any of the other cost categories, such as rent,
utilities, equipment that is rented or leased, supportive services (e.g., child care,
transportation subsidies, etc.), and training/tuition costs. Note: Equipment
cannot be leased if the cost of leasing or renting the equipment exceeds the cost
of purchasing the equipment over the life of the grant. Copies of lease or rental
agreements should be kept on file and available for review by Federal staff
and/or auditors. A description of the activity or product should be provided as
well as the unit cost for the service.

                                                                             ATTACHMENT G




 Object Class Category (h.): OTHER COSTS
 (Including Training Expenses)
 A                                    B                   C             D                E
                                                                           Cost per
 Item                                        # of Units   Unit Type                          Cost
                                                                            Unit
 Die Tool Class Tuition                             100   Item/s         $       1,500   $ 150,000
 Rent of Classroom for Work Safety
 Course                                              45   Day/s                    100       4,500
 Work Safety Course for 50 attendees                  2   Item/s                   500       1,000
 TOTAL FRINGE BENEFITS                                                                   $ 155,500


 Budget Narrative: Other Costs
 These costs include Die Tool class tuition ($1,500) for each participant, rent of Classroom for the
 Work Safety Course for approximately 50 attendees that fail the safety test.


Indirect Costs Worksheet
Indirect costs are costs that are incurred for common or joint objectives that
benefits more than one project. They may originate in your own unit or in units
of your organization that supply goods, services, or facilities to the SCSEP grant.
Most often, the term “indirect costs” is used to indicate costs that are incurred to
support the overall operation of the organization. Indirect costs may be both
administrative and programmatic.

If the grantee operates with a single funding source, an indirect cost rate is not
needed. However, if the grantee has multiple funding sources that support the
operations and activities of the organization - especially Federal sources – then
an indirect cost rate is needed.

An indirect costs rate is necessary to equitably distribute cost to all benefiting
activities. It systematically allocates indirect cost to cost objectives, in reasonable
proportion to their benefits. These costs are not easily assignable to specific
awards and activities because a direct relationship to cost objectives (e.g., grants,
contracts, fundraising, services to members, etc.) cannot be shown or would be
arbitrary.

If the grantee has an approved indirect cost rate, a copy of the indirect cost
agreement signed by the issuing Federal agency must be attached to the grant
proposal. For organizations with no prior approved indirect cost rate who
intend to budget indirect costs to the grant, an indirect cost rate proposal must be
developed and submitted to the Department’s Office of Cost Determination no
later than three months after the effective date of the grant agreement.

                                                                            ATTACHMENT G



 Object Class Category (i.): INDIRECT CHARGES

 OPTION A
 For grantees that have an approved Indirect Cost Rate Agreement
 Federal agency that issued the agreement                HHS
 What is the approved rate (%)?                          15 percent
 What is the base against which rate is applied?         Total direct costs excluding equipment
 (Note: enter description as specified in the agreement) expenditures and that portion of each
                                                         sub award in excess of $25,000
 What is the base amount ($)?                                 $                         452,457
 Enter the rate (%) that will be used for this grant                                      9.00%
 Enter the amount ($) that will be used for this grant       $                            40,721

 OPTION B
 For grantees that DO NOT have an approved Indirect Cost Rate Agreement
 Enter fixed amount ($) that will be used
 (Note: This will be only temporary until your Indirect Cost Rate Application is submitted and
 approved)

 TOTAL INDIRECT CHARGES                                                                     40,721

 Budget Narrative: Indirect Charges
 We have a currently approved indirect cost rate agreement from HHS for 15 percent covering
 the period January 1, 2007 to December 31, 2009. The indirect cost base is total direct costs
 excluding equipment expenditures and that portion of each sub award in excess of $25,000. We
 are only charging a 9 percent IDCR to the grant in order to stay within the 10 percent
 administrative cost limitation. We will charge the balance of the indirect costs to a non-Federal
 source.

Administrative Costs Worksheet
The administrative cost worksheet contains a text block to enter the budget
narrative. In this section, grantees should describe the percentage and total
amount of the estimated headquarters and local administrative costs that will be
charged to grant.

 Budget Narrative: Administrative Costs
 Administrative costs charged to this project will include salaries and fringe benefits of the
 Executive Director ($8,744), the Administrative Assistant ($9,648), a portion of the postage and
 office supplies ($650) and a portion of the cost of the LAN equipment ($3,500), totaling $22,542
 and constituting 4.5 percent of the total grant award amount of $500,000.

Attachment 8 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a8.pdf

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
                    or Activity                       Number                 Federal                Non-Federal                 Federal                Non-Federal                  Total
                        (a)                             (b)                    (c)                         (d)                    (e)                      (f)                        (g)

    1.                  SCSEP                                 17.235     $                     $                     -    $                  -   $                  -     $                       -

    2.                                                                                     -                         -                       -                      -                             -

    3.                                                                                     -                         -                       -                      -                             -

    4.                                                                                     -                         -                       -                      -                             -

    5. Totals                                                            $                 -   $                     -    $                  -   $                  -     $                       -
                                                                                SECTION B - BUDGET CATEGORIES
                                                                                                                 GRANT PROGRAM, FUNCTION OR ACTIVITY
6.     Object Class Categories
                                                                               (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-1

                                                                                             SECTION C - NON-FEDERAL RESOURCES
                                                     (a) Grant Program                                                   (b) Applicant                      (c) State            (d) Other Sources        (e) TOTALS

        8.                                                                                                              $                              $                           $                        $

  9.

10.

11.

12. TOTAL (sum of lines 8 - 11)                                                                                   $                              $                           $                        $

                                                                                              SECTION D - FORECASTED CASH NEEDS
                                                                                         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 FOR FEDERAL FUNDS FOR BALANCE OF THE PROJECT
                                                     (a) Grant Program                                                                                   FUTURE FUNDING PERIODS (Years)
                                                                                                                              (b) First                    (c) Second         (d) Third                   (e) Fourth

16. SCSEP                                                                                                         $                        -     $                       -   $                    -   $                 -

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)                                                                                  $                              $                           $                        $

                                                                                             SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges                                                                                                                22. Indirect Charges
See Budget Narrative                                                                                                              See Budget Narrative
23. Remarks
See Budget Narrative




                                                                                                                  Budget-2

        Name of Grantee Organization                               Funding Period
                                                                         to
              Amount Awarded                              # of Months:


Object Class Category (a.): PERSONNEL
                    A                               B         C          D           E
                                                % of       Monthly    # of
                Position                                                            Cost
                                                Time     Salary/Wage Months

    1.                                                      $                  $
 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

                                                        TOTAL PERSONNEL $

Budget Narrative - PERSONNEL




                                       Budget - 3

Object Class Category (b.): FRINGE BENEFITS
            A                     B                 C          D             E


        Position/s            Benefit/s            Rate   Base Amount       Cost

    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.

                                        TOTAL FRINGE BENEFITS $

Budget Narrative - FRINGE BENEFITS




                                      Budget - 4

Object Class Category (c.): TRAVEL
               A                 B        C           D             E              F
                               # of  # of
             Item                                 Unit Type   Cost per Unit       Cost
                               Staff Units

    1.                                                           $               $
 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

11.

12.

13.

14.

14.

16.

17.

18.

19.

20.

                                                          TOTAL TRAVEL $

Budget Narrative: TRAVEL




                                     Budget - 5

Object Class Category (d.): EQUIPMENT
(Includes equipment costing $5,000 or more and a useful life of more than one year)
                          A                                 B                C              D

                        Item                          # of Items       Cost per Item       Cost

    1.                                                                $                   $
 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

11.

12.

13.

14.

14.

16.

17.

18.

19.

20.

                                                            TOTAL EQUIPMENT $

Budget Narrative: EQUIPMENT




                                               Budget - 6

Object Class Category (e.): SUPPLIES
(Includes equipment costing less than $5,000)
                       A                             B        C               D              E
                                                   # of      Unit
                     Item                                               Cost per Unit       Cost
                                                   Units     Type

    1.                                                                 $                   $
 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

11.

12.

13.

14.

14.

16.

17.

18.

19.

20.

                                                              TOTAL SUPPLIES $

Budget Narrative: SUPPLIES




                                                Budget - 7

Object Class Category (f.): CONTRACTUAL
                                A                                   B

                        Brief Description                          Cost

    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




                                    Budget - 8

Object Class Category (h.): OTHER COSTS
(Including Training Expenses)
                                 A             B          C           D              E
                                             # of
                                Item                  Unit Type Cost per Unit       Cost
                                             Units

    1.                                                             $               $
 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

10.

11.

12.

13.

14.

14.

16.

17.

18.

19.

20.

                                                    TOTAL OTHER COSTS $

Budget Narrative: OTHER COSTS




                                       Budget - 9

Object Class Category (i.): INDIRECT CHARGES

  Choose one of the following options to apply indirect charges to the grant:


  OPTION A
  For grantees that have an approved Indirect Cost Rate Agreement
   Federal agency that issued the agreement
   What is the approved rate (%)?
   What is the base against which rate is applied?
    (Note: enter description as specified in the agreement)


    What 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
  For grantees that DO NOT have an approved Indirect Cost Rate Agreement
   Enter fixed amount ($) that will be used          $                                                        -
    (Note: This will be only temporary until your Indirect Cost Rate Application is Submitted and Approved)


                       TOTAL INDIRECT CHARGES                             $



Budget Narrative - INDIRECT CHARGES




                                                         Budget - 10

ADMINISTRATIVE COSTS
  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




                                           Budget - 11

Attachment 9 (official XLS): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a9.xls

Sheet: SF424A Page 1
,,,,,,,,,,,,,,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
,,,or Activity,Number,,Federal,,Non-Federal,,Federal,,Non-Federal,,Total
,,,(a),(b),,(c),,(d),,(e),,(f),,(g)
,,1.,SCSEP,17.235,$,,$,0.0,$,0.0,$,0.0,$,0.0
,,2.,,,,0.0,,0.0,,0.0,,0.0,,0.0
,,3.,,,,0.0,,0.0,,0.0,,0.0,,0.0
,,4.,,,,0.0,,0.0,,0.0,,0.0,,0.0
,,5.,Totals,,$,0.0,$,0.0,$,0.0,$,0.0,$,0.0
,,SECTION B -  BUDGET CATEGORIES
,,6.,Object Class Categories,,"GRANT PROGRAM, FUNCTION OR ACTIVITY"
,,,,,,(1),,(2),,(3),,(4),,(5)
,,,a.    Personnel,,$,0.0,$,0.0,$,0.0,$,0.0,$
,,,b.    Fringe Benefits,,,0.0,,0.0,,0.0,,0.0
,,,c.    Travel,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,d.    Equipment,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,e.    Supplies,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,f.    Contractual,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,g.   Construction,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,h.    Other,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,i.    Total Direct Charges (sum of 6a - 6h),,$,0.0,$,0.0,$,0.0,$,0.0,$,0.0
,,,j.    Indirect Charges,,,0.0,,0.0,,0.0,,0.0,,0.0
,,,k    TOTALS (sum of 6i and 6 j),,$,0.0,$,0.0,$,0.0,$,0.0,$,0.0
,,7.,Program Income,,$,0.0,$,0.0,$,0.0,$,0.0,$,0.0
,,,,,,Authorized for Local Reproduction,,,,,,Standard Form 424A (Rev.7-97)
,,Previous Editions Usable,,,,,,,,,,Prescribed by OMB Circular A-102

Sheet: SF 424A Page 2
,,0.0,,SECTION C - NON-FEDERAL RESOURCES
,,(a) Grant Program,,,,,(b) Applicant,,,(c) State,,(d) Other Sources,,(e) TOTALS
,,8.,,,,$,,,$,,$,,$,0.0
,,9.,,,,,,,,0.0,,0.0,,0.0
,,10.,,,,,,,,0.0,,0.0,,0.0
,,11.,,,,,,,,0.0,,0.0,,0.0
,,12.,TOTAL (sum of lines 8 - 11),,,$,0.0,,$,0.0,$,0.0,$,0.0
,,SECTION D - FORECASTED CASH NEEDS
,,,,,Total for 1st Year,,1st Quarter,,,2nd Quarter,,3rd Quarter,,4th Quarter
,,13.,Federal,$,0.0,$,0.0,,$,0.0,$,0.0,$,0.0
,,14.,NonFederal,,0.0,,0.0,,,0.0,,0.0,,0.0
,,15.,TOTAL (sum of lines 13 and 14),$,0.0,$,0.0,,$,0.0,$,0.0,$,0.0
,,SECTION E - BUDGET ESTIMATES FOR FEDERAL FUNDS FOR BALANCE OF THE PROJECT
,,(a) Grant Program,,,,FUTURE FUNDING PERIODS (Years)
,,,,,,,(b) First,,,(c) Second,,(d) Third,,(e) Fourth
,,16.,SCSEP,,,$,0.0,,$,0.0,$,0.0,$,0.0
,,17.,Amount of Grant Funds Remaining after first year estimates are entered:,,0.0
,,18.,Amount of Grant Funds Remaining after future funding periods are estimated:,,0.0
,,19.
,,20.,TOTAL (sum of lines 16 - 19),,,$,0.0,,$,0.0,$,0.0,$,0.0
,,SECTION F - OTHER BUDGET INFORMATION
,,21.,Direct Charges,,,,,22. Indirect Charges
,,See Budget Narrative,,,,,,See Budget Narrative
,,23.,Remarks
,,See Budget Narrative
,,,,,Authorized for Local Reproduction,,,,,,,Standard Form 424A (Rev.7-97) Page 2

Sheet: a. Personnel
,,,Name of Grantee Organization,,,Funding Period
,,,,,,,to
,,,Amount Awarded,,,# of Months:,,,0.0
,,Object Class Category (a.):  PERSONNEL
,,A,,B,C,,D,E
,,Position,,% of Time,"Monthly
Salary/Wage",,# of Months,Cost
,,1.,,,$,,,$,0.0
,,2.,,,,,,,0.0
,,3.,,,,,,,0.0
,,4.,,,,,,,0.0
,,5.,,,,,,,0.0
,,6.,,,,,,,0.0
,,7.,,,,,,,0.0
,,8.,,,,,,,0.0
,,9.,,,,,,,0.0
,,10.,,,,,,,0.0
,,11.,,,,,,,0.0
,,12.,,,,,,,0.0
,,13.,,,,,,,0.0
,,14.,,,,,,,0.0
,,15.,,,,,,,0.0
,,16.,,,,,,,0.0
,,17.,,,,,,,0.0
,,18.,,,,,,,0.0
,,19.,,,,,,,0.0
,,20.,,,,,,,0.0
,,,TOTAL PERSONNEL,,,,,$,0.0
,,Budget Narrative - PERSONNEL

Sheet: b. Fringe
,0.0
,,Object Class Category (b.):  FRINGE BENEFITS
,,A,,B,C,D,,E
,,Position/s,,Benefit/s,Rate,Base Amount,,Cost
,,1.,,,,$,,$,0.0,,,,,,0.0
,,2.,,,,,,,0.0,,,,,,0.0
,,3.,,,,,,,0.0,,,,,,0.0
,,4.,,,,,,,0.0,,,,,,0.0
,,5.,,,,,,,0.0,,,,,,0.0
,,6.,,,,,,,0.0,,,,,,0.0
,,7.,,,,,,,0.0,,,,,,0.0
,,8.,,,,,,,0.0,,,,,,0.0
,,9.,,,,,,,0.0,,,,,,0.0
,,10.,,,,,,,0.0,,,,,,0.0
,,11.,,,,,,,0.0,,,,,,0.0
,,12.,,,,,,,0.0,,,,,,0.0
,,13.,,,,,,,0.0,,,,,,0.0
,,14.,,,,,,,0.0,,,,,,0.0
,,14.,,,,,,,0.0,,,,,,0.0
,,16.,,,,,,,0.0,,,,,,0.0
,,17.,,,,,,,0.0,,,,,,0.0
,,18.,,,,,,,0.0,,,,,,0.0
,,19.,,,,,,,0.0,,,,,,0.0
,,20.,,,,,,,0.0,,,,,,0.0
,,21.,,,,,,,0.0
,,22.,,,,,,,0.0
,,23.,,,,,,,0.0
,,24.,,,,,,,0.0
,,25.,,,,,,,0.0
,,26.,,,,,,,0.0
,,27.,,,,,,,0.0
,,28.,,,,,,,0.0
,,29.,,,,,,,0.0
,,30.,,,,,,,0.0
,,31.,,,,,,,0.0
,,32.,,,,,,,0.0
,,33.,,,,,,,0.0
,,34.,,,,,,,0.0
,,35.,,,,,,,0.0
,,36.,,,,,,,0.0
,,37.,,,,,,,0.0
,,38.,,,,,,,0.0
,,39.,,,,,,,0.0
,,40.,,,,,,,0.0,,,,,,0.0
,,,,TOTAL FRINGE BENEFITS,,,,$,0.0,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,Budget Narrative - FRINGE BENEFITS,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23
,,,,,,,,,,,,,,,23

Sheet: c. Travel
,0.0
,,Object Class Category (c.):  TRAVEL
,,A,,B,C,D,E,,F
,,Item,,# of Staff,# of Units,Unit Type,Cost per Unit,,Cost
,,1.,,0.0,,,$,,$,0.0
,,2.,,0.0,,,,,,0.0
,,3.,,0.0,,,,,,0.0
,,4.,,0.0,,,,,,0.0
,,5.,,0.0,,,,,,0.0
,,6.,,,,,,,,0.0
,,7.,,,,,,,,0.0
,,8.,,0.0,,,,,,0.0
,,9.,,0.0,,,,,,0.0
,,10.,,0.0,,,,,,0.0
,,11.,,0.0,,,,,,0.0
,,12.,,0.0,,,,,,0.0
,,13.,,0.0,,,,,,0.0
,,14.,,0.0,,,,,,0.0
,,14.,,0.0,,,,,,0.0
,,16.,,0.0,,,,,,0.0
,,17.,,0.0,,,,,,0.0
,,18.,,0.0,,,,,,0.0
,,19.,,0.0,,,,,,0.0
,,20.,,0.0,,,,,,0.0
,,,TOTAL TRAVEL,,,,,,$,0.0
,,Budget Narrative: TRAVEL

Sheet: d. Equipment
,0.0
,,"Object Class Category (d.):  EQUIPMENT
(Includes equipment costing $5,000 or more and a useful life of more than one year)"
,,A,,B,C,,D
,,Item,,# of Items,Cost per Item,,Cost
,,1.,,,$,,$,0.0
,,2.,,,,,,0.0
,,3.,,,,,,0.0
,,4.,,,,,,0.0
,,5.,,,,,,0.0
,,6.,,,,,,0.0
,,7.,,,,,,0.0
,,8.,,,,,,0.0
,,9.,,,,,,0.0
,,10.,,,,,,0.0
,,11.,,,,,,0.0
,,12.,,,,,,0.0
,,13.,,,,,,0.0
,,14.,,,,,,0.0
,,14.,,,,,,0.0
,,16.,,,,,,0.0
,,17.,,,,,,0.0
,,18.,,,,,,0.0
,,19.,,,,,,0.0
,,20.,,,,,,0.0
,,,TOTAL EQUIPMENT,,,,$,0.0
,,Budget Narrative: EQUIPMENT

Sheet: e. Supplies
,0.0
,,"Object Class Category (e.):  SUPPLIES 
(Includes equipment costing less than $5,000)"
,,A,,B,C,D,,E
,,Item,,# of Units,Unit Type,Cost per Unit,,Cost
,,1.,,,,$,,$,0.0
,,2.,,,,,,,0.0
,,3.,,,,,,,0.0
,,4.,,,,,,,0.0
,,5.,,,,,,,0.0
,,6.,,,,,,,0.0
,,7.,,,,,,,0.0
,,8.,,,,,,,0.0
,,9.,,,,,,,0.0
,,10.,,,,,,,0.0
,,11.,,,,,,,0.0
,,12.,,,,,,,0.0
,,13.,,,,,,,0.0
,,14.,,,,,,,0.0
,,14.,,,,,,,0.0
,,16.,,,,,,,0.0
,,17.,,,,,,,0.0
,,18.,,,,,,,0.0
,,19.,,,,,,,0.0
,,20.,,,,,,,0.0
,,,TOTAL SUPPLIES,,,,,$,0.0
,,Budget Narrative: SUPPLIES

Sheet: f. Contractual
,0.0
,,Object Class Category (f.): CONTRACTUAL
,,A,,B
,,Brief Description,,Cost
,,1.,,$
,,2.
,,3.
,,4.
,,5.
,,6.
,,7.
,,8.
,,9.
,,10.
,,11.
,,12.
,,13.
,,14.
,,14.
,,16.
,,17.
,,18.
,,19.
,,20.
,,,TOTAL CONTRACTUAL,$,0.0
,,Budget Narrative: CONTRACTUAL

Sheet: h. Other (Including Training)
,0.0
,,"Object Class Category (h.):  OTHER COSTS 
(Including Training Expenses)"
,,A,,B,C,D,,E
,,Item,,# of Units,Unit Type,Cost per Unit,,Cost
,,1.,,,,$,,$,0.0
,,2.,,,,,,,0.0
,,3.,,,,,,,0.0
,,4.,,,,,,,0.0
,,5.,,,,,,,0.0
,,6.,,,,,,,0.0
,,7.,,,,,,,0.0
,,8.,,,,,,,0.0
,,9.,,,,,,,0.0
,,10.,,,,,,,0.0
,,11.,,,,,,,0.0
,,12.,,,,,,,0.0
,,13.,,,,,,,0.0
,,14.,,,,,,,0.0
,,14.,,,,,,,0.0
,,16.,,,,,,,0.0
,,17.,,,,,,,0.0
,,18.,,,,,,,0.0
,,19.,,,,,,,0.0
,,20.,,,,,,,0.0
,,,TOTAL OTHER COSTS,,,,,$,0.0
,,Budget Narrative: OTHER COSTS

Sheet: i. Indirect
,0.0
,,Object Class Category (i.):  INDIRECT CHARGES
,,,Choose one of the following options to apply indirect charges to the grant:
,,,OPTION A
,,,For grantees that have an approved Indirect Cost Rate Agreement
,,,Federal agency that issued the agreement
,,,What is the approved rate (%)?
,,,"What is the base against which rate is applied?
(Note: enter description as specified in the agreement)"
,,,What 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,0.0
,,,OPTION B
,,,For grantees that DO NOT have an approved Indirect Cost Rate Agreement
,,,Enter fixed amount ($) that will be used,0.0
,,,(Note:  This will be only temporary until your Indirect Cost Rate Application is Submitted and Approved)
,,,TOTAL INDIRECT CHARGES,$,0.0
,,Budget Narrative - INDIRECT CHARGES

Sheet: Administrative Costs
,0.0
,,ADMINISTRATIVE COSTS
,,,"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

Attachment 10 (official PDF): https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2010/TEGL28-09a10.pdf

ATTACHMENT I

             PY 2010 FEDERAL PROJECT OFFICER (FPO) LIST FOR SCSEP GRANTEES


          Grantee        Region       FPO Name           Phone                   E-Mail
Alabama                    III    Charlotte Norton   (404) 302-5340   [email protected]
Alaska                     VI     Carol Padovan      (415) 625-7946   [email protected]
Arizona                    VI     John Jacobs        (415) 625-7940   [email protected]
Arkansas                   IV     Alex Nerangis      (972) 850-4674   [email protected]
California                 VI     John Jacobs        (415) 625-7940   [email protected]
Colorado                   IV     Terry Showalter    (972) 850-4654   [email protected]
Connecticut                 I     Keeva Davis        (617) 788-0141   [email protected]
Delaware                    II    Barbara Shelly     (215) 861-5541   [email protected]
District of Columbia        II    Barbara Shelly     (215) 861-5541   [email protected]
Florida                    III    Charlotte Norton   (404) 302-5340   [email protected]
Georgia                    III    Charlotte Norton   (404) 302-5340   [email protected]
Hawaii                     VI     John Jacobs        (415) 625-7940   [email protected]
Idaho                      VI     Ingrid Nyberg      (415) 625-7947   [email protected]
Illinois                    V     Alice Mitchell     (312) 596-5413   [email protected]
Indiana                     V     Celeste Moerle     (312) 596-5422   [email protected]
Iowa                        V     Alice Mitchell     (312) 596-5413   [email protected]
Kansas                      V     Rochelle Bradley   (312) 596-5530   [email protected]
Kentucky                   III    Charlotte Norton   (404) 302-5340   [email protected]
Louisiana                  IV     Alex Nerangis      (972) 850-4674   [email protected]
Maine                       I     Keeva Davis        (617) 788-0141   [email protected]
Maryland                    II    Barbara Shelly     (215) 861-5541   [email protected]
Massachusetts                I    Keeva Davis        (617) 788-0141   [email protected]
Michigan                    V     Alice Mitchell     (312) 596-5413   [email protected]
Minnesota                   V     Carl Stahlheber    (312) 596-5415   [email protected]
Mississippi                III    Charlotte Norton   (404) 302-5340   [email protected]
Missouri                    V     Rochelle Bradley   (312) 596-5530   [email protected]
Montana                    IV     Terry Showalter    (972) 850-4654   [email protected]
Nebraska                    V     Alice Mitchell     (312) 596-5413   [email protected]
Nevada                     VI     Ingrid Nyberg      (415) 625-7947   [email protected]
New Hampshire                I    Keeva Davis        (617) 788-0141   [email protected]
New Jersey                  I     Keeva Davis        (617) 788-0141   [email protected]
New Mexico                 IV     Ron Fleming        (972) 850-4602   [email protected]
New York                    I     Keeva Davis        (617) 788-0141   [email protected]
North Carolina             III    Charlotte Norton   (404) 302-5340   [email protected]
North Dakota               IV     Ron Fleming        (972) 850-4602   [email protected]
Ohio                        V     Alice Mitchell     (312) 596-5413   [email protected]
Oklahoma                   IV     Terry Showalter    (972) 850-4654   [email protected]
Oregon                     VI     Ingrid Nyberg      (415) 625-7947   [email protected]
Pennsylvania                II    Barbara Shelly     (215) 861-5541   [email protected]
Puerto Rico                 I     Keeva Davis        (617) 788-0141   [email protected]
Rhode Island                 I    Keeva Davis        (617) 788-0141   [email protected]
South Carolina             III    Charlotte Norton   (404) 302-5340   [email protected]
South Dakota               IV     Alex Nerangis      (972) 850-4674   [email protected]
Tennessee                  III    Charlotte Norton   (404) 302-5340   [email protected]
Texas                      IV     Ron Fleming        (972) 850-4602   [email protected]
Utah                       IV     Alex Nerangis      (972) 850-4674   [email protected]
Vermont                     I     Keeva Davis        (617) 788-0141   [email protected]
Virginia                    II    Barbara Shelly     (215) 861-5541   [email protected]
Washington                 VI     Carol Padovan      (415) 625-7946   [email protected]

West Virginia                    II   Barbara Shelly     (215) 861-5541   [email protected]
Wisconsin                        V    Celeste Moerle     (312) 596-5422   [email protected]
Wyoming                         IV    Alex Nerangis      (972) 850-4674   [email protected]
American Samoa                  VI    John Jacobs        (415) 625-7940   [email protected]
Guam                            VI    John Jacobs        (415) 625-7940   [email protected]
Northern Mariana Islands        VI    John Jacobs        (415) 625-7940   [email protected]
Virgin Islands                    I   Keeva Davis        (617) 788-0141   [email protected]
AARP Foundation                  II   Barbara Shelly     (215) 861-5541   [email protected]
Asociacion Nacional Pro         VI    Marc Lambert       (415) 625-7957   [email protected]
Personas Mayores
Easter Seals, Inc.              V     Lori Harris        (312) 596-5496   [email protected]
Experience Works, Inc.          III   Charlotte Norton   (404) 302-5340   [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     Rochelle Bradley   (312) 596-5530   [email protected]
National Able Network           I     Keeva Davis        (617) 788-0141   [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    Keeva Davis        (617) 788-0141   [email protected]
Quality Career Services, Inc.    V    Rochelle Bradley   (312) 596-5530   [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     Keeva Davis        (617) 788-0141   [email protected]




                                                                                                   5/11/2010

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