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2013 SCSEP planning and allotments
Summary ETA gave Senior Community Service Employment Program grantees application instructions, procedures, and allotments for program year 2013. It attached funding tables, assurances, and planning materials and rescinded TEGL 26-11 and Change 1. ETA now labels this expired advisory Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 28-12
Date issued
May 10, 2013
Status
Withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its PDF prints Expiration Date: June 30, 2013 and rescinds TEGL 26-11 and Change 1.
Status last verified October 24, 2026
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Accessible letter PDF: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Acc.pdf
CLASSIFICATION
EMPLOYMENT AND TRAINING ADMINISTRATION SCSEP
ADVISORY SYSTEM CORRESPONDENCE SYMBOL
U.S. DEPARTMENT OF LABOR DNPTTA
Washington, D.C. 20210 DATE
May 10, 2013
ADVISORY: TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 28-12
TO: SENIOR COMMUNITY SERVICE EMPLOYMENT
PROGRAM GRANTEES
FROM: JANE OATES /s/
Assistant Secretary
SUBJECT: Program Year (PY) 2013 Planning Instructions and Allotments for Senior
Community Service Employment Program (SCSEP) Grantees
1. Purpose. To provide SCSEP Grantees with application instructions, procedures, and
allotments for PY 2013 funds with a period of performance beginning July 1, 2013.
2. References.
Full Year Continuing Appropriations Act, Division F of the Consolidated and Further
Continuing Appropriations Act, 2013 (Pub. L. 113-6)
2006 Older Americans Act Amendments (OAA) (Pub. L. 109-365, 42 U.S.C. 3056 et.
seq. 20 CFR Part 641)
SCSEP Final Rule, (75 FR 53785; Sept. 1, 2010)
SCSEP Final Rule, Additional Indicator for Volunteering (77 FR. 4654, Jan. 31,
2012)
“Revised Income Inclusions and Exclusions and Procedures for Determining SCSEP
Eligibility,” Training and Employment Guidance Letter (TEGL) No. 12-06
“2013 Federal Poverty Guidelines for the Senior Community Service Employment
Program (SCSEP),” TEGL No.14-12
Priority of Service for Covered Persons (Final Rule 20 CFR Part 1010, 73 FR 78132,
Dec. 19, 2008)
Americans with Disabilities Act (ADA), as amended (Pub. L. 110-325)
SCSEP Performance Data Collection Approval (Office of Management and Budget
No. 1205-0040)
Jobs for Veterans Act (JVA) (Pub. L. 107-288)
RESCISSIONS EXPIRATION DATE
TEGL No. 26-11 June 30, 2013
TEGL No. 26-11, Change 1 June 30, 2013
3. Background. Under OAA Title V, the Employment and Training Administration (ETA)
provides annual grants to 56 state and territorial grantees and 15 competitively selected
national grantees. Each year the Department releases a planning and guidance TEGL to
provide funding and authorized position amounts and to assist grantees with preparing their
applications for the annual appropriation.
4. Overall Approach. This TEGL builds on the work of the state planning process by
emphasizing ways to help SCSEP participants find unsubsidized employment. In the
narrative (Attachment B), grantees must discuss their methodologies to prepare participants
for unsubsidized employment and to engage employers to hire older workers. They must
also describe how they inform, train and monitor all levels of the organization, including
local staff, on policies, procedures, and programmatic changes. As in previous years,
grantees must analyze and explain their work with minority populations and describe their
basic organizational structure.
This TEGL continues the practice of using written assurances to cover all the basic
programmatic activities (Attachment C) and provides the opportunity for grantees to submit
requests for optional activities (Attachment D).
5. Grant Application Requirements. All SCSEP grantees must submit a complete grant
application package in order to receive PY 2013 funding. The Grant Officer will not approve
a grant application that fails to provide all of the required information outlined in this
guidance, including:
Program Narrative (Attachment B). Grantees must provide a narrative that addresses
the required topics described in Attachment B.
Programmatic Assurances (Attachment C). Grantees must submit signed programmatic
assurances that reflect standard program requirements based on SCSEP and its
regulations at 20 CFR Part 641.
Optional Requests (Attachment D). Grantees may provide optional requests as described
in Attachment D. Grantees must attach such requests and the required supporting
materials in a document separate from the program narrative. Each grantee’s current 48-
month Individual Durational Limit (IDL) policy remains in effect until the grantee
requests a change. All other optional special requests expire at the end of the Program
Year 2012. ETA will provide written approval for all optional requests. ETA added the
Rotation policy item this year as a way to further streamline the process for grantees to
request an optional Rotation policy.
1. Current approved policies that remain in effect until a grantee submits a
revision:
48-month IDL policy
2. Current approved requests for any of the following expire at the end of PY
2012 unless a grantee submits a new request:
Waiver for additional funds for training and supportive services
Administration cost cap increase
Extension of maximum project duration
On-the-job experience training
Cross-border agreements
Rotation policy
Budget Forms (Attachments E-G). Grantees must include in their application a signed
Application for Federal Assistance SF-424; an SF-424A Budget Information Form,
including the non-federal share of at least 10 percent of the total cost (OAA
sec.502(c)(1)); and a detailed budget narrative. Grantees will find these forms and
instructions in Attachments E-G. Do not include manuals and operating procedures in
the application. Federal Project Officers (FPOs) may request these separately as needed.
Geographic Areas to Be Served. Item 14 on the SF-424 requires a list of the “Areas
Affected by Project.” Each grantee must list the states and counties the grant will serve,
and must use www.scseped.org to obtain the required information. Grantees can readily
export the data for their service area(s) to an Excel spreadsheet and attach the list as a
separate document.
6. PY 2013 Program Allotments. See Attachment A for funding levels and authorized
positions.
7. Schedule and Action Requested. Grantees must comply with the following:
a. Submit the PY 2013 grant application to ETA, Office of Workforce Investment,
Division of National Programs, Tools, and Technical Assistance no later than
June 10, 2013. ETA encourages grantees to submit their applications earlier if
possible.
b. Submit to the State Office on Aging (if not the grantee), the following documents:
the program narrative, the SF-424, SF-424A with budget narrative and a list of the
states and counties the grantee will serve based on the list at www.scseped.org.
Provide the information no later than the date of submission to ETA. National
grantees must send information to each of the states in which they serve.
8. Method of Submission. Grantees must submit the items listed in section 5 of this TEGL via
email to [email protected], with an electronic copy to the grantee’s FPO (see
Attachment H). If a grantee is unable to submit electronically, the grantee must submit hard
copy applications by fax to (202) 693-3817, or by overnight delivery to:
Kimberly Vitelli, Chief
Division of National Programs, Tools, and Technical Assistance
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 June 10, 2013. Grantees requiring receipt verification for grant documents from the
grant email box should use the Return Receipt Request function when sending their email.
9. Eligibility Review/Responsibility Review/Grant Application Review. ETA will review
grant applications as provided in the SCSEP regulations at 20 CFR 641.430-440. ETA will
not issue final approval for PY 2013 funding if the grantee:
a. Fails to meet the eligibility tests found in 20 CFR 641.430.
b. Fails to meet the responsibility tests as provided in 20 CFR 641.440.
c. Fails to submit the materials listed in this TEGL.
10. Inquiries. Please direct questions to your FPO. See Attachment H for contact information.
11. Attachments.
Attachment A: Funding Allocations and Authorized Positions
Attachment B: Program Narrative Instructions
Attachment C: Programmatic Assurances
Attachment D: Optional Special Requests
Attachment E: SF-424 Instructions
Attachment F: SF-424
Attachment G: SF-424A
Attachment H: List of FPOs
Attachment 1: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_A.pdf
Attachment A-1
USDOL/ETA
Senior Community Service Employment Program
PY 2013 Authorized Positions and Funding*
for State Agencies and Territories, by State
States Positions Dollars
State Agencies
Alabama 162 $1,571,842
Alaska 187 1,814,197
Arizona 116 1,128,679
Arkansas 159 1,544,144
California 750 7,277,561
Colorado 89 858,628
Connecticut 96 927,872
Delaware 187 1,814,197
District of Col 51 491,634
Florida 516 5,006,353
Georgia 194 1,883,441
Hawaii 187 1,814,197
Idaho 47 451,677
Illinois 341 3,302,946
Indiana 229 2,222,738
Iowa 112 1,087,134
Kansas 89 865,552
Kentucky 166 1,613,389
Louisiana 148 1,433,354
Maine 54 526,255
Maryland 121 1,170,226
Massachusetts 191 1,848,819
Michigan 292 2,832,086
Minnesota 208 2,015,006
Mississippi 109 1,052,512
Missouri 216 2,098,098
Montana 55 533,181
Nebraska 67 650,895
Nevada 47 451,677
New Hampshire 47 451,677
New Jersey 247 2,395,848
New Mexico 49 477,784
New York 578 5,608,777
North Carolina 229 2,222,738
North Dakota 53 512,407
Ohio 382 3,704,563
Oklahoma 141 1,364,110
Oregon 129 1,246,395
Pennsylvania 468 4,542,417
Puerto Rico 120 1,163,302
Rhode Island 47 457,012
South Carolina 119 1,156,378
South Dakota 61 588,576
Tennessee 179 1,731,104
Texas 486 4,708,603
Utah 59 567,802
Vermont 49 470,860
Virginia 190 1,841,895
Washington 129 1,253,319
West Virginia 99 955,570
Wisconsin 224 2,174,267
Wyoming 47 451,677
State Agencies Total 9,318 $90,335,371
Territories
American Samoa 99 955,811
Guam 99 955,811
Northern Marianas 33 318,604
Virgin Islands 99 955,811
Territories Total 330 $3,186,037
* 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 2013 Authorized Positions* for Non-Minority National Sponsors, by State
State AARP ABLE ANPPM ES EW GII Mature NAPCA NCBA NCOA NULI SER SSAI A4TD Total
Alabama 0 0 0 186 0 0 0 0 0 0 0 0 448 0 634
Alaska 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arizona 107 0 111 0 0 116 0 0 0 0 0 0 0 0 334
Arkansas 185 0 0 0 348 0 0 0 90 0 0 0 0 0 623
California 325 0 409 0 282 0 0 88 0 259 0 908 336 0 2,607
Colorado 160 0 0 0 0 0 0 0 0 0 0 186 0 0 346
Connecticut 0 0 0 187 0 0 0 0 0 0 0 0 0 189 376
Delaware 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District of Col 0 0 59 0 0 0 0 0 138 0 0 0 0 0 197
Florida 1,300 0 0 0 481 0 0 0 120 0 0 118 0 0 2,019
Georgia 205 0 0 0 429 0 0 0 0 124 0 0 0 0 758
Hawaii 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Idaho 0 0 0 0 165 0 0 0 0 0 0 0 0 0 165
Illinois 66 0 0 155 330 0 0 38 154 0 0 165 358 0 1,266
Indiana 215 0 0 0 247 231 0 0 0 0 0 0 203 0 896
Iowa 156 0 0 0 202 0 0 0 0 0 0 0 80 0 438
Kansas 0 0 0 0 0 0 0 0 0 0 0 337 0 0 337
Kentucky 0 0 0 0 308 0 0 0 0 220 120 0 0 0 648
Louisiana 152 0 138 0 170 0 0 0 0 63 0 0 0 0 523
Maine 0 211 0 0 0 0 0 0 0 0 0 0 0 0 211
Maryland 0 0 0 0 0 0 0 0 0 0 0 0 470 0 470
Massachusetts 0 200 0 0 0 0 0 49 0 0 126 0 325 0 700
Michigan 358 0 0 0 349 0 0 0 148 0 234 0 0 0 1,089
Minnesota 0 0 0 0 463 0 0 0 0 0 0 0 332 0 795
Mississippi 0 0 0 0 103 0 0 0 77 0 0 0 242 0 422
Missouri 257 0 0 0 566 0 0 0 0 0 0 0 0 0 823
Montana 0 0 0 0 213 0 0 0 0 0 0 0 0 0 213
Nebraska 0 0 0 0 253 0 0 0 0 0 0 0 0 0 253
Nevada 168 0 0 0 0 0 0 0 0 0 0 0 0 0 168
New Hampshire 0 165 0 0 0 0 0 0 0 0 0 0 0 0 165
New Jersey 0 0 0 314 156 0 0 0 0 390 107 0 0 0 967
New Mexico 0 0 0 0 0 165 0 0 0 0 0 0 0 0 165
New York 488 0 0 349 374 0 0 96 0 215 176 0 501 0 2,199
North Carolina 0 0 0 0 0 0 0 0 269 145 0 0 481 0 895
North Dakota 0 0 0 0 205 0 0 0 0 0 0 0 0 0 205
Ohio 264 0 0 133 339 0 500 0 158 0 0 0 98 0 1,492
Oklahoma 146 0 0 0 265 0 0 0 0 0 0 0 0 0 411
Oregon 0 0 0 173 330 0 0 0 0 0 0 0 0 0 503
Pennsylvania 356 0 129 0 191 194 0 0 212 452 99 0 160 0 1,793
Puerto Rico 169 0 0 0 301 0 0 0 0 0 0 0 0 0 470
Rhode Island 0 0 0 0 0 0 0 0 0 0 0 182 0 0 182
South Carolina 198 0 0 0 268 0 0 0 0 0 0 0 0 0 466
South Dakota 0 0 0 0 212 0 0 0 0 0 0 0 0 0 212
Tennessee 0 0 0 0 0 0 0 0 0 160 0 0 539 0 699
Texas 1,080 0 0 0 318 0 0 0 0 0 0 313 129 0 1,840
Utah 0 0 0 228 0 0 0 0 0 0 0 0 0 0 228
Vermont 0 0 0 0 0 0 0 0 0 0 0 0 0 187 187
Virginia 217 0 0 0 66 227 0 0 0 213 0 0 0 0 723
Washington 263 0 0 0 0 181 0 0 0 0 0 0 0 0 444
West Virginia 0 0 0 0 112 0 0 0 0 273 0 0 0 0 385
Wisconsin 0 0 0 0 323 0 0 0 0 0 0 274 252 0 849
Wyoming 0 0 0 0 165 0 0 0 0 0 0 0 0 0 165
Total 6,835 576 846 1,725 8,534 1,114 500 271 1,366 2,514 862 2,483 4,954 376 32,956
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
U. S. Department of Labor / Employment & Training Administration Attachment A-3
Senior Community Service Employment Program
PY 2013 Authorized Funding* for Non-Minority National Sponsors, by State
State AARP ABLE ANPPM ES EW GII Mature NAPCA NCBA NCOA NULI SER SSAI A4TD Total
Alabama $0 $0 $0 $1,803,839 $0 $0 $0 $0 $0 $0 $0 $0 $4,344,732 $0 $6,148,571
Alaska 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arizona 1,037,062 0 1,075,831 0 0 1,124,291 0 0 0 0 0 0 0 0 3,237,184
Arkansas 1,794,943 0 0 0 3,376,434 0 0 0 873,216 0 0 0 0 0 6,044,593
California 3,152,447 0 3,967,233 0 2,735,354 0 0 853,586 0 2,512,257 0 8,807,451 3,259,145 0 25,287,473
Colorado 1,551,458 0 0 0 0 0 0 0 0 0 0 1,803,569 0 0 3,355,027
Connecticut 0 0 0 1,813,385 0 0 0 0 0 0 0 0 0 1,832,780 3,646,165
Delaware 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District of Col 0 0 570,912 0 0 0 0 0 1,335,353 0 0 0 0 0 1,906,265
Florida 12,604,405 0 0 0 4,663,630 0 0 0 1,163,483 0 0 1,144,092 0 0 19,575,610
Georgia 1,989,073 0 0 0 4,162,499 0 0 0 0 1,203,146 0 0 0 0 7,354,718
Hawaii 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Idaho 0 0 0 0 1,598,009 0 0 0 0 0 0 0 0 0 1,598,009
Illinois 639,999 0 0 1,503,028 3,199,996 0 0 368,484 1,493,332 0 0 1,599,998 3,471,511 0 12,276,348
Indiana 2,084,165 0 0 0 2,394,366 2,239,266 0 0 0 0 0 0 1,967,840 0 8,685,637
Iowa 1,513,427 0 0 0 1,959,694 0 0 0 0 0 0 0 776,117 0 4,249,238
Kansas 0 0 0 0 0 0 0 0 0 0 0 3,271,844 0 0 3,271,844
Kentucky 0 0 0 0 2,988,365 0 0 0 0 2,134,546 1,164,298 0 0 0 6,287,209
Louisiana 1,474,700 0 1,338,872 0 1,649,335 0 0 0 0 611,224 0 0 0 0 5,074,131
Maine 0 2,044,903 0 0 0 0 0 0 0 0 0 0 0 0 2,044,903
Maryland 0 0 0 0 0 0 0 0 0 0 0 0 4,561,172 0 4,561,172
Massachusetts 0 1,940,925 0 0 0 0 0 475,527 0 0 1,222,782 0 3,154,002 0 6,793,236
Michigan 3,470,609 0 0 0 3,383,359 0 0 0 1,434,777 0 2,268,498 0 0 0 10,557,243
Minnesota 0 0 0 0 4,489,203 0 0 0 0 0 0 0 3,219,040 0 7,708,243
Mississippi 0 0 0 0 998,223 0 0 0 746,244 0 0 0 2,345,338 0 4,089,805
Missouri 2,491,490 0 0 0 5,487,096 0 0 0 0 0 0 0 0 0 7,978,586
Montana 0 0 0 0 2,065,698 0 0 0 0 0 0 0 0 0 2,065,698
Nebraska 0 0 0 0 2,453,883 0 0 0 0 0 0 0 0 0 2,453,883
Nevada 1,628,991 0 0 0 0 0 0 0 0 0 0 0 0 0 1,628,991
New Hampshire 0 1,598,009 0 0 0 0 0 0 0 0 0 0 0 0 1,598,009
New Jersey 0 0 0 3,045,451 1,513,027 0 0 0 0 3,782,566 1,037,781 0 0 0 9,378,825
New Mexico 0 0 0 0 0 1,598,009 0 0 0 0 0 0 0 0 1,598,009
New York 4,733,394 0 0 3,385,153 3,627,643 0 0 931,160 0 2,085,409 1,707,126 0 4,859,489 0 21,329,374
North Carolina 0 0 0 0 0 0 0 0 2,608,460 1,406,047 0 0 4,664,199 0 8,678,706
North Dakota 0 0 0 0 1,989,447 0 0 0 0 0 0 0 0 0 1,989,447
Ohio 2,559,812 0 0 1,289,603 3,287,032 0 4,848,130 0 1,532,009 0 0 0 950,233 0 14,466,819
Oklahoma 1,415,890 0 0 0 2,569,937 0 0 0 0 0 0 0 0 0 3,985,827
Oregon 0 0 0 1,678,423 3,201,616 0 0 0 0 0 0 0 0 0 4,880,039
Pennsylvania 3,453,194 0 1,251,298 0 1,852,697 1,881,797 0 0 2,056,396 4,384,393 960,298 0 1,551,997 0 17,392,070
Puerto Rico 1,640,081 0 0 0 2,921,091 0 0 0 0 0 0 0 0 0 4,561,172
Rhode Island 0 0 0 0 0 0 0 0 0 0 0 1,760,696 0 0 1,760,696
South Carolina 1,920,337 0 0 0 2,599,245 0 0 0 0 0 0 0 0 0 4,519,582
South Dakota 0 0 0 0 2,058,766 0 0 0 0 0 0 0 0 0 2,058,766
Tennessee 0 0 0 0 0 0 0 0 0 1,551,788 0 0 5,227,584 0 6,779,372
Texas 10,472,855 0 0 0 3,083,674 0 0 0 0 0 0 3,035,189 1,250,924 0 17,842,642
Utah 0 0 0 2,211,268 0 0 0 0 0 0 0 0 0 0 2,211,268
Vermont 0 0 0 0 0 0 0 0 0 0 0 0 0 1,816,151 1,816,151
Virginia 2,103,406 0 0 0 639,746 2,200,337 0 0 0 2,064,634 0 0 0 0 7,008,123
Washington 2,549,852 0 0 0 0 1,754,841 0 0 0 0 0 0 0 0 4,304,693
West Virginia 0 0 0 0 1,084,901 0 0 0 0 2,644,446 0 0 0 0 3,729,347
Wisconsin 0 0 0 0 3,133,011 0 0 0 0 0 0 2,657,724 2,444,331 0 8,235,066
Wyoming 0 0 0 0 1,598,009 0 0 0 0 0 0 0 0 0 1,598,009
Total 66,281,590 5,583,837 8,204,146 16,730,150 82,764,986 10,798,541 4,848,130 2,628,757 13,243,270 24,380,456 8,360,783 24,080,563 48,047,654 3,648,931 319,601,794
* 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 2013 Authorized Positions* for Minority National Sponsors, by State
State NAPCA NICOA Total
Alabama 0 11 11
Alaska 0 0 0
Arizona 0 141 141
Arkansas 0 0 0
California 254 55 309
Colorado 0 6 6
Connecticut 0 0 0
Delaware 0 0 0
District of Col 0 0 0
Florida 0 4 4
Georgia 0 0 0
Hawaii 0 0 0
Idaho 0 0 0
Illinois 66 0 66
Indiana 0 0 0
Iowa 0 0 0
Kansas 0 0 0
Kentucky 0 0 0
Louisiana 0 0 0
Maine 0 0 0
Maryland 0 0 0
Massachusetts 45 0 45
Michigan 0 0 0
Minnesota 0 33 33
Mississippi 0 0 0
Missouri 0 0 0
Montana 0 0 0
Nebraska 0 0 0
Nevada 0 0 0
New Hampshire 0 0 0
New Jersey 0 0 0
New Mexico 0 52 52
New York 61 0 61
North Carolina 0 19 19
North Dakota 0 24 24
Ohio 0 0 0
Oklahoma 0 149 149
Oregon 0 0 0
Pennsylvania 57 0 57
Puerto Rico 0 0 0
Rhode Island 0 0 0
South Carolina 0 0 0
South Dakota 0 45 45
Tennessee 0 0 0
Texas 59 0 59
Utah 0 7 7
Vermont 0 0 0
Virginia 0 0 0
Washington 60 25 85
West Virginia 0 0 0
Wisconsin 0 32 32
Wyoming 0 0 0
Total 602 603 1,205
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
Attachment A-5
U. S. Department of Labor / Employment & Training Administration
Senior Community Service Employment Program
PY 2013 Authorized Funding* for Minority National Sponsors, by State
State NAPCA NICOA Total
Alabama $0 $106,639 $106,639
Alaska 0 0 0
Arizona 0 1,366,913 1,366,913
Arkansas 0 0 0
California 2,462,381 533,193 2,995,574
Colorado 0 58,166 58,166
Connecticut 0 0 0
Delaware 0 0 0
District of Col 0 0 0
Florida 0 38,778 38,778
Georgia 0 0 0
Hawaii 0 0 0
Idaho 0 0 0
Illinois 639,831 0 639,831
Indiana 0 0 0
Iowa 0 0 0
Kansas 0 0 0
Kentucky 0 0 0
Louisiana 0 0 0
Maine 0 0 0
Maryland 0 0 0
Massachusetts 436,249 0 436,249
Michigan 0 0 0
Minnesota 0 319,916 319,916
Mississippi 0 0 0
Missouri 0 0 0
Montana 0 0 0
Nebraska 0 0 0
Nevada 0 0 0
New Hampshire 0 0 0
New Jersey 0 0 0
New Mexico 0 504,110 504,110
New York 591,359 0 591,359
North Carolina 0 184,194 184,194
North Dakota 0 232,666 232,666
Ohio 0 0 0
Oklahoma 0 1,444,468 1,444,468
Oregon 0 0 0
Pennsylvania 552,582 0 552,582
Puerto Rico 0 0 0
Rhode Island 0 0 0
South Carolina 0 0 0
South Dakota 0 436,249 436,249
Tennessee 0 0 0
Texas 571,971 0 571,971
Utah 0 67,861 67,861
Vermont 0 0 0
Virginia 0 0 0
Washington 581,665 242,360 824,025
West Virginia 0 0 0
Wisconsin 0 310,221 310,221
Wyoming 0 0 0
Total 5,836,038 5,845,734 11,681,772
* Based on cost per position of $9,698, with enacted minimum wage increase effective 7/24/09
Attachment 2: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_B.pdf
ATTACHMENT B
PROGRAM NARRATIVE INSTRUCTIONS
FOR PROGRAM YEAR (PY) 2013 FUNDS
Formatting instructions:
Include the grantee’s name and number the pages.
Double space the application.
Properly label graphs, maps and tables.
Use brief topic headings to identify sections.
Do not exceed 20 pages in length, excluding any attachments.
Content: All grantees must provide a narrative that covers the following areas:
A. Job placement preparation and employer engagement
1. Grantees must describe the strategies they will use to help participants obtain meaningful
community service assignments, training, and subsequent unsubsidized employment. At a
minimum, the description must explain how the grantee assists the participants in
identifying realistic career goals that match jobs available in the area; recruits sufficient
host agencies to provide appropriate skill development for participants; and develops
effective approaches for participants to achieve computer literacy and the ability to submit
on-line applications. The grantee should provide details on how it will incorporate
specialized training opportunities and the use of supportive services during the host
agency assignment in order to obtain and retain unsubsidized employment for SCSEP
participants.
2. Grantees must describe how they engage employers to help their job-ready participants
move into unsubsidized employment. The narrative may include: (a) types of
unsubsidized employment opportunities for participants in the geographic areas they
serve, (b) their effective strategies for working with employers in the area, including
working with American Job Center partner programs.
B. Training and technical assistance strategies for all staff.
1. Grantees must describe how they deliver consistent, quality training and technical
assistance on policies and procedures to grantee staff, sub-recipients, and local staff.
Grantees must discuss the management systems used to train, monitor, and ensure timely
compliance on the following:
• Data collection system to submit accurate and timely data;
• Required financial management reports; and
• Compliance with statutes, regulations, and policy guidance.
B-1
2. Grantees must explain how they implement and track the required and optional policies in
the following chart to ensure uniformity and consistency within the program.
Required Policies Optional
Grievances of applicants, participants, Host agency rotation (requires Department of
employees, and sub-recipients Labor (DOL) approval)
Individual durational limits (requires DOL Termination for cause (requires DOL approval)
approval)
Breaks in participation (LWP) IEP-related termination (requires DOL approval)
Federal holiday observances
Sick leave
Terminations due to:
o Providing false information
o Incorrect initial eligibility determination at
enrollment
o Income ineligibility at recertification
o Individual durational limit
o Employment while enrolled
C. Service to Minorities (OAA Title V, Section 515).
Grantees must include a detailed description of their efforts to serve individuals from minority
populations. Using the PY 2011 SCSEP Minority Report and the data available in SPARQ for
PY 2012, grantees must describe: (a) changes in enrollment levels or outcomes for minority
individuals during PY 2011 and PY 2012; (b) the factors that may have caused these changes
in enrollment and outcomes; and (c) the steps the grantee will take to address any under-
service or disparities in outcomes for minorities.
D. Organizational Structure.
Grantees must describe the organizational structure by:
a) Identifying the grant’s key staff, including their primary responsibilities and the amount
of time they are assigned to the grant;
b) Including an organizational chart depicting key staff (may be included as an attachment);
and
c) Indicating whether the grantee has sub-recipients or local affiliates implementing the
grant. If the grantee uses either entity, include a table indicating their names, locations,
the number of authorized positions for which they are responsible and their experience (if
any) in implementing SCSEP.
B-2
Attachment 3: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_C.pdf
ATTACHMENT C
PROGRAMMATIC ASSURANCES—PROGRAM YEAR (PY) 2013 GRANT
ETA has determined that the programmatic assurances below reflect standard grant requirements
and are consistent with sound program practices.
Grantees must certify that they will conform to these assurances throughout the period of the
grant by checking each of the assurances below. These assurances apply at all levels regardless
of the grantee administrative structure. These assurances apply fully to any sub-recipient, local
project or grantee staff involved in the delivery of services,
Grantees can complete this form electronically; to check off the assurances, go to the “View”
function, choose “Toolbars,” click on the left side of “Forms,” then click on the small lock. For
Word 2007, double left-click on box; then, under default value, click “Checked” and then click
OK.
The grantee agrees to:
Recruitment and Selection of Participants
Develop and implement methods to recruit and select eligible participants to assure
maximum participation in the program.
Use income definitions and income inclusions and exclusions for SCSEP eligibility, as
described in TEGL No. 12-06, to determine and document participant eligibility.
(Accesss TEGL No. 12-06 at
http://wdr.doleta.gov/directives/corr_doc.cfm?DOCN=2291).
Develop and implement methods to recruit minority populations to ensure at least
proportional representation in the assigned service area.
Develop and implement strategies to recruit applicants who have priority of service as
defined in OAA section 518(b) (1)-(2) and by the Jobs for Veterans Act (JVA), Pub. L.
107-288. Individuals have priority who fall into one or more of these categories:
a) Are covered persons in accordance with the JVA (covered persons – veterans and
eligible spouses, including widows and widowers – who are eligible for SCSEP
must receive services instead of, or before, non-covered persons);
b) Are 65 years or older;
c) Have a disability;
d) Have limited English proficiency;
e) Have low literacy skills;
f) Reside in a rural area;
g) Have low employment prospects;
h) Have failed to find employment after utilizing services provided through the One-
Stop Delivery System;
i) Are homeless or are at risk for homelessness.
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*Page 2*
Assessment
Assess participants at least twice per 12-month period.
Use assessment information to determine the most appropriate community service
assignments for participants.
Individual Employment Plan (IEP)
Establish an initial goal of unsubsidized employment for all participants.
Update the IEP at least as frequently as assessments occur (at least twice per 12-month
period).
Modify the IEP as necessary to reflect other approaches to self-sufficiency, if it becomes
clear to the program staff and participant that unsubsidized employment is not feasible.
For participants who will reach the individual durational limit or would not otherwise
achieve unsubsidized employment, include a provision in the IEP to transition to other
services.
Rotate participants to a new host agency (or a different assignment within the current host
agency) based on a rotation policy approved by DOL in the grant agreement and only
when an individualized determination determines that the rotation is in the best interest
of the participant. Such rotation must further the acquisition of skills listed in the IEP.
Community Service Assignment (CSA)
Base the initial CSA on the assessment done at enrollment.
Select as host agencies only designated IRS 501(c) (3) organizations or public agencies.
Put in place procedures to ensure adequate supervision of participants at host agencies.
Ensure safe and healthy working conditions at CSA through annual monitoring
Recertification of Participants
Recertify the income eligibility of each participant at least once every 12 months, or more
frequently if circumstances warrant.
Physical Examinations
Offer physical examinations to participants upon program entry, and each year thereafter,
as a benefit of enrollment.
Obtain a written waiver from each participant who declines to have a physical
examination.
Does not obtain a copy or use the results of the physical examination to establish
eligibility or for any other purpose.
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*Page 3*
Host Agencies
Develop and implement methods for recruiting new host agencies to provide a variety of
training options that will enable participants to increase their skill level and transition to
unsubsidized employment.
Maintenance of Effort: Ensure that CSAs do not reduce the number of employment
opportunities or vacancies that would otherwise be available to individuals who are not
SCSEP participants. Grantees must specifically ensure that CSAs do not:
displace currently-employed workers (including partial displacement, such as a
reduction in non-overtime work, wages, or employment benefits).
impair existing contracts or result in the substitution of Federal funds for other
funds in connection with work that would otherwise be performed.
assign or continue to assign a participant to perform the same work, or
substantially the same work, as that performed by an individual who is on layoff.
Orientation
Provide orientations for its participants and host agencies, including information on:
Program Overview
Project goals and objectives
CSAs
Training opportunities
Available supportive services
Availability of free physical examinations
Participant rights and responsibilities
Host agencies
Local staff must address the topics listed above and provide sufficient orientation to
applicants and participants on:
SCSEP goals and objectives
Grantee and local project roles, policies, and procedures
Documentation requirements
Holiday and sick leave
Assessment process
Development and implementation of IEPs
Evaluation of participant progress
Health and safety issues related to each participants’ assignment
Role of supervisors and host agencies
Maximum individual duration policy, including the possibility of waiver, if
applicable
Termination policy
Grievance procedures
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*Page 4*
Wages
Provide participants with the highest applicable required wage (the highest of the Federal,
state, or local minimum wage) for time spent while in orientation, training and
community service assignment.
Participant Benefits
Provide workers’ compensation and other benefits required by state or Federal law (such
as unemployment insurance), and the costs of physical examinations.
Establish written policies relating to compensation for scheduled work hours during
which the participant’s host agency is closed for Federal holidays.
Establish written policies relating to approved breaks in participation and any necessary
sick leave that is not part of an accumulated sick leave program.
Do not use grant funds to pay the cost of pension benefits, annual leave, accumulated sick
leave, or bonuses.
Procedures for Payroll and Workers’ Compensation
Make all required payments for participant payroll and pay workers’ compensation
premiums on a timely basis.
Ensure that host agencies do not pay workers’ compensation costs for participants.
Durational Limits
Maximum Average Project Duration – 27 Months
Maintain average project duration of 27 months or less, unless ETA approves an
extension to 36 months.
Maximum Individual Participant Duration – 48 Months
Allow participants to participate in the program no longer than 48 months (whether or not
consecutively) unless the grantee’s approved policy allows for an extension of time and
the participant meets the extension criteria.
Notify participants of its policy pertaining to the maximum duration requirement,
including the possibility of an extension, if applicable, at the time of enrollment and each
year thereafter, and whenever ETA has approved a change of policy.
Provide 30-day written notice to participants prior to durational limit exit from the
program.
Transition Services
Develop a system to transition participants to unsubsidized employment or other
assistance before each participant’s maximum enrollment duration has expired.
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*Page 5*
Termination Procedures
Provide a 30-day written notice for all terminations that states the reason for termination
and informs the participants of grievance procedures and right to appeal.
Written Termination Policies
Maintain written termination policies in effect and provide to participants at enrollment for:
Provision of false eligibility information by participant
Incorrect initial eligibility determination at enrollment
Income ineligibility determined at recertification
Participant has reached individual durational limit
Participant has become employed while enrolled
Cause (a for-cause termination policy must be approved by the ETA prior to
implementation)
IEP-related termination (IEP terminations are based solely on a participant’s refusal to
accept a reasonable number of job offers or referrals to unsubsidized employment, or
refusal to conduct a reasonable search for employment, consistent with their IEP, unless
there are extenuating circumstances).
Equitable Distribution
Comply with the equitable distribution (ED) plan for each state in which grantee operates
and only make changes in the location of authorized positions within a state in
accordance with the state ED plan and with prior ETA approval.
Comply with the authorized position allocations /ED listed in www.scseped.org in order
to equitably serve participants.
Collaborate on a state-by-state basis with all grantees authorized to serve in each state to
achieve compliance with authorized positions while minimizing disruption to the
participants.
Over-Enrollment
Manage over-enrollment to minimize impact on participants and avoid layoffs.
Administrative Systems
Ensure representation at all ETA-sponsored required grantee meetings.
Communicate grant policy, data collection, and performance developments and directives
to staff, sub-recipients, and local project operators on a regular basis.
Develop a written monitoring tool that lists items the grantee will review during
monitoring visits, and provides this tool to sub-recipients and local project operators.
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*Page 6*
Develop an annual monitoring schedule, unless the FPO approves a different standard;
notify sub-recipients and local project operators of monitoring plans; and monitor sub-
recipients and local project operators on a regular basis.
Develop and provide training to increase sub-recipients’ and local project operators’
skills, knowledge, and abilities.
When appropriate, prescribe corrective action and follow-up procedures for sub-
recipients and local project operators to ensure that identified problems are remedied.
Monitor the financial systems and expenditures of sub-recipients and local project
operators on a regular basis.
Ensure that sub-recipients and local project operators receive adequate resources to
effectively operate local projects.
Train sub-recipients and local project operators on SCSEP financial requirements to help
them effectively manage their own expenditures, and provide general financial training as
needed.
Ensure that all financial reports are accurate and submit them in a timely manner, as
required.
Ensure full implementation and monitoring of requirements for customer satisfaction
surveys, including participant, host agency and employer surveys.
Develop a written plan for both disaster response and recovery so SCSEP may continue
to operate and provide services.
Collaboration and Leveraged Resources
Collaborate with other organizations to maximize opportunities for participants to obtain
workforce development, education, and supportive services to help them move into
unsubsidized employment. These organizations may include but are not limited to:
workforce investment boards, American Job Centers (One-Stop Career Centers),
vocational rehabilitation providers, disability networks, basic education and literacy
providers, and community colleges.
Supportive Services
Provide supportive services, as needed, to help participants participate in their
community service assignment and to obtain and retain unsubsidized employment.
Establish criteria to assess the need for supportive services and to determine when
participants will receive supportive services, including after obtaining unsubsidized
employment.
Sub-Recipient Selection (If Applicable)
In selecting sub-recipients in areas with a substantial population of individuals with
barriers to employment, national grantees should give special consideration to
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*Page 7*
organizations with demonstrated expertise in serving individuals with barriers to
employment (including former recipients of national grants), as defined in the statute.
Complaint Resolution
Establish and use written grievance procedures for complaint resolution for applicants,
employees, sub-recipients, and participants.
Provide applicants, employees, sub-recipients, and participants with a copy of the
grievance policy and procedures.
Maintenance of Files and Privacy Information
Maintain participant files for three program years after the program year in which the
participant received his/her final follow-up activity.
Ensure that all participant records are securely stored by grantee or sub-recipient and
access is limited to appropriate staff in order to safeguard personal identifying
information.
Ensure that all participant medical records are securely stored separately by grantee or
sub-recipient from all other participant records and access is limited to authorized staff
for authorized purposes.
Establish safeguards to preclude tampering with electronic media, e.g., personal
identification numbers (PINs) and SPARQ logins.
Ensure that the ETA/SCSEP national office is immediately notified by grantee in the
event of any potential security breach of personal identifying information, whether
electronic files, paper files, or equipment are involved.
Comply with and ensure that authorized users under its grant comply with all SPARQ
access and security rules.
Documentation
Maintain documentation of waivers of physical examinations by participant.
Maintain documentation of the provision of complaint procedures to participants.
Maintain documentation of eligibility determinations and recertifications.
Maintain documentations of terminations and reasons for termination.
Maintain records of grievances and outcomes.
Maintain records required for data validation.
Maintain documentation of monitoring reports for sub-recipients and host agencies.
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*Page 8*
Data Collection and Reporting
Ensure the collection and reporting of all SCSEP required data according to specified
time schedules.
Ensure the use of the OMB-approved SCSEP data collection forms and the SCSEP
Internet data collection and evaluation system, SPARQ.
Ensure at the grantee or sub-recipient level that those capturing and recording data are
familiar with the latest instructions for data collection, including ETA administrative
issuances, e.g., TEGLs, the Data Collection and Data Validation Handbooks, and Internet
postings on the Ask the Experts and SCSEP-Help Web sites. (See
olderworkers.workforce3one.org)
Ensure data are entered directly into the WDCS/SPARQ.
Legally obligate sub-recipients to turn over complete data files in the specified electronic
format, as well as hard copy case files, to the grantee when sub-recipients cease to
administer SCSEP.
Legally obligate new sub-recipients to enter complete data related to any participants
whom they acquire upon becoming sub-recipients, including any participants who are
still in the follow-up period.
If any box is not checked, the grantee must provide information on a separate attachment
indicating what specific steps the grantee is taking to conform to those standard grant
requirement(s).
By checking the boxes above, I certify that my organization will comply with each of the
listed requirements and will remain in compliance for the program year for which we are
submitting this application.
_____________________________________________ ______________________
Signature of Authorized Representative Date
C-8
Attachment 4: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_D.pdf
ATTACHMENT D
PROGRAM YEAR 2013 OPTIONAL SPECIAL REQUESTS
Grantees with special requests in one or more of the following areas must submit each request in
a separate document. Please appropriately title each request. Requests for approval must provide
a substantive rationale, e.g., improved program management, better service to participants, or
least disruption possible to participants.
1. Change 48-Month Individual Durational Limit (IDL) Waiver Options. (Submit
only if requesting a change.) To make changes to the current IDL policy, grantees must
request and receive approval for one of the following IDL policies to take effect in PY
2013. Please note that any change in policy for PY 2013 requires Departmental approval
and must have an effective date of at least 120 days after written approval by ETA.
(1) Option 1: No extensions to any participants, i.e. all participants exit the program at
48 months.
(2) Option 2: Extensions to every participant who meets at least one of the seven
waiver factors.
(3) Option 3: Grantee offers extensions to every participant who meets a specific
subset of the seven waiver factors and/or an extension is limited to one time only.
If any grantee proposes to change its existing IDL policy, it must describe:
(a) Its currently-approved IDL policy.
(b) Which of the three options above the grantee proposes to adopt and the
effective date of implementing this revised policy for new and current
enrollees.
(c) A reasonable transition plan that addresses when and how grantees will
notify participants of the change, and the planned activities to prepare
participants for their exits from the program.
2. Additional Funds for Participant Training and Supportive Services – Older Americans
Act (OAA), Section 502(c)(6)(C). (Approvals expire at the end of each program year unless
the grantee submits a new request.) Any grantee that wishes to request the use of additional
existing grant funds for training and supportive services for PY 2013 must provide the
specific information listed in this section. Grantees requesting additional funds for participant
training and supportive services must not submit a separate budget narrative for these
activities. Instead, the detailed budget narrative in the grant application must identify the
specific training and supportive service activities that, if approved, the grantee will provide to
participants. The grantee must also include costs associated with this request in the SF-424
and SF-424A.
The 2006 Amendments to the OAA permit an exception to the 75 percent minimum level of
expenditures on participant wages and fringe benefits. This exception allows grantees to
request to use not less than 65 percent of program funds for wages, benefits, and other costs, so
D-1
that up to an additional 10 percent of funds are available for training and supportive services
directly to benefit participants. As required in sec. 502(c)(6)(C)(IV) of the OAA, and
20 CFR641.874, grantees seeking this waiver must provide a work plan that includes the
following:
(a) A detailed description of the additional training and supportive services;
(b) An explanation of how activities will directly benefit participants, improve project
effectiveness, and improve employment outcomes for individuals served;
(c) A sequence and timeline for these activities;
(d) If applicable, an explanation concerning whether displacement of eligible individuals
or elimination of positions will occur, and information on the number of individuals
displaced or positions eliminated; and
(e) Those performance measures the grantee expects will improve from the expenditure
of additional funds, and the amounts by which it expects each measure will improve.
3. Increase in Administrative Cost Limitations – 20 CFR 641.870. (Approvals expire at the
end of each program year unless the grantee submits a new request.) Any grantee that wishes
to request additional funds for PY 2013 must provide the specific information listed in this
section. ETA may authorize an increase in the amount available for administrative costs to not
more than 15 percent if it determines that it is necessary to carry out the project, and if the
grantee demonstrates that:
(a) It is incurring major administrative cost increases in necessary program components;
or
(b) The number of employment positions or eligible minority individuals participating in
the project will decline if administrative costs are not increased; or
(c) The project size is so small that the amount of administrative expenses incurred to
carry out the project necessarily exceeds 13.5 percent of project funding.
General statements that costs have increased will not constitute adequate justification. The
grantee must identify which costs have increased, why they have increased, and how these
costs relate to program operations.
4. Extension of Average Project Duration – OAA Section 502(b)(1)(C)(ii). (Approvals expire
at the end of each program year unless the grantee submits a new request.) The maximum
average project duration based on overall participation is 27 months. Applicants may request
permission from ETA to increase their maximum average project duration to 36
months. A request must include:
1. A statement of the grantee’s current average duration and an estimate of its
average duration for the coming program year.
2. A description of its efforts to achieve 27-month average duration.
3. The factors constituting exceptional circumstances that warrant an extension to 36
months as set forth in the regulations:
i. High rates of unemployment or of poverty or of participation in the
program of block grants to states for temporary assistance for needy
families established under part A of title IV of the Social Security Act, in
D-2
the areas served by a grantee, relative to other areas of the state involved
or the nation;
ii. Significant downturns in the economy of an area served by the grantee or
in the national economy;
iii. Significant numbers or proportions of participants with one or more
barriers to employment, including “most-in-need” individuals (as
described in 20 CFR 641.710(a)(6)), served by a grantee relative to such
numbers or proportions for grantees serving other areas of the state or
nation;
iv. Changes in Federal, state, or local minimum wage requirements; or
v. Limited economies of scale for the provision of community service
employment and other authorized activities in the areas served by the
grantee.
5. On-the-Job Experience (OJE) Training Option. (Approvals expire at the end of each
program year unless the grantee submits a new request.) If a grantee wishes to utilize OJE as
an additional training option, it must meet the requirements stipulated in Older Worker
Bulletin 04-04. Each year, grantees must provide an OJE policy and sample contracts to the
Department for approval before they can exercise this option.
6. Cross-Border Agreements 20 CFR 641.515(c). (Approvals expire at the end of each
program year unless the grantee submits a new request.) State grantees may enter into
agreements to permit cross-border enrollment of eligible participants. These agreements must
cover both state and national grantee slots, and must be submitted for Departmental approval.
7. Rotation Policy 20 CFR 641.575. (Approvals expire at the end of each program year unless
the grantee submits a new request.) Grantees may establish a policy of rotating participants to
a new host agency or a different assignment within the current host agency. Grantees must
make an individualized determination that a rotation is in the best interest of the participant
and will further the acquisition of skills listed in the IEP. ETA added the Rotation policy item
this year as a way to further streamline the process for grantees to request an optional
Rotation policy.
D-3
Attachment 5: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_E.pdf
INSTRUCTIONS FOR THE SF-424
This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under discretionary
programs. Some of the items are required and some are optional at the discretion of the applicant or the federal agency (agency). Required fields on the
form are identified with an asterisk (*) and are also specified as “Required” in the instructions below. In addition to these instructions, applicants must
consult agency instructions to determine other specific requirements.
Item Entry: Item: Entry:
1. Type of Submission: (Required) Select one type of submission 10. Name Of Federal Agency: (Required) Enter the name of the
in accordance with agency instructions. federal agency from which assistance is being requested with this
• Pre-application application.
• Application
• Changed/Corrected Application – Check if this submission is to 11. Catalog Of Federal Domestic Assistance Number/Title:
change or correct a previously submitted application. Unless Enter the Catalog of Federal Domestic Assistance number and
requested by the agency, applicants may not use this form to title of the program under which assistance is requested, as found
submit changes after the closing date. in the program announcement, if applicable.
2. Type of Application: (Required) Select one type of application in 12. Funding Opportunity Number/Title: (Required) Enter the
accordance with agency instructions. Funding Opportunity Number and title of the opportunity under
which assistance is requested, as found in the program
• New – An application that is being submitted to an agency for announcement.
the first time.
• Continuation - An extension for an additional funding/budget
period for a project with a projected completion date. This can 13. Competition Identification Number/Title: Enter the competition
include renewals. identification number and title of the competition under which
• Revision - Any change in the federal government’s financial assistance is requested, if applicable.
obligation or contingent liability from an existing obligation. If a
revision, enter the appropriate letter(s). More than one may be
selected. If "Other" is selected, please specify in text box
14. Areas Affected By Project: This data element is intended for use
provided.
only by programs for which the area(s) affected are likely to be
different than the place(s) of performance reported on the SF-424
A. Increase Award D. Decrease Duration
Project/Performance Site Location(s) Form. Add attachment to
B. Decrease Award E. Other (specify)
enter additional areas, if needed.
C. Increase Duration
3. Date Received: Leave this field blank. This date will be assigned 15. Descriptive Title of Applicant’s Project: (Required) Enter a
by the Federal agency. brief descriptive title of the project. If appropriate, attach a map
showing project location (e.g., construction or real property
projects). For pre-applications, attach a summary description of
the project.
4. Applicant Identifier: Enter the entity identifier assigned buy the
Federal agency, if any, or the applicant’s control number if
applicable.
5a. Federal Entity Identifier: Enter the number assigned to your 16. Congressional Districts Of: 15a. (Required) Enter the
organization by the federal agency, if any. applicant’s congressional district. 15b. Enter all district(s) affected
5b. Federal Award Identifier: For new applications leave blank. For a by the program or project. Enter in the format: 2 characters state
continuation or revision to an existing award, enter the previously abbreviation – 3 characters district number, e.g., CA-005 for
assigned federal award identifier number. If a changed/corrected California 5th district, CA-012 for California 12 district, NC-103 for
application, enter the federal identifier in accordance with agency North Carolina’s 103 district. If all congressional districts in a state
instructions. are affected, enter “all” for the district number, e.g., MD-all for all
6. Date Received by State: Leave this field blank. This date will be congressional districts in Maryland. If nationwide, i.e. all districts
assigned by the state, if applicable. within all states are affected, enter US-all. If the program/project
is outside the US, enter 00-000. This optional data element is
7. State Application Identifier: Leave this field blank. This identifier
intended for use only by programs for which the area(s) affected
will be assigned by the state, if applicable. are likely to be different than place(s) of performance reported on
8. Applicant Information: Enter the following in accordance with the SF-424 Project/Performance Site Location(s) Form. Attach an
agency instructions: additional list of program/project congressional districts, if needed.
a. Legal Name: (Required) Enter the legal name of applicant that 17. Proposed Project Start and End Dates: (Required) Enter the
will undertake the assistance activity. This is the organization that proposed start date and end date of the project.
has registered with the Central Contractor Registry (CCR).
Information on registering with CCR may be obtained by visiting
www.Grants.gov.
b. Employer/Taxpayer Number (EIN/TIN): (Required) Enter the 18. Estimated Funding: (Required) Enter the amount requested, or
employer or taxpayer identification number (EIN or TIN) as to be contributed during the first funding/budget period by each
assigned by the Internal Revenue Service. If your organization is contributor. Value of in-kind contributions should be included on
not in the US, enter 44-4444444. appropriate lines, as applicable. If the action will result in a dollar
change to an existing award, indicate only the amount of the
change. For decreases, enclose the amounts in parentheses.
c. Organizational DUNS: (Required) Enter the organization’s 19. Is Application Subject to Review by State Under Executive
DUNS or DUNS+4 number received from Dun and Bradstreet. Order 12372 Process? (Required) Applicants should contact the
Information on obtaining a DUNS number may be obtained by State Single Point of Contact (SPOC) for Federal Executive Order
visiting www.Grants.gov. 12372 to determine whether the application is subject to the State
intergovernmental review process. Select the appropriate box. If
“a.” is selected, enter the date the application was submitted to
the State.
d. Address: Enter address: Street 1 (Required); city (Required); 20. Is the Applicant Delinquent on any Federal Debt?
County/Parish, State (Required if country is US), Province, (Required) Select the appropriate box. This question applies to
Country (Required), 9-digit zip/postal code (Required if country the applicant organization, not the person who signs as the
US). authorized representative. Categories of federal debt include; but,
may not be limited to: delinquent audit disallowances, loans and
taxes. If yes, include an explanation in an attachment.
e. Organizational Unit: Enter the name of the primary 21. Authorized Representative: To be signed and dated by the
organizational unit, department or division that will undertake the authorized representative of the applicant organization. Enter the
assistance activity. first and last name (Required); prefix, middle name, suffix. Enter
title, telephone number, email (Required); and fax number. A
copy of the governing body’s authorization for you to sign this
f. Name and contact information of person to be contacted on
application as the official representative must be on file in the
matters involving this application: Enter the first and last name
applicant’s office. (Certain federal agencies may require that this
(Required); prefix, middle name, suffix, title. Enter organizational
authorization be submitted as part of the application.)
affiliation if affiliated with an organization other than that in 7.a.
Telephone number and email (Required); fax number.
9. Type of Applicant: (Required) Select up to three applicant type(s)
in accordance with agency instructions.
A. State Government M. Nonprofit
B. County Government N. Private Institution of
C. City or Township Higher Education
Government O. Individual
D. Special District P. For-Profit Organization
Government (Other than Small
E. Regional Organization Business)
F. U.S. Territory or Q. Small Business
Possession R. Hispanic-serving
G. Independent School Institution
District S. Historically Black
H. Public/State Controlled Colleges and
Institution of Higher Universities (HBCUs)
Education T. Tribally Controlled
I. Indian/Native American Colleges and
Tribal Government Universities (TCCUs)
(Federally Recognized) U. Alaska Native and
J. Indian/Native American Native Hawaiian
Tribal Government Serving Institutions
(Other than Federally V. Non-US Entity
Recognized) W. Other (specify)
K. Indian/Native American
Tribally Designated
Organization
L. Public/Indian Housing
Authority
Attachment 6: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_F.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.
Attachment 7: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_G.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 (Responses exceeding 250 characters should use separate sheet)
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 (Responses exceeding 250 characters should use separate s
Budget - 4
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 (Responses exceeding 250 characters should use separate sheet)
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 (Responses exceeding 250 characters should use separate sheet)
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 (Responses exceeding 250 characters should use separate sheet)
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 (Responses exceeding 250 characters should use separate shee
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 (Responses exceeding 250 characters should use separate
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 (Responses exceeding 250 characters should use separate
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 8: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_28_12_Att_H.pdf
ATTACHMENT H
PROGRAM YEAR (PY) 2013 FEDERAL PROJECT OFFICER (FPO) LIST FOR SCSEP GRANTEES
Grantee Region FPO Name Phone E-Mail
Alabama III Linda Lundy (404) 302-5369 [email protected]
Alaska VI Ingrid Nyberg (415) 625-7947 [email protected]
Arizona VI Latha Seshadri (415) 625-7937 [email protected]
Arkansas IV Marilyn Brandenburg (972) 850-4617 [email protected]
California VI John Jacobs (415) 625-7940 [email protected]
Colorado IV Cynthia Green (972) 850-4619 [email protected]
Connecticut I Suzanne Pouliot (617) 788-0180 [email protected]
Delaware II Christopher Ransome (215) 861-5222 [email protected]
District of Columbia II Christopher Ransome (215) 861-5222 [email protected]
Florida III Linda Lundy (404) 302-5369 [email protected]
Georgia III Linda Lundy (404) 302-5369 [email protected]
Hawaii VI John Jacobs (415) 625-7940 [email protected]
Idaho VI John Jacobs (415) 625-7940 [email protected]
Illinois V Alice Mitchell (312) 596-5413 [email protected]
Indiana V Alice Mitchell (312) 596-5413 [email protected]
Iowa V Alice Mitchell (312) 596-5413 [email protected]
Kansas V Alice Mitchell (312) 596-5413 [email protected]
Kentucky III Linda Lundy (404) 302-5369 [email protected]
Louisiana IV Rebecca Sarmiento (972) 850-4621 [email protected]
Maine I Michael Hotard (617) 788-0114 [email protected]
Maryland II Christopher Ransome (215) 861-5222 [email protected]
Massachusetts I Suzanne Pouliot (617) 788-0180 [email protected]
Michigan V Alice Mitchell (312) 596-5413 [email protected]
Minnesota V Alice Mitchell (312) 596-5413 [email protected]
Mississippi III Linda Lundy (404) 302-5369 [email protected]
Missouri V Alice Mitchell (312) 596-5413 [email protected]
Montana IV Jesus Morales (972) 850-4616 [email protected]
Nebraska V Alice Mitchell (312) 596-5413 [email protected]
Nevada VI John Jacobs (415) 625-7940 [email protected]
New Hampshire I Michael Hotard (617) 788-0114 [email protected]
New Jersey I Suzanne Pouliot (617) 788-0180 [email protected]
New Mexico IV Roseana Smith (972) 850-4615 [email protected]
New York I Suzanne Pouliot (617) 788-0180 [email protected]
North Carolina III Linda Lundy (404) 302-5369 [email protected]
North Dakota IV Bill Martin (972) 850-4635 [email protected]
Ohio V Alice Mitchell (312) 596-5413 [email protected]
Oklahoma IV Felecia Blair (972) 850-4643 [email protected]
Oregon VI John Jacobs (415) 625-7940 [email protected]
Pennsylvania II Christopher Ransome (215) 861-5222 [email protected]
Puerto Rico I Michael Hotard (617) 788-0114 [email protected]
Rhode Island I Michael Hotard (617) 788-0114 [email protected]
South Carolina III Linda Lundy (404) 302-5369 [email protected]
South Dakota IV Bernie Cutter (972) 850-4618 [email protected]
Tennessee III Linda Lundy (404) 302-5369 [email protected]
Texas IV Kajuana Donahue (972) 850-4613 [email protected]
Utah IV Bill Martin (972) 850-4635 [email protected]
Vermont I Suzanne Pouliot (617) 788-0180 [email protected]
Virginia II Christopher Ransome (215) 861-5222 [email protected]
Washington VI John Jacobs (415) 625-7946 [email protected]
West Virginia II Christopher Ransome (215) 861-5222 [email protected]
5/7/2013
Wisconsin V Alice Mitchell (312) 596-5413 [email protected]
Wyoming IV Jesus Morales (972) 850-4616 [email protected]
American Samoa VI Janice Shordike (415) 625-7943 [email protected]
Guam VI Janice Shordike (415) 625-7943 [email protected]
Northern Mariana Islands VI Janice Shordike (415) 625-7943 [email protected]
Virgin Islands I Michael Hotard (617) 788-0114 [email protected]
Grantee Region FPO Name Phone E-Mail
AARP Foundation II Barbara Shelly (215) 861-5541 [email protected]
Asociación Nacional Pro
Personas Mayores VI John Jacobs (415) 625-7946 [email protected]
Associates for Training and I Suzanne Pouliot (617) 788-0180 [email protected]
Development, Inc. (4ADT)
Easter Seals, Inc. V Alice Mitchell (312) 596-5413 [email protected]
Experience Works, Inc. III Connie Taylor (404) 302-5338 [email protected]
Goodwill Industries
International, Inc. II Barbara Shelly (215) 861-5541 [email protected]
Mature Services, Inc. V Alice Mitchell (312) 596-5413 [email protected]
National Able Network I Suzanne Pouliot (617) 788-0180 [email protected]
National Asian Pacific Center on VI John Jacobs (415) 625-7940 [email protected]
Aging
National Caucus and Center on II
Black Aged, Inc. Barbara Shelly (215) 861-5541 [email protected]
National Council on the Aging, II
Inc. Barbara Shelly (215) 861-5541 [email protected]
National Indian Council on IV Brie Burleson (972) 850-4652 [email protected]
Aging
National Urban League I Suzanne Pouliot (617) 788-0180 [email protected]
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.
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