A r c h i v e d  I n f o r m a t i o n

• As applicable, the assurances as specified in OMB No. 348-0040 relating to legal authority to apply for assistance; access to records; conflict of interest; merit systems; nondiscrimination; Hatch Act provisions; labor standards; flood insurance; environmental standards; wild and scenic river systems; historic preservation; protection of human subjects; animal welfare; lead-based paint; Single Audit Act; and general agreement to comply with all Federal laws, executive orders and regulations.

• The three certifications as specified in ED Form 80-0013 regarding lobbying, debarment/suspension/responsibility status, and drug-free workplace.

• The debarment/suspension/responsibility assurance required from subgrantees as specified in ED Form 80-0014.

The SEA further agrees to:

• The certification of Education Department General Administrative Regulations (EDGAR) 76.104, relating to State eligibility to participate in this program and compatibility of this application with State law;

• The assurances specified in section 441 of the General Education Provisions Act (GEPA):

• The assurances set forth in Public Law 103-382, Title III, Part A, Subpart 2.

• All program requirements of Public Law 103-382, Title III Part A, Subpart 2

• All other applicable requirements of the Elementary and Secondary Education Act, including those set out in Title XIV of that statute.

Name of applicant (State Educational Agency)	Project Name
Printed Name and Title of Authorized Representative of the State Educational Agency:
Signature:	Date:

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[FY 1997 State Allocations]

[Appendix A ]