HomeMy WebLinkAbout890563.tiff (ii 401, 61
C. W. Kirby, Chairman
O To Board of County Commissioners Date__ July 5, 1989
C.
COLORADO From Walter J. Speckman, Executive Director, Human Resources �'.t�
1989 Head Start Supplemental Grant
Subject:____
Enclosed for Board approval is a 1989 Head Start Supplemental Grant 'tor
Travel .
The Weld County Division of Human Resources' Head Start Progran. is
applying for $1,021.80 for travel for one staff person to attend the
Social Service Institute.
89)563
OMB Approval No.0348-0005
FEDERAL ASSISTANCE 2.� `NUMBER 3. STATE a NUMBER
APPLI-
AMU- CATION
1. TYPE CATION I-
S�OBMIS910N 0 NOTICE OF INTENT(OPTIONAL) "�. b.DATE
1 F FAR n DATE
he mmrk da AAS IG 1d eE
(Math ap PRFAPPIJCATKIN ! ASSIGNED ASSIGNED Year moth day
1a Parte
'® APPLICATION 19 89 06 29 "SIAM 19
Ian
Blank
4. LEGAL APPLICANT/RECIPIENT • s 5. EMPLOYER IDENTIFICATION NUMBER(EIN)
allopli ntNwie . Weld County Division of Human Resources 84-6000813
°.0n9wt7ation uldi Weld County Head Start Program 5.
c.sb«1/P.o.Sox P.O. Box 1805 GGRAM a NUMBER I( h I ' 1 d I Dial
d.Oty • Greeley aC°""ry Weld
I.Slate Colorado °'Z1P Co°e'80632 (Than MULTIPLE 0
ItCadea Person/New Mr. Walter J. Speckman, Exec. Director e. nnE Child Development
A Telephone Nal (103) 151-1RlR Head Start
7. TITLE OF APPLICANT'S PROJECT(Use section N of this tam to provide•summary description of the 8. TYPE OF APPLICANT/REC PIENT
Pte) Flits
a—acorn neeAeAsott
1989 Head Start Supplemental Grant for Travel p-0sinlassftembstawmwm
y„th,
S F-lad
F�flml aey
Tints appropriate lam
lai
9. AREA OF PROJECT IMPACT(Mums gala con des.Eseee) 10.ESTIMATED NUMBER 11. TYPE OF ASSISTANCE
Weld County OF PERSONS
26a5 BENEFITING s5 - E Eater M.ra
plate lased) ��
Ul 12. PROPOSED FUNDING 13. CONGRESSIONAL DISTRICTS OF: 14. TYPE OF APPLICATION
A-44••• C—Ilmislcol "400.1.1•00,•eeen E
a FEDERAL $
� a. APPLICANT b. PROJECT s-A...r awr..a ^
1 OptEtereppyrbulm I I
b.APPLICANT 255.4500 4 - County-Wide 17.TYPE OF CHANGE(Fee lee w/4)
trinc.STATE .00 15. PROJECT START IS PROJECT a �Della F-a'^`4r°A{ryl
awn
d LOCAL .00 DATE DURATION Year month day um Data
E-cem.rae
19 89 01 01 12 mints
e.OTHER '� 15. DATE DUE TO Year month d. pirw laeps/ I Enter ► n.:..
I. Total $ 1,2 77 2 5A0 FEDERAL AGENCY► 19
19. FEDERAL AGENCY TO RECENE REQUEST Health & Human Services 20.EXISTING FEDERAL GRANT
a ORGANIZATIONAL UNIT(IF APPROPRIATE) b.ADMINISTRATIVE CONTACT(IF KNOWN) - IDENTIFICATION NUMBER
Offire of Human RPVPlnpment SPrviras 08ch0019/16
C. ADDRESS
Region 8, Federal Building 21. REMARKS ADDED
1961 Stout St. Denver, CO 80294 ❑ ,
ea El No
22. To the bade of my Ie,Tmledpe and belief. a. YES,THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE
A THE data in it preeppllosla✓applptlon EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
APPLICANT are ells and cared,NM down erd has
CERTIFIES been 1757/eltlodnd by the going DATE
THAT,- body of the applicant and the applicant
Ail comply WMthe ended assurances b. NO,PROGRAM IS NOT COVERED BY E.O.12372 O
N the aaaWrucs Is spptoved. OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW 0
I7J. a. TYPED NAME AND TITLE b. SIGNATURE
REPR C.W. Kirby, Chairman
SENTATIVE Weld County Board of Commissioners il , i.t
24.APPLIOA- her month day 25. FEDERAL APPLICATION IDENTIFICATION NUMBER 26. F GRANT IDENTIFICATION
T10N //
RECEIVED 19
27. ACTION TAKEN 129. FUNDING
0 a AWARDED — -- Year month doY 3T. Year wade date
STARTING
0 b. REJECTED 29. ACTION DATE,- 19 DATE 19
0 c RETURNED FOR a FEDERAL S BO 31. CONTACT FOR ADDITIONAL NNFORMA- 32 Year mead date
AMENDMENT b.APPLICANT T10N(Name end IArpAaer nenber/ DATE 1(d
god.d RETURNED FOR — '� 19
b E.O.12372 suem sssoN t, STATE .00 33. REMARKS ADDED
g BY APPLICANT TO d. LOCAL A0
STATE
❑e. DEFERRED a OTHER .00
❑1. WITHDRAWN I. TOTAL S .00 ❑ Yes ❑ f8-
NSN 7540-01-0Oe-8152 424-103 STANDARD FORM 424 PAGE 1(Rev 4-84)
PREVIOUS EDITION
Amndbrd by OMB Circular A-IO2
IS NOT USABLE 830563
OM NO.COSMOS
PART III-BUDGET INFORMATION
• SECTION A-BUDGET SUMMARY
Grams Program, Federal Estimated Unobligated Funds New or Revised Budgetnction
a —
Activity Catalog No.
ly Fe ( )
Federal Non-Federal Federal F�a ral Non-Federal
(e (b) aa
t. PA 72 13.600 $ $ $ 1,021.80 $ 255.45 $ 1,277.25
2.
3.
4.
5. TOTALS $ $ $ 1,021 80 $ 255 45 $ 1,277 25
SECTION B-BUDGET CATEGORIES
6. Object Class Categories Grant Program. Function or Activity —. Total
(1) PA 22 (2) (3) (4) _ (5)
a. Personnel $ S $ $ S
b. Fringe Benefits
c. Travel 1..021.80 1,021.811
d. Equipment
e. Supplies
f. Contractual —
g. Construction —
h. Other —I. Total Direct Charges 1,021.80 - 1,021.80
). Indirect Charges
Ic. TOTALS $ Loa_so Rfl $ $ $ S 1,021.80
7. Program Income S $ $ $ $
890563
Supplemental Grant Application
r Narrative
The Weld County Division of Human Resources' Head Start Program
is applying for $1,021.80 for travel for one staff person to attend
the Social Service Institute.
890563
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