application should be directed to the appropriate HRSA Field Office, Health Care for the Homeless coordinator. (See Appendix IV of the Catalog for listing of locations.) The application package will be made available by the Department of Health and Human Services (DHHS) (Form PHS-5l61-l, with revised fact sheet, DHHS-424). The application kit contains a list of States, which have been chosen to set up a review system and will provide a point of contact in the States for that review. This program is eligible for coverage under E.O. 12372, Intergovernmental Review of Federal Programs. An applicant should consult the office or officials designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. The standard application forms, as furnished by DHHS and required by 45 CFR 92 must be used for this program. This program is subject to the requirements of the Public Health System Impact Statement. Application Procedure: Application is made by the submission of the DHHS Application, Form PHS-5l6l-l. Applications may be obtained from the HRSA Grants Management Application Center, 50 East Gude Drive, Rockville, MD, 20850. Applicants must submit a written plan and including a description of nonfederal contributions and must contain assurances
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