344 Availability of Title V funds through Infant Safe Sleep Promotion small no-bid grant program

Availability of Title V Funds Through Infant Safe Sleep Promotion Small No-Bid Grant Program

[41 Pa.B. 1070]
[Saturday, February 26, 2011]

 The Department of Health (Department), Bureau of Family Health (Bureau) is accepting small no-bid grant applications to support community based initiatives that directly address public awareness and the reduction of Sudden Infant Death Syndrome (SIDS) and accidental suffocation and unexplained death of infants through promotion of safe sleep practices and safe sleep environments for infants.

 Grantees awarded funds through the Infant Safe Sleep Promotion Program (Program) must use the funds for activities and materials to work to improve the health and safety of infants and reduce infant mortality rates across this Commonwealth. Examples of initiatives and materials the Bureau will consider may include: public awareness and community outreach efforts and education for families, caregivers and the public; training for professionals; and distribution of approved educational materials and equipment that promote safe sleeping environments. Small no-bid grant awards shall not exceed $3,000.

 Purpose: The Program will provide financial support to successful applicants in an effort to decrease the incidence of infant death due to factors such as SIDS and accidental suffocation and strangulation of infants in unsafe sleep environments.

 From 2006 to 2008, 213 babies in this Commonwealth died from SIDS. While advances in understanding SIDS have improved infant mortality rates, SIDS still remains one of the leading causes of infant death. Additionally, approximately half of infants who die an unexpected death do so when placed in unsafe sleep environments. These statistics support the need for education to enhance knowledge of SIDS and safe sleep practices as well as the need for implementation of evidence based interventions.

 While efforts to reduce the overall infant mortality rate are a priority, research has demonstrated the need to focus on racial and ethnic disparities. Applicants are encouraged to focus efforts on high-risk and minority populations and use funding to eliminate health disparities among the groups.

 Funds: Funding for this project is contingent upon the availability of allocated Maternal and Child Health Services Block Grant funds and Bureau approval. Project funds must be used to reimburse approved purchases and activities occurring between April 1, 2011, and May 31, 2011, not to exceed $3,000.

 Requirements: Eligible applicants include public and private organizations, foundations or community-based agencies, physically located in this Commonwealth, as recognized by Federal Tax ID number. Individuals may not apply. Informal groups without Federal Tax ID numbers are encouraged to partner with a sponsor organization who may apply on behalf of the group. For-profit organizations may apply, however no applicant may take a profit from these funds.

 Applicants may include but are not limited to:

 • Day care centers/child care providers

 • Medical providers

 • Educational providers

 • Places of worship/congregations

 • Community groups/Civic clubs

 • Racial and minority ethnic groups

 To conduct business with the Commonwealth, providers are required to be enrolled in the Systems, Applications and Products system. Applicants who are not enrolled may apply for a vendor identification number by contacting the Central Vendor Management Unit at [phone] or locally at [phone], or http://www.vendorregistration.state.pa.us (click on Non-Pro- curement Registration Form).

 Application Deadlines: It is anticipated that 25 awards of $3,000 or less will be made under this grant opportunity. To apply for funding, a complete application must be received by the Department by March 15, 2011. Applications may be mailed or hand delivered. Applications may not be faxed or e-mailed. Late applications will not be accepted regardless of the reason.

 Application Process: Complete the ''PROPOSED BUDGET'' and attach a clear and concise narrative of no more than three typewritten pages that includes the following information:

 1. The organization's mission and primary activities.

 2. A description of need for the proposed activities and target population (that is geographic area, age, minority group, and the like).

 3. A plan that describes how infant safe sleep will be addressed, how the efforts will be measured and evaluated, and the degree to which efforts will be long-lasting and/or on-going.

 4. A description of how funds will be expended.

 An authorized official of the organization must sign and date the application. Submit an original and three complete copies of the application (including the narrative, budget, budget narrative and any supporting attachments). Applications must be page-numbered and unbound. Incomplete applications will not be reviewed.

 Award Determination: All funding decisions are contingent upon the availability of allocated Maternal and Child Health Services Block Grant funds and Bureau approval. Applications are scored by a three-member review panel using a rating scale with the following pre-established criteria:

 1. The degree of need for the proposed activity, as justified by the applicant.

 2. The extent to which the activity can demonstrate a change in awareness and actions.

 3. The reasonableness of the proposed expenditures/purchases.

 4. The likelihood that the proposed activity will be of on-going, systemic benefit to the target population.

 Notification of Award: All applicants shall be notified whether their application will be funded no later than April 1, 2011. This program reimburses applicants for actual costs incurred by the successful applicant from April 1, 2011, through May 31, 2011, and shall not exceed the approved amount.

 Eligible Costs: Applicants may apply for funding reimbursement of multiple purchases or activities. However, the maximum cumulative award to any one applicant (as identified by Federal ID number) is $3,000. In all cases, Department funds must be used as payer of last resort. Small no-bid grant funds may not supplant existing funds. Funds may be used for reimbursement of one time purchases only. The Grantee is the sole owner of the purchased property. The budget section of the application must include a budget narrative detailing by line item how project funds will be used and the degree to which competitive bids were secured for purchases. Price quotes, estimates, catalog samples or any other proof of cost must be submitted for every purchase proposed.

 Expenses eligible for reimbursement under this project include but are not limited to:

 Equipment:

 1. Approved cribs (cribs that have not been recalled by the manufacturer, list of approved cribs available upon request), pack n plays, mattresses, and the like.

 2. Education: training materials, books, workbooks, brochures, posters; translation of educational materials into different languages and for different populations, and the like.

 3. Technology: computer equipment/software, videos, tapes, CDs, DVDs, and the like.

 Ineligible Costs: The following costs are not eligible for reimbursement under this program:

 1. Administrative/Indirect costs (that is, costs not uniquely attributable in full to the programmatic activity).

 2. New building construction or structural renovation of an existing space.

 3. Capital expenses or equipment.

 4. Staffing/personnel.

 5. One-time consumables (that is, event tickets, food/refreshments, child care, and the like).

 By applying for small no-bid funding, applicants acknowledge and affirm that they will abide by the previously listed spending limitations and the provisions of the Maternal and Child Health Services Block Grant provisions for all money awarded under that application.

 Summary Report and Invoice Procedures: Approved applicants shall be reimbursed with one check for all approved expenses. To receive reimbursement of approved expenses, awardees must submit the following documentation, found in Attachment A, to the Bureau within 30 days following completion of funded activity or no later than June 30, 2011:

 1. Summary report of funded activities, including evaluation results.

 2. Continuation plan for the program or activities.

 3. Invoice with documentation to support each line item amount requesting reimbursement.

 4. Invoices received after June 30, 2011, are not eligible for reimbursement.

 Applications should be submitted to the Infant Safe Sleep Promotion Program Administrator, Department of Health, Bureau of Family Health, Division of Child and Adult Health Services, Health and Welfare Building, 7th Floor East Wing, 625 Forster Street, Harrisburg, PA 17120, [phone].

 For more information, or for persons with a disability who require an alternative format of this information (for example, large print, audiotape, Braille) contact Giselle Hallden, Infant Safe Sleep Promotion Program Administrator at [e-mail] or [phone], or for speech and/or hearing impaired persons V/TT [phone], or the Pennsylvania AT&T Relay Service at [phone].

ELI N. AVILA, MD, JD, MPH, FCLM, 
Acting Secretary

Pennsylvania Department of Health—
Bureau of Family Health

2010 - 2011 Work Statement Application
Infant Safe Sleep Promotion Program

Applicant Information:

 • Name of Organization: __________

 • FID Number: __________

 • Organization name on file with the PA. Dept. of State for the FID number (if different from above): __________

 • Complete Mailing Address: __________

 • Contact Person: __________

 • Telephone Number: (__) ______ Fax Number: (__ ) ______ E-mail Address: ______

Pennsylvania Department of Health—
Bureau of Family Health

Proposed Budget
Infant Safe Sleep Promotion Program

Applicant Information:

 • Name of Organization: __________

 • Federal Identification Number (FID #): __________

 • Organization name on file with the PA. Dept. of State for the FID # (if different from above): __________

  __________

 • Complete Mailing Address:

  __________

  __________

 • Contact Person: _________________

 __________

 • Telephone Number: (__) ______
Fax Number: (__ ) ______

 • E-mail Address: __________

 Reimbursement shall be for actual costs incurred by the vender from April 1, 2011 through May 31, 2011, and shall not exceed the amount noted below. Attach copies of any price quotes, estimates, catalog samples, or other proof of cost for every purchase proposed within your itemized budget. By applying for small-no bid grant funding, applicants acknowledge and affirm that they will abide by the spending limitations below and the provisions of the Maternal and Child Health Services Block Grant, for all money awarded under that application.

Itemized Budget

Itemized Activity Expenses/Purchases
Item	Cost Per Unit	Number	Total Cost
	$		$
	$		$
	$		$
	$		$
	$		$
	$		$
Other Expenses (Itemize)
			$
			$
			$
Total Amount Requested *May Not Exceed $3,000	$

Provide budget narrative and justification details here:  

 Attach additional sheets as necessary

 Authorized Applicant Signature/Title: __________

             Printed Name:  __________

 Attachment A

Pennsylvania Department of Health—Bureau of Family Health

April 1, 2011— May 31, 2011
Final Invoice
Infant Safe Sleep Promotion Program

Awardee Information

Name of Organization: _____________________________________

Federal Identification Number (FID #): ___________________________

Organization name on file with PA Dept. of State for the FID # (if different from above):

_______________________________________________

Complete Mailing Address: _____________________________________

_______________________________________________

Contact Person: _____________________________________

Telephone Number: ( ____) ______ Fax Number: ( ____ ) _________________ 

E-mail Address: _____________________________________ 

Please attach the following:
• Summary report of funded activities, including evaluation results
• Continuation plan for the program or activity
• Expense documentation (receipt, invoice, etc.) supporting each line item
Invoice
Itemized Activity Expenses/Purchases
Item	Cost Per Unit	Number of Units	Total Cost
	$		$
	$		$
	$		$
	$		$
	$		$
	$		$
	$		$
	$		$
	$		$
Other Expenses (Itemize)
			$
			$
			$
			$
Total Amount Requested *May Not Exceed $3,000	$

 Awardee authorized signature/title: __________

 Awardee printed name and title: __________ 

DOH Use Only:
Approved for Payment:                      Date:

[Pa.B. Doc. No. 11-344. Filed for public inspection February 25, 2011, 9:00 a.m.]