Cal. Code Regs. Tit. 11, § 530 - Application Requirements
(a) An Application must contain the
following:
(1) A cover sheet that shall
include: Applicant name; authorized representative's name,
classification/position, address, phone number and email address; contact
person's name, classification/position, address, phone number, and email
address.
(2) A signature page
signed by a representative authorized to submit the Application.
(3) Requested Grant amount; Project or Grant
funding duration (24 or 36 months); and a brief summary of the description of
the Project and its goals and objectives.
(4) A problem statement, as described in
subdivision (b).
(5) A description
of how the Grant will be spent, as described in subdivision (c).
(6) A Budget of eligible costs for the
Project for 24 months or 36 months. The Budget shall contain the description
and cost of the salaries, overtime, and benefits for each
classification/position for each fiscal year, operating expenses and Equipment
for each fiscal year, travel, administrative costs, and other expenses.
Applications shall include a budget narrative justifying each cost.
Applications shall also identify any state or local funding sources and amounts
for the proposed Project.
(7) A
narrative of previous tobacco Grant awards received from the Department, if
applicable.
(8) Certifications, as
described in subdivisions (d) and (e).
(9) Letters of intent, if applicable, as
described in subdivision (f).
(b) Problem statement. An Applicant's problem
statement shall describe a specific Cigarette or Tobacco Product related
problem; a reasonable estimate of the scale of the problem, including how the
problem affects Minors and Youth; the geographic area in which the problem
persists, including, but not limited to, population data, relevant demographic
and socio-economic characteristics of the community; Cigarette or Tobacco
Product use rates and patterns, including, but not limited to, the rates and
patterns of use in the community, particularly of Minors and Youth, the number
of Cigarette or Tobacco Product retailers in the geographic area, and data
regarding sales to Minors and Youth and specific problem locations; and any
other factors contributing to the Cigarette or Tobacco Product related problems
in the geographic area. The problem statement may be supported by studies,
research summaries, crime statistics, or data from the California Department of
Public Health.
(c) Project
description. An Applicant's Project description shall include an explanation of
how the Project will address the problem identified in the Applicant's problem
statement, a list and narrative description of Project goals and order of
priority, desired outcomes and an explanation of how the Applicant will measure
those outcomes and the success of the Project, and a timeline for completing
each goal measured in three-month increments. The Project description shall
also specify the personnel positions that will be funded to carry out the
Project, a description of the duties of each position, and the percentage of
time that will be allocated to each duty.
(d) Certification regarding conflicts. An
Applicant shall certify in its Application that it does not receive funding
from a manufacturer, distributor, or advertiser of Cigarettes or Tobacco
Products.
(e) Certification
regarding supplanting. An Applicant shall certify in its Application that the
requested Grant funds will not supplant existing state or local funds dedicated
for the same purpose.
(f) Letters
of intent. Any Applicant intending to contract with another entity to achieve
the Project objectives shall provide a letter of intent signed by an official
representative of each contractor conveying an intention to contract with the
Applicant.
Notes
Note: Authority cited: Section 30130.57, Revenue and Taxation Code. Reference: Section 30130.57, Revenue and Taxation Code.
1. New article 4 (sections 530-533) and section filed 11-15-2022; operative
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