[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR51d.4]



[Page 189-190]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 51d_MENTAL HEALTH AND SUBSTANCE ABUSE EMERGENCY RESPONSE PROCEDURES

--Table of Contents

 

Sec. 51d.4  What information is required in the application?



    (a) Application for Immediate awards: The application is to contain 

the following information:

    (1) A certification by the State's chief executive officer, or, for 

the purposes of a Federally recognized Indian tribal government, the 

principal elected official, or such officer's or official's designee, 

that a mental health or substance abuse emergency exists, as well as a 

written statement setting out the basis for the certification;

    (2) A brief program plan describing needs;

    (3) An estimate of the number of people to be served and the 

geographical area to be served;

    (4) A description of the types of services to be provided;

    (5) A budget justifying the amount of the request;

    (6) Required certifications; and

    (7) Such other pertinent information as the Secretary may require.

    (b) Application for Intermediate awards: The application is to be 

submitted on an OMB-approved application form and contain the following:

    (1) If the applicant has not applied previously for an Immediate 

award, a certification by the State's chief executive officer, or, for 

the purposes of a Federally recognized Indian tribal government, the 

principal elected official, or such officer's or official's designee, 

that a mental health or substance abuse emergency exists, as well as a 

written statement setting out the basis for the certification;

    (2) An application submission date within three months of the date 

of the event that precipitated the mental health or substance abuse 

emergency, as certified in accordance with 51d.4(a)(1) or (b)(1), except 

that upon the request of a State, the Secretary may provide a waiver of 

this application submission deadline if the Secretary determines there 

is good cause to justify the waiver;

    (3) A detailed and comprehensive assessment of need;

    (4) Demographics specific to the estimated number of people to be 

served;



[[Page 190]]



    (5) A description of the services that were provided up to the date 

of the submission of the Intermediate award application;

    (6) The geographical area to be served;

    (7) A detailed implementation program plan and related time line, 

including a description of outreach to special population groups 

affected by the crisis;

    (8) A budget justifying the amount of the request for personnel, 

equipment, supplies, travel, training, data collection and any technical 

assistance required; the budget shall include an identification of the 

resources the applicant is able to commit to the project, if any, 

including any in-kind contributions;

    (9) Any information that has changed since an Immediate application 

was submitted, if one was submitted; and

    (10) such other pertinent information as the Secretary may require.

    (c) Signature on Award Applications. The application must be signed 

by an individual authorized to act for the applicant and to assume on 

behalf of the applicant the obligations imposed by the statute, all 

applicable regulations, and any additional conditions of the grant.