RFGP 6264-0 Attachment D.docx

DOCX document 45 KB Posted

Attached to
RFGP for GLS Youth Suicide Prevention & Early Intervention
Solicitation number
S-44300-00018385
Issued by
Oregon

About this file

This document is Attachment D to a Request for Grant Proposals (RFGP 6264-0) issued by the State of Oregon for Youth Suicide Prevention and Early Intervention programs, and it establishes the budget and budget narrative requirements for proposers. Eligible applicants include Local Public Health Authorities (LPHAs), Local Mental Health Authorities (LMHAs), and Community Mental Health Programs (CMHPs) serving Oregon counties with youth suicide death rates (ages 10-24) exceeding the national average of 10.5 per 100,000 population based on 2020-2022 data. The funding opportunity is designed to build capacity in jurisdictions with elevated youth suicide burden. The document provides detailed instructions for budget submission, including templates and narratives organized by specific budget categories: Salary (with FTE percentages and months), Fringe Benefits, Contractual (subcontractors), Travel (in-state and out-of-state), Equipment, Supplies, and Other costs. Proposers must budget for attendance at three two-day regional learning collaboratives, with OHA providing financial support for up to two staff or partners when travel exceeds 70 miles.

The budget document establishes specific funding exclusions and restrictions, including prohibitions on meals exceeding $3.00 per person (light snacks only), direct payments to individuals for treatment participation, and involving children in youth suicide programs without parental written consent except in emergency situations. Equipment purchases exceeding $5,000 require OHA pre-approval, and all equipment must directly benefit the approved work plan with inventory reporting required annually. Budget amendments of 10 percent or greater for any category require OHA approval, and proposers underspending by more than 20 percent of expected expenditures may face reduced award amounts or budget resets determined by OHA. Subcontracting is permitted with separate line-item budgets submitted for approval prior to fund distribution. The document also includes Attachment E, a table listing all 36 Oregon counties with their youth suicide death counts, populations, and average annual rates from 2020-2022, indicating that 18 counties with rates below the 10.5 national average are ineligible to apply. Reimbursement rates for travel expenses are limited to those specified in the Oregon Accounting Manual and federal GSA per diem rates as of the date expenses are incurred.

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RFGP 6264-0 Attachment C.docx DOCX document
RFGP 6264-0 Attachment A.pdf PDF
RFPG 6264-0 final tlh.pdf PDF
RFGP 6264-0 Attachment B.pdf PDF

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ATTACHMENT D — BUDGET AND BUDGET NARRATIVE

Each Proposer must submit a budget and budget narrative using the template provided in this Attachment.

Instructions The budget must adhere to the following:

1. Budget template and narrative

a. In addition to submitting the budget template, each Proposer must submit a budget narrative on a separate sheet describing how funding is used within each budget category. The budget template Includes a tab for the budget narrative.

b. Funds can be used for subcontracting with other organizations. If subcontracting with another organization, a separate line item budget for the subcontractor must be submitted and approved before funds can be distributed to the subcontractor.

2. Exclusions

a. Funds awarded may not be used for meals beyond light snacks, not to exceed $3.00 per person.

b. Funds awarded man not be used to make direct payments to individuals to enter treatment or continue to participate in prevention or treatment services.

c. Funds awarded may not be used for involving a child in a youth suicide early intervention or prevention program, including assessment services, school-sponsored programs, and treatment involving medication related to youth suicide conducted in elementary and secondary schools without prior written, informed consent being obtained from a parent or legal guardian of an at-risk child. The requirement does not apply in the following circumstances:

a. In the emergency, where it is necessary to protect the immediate health and safety of the student or other students;

b. Other instances as defined by the State, where parental consent cannot reasonably be obtained.

d. Funds awarded may not supplant purchase of Mental Health First Aid (MHFA) training materials. Staff member overseeing grant activities can support MHFA training logistics and/or provide MHFA training, but need to ensure grant activities are being met.

3. Budget amendments

a. Modification to the approved budget of 10% or more for any budget category may only be made with OHA approval.

b. OHA may request a revised budget following the end of the fiscal year if the awardee is underspent by more than 20% of expected expenditures. If awardee cannot demonstrate that all funds will be expended by the end of the funding period, OHA will work with the awardee to determine a reduced award amount. OHA may request revised budgets or additional information on expenditures on an as needed basis.

The budget and budget narrative will include the following categories:

1. Salary

· FTE as a percentage, and the number of months requested for each staff person. The total salary will automatically calculate. Include a narrative for each position briefly describing their primary responsibilities and how those support the work plan. Include staff positions provided in-kind.

2. Fringe Benefits

· List the base-rate, if applicable, and fringe rate for each position on a separate line. The total fringe will automatically calculate.

3. Contractual

· List each subcontracted program activity and the name of the subcontractor (if known) along with the amount of the subcontract. All activities related to the subcontractor must be clearly specified and justified in the work plan, and must include: (1) scope of work, including tasks and deliverables; (2) time period of the subcontract; (3) person in your agency who will supervise or manage the subcontract; (4) name of subcontractor, if known; and (5) what method will be used to select the subcontractor, such as bids, solicitations, sole-source, etc. A subcontractor budget must be included for each subcontractor.

· All subcontracts are subject to all applicable subcontractor provisions which will be outlined in an agreement from this opportunity.

4. Travel

· In-state: Provide a narrative statement describing proposed in-state travel. Include local mileage as well as per diem, lodging and transportation to attend required meetings. For Section 1 funding to LPHAs, each LPHA should budget for one person to attend three two-day learning collaboratives within the geographic region of the LPHA. OHA will provide financial support for up to two staff or partners if travel is 70 miles or greater to the learning collaborative. Federal per diem rates limit the amount of reimbursement for in-state travel: www.gsa.gov/perdiem.

· Out-of-state: Travel to attend out-of-state events or conferences is permitted if content is applicable to the work plan. Provide a narrative statement that includes the name of the event or conference, and how the proposed travel is related to the work plan. Include amounts for per diem, lodging, transportation, registration fees, and other expenses. Federal per diem rates limit the amount of reimbursement for out-of-state travel: www.gsa.gov/perdiem.

· Notwithstanding anything to the contrary contained herein, OHA will reimburse for travel expenses at no more than the rates specified in the Oregon Accounting Manual as of the date the travel expenses are incurred. The Oregon Accounting Manual is available at http://www.oregon.gov/DAS/CFO/SARS/pages/oam_toc.aspx.

5. Equipment

· Provide a total amount for equipment, as well as a narrative listing line item planned purchases with a brief rationale. The budget must be approved by OHA prior to purchases being made. OHA will request additional information on proposed purchases of equipment with an acquisition cost of more than $5,000. Any equipment purchases, including IT and software purchases and upgrades and software licensing fees, must directly benefit the OHA-approved work plan.

· OHA will collect the equipment inventory form at the end of each fiscal year.

6. Supplies

· Provide a total amount for supplies. Supplies may include office supplies or meeting supplies. Expenditures for additional materials should be limited and must be for materials approved by OHA.

· List expenses for items not listed above, such as telephone, rent, copying, printing, postage, and mailing that are directly related to program activities.

· If expenditures are allocated to educational materials or paid media campaigns, the budget narrative must include a justification that describes how such materials or campaigns are related and essential to specific activities listed in the work plan.

7. Other

· If expenditures are allocated to educational materials or paid media campaigns, the budget narrative must include a justification that describes how such materials or campaigns are related and essential to specific activities listed in the work plan.

· Funds may not be used to provide direct services, as defined above.

8. Total Direct Costs

· The total direct costs will auto-fill on the worksheet. Confirm that the amount is correct.

9. Cost Allocation or Indirect Rate

· Indicate the cost allocation or indirect rate. The worksheet will auto-fill the total direct costs and multiply the cost allocation rate against the total direct to calculate the total cost allocation amount and total budget request amount.

Budget Template

Budget Narrative

ATTACHMENT E: COUNTY YOUTH SUICIDE DEATH BURDEN

The below table shows the Youth Suicide Death Burden ranking based on rate and count of youth suicide deaths. Counties that are highlighted, below an average annual rate or 10.5 are not eligible to apply.

Suicide deaths and rates in youth aged 10 to 24 years by county, Oregon, 2020-2022

Rate lower than the national average

County
Death count
Population
Average annual rate
Baker
7
7715
90.7
Benton
5
89055
5.6
Clackamas
28
224586
12.5
Clatsop
2
19693
10.2
Columbia
6
27143
22.1
Coos
1
28919
3.5
Crook
3
11932
25.1
Curry
0
8027
0
Deschutes
13
97113
13.4
Douglas
5
52448
9.5
Gilliam
1
904
110.6
Grant
1
2964
33.7
Harney
2
3360
59.5
Hood River
1
13644
7.3
Jackson
13
114806
11.3
Jefferson
2
13761
14.5
Josephine
13
41057
31.7
Klamath
2
37558
5.3
Lake
2
3756
53.2
Lane
34
244316
13.9
Lincoln
5
20782
24.1
Linn
14
70698
19.8
Malheur
1
20590
4.9
Marion
28
214582
13
Morrow
2
8177
24.5
Multnomah
49
388950
12.6
Polk
7
61114
11.5
Sherman
0
790
0
Tillamook
3
12336
24.3
Umatilla
6
50238
11.9
Union
2
17072
11.7
Wallowa
0
3243
0
Wasco
1
13848
7.2
Washington
34
336700
10.1
Wheeler
0
544
0
Yamhill
10
65882
15.2

Note: Rates are death per 100,000.

Average Annual National Rate: 10.5, CDC 2020-2022

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