LIST of CERTIFICATIONS 

1. CERTIFICATION REGARDING LOBBYING 

Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated 

funds to influence certain Federal contracting and financial transactions," generally 

prohibits recipients of Federal grants and cooperative agreements from using Federal 

(appropriated) funds for lobbying the Executive or Legislative Branches of the Federal 

Government in connection with a SPECIFIC grant or cooperative agreement. Section 

1352 also requires that each person who requests or receives a Federal grant or 

cooperative agreement must disclose lobbying undertaken with non-Federal (nonappropriated) funds. These requirements apply to grants and cooperative agreements 

EXCEEDING $100,000 in total costs (45 CFR Part 93). By signing and submitting this 

application, the applicant is providing certification set out in Appendix A to 45 CFR 

Part 93. 

2. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES 

ACT (PFCRA) 

The undersigned (authorized official signing for the applicant organization) certifies that 

the statements herein are true, complete, and accurate to the best of his or her knowledge, 

and that he or she is aware that any false, fictitious, or fraudulent statements or claims 

may subject him or her to criminal, civil, or administrative penalties. The undersigned 

agrees that the applicant organization will comply with the Department of Health and 

Human Services terms and conditions of award if a grant is awarded as a result of this 

application. 

3. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE 

Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that 

smoking not be permitted in any portion of any indoor facility owned or leased or 

contracted for by an entity and used routinely or regularly for the provision of health, 

day care, early childhood development services, education or library services to 

children under the age of 18, if the services are funded by Federal programs either 

directly or through State or local governments, by Federal grant, contract, loan, or loan 

guarantee. The law also applies to children’s services that are provided in indoor 

facilities that are constructed, operated, or maintained with such Federal funds. The law 

does not apply to children’s services provided in private residence, portions of facilities 

used for inpatient drug or alcohol treatment, service providers whose sole source of 

applicable Federal funds is Medicare or Medicaid, or facilities where WIC coupons are 

redeemed. 

Failure to comply with the provisions of the law may result in the imposition of a civil 

monetary penalty of up to $1,000 for each violation and/or the imposition of an 

administrative compliance order on the responsible entity. 
The authorized official signing for the applicant organization certifies that the applicant 

organization will comply with the requirements of the Act and will not allow smoking 

within any portion of any indoor facility used for the provision of services for children 

as defined by the Act. The applicant organization agrees that it will require that the 

language of this certification be included in any sub-awards which contain provisions 

for children’s services and that all sub-recipients shall certify accordingly. 

The Department of Health and Human Services strongly encourages all grant recipients 

to provide a smoke-free workplace and promote the non-use of tobacco products. This 

is consistent with the DHHS mission to protect and advance the physical and mental 

health of the American people.