Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 974 - QUALITY OF LIFE CODE › Subpart B - QUALITY OF LIFE GRANTS › Section 974.120 - Grant Application Process and Procedure

Current through Register Vol. 48, No. 28, July 12, 2024
a)
Any organization, public or
				private, desiring to receive grant funds must submit a grant application to
				the
Department
. Applications for grant funds shall be made on
				prescribed forms developed by the
Department. (Section 4(a) of the
				Illinois Grant Funds Recovery Act)
b) The Department will provide application
				instructions to potential applicants.
c) Completed applications shall be returned
				to the Department at the address indicated on the grant application form or
				submitted electronically as directed. All applications shall be submitted in
				the format prescribed by the Department and
shall include, without
				being limited to, the following provisions
:
1)
The name, address, chief officers
				and general description of the applicant
(Section 4(a)(1) of the
				Illinois Grant Funds Recovery Act);
2) A copy of the Applicant's W-9, Request for
				Taxpayer Identification Number and Certification;
3) The applicant's grant funding history,
				i.e., whether the applicant has received a grant from the federal government or
				the State of Illinois within the last three years; if yes, the agency providing
				the funding, the grant number, grant amount, grant term, and a brief
				description of the grant;
4)
				Information concerning the applicant's background and financial standing,
				including the applicant's overall annual budget;
5) The following information concerning the
				applicant's organization:
A) Legal
				status;
B) Federal Employer
				Identification Number (FEIN);
C) If
				applicable, all names and FEINs that are registered to the organization or have
				been registered during the last three years;
D) Data Universal Numbering System (DUNS)
				Number;
E) Illinois Department of
				Human Rights Number, if applicable;
F) Legislative House District, Legislative
				Senate District, and Congressional District;
6)
A general description of the
				program, project or use for which grant funding is requested
(Section
				4(a)(2) of the Illinois Grant Funds Recovery Act);
7)
Plans, equipment lists and other
				documents
necessary
to show the type, structure and general
				character of the program, project or use for which grant funding is
				requested
(Section 4(a)(3) of the Illinois Grant Funds Recovery
				Act);
8) A scope of work for the
				funding period, including, but not limited to:
A) A detailed description/information about
				the proposed project;
B) Expected
				outcomes;
C) A description of the
				evaluation methods to be used, a plan for monitoring the overall project, and
				how outcomes and objectives will be measured;
D) A list of goals to be accomplished during
				the grant period;
E) A proposed
				timeline;
F) Objectives by quarter
				with a list of tasks that will be implemented to accomplish the objectives;
				and
G) A personnel chart, only if
				an applicant has allocated grant funding toward salaries or wages. The chart
				shall provide the individual's name, position title and role, percentage of
				time dedicated to the grant project, and the amount budgeted to support the
				percentage of time invested in the project;
9)
Cost estimates of developing,
				constructing, operating or completing the program, project or use for which
				grant funding is requested
(Section 4(a)(4) of the Illinois Grant
				Funds Recovery Act);
10)
A
				program of proposed expenditures for the grant funds
(Section 4(a)(5)
				of the Illinois Grant Funds Recovery Act). The program shall be in the form of
				a detailed budget for the funding period, documenting sufficient resources to
				complete the objectives addressed in the work plan. The budget shall be by line
				item category and shall provide justification for the use of grant funds to
				support the project activities. The applicant shall indicate the total amount
				of funding requested from the Department and other sources of funding that are
				available to support the project, if applicable;
11) An approximate timetable for project
				completion; and
12) The signature
				of the principal investigator or organization official who is authorized to
				certify the application.