GRANT GUIDELINES FOR TRAFFIC SAFETY GRANT PROGRAMSsection or federal property management standards procedures specified in 2 CFR 200.313, Equipment, as appropriate. Equipment and other

GRANT GUIDELINES FOR

TRAFFIC SAFETY GRANT PROGRAMS

Prepared by

NORTH DAKOTA DEPARTMENT OF TRANSPORTATION

BISMARCK, NORTH DAKOTA

www.dot.nd.gov

DIRECTOR William T. Panos

DEPUTY DIRECTOR FOR SAFETY Robin R. Rehborg

SAFETY DIVISION Karin Mongeon, Director

November 2020

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T A B L E O F C O N T E N T S

A. Background 3

B. The North Dakota Highway Safety Plan 3 1. Introduction 2. Overview of the HSP and Grant Process

C. Federal Grant Requirements 4

1. Allowable Costs 2. Unallowable Costs 3. Equipment Management

D. Grant Application Information 8

1. Eligible Entities 2. Funding Period 3. Grant Application Process and Format 4. Policies – Seat Belt Use, Drug Free Workplace,

and Ban on Text Messaging While Driving 5. Submittal 6. Risk Management 7. Certifications and Assurances

E. Reporting Process 10

F. Questions 10

Attachment 1 – Certifications and Assurances 11

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A. BACKGROUND  The North Dakota Department of Transportation Safety Division serves as the State Highway Safety Office for the State of North Dakota.  The Safety Division receives funds through the National Highway Traffic Safety Administration (NHTSA) to administer programs to reduce fatalities and injuries from motor vehicle crashes on North Dakota roads.  In accordance with NHTSA guidelines, the Safety Division passes funding along to entities to implement behavioral safety projects that can achieve measurable safety impacts.  These entities are commonly referred to as sub‐recipients or contractors.  This grant guidance serves to provide information to entities applying for or awarded NHTSA funds to assure compliance with required processes and applicable federal regulations.  

B. THE NORTH DAKOTA HIGHWAY SAFETY PLAN  

1. Introduction  

The Highway Safety Plan (HSP) is a planning document, a federal grant request, and a state budget document.  The HSP is completed annually by the Safety Division to meet requirements of NHTSA to receive federal highway grant funds. 

 2. Overview of the HSP and Grant Process 

 The Safety Division develops the annual problem identification based on data from multiple data sources, including crash, driver, injury, roads, court/adjudication, motor vehicle, seat belt use survey and other data sources.  This problem identification process determines the emphasis areas to be addressed through strategies/projects identified for funding through the HSP. 

 To identify projects to mitigate emphasis area problems, the Safety Division can opt to solicit project proposals for funding consideration.  Project proposals are not solicited if the Safety Division has adequate projects identified for inclusion in the HSP to meet emphasis area performance measures.   If proposals are solicited, they are evaluated based on criteria including: (1) response to identified problems, (2) proposed project/strategy, (3) clear objectives, (4) comprehensive evaluation plans, and (5) cost‐effective budgets. 

 The HSP is submitted to NHTSA on or before July 1 for NHTSA approval prior to receipt of funding for the upcoming federal year. Once the HSP is approved by NHTSA, the Safety Division initiates project contracts consistent with the federal fiscal year beginning on October 1 and ending September 30.   

Contracts are fully executed when signed by the sub‐recipient and the NDDOT Director, typically in the months of September and October, but will have an October 1 start date unless otherwise specified in the contract terms.  Contracts delayed for signature in the month of October (for example, a political subdivision’s inability to appear before the city/county commission for contract approval) are signed as soon as practicable, but are still retroactive to the October 1 start date.   

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Safety Division program managers monitor sub‐recipients throughout the contract year via the following activities:   

Ongoing contact through emails, phone calls, meetings, and correspondence 

On‐site or virtual monitoring reviews of project operations, management, and financial systems 

Ongoing review of progress reports 

Ongoing review and approval of claims  The final step in the annual HSP process is project evaluation to assess the impact of each project on motor vehicle crashes, injuries, and fatalities.  Project evaluation results are used to determine if projects should continue or be revised to increase impact. 

C. FEDERAL GRANT REQUIREMENTS 

The Safety Division’s Grant Application Cover Sheet allows sub‐recipients to acknowledge that they’ve reviewed and understand the terms of the grant as outlined in the grant guidance. The guidance can be located on the Safety Division’s webpage at:  http://www.dot.nd.gov/divisions/safety/trafficsafety.htm under “Applying for Funds.” 

Failure to comply with applicable federal statutes, regulations, and directives may subject sub‐recipients to civil or criminal penalties and/or place the state in a high‐risk sub‐recipient status.    Subrecipients will comply with all applicable state and federal statutes, regulations, and directives in effect with respect to the periods for which the sub‐recipient receives grant funding.  Applicable provisions include, but are not limited to:  

23 USC Chapter 4 – Highway Safety Act of 1966, as amended 

2 CFR 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards 

23 CFR 1300 – Uniform Procedures for State Highway Safety Grant Programs  1. Allowable Costs  Costs are unique to each contract. Costs must be allowable, reasonable, and necessary to complete the scope of work.    Direct Costs  Direct costs include salary and fringe benefits for program staff, supplies, equipment, travel, subcontracts, and other direct costs.  In‐State Travel  Mileage.  Mileage is reimbursed at the state rate.  

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Meals and Lodging.  Meal and lodging reimbursement is capped at the state per diem rate.  However, lodging costs may be approved at a higher rate.  A lodging receipt from a commercial place of lodging must be provided in order to receive reimbursement for lodging expenses.  Meal receipts are not necessary.    Other Travel Expenses.  These expenses may include items such as taxi fares, parking fees, and other miscellaneous expenses.  Receipts must be submitted for all miscellaneous expenses. 

 Out‐of‐State Travel 

 Meals and Lodging.  Meal and lodging reimbursement is capped at the domestic per diem rate established by the U.S. General Services Administration in accordance with location of travel.  A lodging receipt from a commercial place of lodging must be provided in order to receive reimbursement for lodging expenses.  Meal receipts are not necessary.    Other Travel Expenses.  These expenses may include items such as taxi fares, parking fees, and other miscellaneous expenses.  Receipts must be submitted for all miscellaneous expenses. 

 2. Unallowable Costs  The following costs are not allowable.  This list is NOT all‐inclusive.  See 2 CFR 200.420 through 200.475 related to General Provisions for Selected Items of Cost. Federal and state regulations apply.  

Office furnishings and fixtures (desk, chairs, filing cabinet, fixed lighting/lamp, etc.) 

Mainframe computers 

Bad debts 

Contingencies 

Contributions and donations 

Costs incurred by advisory councils or committees 

Entertainment (this includes gift certificates or tickets for any entertainment venue including sporting or musical events) 

Fines and penalties 

Food 

Interest and other financial costs 

Legislative expenses 

Fund raising and investment management costs 

Lobbying 

Planning and administrative costs of application, bid, or proposal preparation 

Costs incurred after the last date covered by the contract 

Vehicles (including ambulances)  

Vehicle and equipment maintenance 

Police officer uniforms and firearms 

Alcoholic beverages 

Alcohol/drug treatment costs  

Other activities or items that are not related to traffic safety   

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3. Equipment Management  

Any purchase of equipment using contract funds must receive prior approval through the Safety Division.    For equipment approved for purchase with a useful life of more than one year and an acquisition cost of $5,000 or more, the following applies.  Sub‐Recipient Property Management Systems 

 Sub‐recipients must establish and administer a system to procure, control, protect, preserve, use, maintain, and dispose of property furnished to them by the Safety Division or purchased through a grant, sub‐grant, or other agreement in accordance with their own property management procedures, provided that the procedures are not in conflict with the standards contained in this section or federal property management standards procedures specified in 2 CFR 200.313, Equipment, as appropriate.  Equipment and other property acquired under a grant agreement for use in highway safety projects shall be used and kept in operation for highway safety purposes.  State Agencies:  See Safety Division Inventory below.  Local Agencies and Other Non‐State Sub‐Recipients:  Standards for property management described in 2 CFR 200.313 will be used in documenting equipment purchased under a grant agreement.   The contractor shall seek disposition instructions from the Safety Division prior to disposing of any item of equipment purchased.  (Disposition is addressed in detail on page 8.)  The sub‐recipient may follow their own existing property management standards if they exceed the requirements set out in 2 CFR 200.313.  Sub‐Recipient Property Records Requirements 

 The sub‐recipient property management requirements include, but are not limited to, the maintenance of accurate property records.  Such records will include:    

A description of the property 

Manufacturer’s serial number, model number, federal stock number, national stock number, or other identification number 

Inventory number 

Source of the property (including grant or agreement number) 

Indication of with whom title is vested (generally vests with the sub‐recipient) 

Acquisition date 

Percentage (at the end of the budget year) of federal participation in the cost  

Location, use, and condition of the property and the date the information was reported 

Unit acquisition cost 

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Ultimate disposition date in accordance with 2 CFR 200.313(e) (including date of disposal and sales price or the method used to determine current fair market value) 

 Sub‐Recipient Inventory 

 Sub‐recipients will maintain an inventory control system to ensure adequate safeguards to prevent loss, damage, or theft of the property.  Sub‐recipients will provide a copy of their inventory policies and procedures to the Program Manager upon request.  Sub‐recipients will institute adequate maintenance procedures to keep the property in good condition.   Safety Division Inventory 

 North Dakota Century Code 54‐27‐21, Fixed asset minimum reporting value, establishes the requirements that all state agencies must follow regarding asset reporting, and reads:  “All state departments, agencies, boards, bureaus, commissions, industries, and institutions shall include all fixed assets under their control in their financial statements, except those having a value of five thousand dollars or less.  The state auditor is authorized to provide for the written exemption of specific fixed assets having a value of more than five thousand dollars when an exemption is justified upon generally accepted accounting principles.”  When a grant‐funded item that exceeds the $5,000 threshold is in the control of the Safety Division, the Safety Division must include the item in the NDDOT’s fixed asset reporting.    To track grant‐funded equipment purchases, the Safety Division uses a Microsoft Excel spreadsheet which includes the purchasing agency, make and model, serial number, purchase date, and cost.  The Safety Division verifies the status of the equipment with the grant‐funded entity every two to three years.  The results of the verification process are also tracked on the spreadsheet.    To verify equipment status, an email form letter is sent to each agency having possession of Safety Division‐funded equipment.  The letter requires a response from the agency to certify via electronic response the status of the equipment (i.e., in use or not in use).  A response also confirms the equipment is still in the agency’s possession. 

 The Finance/Contract Manager is responsible to track equipment through disposition or estimated useful life has been exceeded, whichever occurs first.   While there is no requirement that the state physically inventory grant‐funded activity, the Safety Division does complete this to some degree through on‐site monitoring processes.  The Safety Division’s On‐Site Monitoring Report has an area for Program Managers to document responses to the following equipment‐related questions and issues: 

Was equipment purchased during this contract agreement period? 

Was written approval from the state office obtained prior to equipment purchase? 

Does the sub‐recipient have a system in place to tag, control, protect, preserve, use, maintain, and inventory (annually) the property? 

Is equipment still accounted for and being used for designated highway safety purposes? 

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Verify the source documentation for all expenditures over $5,000. 

Is equipment certification current? 

Disposition  Equipment shall be used by the sub‐recipient in the program or project for which it was acquired as long as needed, including after the project or program is no longer supported by federal funds.  Upon completion or termination of a traffic safety grant or sub‐grant, or if it is determined by the Safety Division that equipment is no longer needed for the purpose for which it was acquired, the equipment may, at the option of the Safety Division, become the property of the Safety Division.   Permission for any other disposition must be obtained from the Safety Division before any action can be taken regarding the equipment.  However, equipment which is no longer tracked by the Safety Division does not require approval of the Safety Division for disposal.  The Safety Division may determine that a unit of equipment is no longer appropriate for tracking by using the following criteria:  

The equipment is no longer used or needed for the original purpose; 

The equipment is damaged beyond repair or salvage; or 

The equipment has passed its expected useful life.  

A Depreciation Guide for the estimated useful life of typical traffic safety equipment has been developed for use by the Safety Division to determine useful life. 

D. GRANT APPLICATION INFORMATION 

 1. Eligible Entities 

 Grants are awarded to governmental agencies (city, county, state), tribal governments, and for‐profit and non‐profit organizations. 

 2. Funding Period   

 Grants run congruent to the federal fiscal year which is October 1 through September 30 each year.     

 3. Grant Application Process and Format 

 Grant documents, including the application, the application cover sheet, and grant guidelines can be located at the following web link under “Applying for Funds.” 

 https://www.dot.nd.gov/divisions/safety/trafficsafety.htm   A Grant Application Cover Sheet should be completed and signed by the proposed Project Director and the Authorizing Official of the agency making the application.  If the agency is subsequently awarded a grant, the Authorizing Official listed on the cover sheet is the authority who should sign the contract issued by the NDDOT. 

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 Applicants are encouraged to read all grant application instructions carefully and to follow them closely.  If you have any questions, contact a Safety Division staff member (see Page 12). 

 4. Policies – Seat Belt Use, Drug and Alcohol Driving, and Distracted Driving/Texting 

 To support the state and national priorities of increased seat belt use and decreased impaired and distracted driving, the Safety Division requires all contracted entities to have a seat belt use, drug and alcohol driving, and distracted driving/texting policies for agency personnel.    Safety Division program managers will locate and review the policies during scheduled on‐site monitoring visits.  Absence of any policy may result in the Safety Division withholding payment until said policy is put into place.    5. Submittal 

 Applications should be submitted by April 1 for consideration for funding in the following fiscal year (October 1 – September 30).  Applications can also be submitted during a fiscal year.  Consideration will be provided for funding in the year of application or the following fiscal year as funding allows.  Applications should include appropriate signatures and can be submitted via email to [email protected] or mail to:  

North Dakota Department of Transportation Safety Division 608 East Boulevard Avenue Bismarck, ND  58505‐0700 

 6. Risk Management    Agencies receiving a notice of grant award from the Safety Division may need to provide the following risk management assurances:  (1) a general liability insurance policy, (2) workers compensation, and (3) proof of automobile liability insurance.    A government agency covered through the North Dakota Insurance Reserve Fund will meet the risk management provisions of the NDDOT.  7. Certifications and Assurances 

 As part of the contract execution process, recipients must comply with the Certifications and Assurances provided as Attachment 1, which will be Appendix B of the Contract.  

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E. Reporting Process  Each agency funded through the Safety Division must report on contract activities and submit a monthly or quarterly report and request for reimbursement as specified in the contract.    Generally, the following rules are established for reporting and reimbursement.  

Expenses are paid on a reimbursement basis only.  No advances are permitted. 

If a written narrative is required, it must be submitted within 30 days of the end of the month/quarter worked. 

The voucher must be submitted within 30‐45 days of the end of the activities for the month/quarter (as specified in the contract scope). 

With few exceptions, contracts require a final report.  An equipment purchase, such as radar, may only require a copy of the invoice. 

The final report is due no later than November 14 (45 days after the end of the federal fiscal year).  A reimbursement request made after this date will not be reimbursed. 

F. Questions  

Grant questions can be directed to the Safety Division by calling 701‐328‐2402 or emailing [email protected].   

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ATTACHMENT 1

CERTIFICATIONS AND ASSURANCES

Appendix B to Part 1300 – Application Requirements for Section 405 and Section 1906 Grants

[Each fiscal year, to apply for a grant under 23 U.S.C. 405 or Section 1906, Pub. L. 109-59, as amended by Section 4011, Pub. L. 114-94, the State must complete and submit all required information in this appendix, and the Governor’s Representative for Highway Safety must sign the Certifications and Assurances.]

State: ___________________________________ Fiscal Year: 2021 Instructions: Check the box for each part for which the State is applying for a grant, fill in relevant blanks, and identify the attachment number or page numbers where the requested information appears in the HSP. Attachments may be submitted electronically. □ PART 1: OCCUPANT PROTECTION GRANTS (23 CFR 1300.21) [Check the box above only if applying for this grant.] All States: [Fill in all blanks below.]

• The lead State agency responsible for occupant protection programs will maintain its aggregate expenditures for occupant protection programs at or above the average level of such expenditures in fiscal years 2014 and 2015. (23 U.S.C. 405(a)(9))

• The State’s occupant protection program area plan for the upcoming fiscal year is provided in the HSP at_____________________________________________ (location).

• The State will participate in the Click it or Ticket national mobilization in the fiscal year of the grant. The description of the State’s planned participation is provided in the HSP at _____________________________________________________________(location).

• Countermeasure strategies and planned activities demonstrating the State’s active network of child restraint inspection stations are provided in the HSP at _______________________________________________________________ (location). Such description includes estimates for: (1) the total number of planned inspection stations and events during the upcoming fiscal year; and (2) within that total, the number of planned inspection stations and events serving each of the following population categories: urban, rural, and at-risk. The planned inspection stations/events provided in the HSP are staffed with at least one current nationally Certified Child Passenger Safety Technician.

• Countermeasure strategies and planned activities, as provided in the HSP at_______________________________________________________________ (location),that include estimates of the total number of classes and total number of technicians to betrained in the upcoming fiscal year to ensure coverage of child passenger safetyinspection stations and inspection events by nationally Certified Child Passenger SafetyTechnicians.

Lower Seat Belt Use States Only:

[Check at least 3 boxes below and fill in all blanks under those checked boxes.]

□ The State’s primary seat belt use law, requiring all occupants riding in a passenger motor vehicle to be restrained in a seat belt or a child restraint, was enacted on _____________________ (date) and last amended on _____________________ (date), is in effect, and will be enforced during the fiscal year of the grant.Legal citation(s):_________________________________________________________.

□ The State’s occupant protection law, requiring occupants to be secured in a seat belt or age-appropriate child restraint while in a passenger motor vehicle and a minimum fine of$25, was enacted on _____________________ (date) and last amended on _____________________ (date), is in effect, and will be enforced during the fiscal year of the grant.Legal citations:

• ______________________ Requirement for all occupants to be secured in seat belt or age appropriate child restraint;

• ______________________ Coverage of all passenger motor vehicles;•• ______________________ Minimum fine of at least $25;

• ______________________ Exemptions from restraint requirements.

□ The countermeasure strategies and planned activities demonstrating the State’s seat beltenforcement plan are provided in the HSP at __________ (location).

□ The countermeasure strategies and planned activities demonstrating the State’s high riskpopulation countermeasure program are provided in the HSP at_______________________________________________________________ (location).

□ The State’s comprehensive occupant protection program is provided as follows:

• Date of NHTSA-facilitated program assessment conducted within 5 years prior to the application date__________________________________________________ (date); _____________________________________________________________________

• Multi-year strategic plan: HSP at _________________________________(location); • The name and title of the State’s designated occupant protection coordinator is

____________________________________________________________________. • List that contains the names, titles and organizations of the Statewide occupant

protection task force membership: HSP at __________ (location).

□ The State’s NHTSA-facilitated occupant protection program assessment of all elements of its occupant protection program was conducted on ________________ (date) (within 3 years of the application due date);

_______________________________________________________________________

□ PART 2: STATE TRAFFIC SAFETY INFORMATION SYSTEM IMPROVEMENTSGRANTS (23 CFR 1300.22)

[Check the box above only if applying for this grant.]

All States: • The lead State agency responsible for traffic safety information system improvement

programs will maintain its aggregate expenditures for traffic safety information systemimprovements programs at or above the average level of such expenditures in fiscal years2014 and 2015. (23 U.S.C. 405(a)(9))

[Fill in all blank for each bullet below.]

• A list of at least 3 TRCC meeting dates during the 12 months preceding the application due date is provided in the HSP at _________________________________________ (location).

• The name and title of the State’s Traffic Records Coordinator is

• A list of the TRCC members by name, title, home organization and the core safety database represented is provided in the HSP at ___________________________________ (location).

• The State Strategic Plan is provided as follows:

Description of specific, quantifiable and measurable improvements at _________________________________________________________ (location);

List of all recommendations from most recent assessment at: _________________________________________________________ (location);

Recommendations to be addressed, including countermeasure strategies and planned activities and performance measures at _________________________________________________________ (location);

Recommendations not to be addressed, including reasons for not implementing: HSP at_________________________________________________________ (location).

• Written description of the performance measures, and all supporting data, that the State is relying on to demonstrate achievement of the quantitative improvement in the preceding 12 months of the application due date in relation to one or more of the significant data program attributes is provided in the HSP at _____________________________________ (location).

• The State’s most recent assessment or update of its highway safety data and traffic records system was completed on ________________________________________________ (date).

□ PART 3: IMPAIRED DRIVING COUNTERMEASURES (23 CFR 1300.23(D)-(F)) [Check the box above only if applying for this grant.] All States: • The lead State agency responsible for impaired driving programs will maintain its aggregate

expenditures for impaired driving programs at or above the average level of such expenditures in fiscal years 2014 and 2015.

• The State will use the funds awarded under 23 U.S.C. 405(d) only for the implementation of programs as provided in 23 CFR 1300.23(j).

Mid-Range State Only: [Check one box below and fill in all blanks under that checked box.]

□ The State submits its Statewide impaired driving plan approved by a Statewide impaired driving task force on ___________________________________________(date). Specifically – HSP at _______________________________________________________

(location) describes the authority and basis for operation of the Statewide impaired driving task force;

HSP at _______________________________________________________(location) contains the list of names, titles and organizations of all task force members;

HSP at_______________________________________________________(location) contains the strategic plan based on Highway Safety Guideline No. 8 – Impaired Driving.

□ The State has previously submitted a Statewide impaired driving plan approved by a Statewide impaired driving task force on _________________________ (date) and continues to use this plan.

High-Range State Only: [Check one box below and fill in all blanks under that checked box.]

□ The State submits its Statewide impaired driving plan approved by a Statewide impaired driving task force on ___________________________ (date) that includes a review of a NHTSA-facilitated assessment of the State’s impaired driving program conducted on ___________________________________ (date). Specifically, – HSP at _______________________________________________________(location)

describes the authority and basis for operation of the Statewide impaired driving task force;

HSP at _______________________________________________________(location) contains the list of names, titles and organizations of all task force members;

HSP at _______________________________________________________(location) contains the strategic plan based on Highway Safety Guideline No. 8 – Impaired Driving;

HSP at_______________________________________________________ (location) addresses any related recommendations from the assessment of the State’s impaired driving program;

HSP at _______________________________________________________(location) contains the planned activities, in detail, for spending grant funds;

HSP at _______________________________________________________(location) describes how the spending supports the State’s impaired driving program and achievement of its performance targets.

□ The State submits an updated Statewide impaired driving plan approved by a Statewide impaired driving task force on ______________________________________ (date) and updates its assessment review and spending plan provided in the HSP at_______________________________________________________________ (location).

□ PART 4: ALCOHOL-IGNITION INTERLOCK LAWS (23 CFR 1300.23(G)) [Check the box above only if applying for this grant.] [Fill in all blanks.]

The State provides citations to a law that requires all individuals convicted of driving under the influence or of driving while intoxicated to drive only motor vehicles with alcohol-ignition interlocks for a period of 6 months that was enacted on ___________ (date) and last amended on ___________ (date), is in effect, and will be enforced during the fiscal year of the grant. Legal citation(s): _____________________________________________________________________________________________________________________________________________________.

□ PART 5: 24-7 SOBRIETY PROGRAMS (23 CFR 1300.23(H)) [Check the box above only if applying for this grant.] [Fill in all blanks.]

The State provides citations to a law that requires all individuals convicted of driving under the influence or of driving while intoxicated to receive a restriction on driving privileges that was enacted on ___________ (date) and last amended on ___________ (date), is in effect, and will be enforced during the fiscal year of the grant. Legal citation(s): _____________________________________________________________________________________________________________________________________________________. [Check at least one of the boxes below and fill in all blanks under that checked box.] □ Law citation. The State provides citations to a law that authorizes a Statewide 24-7 sobriety program that was enacted on ___________ (date) and last amended on ___________ (date), is in effect, and will be enforced during the fiscal year of the grant. Legal citation(s): _____________________________________________________________________________________________________________________________________________________. □ Program information. The State provides program information that authorizes a Statewide 24-7 sobriety program. The program information is provided in the HSP at __________ (location).

□ PART 6: DISTRACTED DRIVING GRANTS (23 CFR 1300.24) [Check the box above only if applying for this grant and fill in all blanks.] Comprehensive Distracted Driving Grant

• The State provides sample distracted driving questions from the State’s driver’s license examination in the HSP at ________________________________ (location).

• Prohibition on Texting While Driving

The State’s texting ban statute, prohibiting texting while driving and requiring a minimum fine of at least $25, was enacted on ___________ (date) and last amended on _____________ (date), is in effect, and will be enforced during the fiscal year of the grant.

Legal citations:

______________________ Prohibition on texting while driving; ______________________ Definition of covered wireless communication

devices; ______________________ Minimum fine of at least $25 for an offense; ______________________ Exemptions from texting ban.

• Prohibition on Youth Cell Phone Use While Driving

The State’s youth cell phone use ban statute, prohibiting youth cell phone use while driving, driver license testing of distracted driving issues and requiring a minimum fine of at least $25, was enacted on _____________ (date) and last amended on _____________ (date), is in effect, and will be enforced during the fiscal year of the grant.

Legal citations:

______________________ Prohibition on youth cell phone use while

driving; ______________________ Definition of covered wireless communication

devices; ______________________ Minimum fine of at least $25 for an offense; ______________________ Exemptions from youth cell phone use ban.

• The State has conformed its distracted driving data to the most recent Model

Minimum Uniform Crash Criteria (MMUCC) and will provide supporting data (i.e., NHTSA-developed MMUCC Mapping spreadsheet) within 30 days after notification of award.

□ PART 7: MOTORCYCLIST SAFETY GRANTS (23 CFR 1300.25) [Check the box above only if applying for this grant.] [Check at least 2 boxes below and fill in all blanks under those checked boxes only.]

□ Motorcycle riding training course: • The name and organization of the head of the designated State authority over

motorcyclist safety issues is _______________________________________.

• The head of the designated State authority over motorcyclist safety issues has approved and the State has adopted one of the following introductory rider curricula: [Check at least one of the following boxes below and fill in any blanks.]

□ Motorcycle Safety Foundation Basic Rider Course; □ TEAM OREGON Basic Rider Training; □ Idaho STAR Basic I; □ California Motorcyclist Safety Program Motorcyclist Training Course; □ Other curriculum that meets NHTSA’s Model National Standards for Entry-Level Motorcycle Rider Training and that has been approved by NHTSA.

• In the HSP at __________ (location), a list of counties or political subdivisions in the

State where motorcycle rider training courses will be conducted during the fiscal year of the grant AND number of registered motorcycles in each such county or political subdivision according to official State motor vehicle records.

□ Motorcyclist awareness program:

• The name and organization of the head of the designated State authority over motorcyclist safety issues is _______________________________________.

• The State’s motorcyclist awareness program was developed by or in coordination with the designated State authority having jurisdiction over motorcyclist safety issues.

• In the HSP at _________________________________________________(location), performance measures and corresponding performance targets developed for motorcycle awareness that identify, using State crash data, the counties or political subdivisions within the State with the highest number of motorcycle crashes involving a motorcycle and another motor vehicle.

• In the HSP at _________________________________________________ (location), the countermeasure strategies and planned activities demonstrating that the State will implement data-driven programs in a majority of counties or political subdivisions

where the incidence of crashes involving a motorcycle and another motor vehicle is highest, and a list that identifies, using State crash data, the counties or political subdivisions within the State ranked in order of the highest to lowest number of crashes involving a motorcycle and another motor vehicle per county or political subdivision.

□ Reduction of fatalities and crashes involving motorcycles:

• Data showing the total number of motor vehicle crashes involving motorcycles is provided in the HSP at _________________________________________ (location).

• Description of the State’s methods for collecting and analyzing data is provided in the HSP at ______________________________________________________ (location).

□ Impaired driving program:

• In the HSP at _________________________________________________ (location),

performance measures and corresponding performance targets developed to reduce impaired motorcycle operation.

• In the HSP at _________________________________________________ (location),

countermeasure strategies and planned activities demonstrating that the State will implement data-driven programs designed to reach motorcyclists and motorists in those jurisdictions where the incidence of motorcycle crashes involving an impaired operator is highest (i.e., the majority of counties or political subdivisions in the State with the highest numbers of motorcycle crashes involving an impaired operator) based upon State data.

□ Reduction of fatalities and accidents involving impaired motorcyclists:

• Data showing the total number of reported crashes involving alcohol-impaired and drug-impaired motorcycle operators is provided in the HSP at __________ (location).

• Description of the State’s methods for collecting and analyzing data is provided in the

HSP at __________ (location).

□ Use of fees collected from motorcyclists for motorcycle programs: [Check one box only below and fill in all blanks under the checked box only.]

□ Applying as a Law State –

• The State law or regulation requires all fees collected by the State from motorcyclists for the purpose of funding motorcycle training and safety programs are to be used for motorcycle training and safety programs. AND

• The State’s law appropriating funds for FY ____ demonstrates that all fees collected by the State from motorcyclists for the purpose of funding motorcycle training and safety programs are spent on motorcycle training and safety programs. Legal citation(s): __________________.

□ Applying as a Data State –

• Data and/or documentation from official State records from the previous fiscal year showing that all fees collected by the State from motorcyclists for the purpose of funding motorcycle training and safety programs were used for motorcycle training and safety programs is provided in the HSP at _________________________________________________________ (location).

□ PART 8: STATE GRADUATED DRIVER LICENSING INCENTIVE GRANTS (23 CFR 1300.26) [Check the box above only if applying for this grant.] [Fill in all applicable blanks below.] The State’s graduated driver’s licensing statute, requiring both a learner’s permit stage and intermediate stage prior to receiving an unrestricted driver’s license, was last amended on ____________ (date), is in effect, and will be enforced during the fiscal year of the grant. Learner’s Permit Stage –

Legal citations:

• ______________________ Applies prior to receipt of any other permit, license, or endorsement by the State if applicant is younger than 18 years of age and has not been issued an intermediate license or unrestricted driver’s license by any State;

• ______________________ Applicant must pass vision test and knowledge assessment;

• ______________________ In effect for at least 6 months; • ______________________ In effect until driver is at least 16 years of age; • ______________________ Must be accompanied and supervised at all times; • ______________________ Requires completion of State-certified driver

education or training course or at least 50 hours of behind-the-wheel training, with at least 10 of those hours at night;

• ______________________ Prohibits use of personal wireless communications device;

• ______________________ Extension of learner’s permit stage if convicted of a driving-related offense;

• ______________________ Exemptions from learner’s permit stage. Intermediate Stage –

Legal citations:

• ______________________ Commences after applicant younger than 18 years

of age successfully completes the learner’s permit stage, but prior to receipt of any other permit, license, or endorsement by the State;

• ______________________ Applicant must pass behind-the-wheel driving skills assessment;

• ______________________ In effect for at least 6 months; • ______________________ In effect until driver is at least 17 years of age; • ______________________ Must be accompanied and supervised between

hours of 10:00 p.m. and 5:00 a.m. during first 6 months of stage, except when operating a motor vehicle for the purposes of work, school, religious activities, or emergencies;

• ______________________ No more than 1 nonfamilial passenger younger than 21 years of age allowed;

• ______________________ Prohibits use of personal wireless communications device;

• ______________________ Extension of intermediate stage if convicted of a driving-related offense;

• ______________________ Exemptions from intermediate stage.

□ PART 9: NONMOTORIZED SAFETY GRANTS (23 CFR 1300.27) [Check the box above only applying for this grant AND only if NHTSA has identified the State as eligible because the State annual combined pedestrian and bicyclist fatalities exceed 15 percent of the State’s total annual crash fatalities based on the most recent calendar year final FARS data.] The State affirms that it will use the funds awarded under 23 U.S.C. 405(h) only for the implementation of programs as provided in 23 CFR 1300.27(d).

□ PART 10: RACIAL PROFILING DATA COLLECTION GRANTS (23 CFR 1300.28) [Check the box above only if applying for this grant.] [Check one box only below and fill in all blanks under the checked box only.]

□ In the HSP at _____________________________________________________(location),

the official document(s) (i.e., a law, regulation, binding policy directive, letter from the Governor or court order) demonstrates that the State maintains and allows public inspection of statistical information on the race and ethnicity of the driver for each motor vehicle stop made by a law enforcement officer on all public roads except those classified as local or minor rural roads.

□ In the HSP at

________________________________________________________________(location), the State will undertake countermeasure strategies and planned activities during the fiscal year of the grant to maintain and allow public inspection of statistical information on the race and ethnicity of the driver for each motor vehicle stop made by a law enforcement officer on all public roads except those classified as local or minor rural roads. (A State may not receive a racial profiling data collection grant by checking this box for more than 2 fiscal years.)

In my capacity as the Governor’s Representative for Highway Safety, I hereby provide the following certifications and assurances –

• I have reviewed the above information in support of the State’s application for 23 U.S.C.405 and Section 1906 grants, and based on my review, the information is accurate andcomplete to the best of my personal knowledge.

• As condition of each grant awarded, the State will use these grant funds in accordance withthe specific statutory and regulatory requirements of that grant, and will comply with allapplicable laws, regulations, and financial and programmatic requirements for Federalgrants.

• I understand and accept that incorrect, incomplete, or untimely information submitted insupport of the State’s application may result in the denial of a grant award.

I understand that my statements in support of the State’s application for Federal grant funds are statements upon which the Federal Government will rely in determining qualification for grant funds, and that knowing misstatements may be subject to civil or criminal penalties under 18 U.S.C. 1001. I sign these Certifications and Assurances based on personal knowledge, and after appropriate inquiry.

Signature Governor’s Representative for Highway Safety Date

____________________________________________________ Printed name of Governor’s Representative for Highway Safety