**U. s. department of health and human services**

**Health Resources and Services Administration**

***Bureau of Health Professions***

***Division of Medicine and Dentistry***

***Training in Primary Care Medicine and Dentistry***

***New Competition***

*HRSA-08-032 --Academic Administrative Units*

*HRSA-08-035 -- Physician Faculty Development **- REVISED***

*HRSA-08-037 -- Predoctoral Training*

*HRSA-08-039 -- Physician Assistant Training*

*HRSA-08-042 -- Residency Training*

*HRSA-08-044 -- Residency Training in General and Pediatric Dentistry*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.884**

**PROGRAM GUIDANCE**

**Fiscal Year 2008**

**Application Due Date: December 10, 2007**

**Revised Release Date: October 2, 2007**

**Original Date of Issuance: August 23, 2007**

**NOTE: THE GUIDANCE FOR THE PHYSICIAN FACULTY DEVELOPMENT PROGRAM,
HRSA-08-035, HAS BEEN REVISED TO INCLUDE PRIMARY CARE CLINICIAN RESEARCH
FELLOWSHIPS. THE APPLICATION DUE DATE REMAINS UNCHANGED.**

> *Contact Name: Brenda L. Williamson, M.A., C.T.H.E.*
>
> *Primary Care Medical Education Branch*
>
> *BHPr, HRSA*
>
> *e-mail: <bwilliamson@hrsa.gov>*
>
> *Telephone: 301 443-1467*

*Fax: 301 443-1945*

Authority*: Title VII, Section 747, Public Health Service Act, as
amended, (42 U.S.C-293k).*

**[Guidance Table of Contents]{.underline}**

**[Page]{.underline}**

**I. FUNDING OPPORTUNITY
DESCRIPTION.................................\... 4**

1\.
Purpose.....................................................................\...\...\....
4

2\.
Background.....................................................................\...
4

**II. AWARD
INFORMATION............................................................
8**

1\. Type of
Award......................................................................8

2\. Summary of
Funding............................................................\...8

**III. ELIGIBILITY
INFORMATION.................................................... 8**

1\. Eligible
Applicants...............................................................
8

2\. Cost
Sharing/Matching..........................................................
. 9

3\.
Other...............................................................................
9

**IV. APPLICATION AND SUBMISSION INFORMATION.....................\...
13**

1\. Address to Request Application
Package...................................... 13

*Application
Materials*............................................................
13

2\. Content and Form of Application
Submission..............................\... 13

*Application Format
Requirements*.............................................. 13

*Application
Format*...............................................................
14

**I. APPLICATION FACE
PAGE**\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
19

**II. TABLE OF
CONTENTS**.................................................. 19

**III. APPLICATION
CHECKLIST**............................................ 19

**IV.
BUDGET**...............................................................\...
19

**V. BUDGET JUSTIFICATION**.............................................
19

**VI. STAFFING PLAN AND PERSONNEL REQUIREMENTS**............. 25

**VII.
ASSURANCES**.........................................................\...
25

**VIII.
CERTIFICATIONS**......................................................
25

**IX. PROJECT ABSTRACT** **AND PROGRESS REPORT**....................25

**X. PROJECT
NARRATIVE**................................................. 26

**XI. PROGRAM SPECIFIC
FORMS**.......................................\... 29

**XII.
ATTACHMENTS**.....................................................................29

3\. Submission Dates and
Times................................................... 30

4\. Intergovernmental
Review...................................................... 30

5\. Funding
Restrictions.............................................................
31

6\. Other Submission
Requirements.............................................\... 31

*Electronic
Submission*.........................................................\...
31

**V. APPLICATION REVIEW INFORMATION.....................................
32**

1\. Review
Criteria...................................................................
32

2\. Review and Selection
Process.................................................. 33

*Funding
Priorities....*.............................................................34

*Funding
Preferences*..............................................................41

**VI. AWARD ADMINISTRATION INFORMATION................................
53**

1\. Award
Notices....................................................................
53

2\. Administrative and National Policy
Requirements........................\... 53

Health People
2010...............................................................53

3\.
Reporting........................................................................\...
54

**VII. AGENCY
CONTACTS................................................................
55**

**VIII. OTHER
INFORMATION............................................................
56**

**IX. TIPS FOR WRITING A STRONG APPLICATION...........................
56**

**X. ATTACHMENTS AND
APPENDICES..........................................\...57**

Attachments: Sample Consolidated Budget Form for Collaborative
Applications and Sample Consolidated Budget From for Collaborative
General and Pediatric Dentistry Applications

Appendix A: HRSA's Electronic Submission User Guide

Appendix B: Registering and Applying Through Grants.gov

Appendix C: Standard Form 424 Research and Related

Appendix D: Assurances and Certifications

**I. FUNDING OPPORTUNITY DESCRIPTION**

**1. Purpose**

Title VII, Sec. 747 of the Public Health Service Act, (42 U.S.C. 293k)

The Bureau of Health Professions (BHPr) is a component in the Health
Resources and Services Administration (HRSA), U.S. Department of Health
and Human Services. The mission of HRSA is to improve and expand access
to quality health care for all. For thirty years, BHPr has worked to
recruit and train health professionals.

Improved access to quality health care can be achieved through
appropriate preparation, composition and distribution of the health
professions workforce. The Training in Primary Care Medicine and
Dentistry grant program authorized by Title VII, section 747 of the
Public Health Service Act emphasizes diversity, distribution and the
quality of the health professions workforce as a means of improving
access to care.

This announcement for the Fiscal Year (FY) 2008 grant cycle solicits
applications for Training in Primary Care Medicine and Dentistry to
support academic administrative units, residency training, predoctoral
training, faculty development, physician assistant training, and general
and pediatric dental residency training program areas.

The legislation provides for two funding preferences (placing graduates
in a medically underserved community and establishment or substantial
expansion of an academic administrative unit). The legislation also
provides for three funding priorities (graduates who enter and remain in
primary care; record of training individuals who are from disadvantaged
backgrounds; and academic administrative unit collaborative proposals
that involve two or more disciplines from the same institution).

**2. Background**

Title VII and Title VIII of the Public Health Service Act, established
in 1963 and 1964 respectively, authorized many different programs for
dealing with the supply and distribution of health professionals, and
the recruitment and retention of minorities in health professions
schools. Title VII programs focused mainly on physicians, general
dentists, and physician assistants and title VIII programs focus on
nursing education and training.

The Health Professions Education and Assistance Act of 1976 amended the
Public Health Service Act "to revise and extend the programs of
assistance under Title VII for training in the health and allied health
professions . . ." Since enactment of section 747, the quality and
emphasis in medical and dental curricula have changed to meet emerging
health care needs. Examples include curricula to prepare practitioners
to care for underserved populations, the elderly, individuals with
HIV/AIDS, substance abusers, homeless, victims of domestic violence, and
culturally competent care.

Congress established funding preferences to focus on primary care
availability in underserved areas. It targeted grant recipients with the
greatest success in placing graduates in medically underserved
communities. The grant programs in Family Medicine, General Internal
Medicine and General Pediatrics, Physician Assistants, General Dentistry
and Pediatric Dentistry are programs used to improve access to quality
health care, appropriate preparation, composition and distribution of
the health professions workforce.

# *Applications may be submitted for the following program areas:* 

***Residency Training in Primary Care (HRSA-08-042) -*** to plan,
develop, and operate or participate (including provision of financial
assistance to residents in such programs) in approved residency programs
in family medicine, general internal medicine, and/or general
pediatrics.

***Predoctoral Training in Primary Care (HRSA-08-037) -*** to plan,
develop, and operate or participate (including provision of financial
assistance to students in such programs) in predoctoral programs in
family medicine, general internal medicine, and/or general pediatrics.

***Academic Administrative Units in Primary Care (HRSA-08-032) -*** to
meet the costs of projects to establish, maintain or improve academic
administrative units (which may be departments, divisions, or other
units) to provide clinical instruction in family medicine, general
internal medicine, and/or general pediatrics.

***Physician Assistant Training in Primary Care (HRSA-08-039) -*** to
meet the costs of projects to plan, develop, and operate or maintain
programs for the training of physician assistants and for the training
of individuals who will teach in programs to provide training of
physician assistants.

***Residency Training in General and Pediatric Dentistry (HRSA-08-044)
-*** to meet the costs of planning, developing, or operating programs
and to provide financial assistance to residents in such programs as
general dentistry or pediatric dentistry in dental schools, approved
residency programs in the general or pediatric practice of dentistry,
approved advanced education programs in the general or pediatric
practice of dentistry, or approved residency programs in pediatric
dentistry.

***Physician Faculty Development in Primary Care (HRSA-08-035) -*** to
plan, develop, and operate (including the provision of financial
assistance to trainees in such programs) programs for the training of
physicians who teach or plan to teach in family medicine (including
geriatrics), general internal medicine, and/or general pediatrics
training program(s). This program area shall support the implementation
of projects that seek to develop Primary Care Clinician Research
Fellowships, Primary Care Master Educators and/or Primary Care Community
Preceptors.

> **Primary Care Clinician Research Fellowship -** This track provides
> fellowships that focus on development of primary care research
> investigators.
>
> *[Duration]{.underline} -* Fellowships will last 2 to 3 years.
>
> *[Features]{.underline} -* Applications should include a rigorous
> research/training track which is offered at an academic health science
> center. Advanced degrees (e.g., M.P.H., M.P.A.) are a desirable
> option. Desirable candidates include multidisciplinary physician
> faculty and fellows. Research areas should be consistent with the
> scope and content of primary care practice and education, and may
> include such areas as the linkage between Healthy People 2010 and
> health disparities, community and practice-based research, patient
> safety, quality improvement, professionalism, health literacy, and
> cultural competency.
>
> *[Stipend Level]{.underline} -* Enhanced stipend level is equivalent
> to National Research Service Award (NRSA) stipends, which range from
> \$36,996 for individuals entering immediately following receipt of
> their doctoral degree to \$51,036 for individuals with 7 years or more
> of relevant experience and/or training. **A table of stipend levels is
> provided in this guidance.** Supplementation of the stipends is
> allowable and encouraged; however, the combination of stipend and
> supplementation may not exceed the full-time salary of comparable
> multidisciplinary physician faculty at the applicant\'s institution.
>
> *[Time Requirement]{.underline} -* Pro-rated stipends are not
> available. For applicants requesting full stipends, 60% of a Fellow's
> time for 24 to 36 months of fellowship must be devoted to formal
> research training. The remaining 40% of time for a 24 to 36-month
> fellowship must be spent in activities consistent with the roles of
> academic faculty (clinical practice, teaching, and/or administration).
>
> **Primary Care Master Educator Fellowship -** This track provides
> fellowships that focus on development of primary care teachers, who
> teach or plan to teach in family medicine (including geriatrics),
> general internal medicine, and/or general pediatrics training
> program(s). Curricula will focus on subjects such as teaching skills,
> supervised educational practice in areas such as clinical teaching,
> teaching strategies, adult learning theory, curriculum design,
> professional development, mentorship, or development of organizational
> and management skills. Models of learning might include, but are not
> limited to:

-   On-site and on-line intensive fellowship models;

-   Intra-institutional and interdisciplinary faculty development
    programs targeting mid-level faculty and potential leaders;

-   \"Train-the-trainer\" programs;

-   Distance learning;

-   E-learning; and

-   Blended learning

> *[Duration]{.underline} -* Fellowships can last up to 2 years.
>
> *[Features]{.underline} -* Fellowships will employ rigorous
> educational training programs at community-based residency training
> programs, university departments, or academic health science centers
> or other appropriate settings. Advanced degrees are generally not
> involved. Desirable candidates include primary care physician faculty
> and primary care residents.
>
> *[Stipend Level]{.underline} -* Enhanced stipend level is equivalent
> to NRSA stipends, which range from \$36,996 for individuals entering
> immediately following receipt of their doctoral degree to \$51,036 for
> individuals with 7 years or more of relevant experience and/or
> training. **A table of stipend levels is provided in this guidance.**
> Supplementation of the stipends is allowable and encouraged; however,
> the combination of stipend and supplementation may not exceed the
> full-time salary of comparable faculty at the applicant\'s
> institution.
>
> *[Time Requirement]{.underline} -* Pro-rated stipends are not
> available. For applicants requesting full stipends, 60% of a Fellow's
> time must be devoted as follows: a minimum of 40% time to formal
> education training, with an additional 20% time devoted to supervised
> educational practica in areas such as clinical teaching, delivering
> lectures, and developing curricula. The remaining 40% time must be
> spent in activities consistent with the roles of community faculty,
> residency faculty, or academic faculty (clinical practice, research
> and/or administration).
>
> **Community Preceptor Faculty Development -** This track will focus on
> preparing community-based preceptors to work with all levels of
> medical students, residents, and fellows.
>
> *[Duration]{.underline} -* Training involves courses and seminars.
> Training sites may include professional meetings of primary care
> physicians, web-based training, teleconference-based training,
> distance learning, e-learning, blended learning, or written materials,
> and workshops organized by medical school and residency faculty.
>
> *[Features]{.underline}* - This fellowship will concentrate on
> preparation of material for training preceptors and generic skill
> sets, including orientation of students to practice, assessing the
> learner, teaching the learner, observation, feedback, evaluation, and
> specific content areas (see Special Consideration section). It will
> feature cost effective events that are brief and highly focused, and
> will combine faculty development with enhancement of clinical,
> teaching, and community-based research skills.
>
> *[Stipend Level]{.underline}* - No stipend payments, tuition or fees
> will be available; however, registration fees for participants in
> meetings are allowable.
>
> *[Time Requirement]{.underline}* - There is no specific time
> requirement.

[]{.mark}

**Special Consideration**

Special consideration shall be given to projects which prepare
practitioners to care for underserved populations and other high risks
groups, such as the elderly, individuals with HIV/AIDS, substance
abusers, homeless, and victims of domestic violence.

**Guidance for Collaborative Proposals**

Applicants are not required to submit a collaborative application;
however, reflected in Title VII of the Public Health Service Act, as
amended, is the desire expressed by Congress for greater collaboration
across primary care disciplines in efforts to meet primary care and
relate workforce needs of communities, states, or regions served.
Applicants should use the following information in preparing
applications that are collaborative between two (2) or more primary care
medicine and/or dentistry disciplines.

**Collaborative Application**: A fully collaborative application should
include joint planning, implementation, training, and evaluation.
Examples of these may include joint decision-making, shared faculty,
shared academic appointments, shared administrative staff, and shared
evaluation activities.

**Project Director**: A collaborative application may have a single
project director or this responsibility may be shared by co-project
directors from the disciplines involved in the collaborative activities.
One of the co-project directors must be identified as the lead project
director.

**Budgets**: A collaborative application may include a funding request
for one or more of the primary care discipline partners that are
involved in the proposed project. The applicant must identify the
primary care discipline(s) for which grant funds are requested.

Applicants who submit a grant proposal for more than one discipline,
i.e., Family Medicine, General Internal Medicine and/or General
Pediatrics, must provide a cumulative budget including all disciplines
on the SF-424 R&R Budget form for each year funds are requested.

In addition, a consolidated budget page and budget justification must be
submitted for each discipline involved in the proposed project. Please
see the Sample Consolidated Budget Form for Consolidated Projects
(Attachment 8); or for dental applications please see the Sample
Consolidated Budget Form for Collaborative General and Pediatric
Dentistry Projects (Attachment 9).

**Funding Preferences and Priorities**: Collaborative programs must
account for all of the trainees when applying for a preference or
priority. The trainees may either be counted by aggregating them for all
the collaborative partners, or each collaborative partner may account
for their own trainees. **All collaborative partners, either
individually or in the aggregate, must meet the preference or priority
in order to qualify.**

**II. AWARD INFORMATION**

**1. Type of Award**

Funding will be provided in the form of a grant.

**2. Summary of Funding**

[]{.mark}

This program will provide funding during Federal fiscal years 2008-2010.
Approximately \$26,000,000 is expected to be available to fund 112
grants. Funding beyond the first year is dependent on the availability
of appropriated funds for Training in Primary Care Medicine and
Dentistry, grantee satisfactory performance, and a decision that
continued funding is in the best interest of the Federal Government.

The average amount for grants awarded in FY 2007 was \$212,359 for year
one of the project proposal (range of \$101,266 to \$358,437 for year
one in FY 2007). The full amount of the grant award is determined often
by the scope of the project and the number of objectives, and the length
of time for the proposed activities. Funding can be requested by the
applicant up to a maximum of three years. Applications for continuation
funding are permitted, but new proposals should include new objectives.

**This program is not included in the President's budget for fiscal year
2008. Potential applicants for funds should consider this announcement
provisional until final Congressional action on appropriations is
taken.**

**III.** **ELIGIBILITY INFORMATION**

**1. Eligible Applicants**

The applicant organization must meet the eligibility requirements as
indicated for each program area.

***Residency Training in Primary Care***

***Physician Faculty Development in Primary Care***

***Physician Assistant Training in Primary Care***

Public or nonprofit private hospitals, accredited schools of medicine or
osteopathic medicine, or public or private nonprofit entities are
eligible to apply. Faith-based and community-based organizations that
meet the criteria in the preceding sentence are also eligible to apply.

***Predoctoral Training in Primary Care***

***Academic Administrative Units in Primary Care***

Accredited public or nonprofit private schools of allopathic or
osteopathic medicine are eligible to apply. Faith-based and
community-based organizations that meet the criteria in the preceding
sentence are also eligible to apply.

***Residency Training in General and Pediatric Dentistry***

Entities that have programs in accredited dental schools, approved
residency programs in the general or pediatric practice of dentistry,
approved advanced education programs in the general or pediatric
practice of dentistry, or approved residency programs in pediatric
dentistry are eligible to apply. Faith-based and community-based
organizations that meet the criteria in the preceding sentence are also
eligible to apply.

**2. Cost Sharing/Matching**

Cost sharing or matching is not required.

**3. Other (ELIGIBITY INFORMATION)**

***a. Residency Training in Primary Care***

By no later than July 1, 2008, the involved residency training program
must be:

> 1\. an accredited or provisionally accredited allopathic residency
> program in family medicine, general internal medicine, or general
> pediatrics, OR
>
> 2\. an approved osteopathic residency program in family medicine,
> general internal medicine, or general pediatrics.

Each **allopathic residency program** must have the number of residents
stipulated for the program by the Residency Review Committee. If an
applicant proposes to initiate a new program, the number stipulated for
the program by the Residency Review Committee must be enrolled in the
residency program at the beginning of the second year of the grant.

Each **osteopathic residency program** must have the number of residents
stipulated for the program by the Bureau of Osteopathic Education for
residency training. If an applicant proposes to initiate a new program,
the number stipulated for the program by the Bureau of Osteopathic
Education must be enrolled in the residency program at the beginning of
the second year of the grant.

######### ***b. Physician Assistant Training in Primary Care***

Each physician assistant program must have an enrollment of not less
than eight students. If an applicant proposes to initiate a new training
program, not less than eight students must be enrolled in the program at
the beginning of the second year. Physician Assistant applicants must
have an educational program that (1) has as its objective, the education
of individuals who will, upon completion of their studies in the
program, be qualified to provide primary care under the supervision of a
physician; and (2) extends for at least one academic year and consists
of (a) supervised clinical practice; and (b) at least four months (in
the aggregate) of classroom instruction directed toward preparing
students to deliver health care.

Physician assistant faculty development activities must prepare
physician assistants to teach and/or to enhance the pedagogical skills
of physician assistant faculty currently teaching in physician assistant
training programs.

######### ***c. Residency Training in General or Pediatric Dentistry***

Each dental residency program must have the number of residents
stipulated by the American Dental Association Commission on Dental
Accreditation. If an applicant proposes to initiate a new training
program, the number stipulated for the program by the American Dental
Association Commission on Dental Accreditation must be enrolled in the
program at the beginning of the second year of the grant.

***d. Predoctoral Training in Primary Care***

**1. Family Medicine**

The applicant organization must have an established academic unit
defined as a Department or Division of Family Medicine by the time of
grant funding.

**2. General Internal Medicine/General Pediatrics**

The applicant organization must have an established academic unit
defined as a Division of General Internal Medicine or General
Pediatrics, or an osteopathic Department of Internal Medicine or
Pediatrics that demonstrates a primary care focus by the time of grant
funding.

***e. Academic Administrative Units in Primary Care***

The Academic Administrative Unit (AAU) in the application must be the
department or division of family medicine, general internal medicine, or
general pediatrics. The AAU is defined as: (1) a department or division
of family medicine (allopathic or osteopathic) that refers to the
highest level of academic administrative unit, whether it is a
department or a division; (2) a division of general internal medicine or
general pediatrics (allopathic or osteopathic); or (3) an osteopathic
department of internal medicine or pediatrics with a primary care focus.

If the application includes an AAU for general internal medicine or
general pediatrics that is different than the unit defined in (2) or (3)
above, then it is the responsibility of the applicant organization to
demonstrate clearly that the unit is a primary care unit that is fully
responsible for all of the content of the medical school's didactic
education, clinical education, and research activities in the
appropriate discipline (general internal medicine or general
pediatrics).

The AAU cannot be a subunit of one of the specified units above. The AAU
must have its own leadership, its own budget, and its own core faculty
that are separate from those faculty in other units.

1.  **Family Medicine**

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a.  **Clerkship Development for Establishing Academic Administrative
    Units**

> For applications that include a proposal to establish an academic
> unit, the development of a clerkship (if it does not already exist)
> must be one objective of the application and progress should be
> demonstrated as follows:

-   There should be a budget and start date for the clerkship,
    identified faculty needs, and a detailed curricular plan complete
    with learning objectives.

-   There should be plans for the development of evaluation instruments
    that will be completed by the end of the first year.

-   There should be a plan detailing how, [prior to the third year of
    grant support,]{.underline} approval will be obtained from a
    curriculum oversight group; if not, then other clear evidence that
    the clerkship will occur, should be provided.

b.  **Required Clerkship for Existing Academic Administrative Units**

> For administrative unit, there must be a required family medicine
> clerkship of at least four weeks duration that occurs prior to the
> students' Match choice, or one objective of the application must be to
> establish such a clerkship (or expand an existing clerkship to four
> weeks duration). All students in the primary care clerkship must have
> a required four week experience that is designed, taught, and
> evaluated by the family medicine department/division and occurs prior
> to the students' Match choice. All students in the primary care
> clerkship must have a four week experience with generalist faculty
> role models.

**c. Leadership**

> The chair of the relevant academic unit (department or division) must
> be (1) the project director of the grant application, and (2) have a
> full-time academic appointment at the institution consistent with
> other major academic units prior to July 1, 2007. If there is an
> acting chair of the academic unit, he/she must meet the same
> guidelines listed for the chair.

**d. Control of Resources**

> The academic unit must have administrative autonomy comparable to
> other academic units equaling a department or division, be responsible
> for its own direction, operations and decision-making and control its
> own budget. For applications that propose to establish an academic
> unit, this guideline must be met by July 1, 2008.

**2. General Internal Medicine and General Pediatrics**

**a. Leadership**

> The head of the relevant academic unit must be (1) the project
> director of the grant application, (2) trained in internal medicine or
> pediatrics, with an appropriate background demonstrating commitment to
> primary care practice, primary care teaching and primary care
> research, and (3) have a full-time academic appointment at the
> institution consistent with other major academic units prior to July
> 1, 2007. If there is an acting chair of the academic unit, he/she must
> meet the same guidelines listed for the chair.

**b. Control of Resources**

> The academic unit must have administrative autonomy comparable to
> other academic units equaling a department or division, be responsible
> for its own direction, operations and decision-making, and control its
> own budget. For applications that propose to establish an academic
> unit, this requirement must be met by July 1, 2008.

**INFORMATION FOR ALL PROGRAM AREAS:**

**Maintenance of Effort**

Grant funds shall not be used to take the place of current funding for
activities described in the application. The grantee must agree to
maintain non-Federal funding for grant activities at a level which is
not less than expenditures for such activities during the fiscal year.
**The applicant must include a statement in this budget narrative
indicating that "Federal grant funds will not replace current sources of
support for proposed grant activities."**

**Other Limitations**

**A separate application must be submitted for each program area (e.g.,
pre-doctoral, residency training, faculty development, etc.).**
Applicants are encouraged, but not required, to include more than one
discipline when developing a grant application for a specific program
area (e.g., pre-doctoral, residency training or faculty development,
etc). Combined applications across program areas will **not** be
accepted for funding in FY 2008. For example, dental residency and
family medicine residency cannot be combined into one application, or
AAU and predoctoral applications cannot be combined into one
application.

Supplemental Applications

If an applicant has a current grant with a commitment for funding in
fiscal year 2008 or 2009, the applicant may **not** submit another grant
application in the same program area and the same discipline, unless it
is a supplemental application. A supplemental application is a request
for an increase in support in a current budget period for expansion of
the project's approved scope. Supplemental applications shall not
request support beyond the project period of the current grant.

**IV. APPLICATION AND SUBMISSION INFORMATION**

1.  **Address to Request Application Package**

    **Application Materials**

> The application and submission process has changed significantly. HRSA
> is ***requiring*** applicants for this funding opportunity to apply
> electronically through Grants.gov. All applicants ***must*** submit in
> this manner unless the applicant is granted a written exemption from
> this requirement in advance by the Director of HRSA's Division of
> Grants Policy. Grantees must request an exemption in writing from
> <DGPWaivers@hrsa.gov>, and provide details as to why they are
> technologically unable to submit electronically though the Grants.gov
> portal. Make sure you specify the announcement number for which you
> are seeking relief. **As indicated in this guidance, HRSA and its
> Grants Application Center (GAC) will only accept paper applications
> from applicants that received prior written approval.**
>
> Refer to Appendix A for detailed application and submission
> instructions. Pay particular attention to Section 3, which provides
> detailed information on the competitive application submission
> process.
>
> Applicants must submit proposals according to the instructions in
> Appendix A, using this guidance in conjunction with Standard Form 424
> Research and Related (SF-424 R&R). The SF-424 R&R form contains
> additional general information and instructions for grant
> applications, proposal narratives, and budgets. These forms may be
> obtained from the following sites by:
>
> []{.mark}

(1) Downloading from <http://www.hrsa.gov/grants/forms.htm>

> OR

\(2\) Contacting the HRSA Grants Application Center at:

> The Legin Group, Inc.
>
> 910 Clopper Road, Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 877-477-2123
>
> <HRSAGAC@hrsa.gov>
>
> []{.mark}
>
> Instructions for preparing portions of the application that must
> accompany Standard Form 424 Research and Related (SF-424 R&R) appear
> in the "Application Format" section below.

**2. Content and Form of Application Submission**

**Application Format Requirements**

> See Appendix A for detailed application submission instructions. These
> instructions must be followed.
>
> The total size of all uploaded files **may not exceed the equivalent
> of 80 pages when printed by HRSA, approximately 10 MB.** **This
> 80-page limit includes the abstract, project and budget narratives,
> attachments, and letters of commitment and support.** Standard forms
> are NOT included in the page limit.
>
> **Applications that exceed the specified limits (approximately 10 MB,
> or that exceed 80 pages when printed by HRSA) will be deemed
> non-compliant. All non-compliant applications will be returned to the
> applicant without further consideration.**
>
> **Application Format**
>
> Applications for funding must consist of the following documents in
> the following order:

# SF 424 R&R -- Table of Contents

(1) It is mandatory to follow the instructions provided in this section
    to ensure that your application can be printed efficiently and
    consistently for review.

(2) Failure to follow the instructions may make your application
    non-compliant. Non-compliant applications will not be given any
    consideration and those particular applicants will be notified.

(3) For electronic submissions, applicants only have to number the
    electronic attachment pages sequentially, resetting the numbering
    for each attachment, i.e., start at page 1 for each attachment. Do
    not attempt to number standard OMB approved form pages.

(4) For electronic submissions no table of contents is required for the
    entire application. HRSA will construct an electronic table of
    contents in the order specified.

(5) When providing any electronic attachment with several pages, add
    table of content page specific to the attachment. Such page will not
    be counted towards the page limit.

(6) For paper submissions (when allowed), number each section
    sequentially, resetting the page number for each section. i.e.,
    start at page 1 for each section. Do not attempt to number standard
    OMB approved form pages.

(7) For paper submissions ensure that the order of the forms and
    attachments is as specified below.

+------------------+------+-----------------------+-------------------+
| **Application    | **   | **Instruction**       | **HRSA/Program    |
| Section**        | Form |                       | Guidelines**      |
|                  | Ty   |                       |                   |
|                  | pe** |                       |                   |
+==================+======+=======================+===================+
| SF-424RR Cover   | Form | Pages 1 & 2 of the    | Not counted in    |
| Page             |      | R&R face page         | the page limit    |
+------------------+------+-----------------------+-------------------+
| Pre-application  | At   | Can be uploaded on    | Not Applicable to |
|                  | tach | page 2 of SF 424      | HRSA; Do not use. |
|                  | ment | (R&R) - Box 20        |                   |
+------------------+------+-----------------------+-------------------+
| HHS 5161         | Form | Also known as PHS     | Not counted in    |
| Checklist        |      | 5161 checklist        | the page limit    |
+------------------+------+-----------------------+-------------------+
| SF-424RR         | Form | Supports 8 structured | Not counted in    |
| Senior/Key       |      | profiles              | the page limit    |
| Person Profile   |      |                       |                   |
|                  |      | (PD + 7 additional)   |                   |
+------------------+------+-----------------------+-------------------+
| Senior Key       | At   | Can be uploaded in    | Counted in the    |
| Personnel        | tach | SF-424RR Senior/Key   | page limit.       |
| Biographical     | ment | Person Profile form.  |                   |
| Sketches         |      | One per each          |                   |
|                  |      | senior/key person.    |                   |
|                  |      | The PD/PI             |                   |
|                  |      | biographical sketch   |                   |
|                  |      | should be the first   |                   |
|                  |      | biographical sketch.  |                   |
|                  |      | Up to 8 allowed       |                   |
+------------------+------+-----------------------+-------------------+
| Senior Key       | At   | Can be uploaded in    | Not Applicable to |
| Personnel        | tach | SF-424RR Senior/Key   | HRSA; Do not use. |
| Current and      | ment | Person Profile form   |                   |
| Pending Support  |      |                       |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Not counted in    |
| Senior/Key       | tach | SF-424RR Senior/Key   | the page limit    |
| Person Profiles  | ment | Person Profile form.  |                   |
|                  |      | Single document with  |                   |
|                  |      | all additional        |                   |
|                  |      | profiles              |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Counted in the    |
| Senior Key       | tach | the Senior/Key Person | page limit        |
| Personnel        | ment | Profile form. Single  |                   |
| Biographical     |      | document with all     |                   |
| Sketches         |      | additional sketches   |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Not Applicable to |
| Senior Key       | tach | the Senior/Key Person | HRSA; Do not use. |
| Personnel        | ment | Profile form          |                   |
| Current and      |      |                       |                   |
| Pending Support  |      |                       |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR         | Form | Supports primary and  | Not counted in    |
| Performance Site |      | 7 additional sites in | the page limit    |
| Locations        |      | structured form       |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Counted in the    |
| Performance Site | tach | SF-424RR Performance  | page limit        |
| Location(s)      | ment | Site Locations form.  |                   |
|                  |      | Single document with  |                   |
|                  |      | all additional site   |                   |
|                  |      | locations             |                   |
+------------------+------+-----------------------+-------------------+
| Project          | At   | Can be uploaded in    | Required          |
| Summary/Abstract | tach | SF-424RR Other        | attachment.       |
|                  | ment | Project Information   | Counted in the    |
|                  |      | form, Box 6           | page limit. Refer |
|                  |      |                       | guidance for      |
|                  |      |                       | detailed          |
|                  |      |                       | instructions.     |
|                  |      |                       | Provide table of  |
|                  |      |                       | contents specific |
|                  |      |                       | to this document  |
|                  |      |                       | only as the first |
|                  |      |                       | page              |
+------------------+------+-----------------------+-------------------+
| Progress Report  | At   | Can be uploaded in    | Required          |
| Summary (if      | tach | SF-424RR Other        | attachment.       |
| applicable) and  | ment | Project Information   | Counted in the    |
| Project          |      | form, Box 7           | page limit. Refer |
| Narrative        |      |                       | guidance for      |
|                  |      |                       | detailed          |
|                  |      |                       | instructions.     |
|                  |      |                       | Provide table of  |
|                  |      |                       | contents specific |
|                  |      |                       | to this document  |
|                  |      |                       | only as the first |
|                  |      |                       | page              |
+------------------+------+-----------------------+-------------------+
| SF-424RR Budget  | Form | Supports structured   | Not counted in    |
| Period (1-5) -   |      | budget for up to 5    | the page limit    |
| Section A -- B   |      | periods               |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | SF-424RR Budget       | Not counted in    |
| Senior Key       | tach | Period (1-5) -        | the page limit    |
| Persons          | ment | Section A - B, Box 9. |                   |
|                  |      | One for each budget   |                   |
|                  |      | period                |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR Budget  | Form | Supports structured   | Not counted in    |
| Period (1-5) -   |      | budget for up to 5    | the page limit    |
| Section C -- E   |      | periods               |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | SF-424RR Budget       | Not counted in    |
| Equipment        | tach | Period (1-5) -        | the page limit    |
|                  | ment | Section C -- E, Box   |                   |
|                  |      | 11. One for each      |                   |
|                  |      | budget period         |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR Budget  | Form | Supports structured   | Not counted in    |
| Period (1-5) -   |      | budget for up to 5    | the page limit    |
| Section F -- J   |      | periods               |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR         | Form | Total cumulative      | Not counted in    |
| Cumulative       |      | budget                | the page limit    |
| Budget           |      |                       |                   |
+------------------+------+-----------------------+-------------------+
| Budget Narrative | At   | Can be uploaded in    | Required          |
|                  | tach | SF-424RR Budget       | attachment.       |
|                  | ment | Period (1-5) -        | Counted in the    |
|                  |      | Section F - J form,   | page limit. Refer |
|                  |      | Box K. Only one       | guidance for      |
|                  |      | consolidated budget   | detailed          |
|                  |      | justification for the | instructions.     |
|                  |      | project period.       | Provide table of  |
|                  |      |                       | contents specific |
|                  |      |                       | to this document  |
|                  |      |                       | only as the first |
|                  |      |                       | page              |
+------------------+------+-----------------------+-------------------+
| SF-424RR         | Form | Supports up to 10     | Not counted in    |
| Subaward Budget  |      | budget attachments.   | the page limit    |
|                  |      | This form only        |                   |
|                  |      | contains the          |                   |
|                  |      | attachment list       |                   |
+------------------+------+-----------------------+-------------------+
| Subaward Budget  | At   | Can be uploaded in    | Filename should   |
| Attachment 1-10  | tach | SF-424RR Subaward     | be the name of    |
|                  | ment | Budget form, Box 1    | the organization  |
|                  |      | through 10. Extract   | and unique.       |
|                  |      | the form from the     | Counted in the    |
|                  |      | SF-424RR Subaward     | page limit        |
|                  |      | Budget **PureEdge**   |                   |
|                  |      | form and use it for   |                   |
|                  |      | each                  |                   |
|                  |      | consortium            |                   |
|                  |      | /contractual/subaward |                   |
|                  |      | budget as required by |                   |
|                  |      | the program guidance. |                   |
|                  |      | Supports up to 10     |                   |
+------------------+------+-----------------------+-------------------+
| SF-424B          | Form | Assurances for the    | Not counted in    |
| Assurances for   |      | SF-424 RR package     | the page limit    |
| Non-Construction |      |                       |                   |
| Programs         |      |                       |                   |
+------------------+------+-----------------------+-------------------+
| Other Project    | Form | Allows additional     | Not counted in    |
| Information      |      | information and       | the page limit    |
|                  |      | attachments           |                   |
+------------------+------+-----------------------+-------------------+
|                  | At   | Primary Care Priority | Not counted in    |
|                  | tach | Table                 | the page limit    |
|                  | ment |                       |                   |
+------------------+------+-----------------------+-------------------+
|                  | At   | Disadvantaged         | Not counted in    |
|                  | tach | Priority Table        | the page limit    |
|                  | ment |                       |                   |
+------------------+------+-----------------------+-------------------+
|                  | At   | Medically Underserved | Not counted in    |
|                  | tach | Community Preference  | the page limit    |
|                  | ment | Table                 |                   |
+------------------+------+-----------------------+-------------------+
| Bibliography &   | At   | Can be uploaded in    | Required.         |
| References       | tach | Other Project         |                   |
|                  | ment | Information form, Box | Counted in the    |
|                  |      | 8.                    | page limit        |
+------------------+------+-----------------------+-------------------+
| Facilities &     | At   | Can be uploaded in    | Required.         |
| Other Resources  | tach | Other Project         |                   |
|                  | ment | Information form, Box | Counted in the    |
|                  |      | 9.                    | page limit.       |
+------------------+------+-----------------------+-------------------+
| Equipment        | At   | Can be uploaded in    | Required.         |
|                  | tach | Other Project         |                   |
|                  | ment | Information form, Box | Counted in the    |
|                  |      | 10.                   | page limit        |
+------------------+------+-----------------------+-------------------+
| Other            | Form | Supports up to 15     | Not counted in    |
| Attachments Form |      | numbered attachments. | the page limit    |
|                  |      | This form only        |                   |
|                  |      | contains the          |                   |
|                  |      | attachment list       |                   |
+------------------+------+-----------------------+-------------------+
| Attachment 1-15  | At   | Can be uploaded in    | Refer to the      |
|                  | tach | Other Attachments     | attachment table  |
|                  | ment | form 1-15             | provided below    |
|                  |      |                       | for **specific**  |
|                  |      |                       | sequence. Counted |
|                  |      |                       | in the page limit |
+------------------+------+-----------------------+-------------------+
| Other            | At   | Can be uploaded in    | Not Applicable to |
| Attachments      | tach | SF-424 RR Other       | HRSA; Do not use  |
|                  | ment | Project Information   |                   |
|                  |      | form, Box 11.         |                   |
|                  |      | Supports multiple     |                   |
+------------------+------+-----------------------+-------------------+

(8) To ensure that attachments are organized and printed in a consistent
    manner, follow the order provided below. Note that these
    instructions may vary across programs.

(9) Additional supporting documents, if applicable, can be provided
    using the available rows. Do not use the rows assigned to a specific
    purpose in the program guidance.

  -----------------------------------------------------------------------
  **Attachment        **Attachment Description (Program Guidelines)**
  Number**            
  ------------------- ---------------------------------------------------
  Attachment 1        Signed copy of SF-424R&R face page

  Attachment 2        Tables, Charts etc.

  Attachment 3        Staffing Plan

  Attachment 4        Organizational Chart

  Attachment 5        Letters of Agreement and/or Description of Proposed
                      or Existing Contracts (project specific)

  Attachment 6        Letters of Support

  Attachment 7        Other Documents Relevant to Project

  Attachment 8        Sample Consolidated Budget Form for Collaborative
                      Applications (as needed)

  Attachment 9        Sample Consolidated Budget Form for Collaborative
                      General and Pediatric Dentistry Applications (as
                      needed)

                      

                      
  -----------------------------------------------------------------------

> Note the following specific information related to your submission.

**Application Format**

i.  ***Application Face Page***

    Standard Form 424 Research and Related (SF-424 R&R) is provided with
    the application package. Prepare the face pages according to
    instructions provided in Appendix C. For information pertaining to
    the Catalog of Federal Domestic Assistance, the Catalog of Federal
    Domestic Assistance Number is 93.884.

> .
>
> **DUNS Number**
>
> All applicant organizations are required to have a Data Universal
> Numbering System (DUNS) number in order to apply for a grant from the
> Federal Government. The DUNS number is a unique nine-character
> identification number provided by the commercial company, Dun and
> Bradstreet. There is no charge to obtain a DUNS number. Information
> about obtaining a DUNS number can be found at
> [http://www.hrsa.gov/grants/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm )
> or call 1-866-705-5711. Please include the DUNS number in item 5 on
> the application face page. Applications ***will not*** be reviewed
> without a DUNS number.
>
> Additionally, the applicant organization is required to register with
> the Federal Government's Central Contractor Registry (CCR) in order to
> do electronic business with the Federal Government. Information about
> registering with the CCR can be found at:
> [http://www.hrsa.gov/grants/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm ).

ii. ***Table of Contents***

> The application should be presented in the order of the Table of
> Contents provided earlier. Again, for electronic applications no table
> of contents is necessary as it will be generated by the system. (Note:
> the Table of Contents will not be counted in the page limit).

iii. ***Application Checklist***

> Application Checklist Form (5161-1) is included with Standard Form 424
> Research and Related (SF-424 R&R), provided with the application
> package.

iv. ***Budget***

Standard Form 424 R&R contains forms for the detailed budget and the
cumulative budget. These forms and instructions are provided in the
Appendix C. A detailed budget is to be completed for all projects years.

> Please complete Sections A-K and the Cumulative Budget using the
> budget categories in the SF- 424 R&R*.*

v.  ***Budget Justification Narrative***

    Provide a narrative that explains the amounts requested for each
    line in the budget. The budget justification should specifically
    describe how each item will support the achievement of proposed
    objectives. The budget period is for ONE year. However, the
    applicant must submit one-year budgets for EACH of the subsequent
    project period years (up to three years) at the time of application.
    Applications that include more than one discipline
    [must]{.underline} include separate budgets **for each discipline
    for** **each year of requested funds**. These additional pages will
    not be counted in the overall page limitation up to eight pages,
    which include the budget justification. Line item information must
    be provided to explain the costs entered in appropriate form, SF 424
    R&R. **The budget justification must clearly describe each cost
    element and explain how each cost contributes to meeting the
    project's objectives/goals.** Be very careful about showing how each
    item in the "other" category is justified. The budget justification
    MUST be concise. Do NOT use the budget justification to expand the
    project narrative.

> ***Budget for Multi-Year Grant Award-Required***
>
> This announcement invites applications for project periods up to three
> years. Awards, on a competitive basis, will be for a one‑year budget
> period, although project periods may be for three years. Applications
> for continuation grants funded under these awards beyond the one-year
> budget period, but within the three-year project period will be
> entertained in subsequent years on a noncompetitive basis, subject to
> availability of funds, satisfactory progress of the grantee and a
> determination that continued funding would be in the best interest of
> the Government.
>
> []{.mark}
>
> Include the following in the Budget Justification narrative:
>
> *Personnel Costs:*
>
> Personnel costs should be explained by listing each staff member who
> will be supported from funds, name (if possible), position title,
> annual salary, and the exact amount requested for each project year
> which mainly covers indirect cost. List the total project effort of
> hours or percent of time that personnel, including volunteer (unpaid)
> faculty and staff will devote to the project and reflect their
> contribution in the budget justification even though funds for
> salaries have not been requested. Information on both grant and
> non-grant supported positions is essential in order for reviewers to
> determine if project resources are adequate.
>
> [Consultant Cost]{.underline}:
>
> Give names, affiliations, and qualifications of each consultant, if
> known, and indicate the nature and extent of the consultant service to
> be performed. If the consultant is not yet identified, provide the
> desired expertise and the scope of work of the proposed consultant.
> Include expected rate of compensation and total fees, travel, per
> diem, or other related costs for each consultant.
>
> *Indirect Costs:*
>
> Indirect costs are those costs incurred for common or joint objectives
> which cannot be readily identified but are necessary to the operations
> of the organization, e.g., the cost of operating and maintaining
> facilities, depreciation, and administrative salaries. Indirect costs
> under training grants to organizations other than state, local or
> Indian tribal governments will be budgeted and reimbursed at **8
> percent** of modified total direct costs rather than on the basis of a
> negotiated rate agreement, and are not subject to upward or downward
> adjustment. Direct cost amounts for tuition and fees, equipment
> (capital expenditures) and subcontract cost exceeding \$25,000 per
> subcontract are excluded from the actual direct cost base for purposes
> of this calculation. **State and local government agencies may request
> full indirect cost.** For institutions subject to OMB Circular A-21,
> the term "facilities and administration" is used to denote indirect
> costs. If an organization applying for an assistance award does not
> have an indirect cost rate, the applicant may wish to obtain one
> through HHS's Division of Cost Allocation (DCA).  Visit DCA's website
> at: <http://rates.psc.gov/> to learn more about rate agreements, the
> process for applying for them, and the regional offices which
> negotiate them.
>
> *Fringe Benefits:*
>
> List the components that comprise the fringe benefit rate, for example
> health insurance, taxes, unemployment insurance, life insurance,
> retirement plan, tuition reimbursement. The fringe benefits should be
> directly proportional to that portion of personnel costs that are
> allocated for the project. No fringe benefits are allowed for trainees
> who receive stipend support.
>
> *Travel:*
>
> List travel costs according to local and long distance travel. Travel
> costs for consultants should be listed under consultant costs. For
> local travel, the mileage rate, number of miles, reason for travel and
> staff member/consumers completing the travel should be outlined.
> Include travel support for the project director to attend the Bureau
> of Health Professions' All-Grantee Meetings, held over three days in
> the Washington DC area.
>
> *Equipment:*
>
> List equipment costs and provide justification for the need of the
> equipment costing \$5,000 or more to carry out the program's goals.
> Extensive justification and a detailed status of current equipment
> must be provided when requesting funds for the purchase of computers
> and furniture items that meet the definition of equipment.
>
> *Supplies:*
>
> List the items that the project will use. In this category, separate
> office supplies from medical and educational purchases. Office
> supplies could include paper, pencils, and the like; medical supplies
> such as syringes, examination gloves, etc. are not ordinarily
> acceptable. Educational supplies may be pamphlets and educational
> videotapes etc. Remember, each category must be listed separately.
> Items costing less that \$5,000 should be grouped together. Applicants
> must include justification as to how major types of supplies to be
> purchased with grant funds relate to the project's goals and
> objectives.
>
> *Subcontracts:*
>
> To the extent possible, all subcontract budgets and justifications
> should be standardized, and contract budgets should be presented by
> using the same object class categories contained in the Standard Form
> 424-A. Provide a clear explanation as to the purpose of each contract,
> how the costs were estimated, and the specific contract deliverables.
>
> Other:
>
> Put all costs that do not fit into any other category in this category
> and provide an explanation of each cost in this category. In some
> cases, grantee rent, utilities and insurance fall under this category
> if they are not included in an approved indirect cost rate

**Other Expenses -** List and justify other expenses by major
categories. Do not include under this category items that properly
belong in one of the other categories.

Proposals may include training of new faculty or enhancing the
qualifications of existing faculty. Funds for faculty development that
are not specific to the program areas of *Physician Faculty Development
in Primary Care* can include training activities or projects of short or
on-going duration, such as development of, or attendance at workshops,
seminars, or other short-term courses, as well as on-going activities to
enhance clinical, teaching, and community-based research skills. Other
allowable educational expenses could include registration fees for
participation at meetings and training; medical educator consultant for
faculty curriculum development and training; software, books,
reproduction of materials and conference calls for faculty development
and training.

**Trainee Expenses**

The following instructions are applicable to specific program areas as
noted:

**Stipends**

Trainee stipends are **not allowed** for the following program areas:

***Academic Administrative Units in Primary Care***

***Physician Assistant Training in Primary Care***

Trainee stipends **are allowed** for the following program areas:

***Residency Training in Primary Care***

***Physician Faculty Development in Primary Care***

***Predoctoral Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

Requests for stipend support must fully document that: (1) trainees are
in need of support; (2) alternative sources of financial support for
such stipends are not available; and (3) grant funds would not be used
to supplant other available funds.

Applications must indicate the percentage (if applicable) of support
covered by other funding sources(s), including Medicaid or Medicare
Graduate Medical Education payments, state grants, institutional
support, and/or other sources.

Direct financial assistance to trainees may not be received concurrently
with any other Federal education award (fellowship, traineeship, etc.)
except for educational assistance under the Veteran Readjustment
Benefits Act (G.I. Bill). Loans from Federal funds are not considered
Federal awards.

Non-Federal funds may be provided to an individual in addition to the
stipend provided by the grant. Such additional amounts may either be:
(1) in the form of augmented stipends, i.e., \"supplementation,\"
provided without obligation to the fellow or trainee according to
institutional policy; or (2) in the form of compensation (salary and/or
tuition remission) for services such as teaching. The combination of the
stipend and supplementation may not exceed the normal full-time salary
paid to a comparable faculty member at the institution.

Trainee support charged to grant funds must be for training within the
budget period.

In order for trainees to receive stipend support, the following
conditions must be met:

1.  Each trainee receiving support from grant funds [must be a citizen
    of the United States, a non-citizen national or a foreign national
    having in his/her possession a visa permitting permanent residence
    in the United States.]{.underline}

2.  Trainees must plan to complete the grant-supported program and work
    or specialize or teach (for faculty development trainees) in the
    practice of family medicine, general internal medicine, general
    pediatrics, general dentistry, or pediatric dentistry. Each
    participant who receives stipend support must sign a statement of
    intent to practice in the appropriate discipline.

    **Predoctoral Training in Primary Care (additional instructions):**

Stipend support may be provided to predoctoral trainees in
preceptorships, student assistantships and clerkships. The payments of
such stipends must be consistent with institutional policy and the
stipend level of other grantee preceptorship, student assistantship or
clerkship programs, not to exceed a maximum amount of \$40 per day and a
maximum duration of three (3) months. Should longer periods be required,
stipend levels will be negotiated with the Bureau of Health Professions.
Stipends may be paid for days of training, intervening weekends, or
holidays.

Stipend support is permitted for students participating in clerkships
only when the clerkship is conducted at a geographically remote facility
that requires the trainee to take up temporary residence at the site.

In addition to meeting the above conditions, the following conditions
must be met for clerkship and stipend support for clerkship trainees who
are [NOT]{.underline} receiving academic support only if they:

-   Are in need of support (e.g., trainees currently have outstanding
    student loan agreements); and

-   Engage in the clerkship full-time for at least four consecutive
    weeks at a geographically remote facility.

Stipend support from grant funds may be given to trainees who are
receiving academic credit for the clerkship only when the conditions
above are met. In addition, the trainee must incur extraordinary living
expenses due to participation in the clerkship.

**Stipend Levels**

For stipends in the following program areas:

***Residency Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

Enter the number and total stipend amount for each trainee category for
each year of the budget. Resident and intern stipends are set at the
discretion of the training institution, taking into account the amounts
paid to other residents at the institution. Grant funds may not be used
to pay fringe benefits for trainees receiving \"Trainee Stipend\"
support.

Trainees in General Dentistry and General Pediatric Dental Residency
programs may have up to two years of stipend support.

***Physician Faculty Development in Primary Care:***

Applicants shall use the levels specified on the Physician Faculty
Development in Primary Care Table below.

Physician Faculty Development in Primary Care Levels

+-----------------------------------+-----------------------------------+
| Postdoctoral Years of Experience  | Stipend Rate for FY 2007          |
+-----------------------------------+-----------------------------------+
| 0                                 | \$36,996                          |
|                                   |                                   |
| 1                                 | \$38,976                          |
|                                   |                                   |
| 2                                 | \$41,796                          |
|                                   |                                   |
| 3                                 | \$43,428                          |
|                                   |                                   |
| 4                                 | \$45,048                          |
|                                   |                                   |
| 5                                 | \$46,992                          |
|                                   |                                   |
| 6                                 | \$48,852                          |
|                                   |                                   |
| 7 or more                         | \$51,036                          |
+-----------------------------------+-----------------------------------+

Any trainee who receives full institutional salary [is not]{.underline}
eligible for stipend support from these grant funds.

**Tuition and Fees**

Tuition and fees are **not allowed** for the following program areas:

***Physician Assistant Training***

***Predoctoral Training in Primary Care***

***Academic Administrative Units in Primary Care***

Tuition and fees **are allowed** for the following program areas:

***Residency Training in Primary Care***

***Physician Faculty Development in Primary Care***

***Residency Training in General and Pediatric Dentistry***

-   List and justify requests for tuition and fees necessary to the
    training experience.

-   Fees are charged regardless of the source of funding.

-   Tuition at the postdoctoral level is limited to that required for
    specified courses.

-   Health and dental insurance may be requested

    **vi. Staffing Plan and Personnel Requirements**

Applicants must present a staffing plan and provide a justification for
the plan that includes education and experience qualifications and
rationale for the amount of time being requested for each staff
position. Position descriptions that include the roles,
responsibilities, and qualifications of proposed project staff must be
included.

**vii. Assurances**

Standard Form 424 Research and Related (SF-424 R & R) provided with the
application package, list the required assurances for this program.

**viii. Certifications**

Standard Form 424 Research and Related (SF-424 R & R) provided with the
application package, list the required assurances for this program.

Submit a copy of the certificate of full or provisional accreditation. A
program on probation must include the effective date of the probation
and the reasons for the probation status.

**ix. Project Abstract and Progress Report**

**Project Abstract**

Provide a two page summary of the application. Because the abstract is
often distributed to provide information to the public and Congress,
please prepare this so that it is clear, accurate, concise, and without
reference to other parts of the application. It must include a brief
description of the proposed grant project including the needs to be
addressed, the proposed services, and the population group(s) to be
served.

Please place the following at the top of the abstract:

Program Area and Discipline(s)**:**

Institution Name:

Project Director:

Address of Project Director:

Email, Telephone, and FAX of Project Director:

Disciplines Involved in the Proposal -- Family Medicine, General
Internal Medicine, General Pediatrics, General Dentistry, Pediatric
Dentistry, or Physician Assistants

Number of Trainees by Year: \_\_\_\_ / \_\_\_\_ / \_\_\_\_

**Progress Report**

All currently funded grantees and applicants that have received funding
in the last four years should include a brief (3 pages) progress report
if the proposal is for the same program area and discipline as currently
or previously funded. Well-presented progress reports can be of great
value by providing a record of accomplishment and a description of the
degree to which the application met previous project objectives.
**Applicants that do not include a Progress Report Summary may
jeopardize the review of their application.**

The Progress Report is for the purpose of peer review [only]{.underline}
and does not replace the need for currently funded grantees to submit
their annual Uniform Progress Report. The impact of current or previous
grant-supported activities will be considered in Review Criterion 5 --
Resources/Capabilities.

The progress report should be a concise presentation of the
grant-supported program accomplishments in relation to the funded
objectives during the entire project period. It should include a list of
articles published in peer-reviewed journals presenting the outcomes of
activities supported by grant funds. The Progress Report should not be a
copy of a previously submitted Uniform Progress Report or Final Progress
Report, but rather should follow the format outlined below:

**Format for Progress Report Summary:**

[Project period covered: From: (dates) To: (dates)]{.underline}

[Specific Objectives and Methodology:]{.underline}

Briefly summarize the specific objectives and methods of the funded
project.

[Outcomes and Evaluation**:**]{.underline}

Enumerate the quantitative and qualitative measures used to evaluate the
project in the context of each funded objective. Specify project outcome
targets and the degree to which stated objectives were achieved to
include the number of trainees.

**x.** **Project Narrative**

This section provides a comprehensive framework and description of all
aspects of the proposed program. It should be succinct, self-explanatory
and well organized so that peer reviewers can understand the proposed
project.

Use the following section headers for the Narrative:

*introduction*

This section should briefly describe the purpose of the proposed
project.

*ORGANIZATIONAL INFORMATION*

In this section, the applicant must provide information which shall
include, but is not limited to:

(1) applicant organization's commitment to primary care; for example, a
    mission statement describing support for training and graduating
    trainees in primary care disciplines;

(2) administrative and organizational overview, structure, identifying
    lines of responsibility, including an organization chart;

(3) ability of the organization to conduct the proposed project(s);

(4) overview of the current curriculum; if proposing new curriculum,
    explain how it will fit into the present curriculum and what, if
    anything, from the current curriculum will be removed;

(5) current ambulatory care and community-based training settings
    (describe) and patient population;

(6) existing research activities in medical or dental education
    performed by faculty, residents, and/or students; and

(7) program resources (financial, personnel, facilities, equipment,
    etc.), identifying resources that currently exist and those that
    will be made available by the institution.

[]{.mark}

*NEEDS ASSESSMENT (RATIONALE)*

> In this section, the applicant must provide information which shall
> include, but is not limited to:

(1) description of the overall purpose of the project;

(2) description and documentation of the target population and its unmet
    health needs;

(3) identification and evaluation of the national, regional and/or local
    need for the project and the gaps it will fill;

(4) verification of the need for the project by providing demographic
    data and by citing the literature, such as a needs assessment (at
    institutional, local, state, and/or national levels);

(5) identification of the relevance/importance of the project by
    relating the objectives to the purposes of the grant program (see
    "Program Purposes" and "Special Considerations");

(6) description of how the plan is consistent with at least one Federal,
    state, or regional plan to assure a competent healthcare workforce;
    e.g., Healthy People 2010; and

(7) identification of the differences between current and proposed
    activities.

The Federal workforce objectives are stated in the DHHS publication
Healthy People 2010, dated January 2000. The Internet address for this
document is <http://www.health.gov/healthypeople/document/> or you may
call 1-800-367-4725 for information.

*METHODOLOGY*

The applicant must:

(1) list specific, measurable objectives which the project will
    accomplish;

(2) summarize the relationship of proposed project objectives and/or
    sub-objectives to the goals of the Healthy People 2010 initiative;
    and

(3) clearly explain how the proposed projects for which funding is
    requested will be accomplished, i.e., the \"who, what, when, where,
    why and how\" of a project.

Relative to the methodology narrative, the applicant SHOULD:

(1) describe the methods, including the activities and the
    educational/teaching strategies to be used to accomplish the
    objectives for each year of the project;

(2) provide support, such as a literature review, for the
    appropriateness of the proposed methodology;

(3) describe core faculty and key personnel for the proposed project
    (the number, their positions, and their roles in the proposed
    project);

(4) indicate to what extent the proposed activities are supported by the
    institution;

(5) describe the facilities where the activities will occur;

(6) provide any charts or tables that may assist in clarifying this
    section\'s narrative;

(7) estimate the number of trainees to be impacted by the proposed
    project by academic year; and the total number of trainees in each
    educational training program, as well as number broken out by
    training year.

*Work Plan*

The applicant must:

(1) describe the activities or steps that will be used to achieve each
    of the activities proposed in the methodology section; and

(2) use a timeline that includes each activity and identifies
    responsible staff.

> \(3\) describe with respect to the state and national population the
> racial and socioeconomic composition of [trainees]{.underline}
> (including graduates or program completers) and faculty with the goal
> of achieving appropriate diversity in the context of the state and the
> national population;
>
> \(4\) describe the quality and appropriateness of the recruitment and
> retention plans to increase (or maintain if the historical performance
> has been exceptional with respect to the state and national
> population) the representation of underrepresented/disadvantaged
> minority [trainees]{.underline} (including graduates or program
> completers) and faculty, including targets for each year of requested
> grant support; and

Resolution of Challenges

The applicant must:

(1) discuss challenges that are likely to be encountered in designing
    and implementing the activities described in the Work Plan, and
    approaches that will be used to resolve such challenges.

OUTCOMES MEASURES AND DISSEMINATION

The applicant must:

(1) discuss the impact of the project on primary care education both
    locally and nationally, including the impact of collaborations
    between primary care disciplines;

(2) describe the feasibility and credibility of expected targets for
    grant specific objectives;

(3) describe the feasibility and credibility of plans for dissemination
    of methodology, products, materials, and outcomes; and

(4) explain the exportability of the project to other programs.

Evaluation and Technical Support Capacity

The applicant must:

(1) describe current experience, skills, and knowledge, including
    individuals on staff, materials published, and previous work of a
    similar nature;

(2) describe the methods to measure the outcomes of each objective of
    the project; and

> \(3\) explain what data will be collected, the methods for collection
> and the manner in which
>
> data will be analyzed and reported.

**xi. Program Specific Forms**

Primary Care Priority Table

Disadvantaged Priority Table

Medically Underserved Community Funding Preference Table

**xii. Attachments**

Please provide the following items to complete the content of the
application. Please note that these are supplementary in nature and are
not intended to be a continuation of the project narrative. Be sure each
attachment is labeled clearly.

Attachment 1: Signed copy of SF-424R&R face page

Attachment 2: Tables, Charts

To give further details about the proposal.

Attachment 3: Staffing Plan

Attachment 4: Organizational Chart

Provide a one-page figure that depicts the organizational structure of
the project, including subcontractors and other significant
collaborators.

Attachment 5: Letters of Agreement and/or Description(s) of
Proposed/Existing Contracts

Provide any documents that describe working relationships between the
applicant agency and other agencies and programs cited in the proposal.
Documents that confirm actual or pending contractual agreements should
clearly describe the roles of the subcontractors and any deliverables.
Letters of agreements must be dated.

Attachment 6: Letters of Support

Letters of support must be dated. Include only letters of support which
specifically indicate a commitment to the project/program (in-kind
services, dollars, staff, space, equipment, etc.). List all other
support letters on one page.

Attachment 7: Other Relevant Documents to Project:

Include here any other documents that are relevant to the application.

Attachment 8: Sample Consolidated Budget Form for Collaborative
Applications:

Includes itemized budget expenses for all three years of the project for
family medicine, general internal medicine and/or general pediatrics
collaborative applications.

Attachment 9: Sample Consolidated Budget Form for Collaborative General
and Pediatric Dentistry Applications:

Includes itemized budget expenses for all three years of the project for
residency training in general and general pediatric dentistry
collaborative applications.

**3. Submission Dates and Time**

**Application Due Date**

The due date for applications under this grant announcement is
**December 10, 2007,** at 8 P.M. ET. Applications will be considered as
meeting the deadline if they are E marked on or before the due date. See
Appendix A, Section 3 for detailed instructions on submission
requirements.

The Chief Grants Management Officer (CGMO) or a higher level designee
may authorize an extension of published deadlines when justified by
circumstances such as acts of God (e.g. floods or hurricanes),
widespread disruptions of mail service, or other disruptions of
services, such as a prolonged blackout. The authorizing official will
determine the affected geographical area(s).

Applications must be submitted by 8:00 P.M. ET. **To ensure that you
have adequate time to follow procedures and successfully submit the
application, we recommend you register immediately in Grants.gov (see
Appendix B) and complete the forms as soon as possible, as this is a new
process and may take some time.**

**Please refer to Appendix B for important specific information on
registering, and Appendix A, Section 3 for important information on
applying through Grants.gov.**

**Late applications:**

Applications which do not meet the criteria above are considered late
applications. Health Resources and Services Administration (HRSA) shall
notify each late applicant that its application will not be considered
in the current competition.

**4. Intergovernmental Review**

[]{.mark}

These grant programs are not subject to the provisions of Executive
Order 12372, Intergovernmental Review of Federal Programs, as
implemented by 45 CFR 100.

**5. Funding Restrictions**

[]{.mark}

Applicants responding to this announcement may request funding for a
project period of up to three years. Awards to support projects beyond
the first budget year will be contingent upon Congressional
appropriation, satisfactory progress in meeting the project's
objectives, and a determination that continued funding would be in the
best interest of the government.

**6. Other Submission Requirements**

As stated in Section IV.1, except in rare cases HRSA will no longer
accept applications for grant opportunities in paper form. Applicants
submitting for this funding opportunity are ***required*** to submit
***electronically*** through Grants.gov. To submit an application
electronically, please use the
[http://www.Grants.gov](http://www.Grants.gov/) apply site. When using
Grants.gov you will be able to download a copy of the application
package, complete it off-line, and then upload and submit the
application via the Grants.gov site.

As soon as you read this, whether you plan on applying for a HRSA grant
later this month or later this year, it is incumbent that your
organization ***immediately register*** in Grants.gov and become
familiar with the Grants.gov site application process. If you do not
complete the registration process you will be unable to submit an
application. The registration process can take up to one month, so you
need to begin immediately.

To be able to successfully register in Grants.gov, it is necessary that
you complete all of the following required actions:

• Obtain an organizational Data Universal Number System (DUNS) number

• Register the organization with Central Contractor Registry (CCR)

• Identify the organization's E-Business POC (Point of Contact)

• Confirm the organization's CCR "Marketing Partner ID Number (M-PIN)"
password

• Register an Authorized Organization Representative (AOR)

• Obtain a username and password from the Grants.gov Credential Provider

Instructions on how to register, tutorials and FAQs are available on the
Grants.gov website at [www.grants.gov](http://www.grants.gov/).
Assistance is also available from the Grants.gov help desk at
<support@grants.gov> or by phone at 1-800-518-4726.

More specific information, including step-by-step instructions on
registering and applying, can be found in Appendix B of this guidance.

**Formal submission of the electronic application:** Applications
completed online are considered formally submitted when the Authorizing
Official electronically submits the application to HRSA through
Grants.gov. You must, however, ensure that a copy of the SF-424 R&R Face
Sheet is printed from Grants.gov, [signed]{.underline}, scanned and
included with your application as Attachment 1.

Applications will be considered as having met the deadline if: (1) the
application has been successfully transmitted electronically by your
organization's Authorizing Official through Grants.gov on or before the
deadline date and time, and (2) the signed SF-424 R&R Face Sheet is
included in the electronic submission.

**It is incumbent on applicants to ensure that the Authorizing Official
is available to submit the application to HRSA by the application due
date. We will [not]{.underline} accept submission or re-submission of
incomplete, rejected, or otherwise delayed applications after the
deadline.**

**Again, please understand that we will not consider additional
information and/or materials submitted after your initial application.
You must therefore ensure that all materials are submitted together.
Further information on the HRSA electronic submission policy can be
obtained at <http://www.hrsa.gov/grants/electronicsubmission.htm>.**

**V. APPLICATION REVIEW INFORMATION**

**1. Review Criteria (Total Score = 100)**

Procedures for assessing the technical merit of grant applications have
been instituted to provide for an objective review of applications and
to assist the applicant in understanding the standards against which
each application will be judged. Critical indicators have been developed
for each review criterion to assist the applicant in presenting
pertinent information related to that criterion and to provide the
reviewer with a standard for evaluation. Applicants should pay strict
attention to addressing all these criteria, as they are the basis upon
which the reviewers will evaluate their applications. **The sections of
the project narrative that should be addressed under each review
criteria are indicated**.

All competitive applications will be reviewed and scored using the
following criteria and weights:

**Criterion 1: Need (Score = 10 Points)**

***(Narrative section: Needs Assessment)*** The need for the project is
well established with a description of the problem and associated
contributing factors. Local or national data and reference to literature
document the need.

**Criterion 2: Response (Score = 30 Points)**

***(Narrative sections: Methodology, Work Plan, Resolution of
Challenges)*** The extent to which the proposed project responds to the
"Purpose" included in the program description; the clarity of the
proposed goals and objectives and their relationship to the identified
project; the extent to which the activities described in the application
are capable of addressing the problem and attaining the project
objectives; the proposed plan for resolution of challenges (overcoming
barriers) to achieve the project objectives. In the case of
collaboration, collaborative proposals must demonstrate joint planning,
implementation, training and evaluation, and should include shared
faculty appointments and administrative staff.

**Criterion 3: Evaluative Measures (Score = 10 Points)**

***(Narrative sections: Evaluation and Technical Support)*** The
effectiveness of the method proposed to monitor and evaluate the project
results. Evaluative measures must be able to assess: (1) to what extent
the program objectives have been met, and (2) to what extent these can
be attributed to the project.

**Criterion 4: Impact (Score = 10 Points)**

***(Narrative sections: Outcome Measures and Dissemination)*** The
extent and effectiveness of plans for dissemination of project results
and/or the extent to which project results may be national in scope
and/or the degree to which the project activities are replicable.

**Criterion 5: Resources/Capabilities (Score = 15 Points)**

***(Narrative sections: Organizational Information, Work Plan, and
Progress Report)*** The extent to which project personnel are qualified
by training and/or experience to implement and carry out the projects.
The capabilities of the applicant organization, partner organization(s),
quality and availability of facilities and personnel to fulfill the
needs and requirements of the proposed project. The commitment of the
institution to meet the diversity of health professions workforce, which
includes disadvantaged and minority students, residents, and faculty and
placement of graduates in underserved communities. For competing
continuation applications, past performance will be considered.

**Criterion 6: Support Requested (Score = 10 Points)**

***(Budget Justification)*** The reasonableness of the proposed budget
in relation to the objectives, the complexity of the activities and the
anticipated results.

See SF 424 (R & R) for additional instructions.

**Criterion 7: Specific Program Criteria (Score = 15 Points)**

***(Special Considerations)***: The extent to which the proposed project
responds to preparing practitioners to care for underserved populations
and other high risk groups such as the elderly, individuals with
HIV/AIDS, substance abusers, homeless, and victims of domestic violence.

The extent to which the proposed project responds to preparing
practitioners specific training and/or learning experiences to develop
knowledge and appreciation of how cultural and language influences
health literacy improvement and the delivery of high quality, effective
and predictably safe health care service.

# 

# 2. Review and Selection Process

The Division of Independent Review is responsible for managing objective
reviews within HRSA. Applications competing for Federal funds receive an
objective and independent review performed by a committee of experts
qualified by training and experience in particular fields or disciplines
related to the program being reviewed. In selecting review committee
members, other factors in addition to training and experience may be
considered to improve the balance of the committee, e.g. geographic
distribution. Each reviewer is screened to avoid conflicts of interest
and is responsible for providing an objective, unbiased evaluation based
on the review criteria noted above. The committee provides expert advice
on the merits of each application to program officials responsible for
final selections for awards.

Applications that pass the initial HRSA eligibility screening will be
reviewed and rated by a panel based on the program elements and review
criteria presented in relevant sections of this program announcement.
The review criteria are designed to enable the review panel to assess
the quality of a proposed project and determine the likelihood of its
success. The criteria are closely related to each other and are
considered as a whole in judging the overall quality of an application.

**[FUNDING FACTORS]{.underline}**

**FUNDING PRIORITIES**

**A funding priority** is defined as a numeric adjustment of an
application's review score when specific criteria are met. Applications
for grant support may be submitted without requesting a funding
priority; however, approval of a funding priority will enhance an
applicant\'s competitive score. A funding priority adds points to the
merit score. **Each funding priority has a point value of five (5)
points**. **Partial points will not be awarded** for any funding
priority.

Applicants must provide the requested information (e.g., tables,
narrative, documentation) in a **Funding Priority Request** section of
the grant application, and it **must be made clear that a priority is
being requested**. Failure to clearly request the funding priority may
result in the priority not being applied. Failure to provide the
requested information, documentation, and sufficient detail may also
result in the priority not being applied.

The following statutory funding priorities are available to the program
areas as specified below:

Primary Care Priority

***Residency Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

Disadvantaged Priority

***Residency Training in Primary Care***

***Physician Assistant Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

Collaborative Project Priority

***Academic Administrative Units in Primary Care***

**[NOTE:]{.underline} A *Residency Training in Primary Care* or
*Residency Training in* *General and Pediatric Dentistry* applicant may
request one or both priorities.**

**Qualifying for the Funding Priorities**

1.  **Primary Care Priority *(Residency Training in Primary Care,
    Residency Training in General and Pediatric Dentistry)***

> To qualify for the Primary Care Priority, an applicant must:
>
> a\. have a **record of training** the greatest percentage of providers
> who enter and remain in primary care practice, **OR**
>
> b\. **significant improvements** in the percentage of providers who
> enter and remain in primary care practice**.**
>
> **Primary Care Practice** is defined as practice by a medical or
> osteopathic physician who has completed training requirements for
> board certification in family medicine, internal medicine or
> pediatrics, **OR** as practice by a dentist who has completed a
> general practice residency or a pediatric dental residency or an
> advanced education in general dentistry program, who devotes at least
> 50% of professional time engaged in primary care practice in an
> ambulatory primary care setting, or in supervising trainees engaged in
> such practice.

a.  To qualify for "record of training," an applicant must demonstrate
    that at least 90% of the 2003 or 2004 residency program completers
    remained in primary care practice three years after completing
    residency training.

b.  To qualify for "significant improvement," an applicant must
    demonstrate that the rate of primary care practice for 2004
    residency program completers is at least 50% greater than the rate
    for 2003 residency program completers, **AND** a minimum of two (2)
    of the 2004 residency program completers or 30%, whichever is
    greater, are in primary care practice.

[Applying for the Primary Care Priority]{.underline}

To be considered for the Primary Care Priority based on "**record of
training**" or "**significant improvement**," the applicant must
complete the Primary Care Priority Table. An applicant applying for
record of training will report on either the 2003 **OR** 2004 residency
program completers. An applicant applying for "demonstrated
improvement," will report on 2003 **AND** 2004 residency program
completers.

An applicant must report on their two most recent program completer
cohorts three years following their completion of training. If an
applicant is a primary care track, then applicants will report on the
track for which the application is submitted. If that track does **not**
have a separate match number, then applicants need to demonstrate that
the track is primary care and different from the categorical by
discussing their recruitment of residents, their enrollees, and faculty
and their geographic location.

**PRIMARY CARE PRIORITY TABLE**

II. **Qualifying for the Disadvantaged Priority** ***(Residency Training
    in Primary Care, Physician Assistant Training in Primary Care,
    Residency Training in General and Pediatric Dentistry)***

> The "disadvantaged" priority is available to applicants that have a
> **record of training** individuals who are from disadvantaged
> backgrounds (including racial and ethnic minorities underrepresented
> in primary care practice).
>
> To qualify, an applicant must demonstrate that the current trainees
> (2007-2008) from disadvantaged backgrounds and the aggregated number
> of program completers from disadvantaged backgrounds from the past two
> years (2006 and 2007) **each** attain a rate of 30%.
>
> Disadvantaged backgrounds include racial and ethnic minorities
> underrepresented among primary care practice or general or pediatric
> dentistry.

-   **Race and Ethnicity:** The racial and ethnic categories for Federal
    statistics and program administrative reporting are defined as
    follows:

```{=html}
<!-- -->
```
-   **American Indian or Alaska Native:** A person having origins in any
    of the original peoples of North and South America (including
    Central America), and who maintains tribal affiliation or community
    attachment.

```{=html}
<!-- -->
```
-   **Asian:** A person having origins in any of the original peoples of
    the Far East, Southeast Asia, or the Indian subcontinent including,
    for example, Cambodia, China, India, Japan, Korea, Malaysia,
    Pakistan, the Philippine Islands, Thailand, and Vietnam.

-   **Asian Subpopulations:** Asian subpopulations considered
    underrepresented in the health professions include any Asian other
    than Chinese, Filipino, Japanese, Korean, Asian Indian, or Thai.

```{=html}
<!-- -->
```
-   **Black or African American:** A person having origins in any of the
    black racial groups of Africa.

-   **Hispanic or Latino:** A person of Mexican, Puerto Rican, Cuban,
    Central or South American or other Spanish culture of origin
    regardless of race. The term \"Spanish Origin\" can be used in
    addition to \"Hispanic or Latino.\"

-   **Native Hawaiian or Other Pacific Islander:** A person having
    origins in any of the original peoples of Hawaii, Guam, Samoa, or
    other Pacific Islands.

-   **White:** A person having origins in any of the original peoples of
    Europe, North Africa, or the Middle East.

```{=html}
<!-- -->
```
-   **Underrepresented Minority:** With respect to the health
    professions, racial and ethnic populations that are underrepresented
    in the health profession relative to their proportion of the
    population involved, to include Blacks or African Americans,
    Hispanics or Latinos, American Indians or Alaska Natives, Native
    Hawaiians or Other Pacific Islanders, and Asian Subpopulations (any
    Asians other than Chinese, Filipino, Japanese, Korean, Asian Indian,
    or Thai).

-   **Educationally Disadvantaged:** An individual who comes from an
    environment that has hindered the individual in obtaining the
    knowledge, skills and abilities required to enroll in and graduate
    from a health professions school. The following are provided as
    examples of \"Educationally Disadvantaged\" for guidance only and
    are not intended to be all-inclusive. Applicants should seek
    guidance from their educational institution as to how
    \"Educationally Disadvantaged\" is defined by the applicant
    institution.

    **Examples:**

1.  Person from high school with low average SAT scores or below the
    average State test results.

2.  Person from a school district where 50% or less of graduates go to
    college.

3.  Person who has a diagnosed physical or mental impairment that
    substantially limits participation in educational experiences.

4.  Person for whom English is not their primary language and for whom
    language is still a barrier to their academic performance.

5.  Person who is first generation to attend college and who is from a
    rural or urban area or receiving public assistance.

6.  Person from a high school where at least 30% of enrolled students
    are eligible for free or reduced price lunches.

-   **Economically Disadvantaged:** An individual who comes from a
    family with an annual income below a level based on low-income
    thresholds according to family size published by the U.S. Bureau of
    Census, adjusted annually for changes in the Consumer Price Index,
    and adjusted by the Secretary for use in all health professions
    programs. The Secretary will annually publish these income levels in
    the Federal Register. The table below provides a breakdown of family
    income levels used to determine economic disadvantaged status.
    Family income is defined as the income of the trainee\'s parents
    regardless of the age of the trainee.

> **[Low-Income Levels for 2007 Grants]{.underline}**

+-----------------------------------+-----------------------------------+
| [Size of Family Unit]{.underline} | [Income Level]{.underline} \*\*   |
| \*                                |                                   |
+-----------------------------------+-----------------------------------+
| 1                                 | \$20,420                          |
|                                   |                                   |
| 2                                 | \$27,380                          |
|                                   |                                   |
| 3                                 | \$34,340                          |
|                                   |                                   |
| 4                                 | \$41,300                          |
|                                   |                                   |
| 5                                 | \$48,260                          |
|                                   |                                   |
| 6                                 | \$55,220                          |
|                                   |                                   |
| 7                                 | \$62,180                          |
|                                   |                                   |
| 8                                 | \$69,140                          |
|                                   |                                   |
| \* Includes only dependents       | \*\* Adjusted gross income for    |
| listed on Federal                 | calendar year                     |
|                                   |                                   |
| income tax forms.                 | 2006                              |
+-----------------------------------+-----------------------------------+

> **Applying for the Disadvantaged Priority**
>
> To be considered for the "disadvantaged priority," an applicant must
> complete the disadvantaged priority table. **Count each individual
> only once**. In addition, an applicant is strongly encouraged to
> provide a brief narrative explaining the methodology for collecting
> the numbers provided in the table. Count only the program completers
> for the applicable program.

1.  Provide a one to two paragraph statement that describes (a) the
    method of data collection and (b) the criteria that were used for
    determining \"Educationally Disadvantaged\" trainees and program
    completers if educationally disadvantaged trainees and program
    completers are claimed/reported.

    Compute as follows:

    [TOTAL \# DISADVANTAGED/UNDERREPRESENTED CURRENT
    TRAINEES]{.underline} [\>]{.underline} 30%

    TOTAL \# ALL CURRENT TRAINEES

    [TOTAL \# DISADVANTAGED/UNDERREPRESENTED PROGRAM COMPLETERS FOR 2006
    AND 2007]{.underline} [\>]{.underline} 30%

    TOTAL \# ALL PROGRAM COMPLETERS FOR 2006 AND 2007

-   For programs with only one (1) completing class, the "program
    completers" calculations can be based on data from the one year for
    which there are program completers using the above formula.

-   For new programs without any program completers, applicants can
    qualify for this funding priority by using only the "current
    trainees" calculation and meeting the 30% requirement.

> [For *Physician Assistant Training in Primary Care* applicants
> (additional instructions):]{.underline}
>
> Proposed projects that include Physician Assistant training and
> faculty development activities must demonstrate a record of training
> and graduating disadvantaged individuals based on [all]{.underline}
> trainees and program completers. Trainees are all physician assistant
> students [and]{.underline} faculty development trainees; the "current
> trainees" calculation should reflect this. Program completers are all
> physician assistant students finishing the PA program each year
> [and]{.underline} faculty development trainees finishing the faculty
> development training program each year. If the proposed project
> consists [only]{.underline} of faculty development activities, then
> the calculations must be based only on the faculty development
> trainees.
>
> [NOTE:]{.underline} See the \"Definitions\" for applicable definitions
> of \"Underrepresented Minorities,\" \"Educational Disadvantaged\" and
> \"Economically Disadvantaged."

**DISADVANTAGED PRIORITY CHART**

<table>
<colgroup>
<col style="width: 22%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 6%" />
</colgroup>
<tbody>
<tr class="odd">
<td><strong>Race / Ethnicity</strong></td>
<td><blockquote>
<p><strong>Black or African-American</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Hispanic or Latino</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Native Hawaiian or</strong></p>
<p><strong>Other Pacific Islander</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>American Indian or</strong></p>
<p><strong>Alaska Native</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Asian Subpopulations</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Asian Disadvantaged</strong></p>
<p><strong>(not Subpopulations)</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>White Disadvantaged</strong></p>
<p><strong>(not Hispanic)</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Other Disadvantaged</strong></p>
</blockquote></td>
<td rowspan="2"><blockquote>
<p><strong>Underrepresented/Disadvantaged</strong></p>
<p><strong>Subtotal</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Asian</strong></p>
<p><strong>(not Subpopulations)</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>White</strong></p>
<p><strong>(not Hispanic)</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Other</strong></p>
</blockquote></td>
<td rowspan="2"><blockquote>
<p><strong>TOTALS</strong></p>
</blockquote></td>
<td></td>
<td rowspan="2"><blockquote>
<p><strong>Total Percent Underrepresented/Disadvantaged</strong></p>
</blockquote></td>
</tr>
<tr class="even">
<td></td>
<td colspan="5"><strong>UNDERREPRESENTED</strong></td>
<td colspan="3"><strong>DISADVANTAGED</strong></td>
<td colspan="3"><strong>NON-DISADV.</strong></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Current Trainees</strong></p>
<p><strong>(Academic Year 2007-2008)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>%</strong></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Program Completers (2006)</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td rowspan="2"><strong>%</strong></td>
</tr>
<tr class="even">
<td><strong>Program Completers (2007)</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Calculation Formula</strong></td>
<td colspan="15"><p><strong><u>Subtotal of
Underrepresented/Disadvantaged Program Completers 2006 plus 2007</u> X
100</strong></p>
<p><strong>Total 2006 plus 2007 Program Completers</strong></p></td>
</tr>
</tbody>
</table>

**If some enrollees refuse to self-identify and therefore cannot be
counted in the numerator,**

**they must still be counted in the denominator.**

**III. [Qualifying for the Academic Administrative Unit (AAU)
Collaborative Priority]{.underline} *(Academic Administrative Units in
Primary Care)***

To qualify for the "**academic administrative unit collaborative
priority**," an applicant must propose a project that involves the
academic administrative units of two or more disciplines of family
medicine, general internal medicine and general pediatrics at the same
institution. The collaboration must include joint planning,
implementation, and training, and shared faculty, academic appointments,
administrative staff, and evaluation.

**[Applying for the AAU Collaborative Priority]{.underline}**

To be considered for the AAU Collaborative Priority, an applicant must
request it in a section entitled "AAU Collaborative Priority Request"
and provide detailed narrative which describes joint planning,
implementation, training, shared faculty, academic appointments,
administrative staff, and evaluation.

# FUNDING PREFERENCES

A funding preference is defined as the funding of a specific category or
group of approved applications ahead of other categories or groups of
applications. There are two statutory funding preferences:

\(1\) The Medically Underserved Community (MUC) Funding Preference; and

> \(2\) The Establishment or Substantial Expansion of an Academic
> Administrative Unit Funding Preference.

The Secretary may not give an applicant preference if the application is
ranked at or below the **20^th^ percentile** of applications that have
been recommended for approval by peer review groups.

**1. [Medically Underserved Community (MUC) Funding
Preference]{.underline}**

The MUC Funding Preference is available to ***all program area*s**.

To qualify for the MUC Funding Preference, an applicant must:

-   Have a **high rate** for placing graduates/program completers in
    practice settings having the principal focus of serving residents of
    medically underserved communities; or

-   During the 2-year period preceding the fiscal year for which an
    award is sought, have achieved a **significant increase** in the
    rate of placing graduates/program completers in such settings; or

-   Meet the criteria for a **new program**.

For the purpose of data for the MUC Funding Preference, the following
program areas will report on **graduates**:

***Predoctoral Training in Primary Care***

***Academic Administrative Units in Primary Care***

For the purpose of data for the MUC Funding Preference, the following
program areas will report on **program completers:**

***Residency Training in Primary Care***

***Physician Faculty Development Training in Primary Care***

***Physician Assistant Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

Program Completer: An individual who has met the didactic and/or
clinical requirements of a structured educational program which does not
confer a degree (e.g.; continuing education, fellowship residency and
physician assistant) and is designed to improve their knowledge or
skills.

**[Medically Underserved Community (MUC)]{.underline}**

The term "Medically Underserved Community" means an urban or rural area
or population that:

\(1\) is eligible for designation under section 332 as a Health
Professional Shortage Area (HPSA)

(for dental program applicants as a dental HPSA);

\(2\) is eligible to be served by a Migrant Health Center (MHC) under
section 330, a Community Health Center under section 330, a grantee
under section 330 (relating to homeless individuals), or a grantee under
section 330 (relating to residents of public housing);

\(3\) has a shortage of personal health services, determined under
criteria issued by the Secretary under section 1861(aa)(2) of the Social
Security Act (relating to rural health clinics); or

\(4\) is designated by a State Governor (in consultation with the
medical community) as a shortage area or medically underserved
community. (Public Health Service Act, section 799(B)(6))

To determine if an applicant is eligible for designation under Section
332 as a HPSA when they are not so designated, the applicant must
demonstrate that an application has been submitted for a HPSA
designation and include proof of acceptance of that application from the
designating authority. The MUC preference will not be applied without
proof of approval of that application.

The list of types of practice sites that can be claimed under the
medically underserved community preference includes the following:

-   Community Health Centers (CHC)

-   Migrant Health Centers (MHC)

-   Health Care for the Homeless grantees

-   Public Housing Primary Care grantees

-   Rural Health Clinics, federally designated

-   National Health Service Corps sites, freestanding (NHSC)

-   Indian Health Service (IHS) sites

-   Federally Qualified Health Centers (FQHC)

-   Primary Medical Care Health Professional Shortage Areas, for primary
    care physicians and other health personnel except dentists and
    nurses (HPSA)

-   Dental Health Professional Shortage Areas for Dentists

-   State or Local Health Departments

-   Sites designated by a State Governor in consultation with the dental
    or medical community (for example ambulatory practice sites)

> If graduates and/or program completers are practicing currently in
> sites designated by a State Governor (in consultation with the medical
> or dental community) as a shortage area or medically underserved
> community or dental underserved community for dental applicants, then
> an **official letter** from the Governor's office or from the State
> agency involved in the Governor's designation of such sites for the
> State, should be included in the grant application. **An official
> listing or other convincing evidence** may be substituted provided
> that it clearly indicates that the designation of the site is by the
> State Governor or State agency acting for the Governor in this
> capacity. Do not reference websites as convincing evidence, since peer
> reviewers are not permitted to access websites as part of the review
> process. **Without such documentation, the preference will not be
> awarded**.

##### *Access to the Lists of Medically Underserved Work Settings*

Information on HPSAs, CHCs, MHCs, and/or homeless health centers is
available on HRSA\'s Web Site under **BPHC Databases on the Internet at
[http://bphc.hrsa.gov](http://bphc.hrsa.gov/)**

**[Qualifying for the MUC Funding Preference by Demonstrating "High
Rate"]{.underline}**

The MUC Funding Preference by demonstrating "high rate" is available to
***all program areas***.

Specific instructions are presented by program areas.

***Residency Training in Primary Care***

***Physician Faculty Development Training in Primary Care***

***Physician Assistant Training in Primary Care***

***Residency Training in General and Pediatric Residency***

To qualify for "high rate," at least 55% of program completers from the
academic year ending in 2006 or 2007, whichever is greater, must devote
at least 50% of their time in clinical practice in MUC settings on or
after July 1, 2006 or July 1, 2007, respectively.

Compute as follows: [All 2006 (or 2007) program completers practicing in
MUCs]{.underline} [\>]{.underline} 55%

All program completers in 2006 (or 2007)

**[Additional Instructions for "High Rate"]{.underline}**

***Residency Training in Primary Care:*** If the application includes
activities for a particular track, this data collection pertains to the
entire primary care residency track. If there are multiple primary care
tracks within the discipline, the tracks must be aggregated.

***Physician Faculty Development Training in Primary Care:*** To be
counted in the numerator, the program completers must devote at least
50% of their time practicing and/or teaching in MUC settings and/or
developing and implementing educational programs that are directly
related to preparing practitioners to practice and/or teach in MUC
settings. The applicant should report on all faculty development program
completers, regardless of whether or not their training was funded
through Title VII. The applicant should also report aggregate data on
all Faculty Development program completers regardless of the funding
source.

***Physician Assistant Training in Primary Care:*** Proposed projects
that [include]{.underline} Physician Assistant training and faculty
development activities must demonstrate high rate based on
[all]{.underline} program completers, i.e., physician assistant students
who completed the physician assistant program each year,
[plus]{.underline} faculty trainees who completed the faculty
development program in each year. If the proposed project is for faculty
development only, high rate must be demonstrated based only on faculty
development program completers.

***Predoctoral Training in Primary Care***

***Academic Administrative Units in Primary Care***

To qualify for "high rate," at least 30*%* of all medical school
graduates from the academic year ending in 2003 or 2004, whichever is
greater, devote at least 50% of their time to clinical practice in
medically underserved community settings on or after July 1, 2006 or
July 1, 2007, respectively.

For graduates who are in training programs, such as residency or
fellowship programs (PGY4), the aggregate of an individual's time spent
in clinical practice in MUC settings must be at least 50% to be counted
as practicing in an MUC.

Compute as follows: [All 2003 (or 2004) graduates practicing in
MUCs]{.underline} [\>]{.underline} 30%

All 2003 (or 2004) graduates

**2. [Qualifying for the MUC Preference by Demonstrating "Significant
Increase in Rate"]{.underline}**

The MUC Funding Preference by demonstrating "significant increase" is
available to ***all program areas***. Specific instructions are
presented by program areas.

***Residency Training in Primary Care***

***Physician Faculty Development Training in Primary Care***

***Physician Assistant Training in Primary Care***

***Residency Training in General and Pediatric Residency***

To qualify for "significant increase," an applicant must demonstrate
that between the academic years ending in 2006 and 2007, the percentage
of program completers who devote at least 50% of their time to clinical
practice in MUC settings has increased by at least 50% (with a minimum
of 2 program completers) and at least 30% of the 2007 program completers
are practicing in MUC settings on or after July 1, 2007.

Please note that a **minimum of 2 program completers** is required in
academic year 2007. An increase from 0 to 1 would not qualify for the
preference based on significant increase. However, an increase from 0 to
2 or 1 to 2 would qualify based on significant increase. An increase
from 10 to 12 would not qualify because of not meeting the 50%
requirement.

**[Additional Instructions for "Significant Increase in
Rate"]{.underline}**

***Residency Training in Primary Care:*** If the application includes
activities for a particular track, this data pertains to the entire
primary care residency track. If there are multiple primary care tracks
within the discipline, the data for all the tracks must be aggregated.
For program completers who are in training programs such as residency or
fellowship programs, the aggregate of an individual's time spent in
clinical practice in MUC settings must be at least 50% in order to be
counted as practicing in an MUC.

***Physician Faculty Development Training in Primary Care:*** To be
counted in the numerator, the program completers must devote at least
50% of their time practicing and/or teaching in MUC settings and/or
developing and implementing educational programs that are directly
related to preparing practitioners to practice and/or teach in MUC
settings. The applicant should report on all faculty development program
completers, regardless of whether or not their training was funded
through Title VII. The applicant should also report aggregate data on
all Faculty Development program completers regardless of funding source.

***Physician Assistant Training in Primary Care:*** Proposed projects
that [include]{.underline} Physician Assistant training and faculty
development activities must demonstrate significant increase rate based
on [all]{.underline} program completers, i.e., physician assistant
students who completed the physician assistant program each year, plus
faculty trainees who completed the faculty development program in each
year. If the proposed project is for faculty development only,
significant increase must be demonstrated based only on faculty
development program completers.

***Predoctoral Training in Primary Care***

***Academic Administrative Units***

To qualify for "significant increase," an applicant must demonstrate
that medical school graduates from academic years ending in 2003 and
2004 who devote at least 50% of their time to clinical practice in MUC
settings has increased by at least 50% and at least 15% of the 2004
graduates are practicing in MUC settings.

**[Applying for the MUC Funding Preference as \"High Rate\" or
\"Significant Increase\"]{.underline}**

To be considered for the MUC Funding Preference based on "high rate" or
"significant increase," **complete the MUC Funding Preference Table**.
An applicant may not alter the table in any way. An applicant must
indicate on the Table the means by which the funding preference is being
requested, (i.e., high rate, significant increase). In addition, the
applicant [MUST]{.underline} **provide a brief narrative explaining the
methodology for collecting the numbers** provided in the table.
**Failure to provide the table or the narrative may jeopardize the
applicant's ability to receive the funding preference.**

In completing the Table, each individual graduate or program completer
should be reported only once even though a graduate/program completer\'s
practice site may qualify under more than one category; for example, a
rural health clinic may be located in a primary care health professional
shortage area. The MUC status of the graduate/program completers
practice site should be reported as of the graduate/program completer\'s
start date in this practice site. Subsequent changes to the MUC
designation do not alter this reporting.

**Complete ONLY the rows applicable to the program areas included in the
application.**

**See page 42 for instructions**

<table>
<colgroup>
<col style="width: 11%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 4%" />
<col style="width: 9%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="3"><p><strong>MUC</strong></p>
<p><strong>Preference</strong></p>
<p><strong>Request Table</strong></p></td>
<td><h1 id="chc">CHC</h1></td>
<td><h1 id="mhc">MHC</h1></td>
<td><blockquote>
<p><strong>Health</strong></p>
<p><strong>Care for</strong></p>
<p><strong>the</strong></p>
<p><strong>Homeless</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Public Housing Primary</strong></p>
<p><strong>Care</strong></p>
<p><strong>Grantees</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Rural Health</strong></p>
<p><strong>Clinics</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>NHSC</strong></p>
<p><strong>Sites</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>IHS</strong></p>
<p><strong>Sites</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>FQHCs</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>HPSAs,</strong></p>
<p><strong>Dental</strong></p>
<p><strong>HPSAs</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Health Depts</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Sites</strong></p>
<p><strong>Designated</strong></p>
<p><strong>by State Gov.</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Total # of</strong></p>
<p><strong>Grads or</strong></p>
<p><strong>ProgComp in</strong></p>
<p><strong>these settings</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Total # Grads</strong></p>
<p><strong>or Prog Comp</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>% Grads</strong></p>
<p><strong>or Prog</strong></p>
<p><strong>Comp</strong></p>
<p><strong>in these</strong></p>
<p><strong>settings</strong></p>
</blockquote></td>
</tr>
<tr class="even">
<td colspan="17"><h2 id="program-completers-as-of-july-2006">2006
Program Completers as of July 2006</h2></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="3"><strong>Residency</strong></td>
<td>FM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>GIM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>GP</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2" rowspan="3"><strong>Faculty Development</strong></td>
<td>FM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>GIM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>GP</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"><strong>PA</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2" rowspan="2"><p><strong>Dental</strong></p>
<p><strong>Residency</strong></p></td>
<td>Gen</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>Peds</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="17"><h4 id="graduates-as-of-july-2006">2003 Graduates as of
July 2006</h4></td>
</tr>
<tr class="odd">
<td colspan="3"><p><strong>Predoc/AAU</strong></p>
<p>FM/GIM/GP</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3"><strong>TOTAL</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="17"><h3 id="program-completers-as-of-july-2007">2007
Program Completers as of July 2007</h3></td>
</tr>
<tr class="even">
<td colspan="2" rowspan="3"><strong>Residency</strong></td>
<td>FM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>GIM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>GP</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="3"><strong>Faculty Development</strong></td>
<td>FM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>GIM</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>GP</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3"><strong>PA Students</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="2"><p><strong>Dental</strong></p>
<p><strong>Residency</strong></p></td>
<td colspan="2">Gen</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Peds</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="17"><h3 id="graduates-as-of-july-2007">2004 Graduates as of
July 2007</h3></td>
</tr>
<tr class="even">
<td colspan="3"><p><strong>Predoc/AAU</strong></p>
<p>FM/GIM/GP</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"><strong>TOTAL</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

**[Qualifying for the MUC Preference as a New Program or New
School]{.underline}**

An applicant may apply for the MUC funding preference as a [new
program]{.underline}.

**[New Program]{.underline}**

The MUC Funding Preference as a new program is available to all six of
the following ***program areas***:

***Residency Training in Primary Care***

***Faculty Development Training in Primary Care***

***Physician Assistant Training in Primary Care***

***Residency Training in General and Pediatric Dentistry***

***Predoctoral Training in Primary Care***

***Academic Administrative units in Primary Care***

A "new program" is defined as one that has had less than three
consecutive classes of trainees complete the educational program by the
time of grant application submission (whether funded by HRSA or not).

To be considered for the MUC Preference as a New Program, an applicant
must request the preference and meet **at least four of the following
seven criteria:**

1.  The mission statement of the program identifies a specific purpose
    of the program as being the preparation of health professionals to
    serve underserved populations.

2.  The curriculum of the program includes content which will help to
    prepare practitioners to serve underserved populations.

3.  Substantial clinical training experience is required under the
    program in medically underserved communities.

4.  A minimum of 20% of the clinical faculty of the program spend at
    least 50% of their time providing or supervising care in medically
    underserved communities.

5.  The entire program or a substantial portion of the program is
    physically located in a medically underserved community.

6.  Student assistance, which is linked to service in medically
    underserved communities following graduation, is available to the
    students in the program.

7.  The program provides a placement mechanism for deploying graduates
    to medically underserved communities.

**Applying for the MUC Funding Preference as a New Program**

All applicants applying for the funding preference as a new program must
request the preference in a section of the grant application entitled
"Funding Preference Request." Each application must include a [detailed
description]{.underline} of how their program meets at least four of the
seven criteria.

**Additional Instructions for New Programs**

***Residency Training in Primary Care:*** Any applicant associated with
a categorical internal medicine or pediatrics program that establishes
their first primary care track may be considered as a new program for
the funding preference if that primary care track is applying for the
grant. However, any applicant associated with a categorical internal
medicine or pediatrics program that includes a primary care track may
not consider (for the purposes of this funding preference) the
establishment of another primary care track as a new program.

If a family medicine program establishes their first rural track and
only that rural track applies for a grant, then that track will be
counted as a new program for the funding preference. However, multiple
rural or urban tracks will not be considered new programs for this
preference.

The establishment of a combined medicine-pediatrics program could be
considered as a new program because it is a separate entity even though
an affiliation may exist with a medicine or pediatrics primary care
track.

***Physician Assistant Training in Primary Care:*** Proposed projects
that include faculty development activities must meet the definition of
"new program" for both the Physician Assistant training program and the
faculty development training program. Proposed projects that consist
solely of faculty development activities must meet the definition of
"new program" for the faculty development training program. \"[New
Program]{.underline}\" does not mean that the current faculty
development program has changed focus or has not previously received
Title VII funding.

***Physician Faculty Development Training in Primary Care:*** "New
Program" does not mean that the current faculty development program has
changed focus or has not previously received Title VII funding.

**[Establishment or Substantial Expansion of an Academic Administrative
Unit Funding Preference]{.underline}**

In addition to applying for the MUC Funding Preference, applicants
applying for ***Academic Administrative Units in Primary Care*** may
also be eligible for a second Funding Preference based on the
Establishment **or** Substantial Expansion of an Academic Administrative
Unit.

This preference is available ***only*** to the ***Academic
Administrative Units in Primary Care*** program area and can be met by:

-   Establishing an Academic Administrative Unit, **or**

-   Substantial Expansion of an Academic Administrative Unit

**[Qualifying for the Establishment or Substantial Expansion of an
Academic Administrative Unit Funding Preference]{.underline}**

**Establishment of an Academic Administrative Unit Preference**

To meet this funding preference, an applicant must agree to expend the
award for the purpose of establishing an [academic administrative unit
defined as]{.underline}: (1) a department or division of family medicine
(allopathic or osteopathic that refers to the highest level of academic
administrative unit, whether it is a department or a division); (2) a
division of osteopathic or allopathic general internal medicine or
general pediatrics; or (3) an osteopathic department of internal
medicine or pediatrics with a primary care focus.

To document the establishment of an academic unit, applicants must
provide evidence of institutional commitment, including a letter from
the Dean and, for divisions of general internal medicine or general
pediatrics, the Department Chair, and other evidence that necessary
financial and staff resources will be committed. Applicants are asked to
provide a business plan that includes at least the following elements:

a.  a mission statement;

b.  a description of where the academic unit will be geographically
    located in relation to the other medical school academic units;

c.  a table of organization and lines of responsibility reflecting an
    academic unit structure comparable to other similar sized units in
    the institution;

d.  evidence that the proposed academic unit will be represented on
    medical school committees and councils in a manner equal or parallel
    to other similar sized academic units of the school;

e.  identification of curricular offerings and faculty size;

f.  a financial plan that outlines how the new academic unit will be
    supported; and

g.  a timeline (with specific objectives in terms of the academic unit's
    growth) by which the academic unit will become a self-sustaining and
    fully functioning entity.

**Specifically For Family Medicine (Allopathic Programs):** To document
the status of an allopathic academic administrative unit being proposed,
the applicant should reference the American Academy of Family Physicians
(AAFP) current issue of Reprint 164. In addition to the availability of
funds, continuation of the grant for allopathic programs beyond the
second budget period is contingent upon receiving recognition from the
American Academy of Family Physicians (AAFP) as an established academic
administrative unit. In the event a combined department (such as with
Community Medicine) is proposed, evidence must be provided to assure
that: 1) a major focus of the department is family medicine and that
this emphasis is reflected by the inclusion of family medicine or family
practice in the name of the department; 2) other department components
are supportive of the family medicine mission; and 3) the chair is
either board certified or residency trained in family medicine or
osteopathic general practice. If a school is establishing another
Department of Family Medicine at a site away from the parent Department
of Family Medicine, an application will not be accepted from the
establishing department until it has received official recognition from
the AAFP as a geographically separated campus. The parent department may
include, however, as a part of its own application, the expansion of the
parent department at a distant site until receiving recognition from the
AAFP for a geographically separated campus.

**Specifically For General Internal Medicine and General Pediatrics
(Allopathic and Osteopathic):** In addition to the above criteria (a.
mission statement, b. geographic location, etc), the new allopathic
Division or osteopathic Department must be fully responsible for all of
the content related to clinical, research, and educational activities in
general internal medicine or general pediatrics.

**Substantial Expansion of an Academic Administrative Unit Preference**

**Specifically for Family Medicine:** To meet this funding preference an
applicant must present a well-documented, acceptable plan in a
sufficient number of the following six areas to qualify for 70 points as
judged by the panel of peer reviewers. Any applicant reaching the
70-point threshold will have the preference applied (the points are not
added to the overall score). All elements of the proposed expansion of
the academic administrative unit must be completed within three years.

a.  [Required family medicine clerkship]{.underline} - 25 points for a
    new four-week family medicine clerkship, or for a 50% increase in
    the number of required weeks;15 points for a 25% increase in the
    number of weeks. A four-week required family medicine clerkship must
    be experienced by every medical student in the medical school prior
    to the students' Match choice and not later than immediately
    following the core clinical clerkships in internal medicine,
    pediatrics, ob/gyn, surgery, and psychiatry. This four-week
    clerkship must be designed, taught and evaluated by the family
    medicine unit.

b.  [Required preceptorship]{.underline} - 10 points for a new
    preceptorship with at least 75 contact hours or a 50% increase in
    the required hours; and 10 bonus points for required curricula in
    the first, second, and third year, including a required clerkship.
    The new preceptorship requirement must be met prior to the bonus
    points being awarded.

c.  [Family medicine research]{.underline} - 15 points maximum based
    upon assigning 5 points per each additional new FTE faculty with at
    least 40% protected time to conduct and publish research. The new
    FTE faculty [must]{.underline} be added the first year of the grant.

d.  [Expansion of faculty]{.underline} - 20 points maximum based upon
    assigning 5 points per each additional new FTE faculty above a
    minimum base of three full-time university supported faculty.

e.  [Faculty development program for community-based
    faculty]{.underline} - 10 points for a new program or a 50%
    expansion in the number of community-based faculty involved and/or
    workshops conducted in a community-based training program.

f.  [Family medicine faculty represented on medical school standing
    committees]{.underline} - 10 points maximum based upon assigning 5
    points each for new representation on admissions, curriculum,
    promotion and tenure committees.

Information included in the above presentation should be quantifiable
and supported by a methodology for accomplishing each claimed expansion.
Letters from key decision-makers offering specific support to the
efforts must be provided. In the methodology discussion, for each area
of expansion, applicants are strongly encouraged to indicate what
specific milestones will be completed after one or two years of grant
support. Awards made to projects that receive the preference based upon
a substantial expansion of the program and fail to meet the projected
milestones may be denied continuation funding for the third budget
period of the project.

**Specifically for Divisions of General Internal Medicine and General
Pediatrics or Osteopathic Departments of Internal Medicine or
Pediatrics:** To meet this funding preference an applicant must present
a well-documented, acceptable plan for substantially expanding a
division of general internal medicine, general pediatrics, or a
department of internal medicine or pediatrics in osteopathic programs
which have a primary care focus, through the addition or expansion of
the following primary care education activities, and/or establishment or
expansion of the following primary care research activities. The
proposed expansion of the academic unit must be completed within three
years.

> [Primary Care Education Activities:]{.underline} This includes the
> addition of at least three **new** M.D. or Ph.D. faculty with training
> or an established track record that predicts a high potential of
> success in the general internal medicine or general pediatrics
> academic unit. Each new faculty member must devote at least 50% effort
> to one of the following **new** curricular offerings (both the faculty
> and the curricular offerings must be new to the academic unit):

1.  primary care (ambulatory) clerkship of at least 4 weeks;

2.  primary care residency program (either a separate match number of a
    demonstrable shift in focus of the residency to primary care);

3.  required primary care block rotations in the residency (at least 8
    weeks over 3 years); or

4.  community-based primary care experience in the residency (at least 8
    weeks over 3 years for a least 50% of residents).

> [Primary Care Research Activities:]{.underline} The unit must add at
> least three new M.D. or Ph.D. full-time faculty members who spend at
> least 50% effort to establishing or expanding a research program in
> primary care. The new faculty must have training or an established
> track record that would predict a high potential of success in the
> general internal medicine or general pediatrics academic unit. The new
> full-time faculty must be added the first year of the grant.
>
> Also, the number of new faculty must increase by at least 100% the
> number of faculty in the academic unit that devote at least 50% effort
> to primary care research.
>
> In addition, at least 1.5 FTE new faculty should devote 50% effort to
> one or more of the four educational activities under Primary Care
> Educational Activities (i.e., primary care (ambulatory) clerkship,
> etc.). The 1.5 FTE can be inclusive in the three new faculty
> positions.
>
> Primary care research content could include research on primary care
> student, resident, or practitioner education; as well as investigation
> of the organization, content, delivery, processes, practices, and
> outcomes of primary care. This is not intended to be an all-inclusive
> list for primary care research.

**VI. Award Administration Information**

**1. Award Notices**

Each applicant will receive written notification of the outcome of the
objective review process, including a summary of the expert committee's
assessment of the application's merits and weaknesses, and whether the
application was selected for funding. Applicants who are selected for
funding may be required to respond in a satisfactory manner to
Conditions placed on their application before funding can proceed.
Letters of notification do not provide authorization to begin
performance.

Notices of Grant Award sets forth the amount of funds granted, the terms
and conditions of the grant, the effective date of the grant, the budget
periods for which initial support will be given, the non-Federal shares
to be provided (if applicable) and the total project period for which
support is contemplated. Signed by the Grants Management Officer, it is
sent to the applicant agency's Authorized Representative and reflects
the only authorizing document. It will be sent prior to the start date
of July 1, 2008, or September 1, 2008 for Academic Administrative Units.

**2. Administrative and National Policy Requirements**

Successful applicants must comply with the administrative requirements
outlined in 45 CFR Part 74 (non-governmental) or 45 CFR Part 92
(governmental), as appropriate.

HRSA grant awards are subject to the requirements of the HHS Grants
Policy Statement (HHS GPS) that are applicable to you based on your
recipient type and the purpose of this award. This includes, as
applicable, any requirements in Parts I and II of the HHS GPS that apply
to the award, as well as any requirements of Part IV. The HHS GPS is
available at <http://www.hrsa.gov/grants/default.htm>. The general terms
and conditions in the HHS GPS will apply as indicated unless there are
statutory, regulatory, or award-specific requirements to the contrary
(as specified in the Notice of Award).

**PUBLIC POLICY ISSUANCE**

**HEALTHY PEOPLE 2010**

**Healthy People 2010** is a national initiative led by HHS that sets
priorities for all HRSA programs. The initiative has two major goals:
(1) To increase the quality and years of a healthy life; and (2)
Eliminate our country's health disparities. The program consists of 28
focus areas and 467 objectives. HRSA has actively participated in the
work groups of all the focus areas, and is committed to the achievement
of the Healthy People 2010 goals.

Applicants **must** summarize the relationship of their projects and
identify which of their programs objectives and/or sub-objectives relate
to the goals of the Healthy People 2010 initiative.

Copies of the Healthy People 2010 may be obtained from the
Superintendent of Documents or downloaded at the Healthy People 2010
website: <http://www.health.gov/healthypeople/document/>

[]{.mark}

The Public Health Service strongly encourages all award recipients to
provide a smoke-free workplace and to promote the non-use of all tobacco
products. Further, Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any portion
of a facility) in which regular or routine education, library, day care,
health care or early childhood development services are provided to
children.

**3. Reporting**

The successful applicant under this guidance must comply with the
following reporting and review activities:

a.  **Audit Requirements**

> Comply with audit requirements of Office of Management and Budget
> (OMB) Circular A-133. Information on the scope, frequency, and other
> aspects of the audits can be found on the internet at:
> [www.whitehouse.gov/omb/circulars](http://www.whitehouse.gov/omb/circulars);

b.  **Payment Management Requirements**

> Submit a quarterly electronic PSC-272 via the Payment Management
> System. The report identifies cash expenditures against the authorized
> funds for the grant. Failure to submit the report may result in the
> inability to access grant funds. The PSC-272 Certification page should
> be faxed to the PMS contact at the fax number listed on the 272 form,
> or it may be submitted to the:

Division of Payment Management

HHS/ASAM/PSC/FMS/DPM

PO Box 6021

Rockville, MD 20852

Telephone: (877) 614-5533

c.  **Status Reports**

> 1**.** Submit a **Financial Status Report**. A financial status report
> is required within 90 days of the end of each grant year. The report
> is an accounting of expenditures under the project that year. More
> specific information will be included in the award notice.
>
> 2\. Submit a **Uniform Progress Report(s**).
>
> All Bureau of Health Professions' grantees are required to submit
> electronic progress and/or final reports to HRSA on an annual basis.
> These reports take the form of Uniform Progress Reports, Comprehensive
> Performance Management System (UPR/CPMS) Reports and Final Reports.
> BHPr grantees will be able to access and complete their reports on the
> internet using a web-based data entry tool. Information on this
> electronic reporting system will be updated regularly on the Bureau's
> web page. Due dates for the reports will be posted on the web page as
> soon as they are available. The Bureau's web page address is
> <http://www.bhpr.hrsa.gov/grants>. On the web page, click on the link
> for **Grantee Reports**.

d\. **Performance Review**

HRSA's Office of Performance Review (OPR) serves as the agency's focal
point for reviewing and enhancing the performance of HRSA funded
programs within communities and States. As part of this agency-wide
effort, HRSA grantees will be required, where appropriate, to
participate in an on-site performance review of their HRSA funded
programs(s) by a review team from one of the ten OPR regional divisions.
Grantees should expect to participate in a performance review at some
point during their project period. When a grantee receives more than one
HRSA grant, each of the grantee's HRSA funded programs will be reviewed
during the same performance review.

The purpose of the performance review is to improve the performance of
HRSA funded programs. Through systematic pre-site and on-site analysis,
OPR works collaboratively with grantees and HRSA Bureaus/Offices to
measure program performance, analyze the factors impacting performance,
and identify effective strategies and partnerships to improve program
performance, with a particular focus on outcomes. Upon completion of the
performance review, grantees will be required to prepare an Action Plan
that identifies key actions to improved program performance as well as
addresses any identified program requirement issues. In addition,
performance reviews also provide an opportunity for grantees to offer
direct feedback to the agency about the impact of HRSA policies on
program implementation and performance within communities and States.

**VII. Agency Contacts**

For additional information related to technical assistance and program
issues, please contact:

Brenda Williamson, M.A.

Program Officer

Primary Care Medical Education Branch, BHPr, HRSA

Email: <bwilliamson@hrsa.gov>

TEL: 301-443-1467 FAX: 301-443-1945

Shane Rogers

Program Officer

Primary Care Medical Education Branch, BHPr, HRSA

Email: <srogers@hrsa.gov>

TEL: 301-443-1467 FAX: 301-443-1945

Martha Evans

Program Officer

Division of Medicine and Dentistry

Email: <mevans@hrsa.gov>

TEL: 301-443-1467 FAX: 301-443-1945

Technical assistance regarding grants management issues, such as budget
questions, is available from the HRSA, Division of Grants Management
Operations:

Donna Harrington

Grants Management Specialist

Email: <dharrington@hrsa.gov>

Tel: 301-443-3694 Fax: 301-443-6343

Denis Nikiema

Grants Management Specialist

Email: <dnikiema@hrsa.gov>

Tel: 301-443-8007 Fax 301-443-6343

Jose Aviles, MBA

Grants Management Specialist

Email: [javiles@hrsa.gov](mailto:dtreer@hrsa.gov)

Tel: 301-443-3623 Fax 301-443-6343

**VIII. Other Information**

**ix. Tips for Writing a Strong Application**

[]{.mark}

**Include DUNS Number.** You must include a DUNS Number to have your
application reviewed. Applications ***will not*** be reviewed without a
DUNS number. To obtain a DUNS number, access
[http://www.hrsa.gov/grants/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm )
or call 1-866-705-5711. Please include the DUNS number next to the OMB
Approval Number on the application face page.

**Keep your audience in mind.** Reviewers will use only the information
contained in the application to assess the application. Be sure the
application and responses to the program requirements and expectations
are complete and clearly written. Do not assume that reviewers are
familiar with the applicant organization. Keep the review criteria in
mind when writing the application.

**Start preparing the application early.** Allow plenty of time to
gather required information from various sources.

**Follow the instructions in this guidance carefully.** Place all
information in the order requested in the guidance. Avoid the risk of
having reviewers hunt through your application for information.

**Be brief, concise, and clear.** Make your points understandable.
Provide accurate and honest information, including candid accounts of
problems and realistic plans to address them. If any required
information or data is omitted, explain why. Make sure the information
provided in each table, chart, attachment, etc., is consistent with the
proposal narrative and information in other tables. Your budget should
reflect back to the proposed activities, and all forms should be filled
in accurately and completely.

**Be organized and logical.** Many applications fail to receive a high
score because the reviewers cannot follow the thought process of the
applicant or because parts of the application do not fit together.

**Be careful in the use of attachments.** Do not use the attachments for
information that is required in the body of the application. Be sure to
cross-reference all tables and attachments to the appropriate text in
the application. Be sure to upload the attachments in the order
indicated in the forms.

**Carefully proofread the application.** Misspellings and grammatical
errors will impede reviewers in understanding the application. Be sure
that page limits are followed. Limit the use of abbreviations and
acronyms, and define each one at its first use and periodically
throughout application. Be sure to spell out abbreviations. Make sure
you submit your application in final form, without markups.

**Print out and carefully review an electronic application to ensure
accuracy and completion.** When submitting electronically, print out the
application before submitting it to ensure appropriate formatting and
adherence to page limit requirements, **Check to ensure that all
attachments are included in your electronic submission
[before]{.underline} sending the application forward.**

**Ensure that all information is submitted at the same time. We will not
consider additional information and/or materials submitted after your
initial submission, nor will we accept emailed applications or
supplemental materials once your application has been received.**

**X. Attachments and Appendices**

Attachment 8: Sample Consolidated Budget Form for Collaborative
Applications

Attachment 9: Sample Consolidated Budget Form for Collaborative General
and Pediatric Dentistry Applications

Appendix A: HRSA's Electronic Submission User Guide

Appendix B: Registering and Applying Through Grants.gov

Appendix C: Instructions for Standard Form 424 Research and Related

Appendix D: Assurances and Certifications

**Attachment 8**

**Sample Consolidated Budget Form for Collaborative Applications**

<table style="width:100%;">
<colgroup>
<col style="width: 17%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td><strong>Direct Costs</strong></td>
<td colspan="3"><p><strong>First Budget Period</strong></p>
<p><strong>FY</strong></p></td>
<td colspan="3"><p><strong>Second Budget Period</strong></p>
<p><strong>FY</strong></p></td>
<td colspan="3"><p><strong>Third Budget Period</strong></p>
<p><strong>FY</strong></p></td>
<td colspan="3"><strong>Total</strong></td>
</tr>
<tr class="even">
<td><strong>Discipline(s)</strong></td>
<td><strong>Family Medicine</strong></td>
<td><strong>General Internal Medicine</strong></td>
<td><strong>General Pediatrics</strong></td>
<td><strong>Family Medicine</strong></td>
<td><strong>General Internal Medicine</strong></td>
<td><strong>General Pediatrics</strong></td>
<td><strong>Family Medicine</strong></td>
<td><strong>General Internal Medicine</strong></td>
<td><strong>General Pediatrics</strong></td>
<td><p><strong>Total</strong></p>
<p><strong>FM</strong></p></td>
<td><p><strong>Total</strong></p>
<p><strong>GIM</strong></p></td>
<td><p><strong>Total</strong></p>
<p><strong>GP</strong></p></td>
</tr>
<tr class="odd">
<td><strong>A. Non-Trainee Expenses</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Salaries and Wages</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Fringe Benefits</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Total Personnel Costs</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Consultant Costs</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Equipment</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Supplies</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Staff Travel</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Construction/Alteration and</strong></p>
<p><strong>Renovation</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Other Expenses</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Consortium/Contractual Costs</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Subtotal Section A</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>B. Trainee Related Expenses</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Trainee Stipends</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><p><strong>Trainee Tuition &amp; Fees</strong></p>
<p><strong>(Health Insurance)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Trainee Travel</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Subtotal Section B</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><p><strong>Total Direct Costs</strong></p>
<p><strong>(Add Subtotals of Sections A &amp; B)</strong></p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Total Indirect Costs</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Total Direct and Indirect Costs</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>C. Estimated Funding</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Federal (Requested in this Application)</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Applicant Institution</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>State, Local/Other</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Program Income</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Total</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

**Attachment 9**

> **SAMPLE CONSOLIDATED BUDGET FORM**
>
> **FOR COLLABORATIVE RESIDENCY TRAINING IN GENERAL AND PEDIATRIC
> DENTISTRY GRANT APPLICATIONS**

+---------------+----+----+----+-----+-----+----+-------+--------+
| **Direct      | *  |    | ** |     | *   |    | **To  |        |
| Costs**       | *F |    | Se |     | *Th |    | tal** |        |
|               | ir |    | co |     | ird |    |       |        |
|               | st |    | nd |     | Bud |    |       |        |
|               | Bu |    | Bu |     | get |    |       |        |
|               | dg |    | dg |     | Pe  |    |       |        |
|               | et |    | et |     | rio |    |       |        |
|               | Pe |    | Pe |     | d** |    |       |        |
|               | ri |    | ri |     |     |    |       |        |
|               | od |    | od |     | *   |    |       |        |
|               | ** |    | ** |     | *FY |    |       |        |
|               |    |    |    |     | :** |    |       |        |
|               | *  |    | *  |     |     |    |       |        |
|               | *F |    | *F |     |     |    |       |        |
|               | Y: |    | Y: |     |     |    |       |        |
|               | ** |    | ** |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Di          | *  | *  | *  | **  | **G | *  | **To  | **T    |
| scipline(s)** | *G | *P | *G | Ped | ene | *P | tal** | otal** |
|               | en | ed | en | iat | ral | ed |       |        |
|               | er | ia | er | ric | De  | ia | *     | **PD** |
|               | al | tr | al | De  | nti | tr | *GD** |        |
|               | D  | ic | D  | nti | str | ic |       |        |
|               | en | D  | en | str | y** | D  |       |        |
|               | ti | en | ti | y** |     | en |       |        |
|               | st | ti | st |     |     | ti |       |        |
|               | ry | st | ry |     |     | st |       |        |
|               | ** | ry | ** |     |     | ry |       |        |
|               |    | ** |    |     |     | ** |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **A.          |    |    |    |     |     |    |       |        |
| Non-Trainee   |    |    |    |     |     |    |       |        |
| Expenses**    |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Salaries    |    |    |    |     |     |    |       |        |
| and Wages**   |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Fringe      |    |    |    |     |     |    |       |        |
| Benefits**    |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Total       |    |    |    |     |     |    |       |        |
| Personnel     |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Consultant  |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Equipment** |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Supplies**  |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Staff       |    |    |    |     |     |    |       |        |
| Travel**      |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Constructi  |    |    |    |     |     |    |       |        |
| on/Alteration |    |    |    |     |     |    |       |        |
| and**         |    |    |    |     |     |    |       |        |
|               |    |    |    |     |     |    |       |        |
| *             |    |    |    |     |     |    |       |        |
| *Renovation** |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Other       |    |    |    |     |     |    |       |        |
| Expenses**    |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Consortiu   |    |    |    |     |     |    |       |        |
| m/Contractual |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Subtotal    |    |    |    |     |     |    |       |        |
| Section A**   |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **B. Trainee  |    |    |    |     |     |    |       |        |
| Related       |    |    |    |     |     |    |       |        |
| Expenses**    |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Trainee     |    |    |    |     |     |    |       |        |
| Stipends**    |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Trainee     |    |    |    |     |     |    |       |        |
| Tuition &     |    |    |    |     |     |    |       |        |
| Fees**        |    |    |    |     |     |    |       |        |
|               |    |    |    |     |     |    |       |        |
| **(Health     |    |    |    |     |     |    |       |        |
| Insurance)**  |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Trainee     |    |    |    |     |     |    |       |        |
| Travel**      |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Subtotal    |    |    |    |     |     |    |       |        |
| Section B**   |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Total       |    |    |    |     |     |    |       |        |
| Direct        |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
|               |    |    |    |     |     |    |       |        |
| **(Add        |    |    |    |     |     |    |       |        |
| Subtotals of  |    |    |    |     |     |    |       |        |
| Sections A &  |    |    |    |     |     |    |       |        |
| B)**          |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Total       |    |    |    |     |     |    |       |        |
| Indirect      |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Total       |    |    |    |     |     |    |       |        |
| Direct and    |    |    |    |     |     |    |       |        |
| Indirect      |    |    |    |     |     |    |       |        |
| Costs**       |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **C.          |    |    |    |     |     |    |       |        |
| Estimated     |    |    |    |     |     |    |       |        |
| Funding**     |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Federal     |    |    |    |     |     |    |       |        |
| (Requested in |    |    |    |     |     |    |       |        |
| this          |    |    |    |     |     |    |       |        |
| A             |    |    |    |     |     |    |       |        |
| pplication)** |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Applicant   |    |    |    |     |     |    |       |        |
| Institution** |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **State,      |    |    |    |     |     |    |       |        |
| Local/Other** |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Program     |    |    |    |     |     |    |       |        |
| Income**      |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+
| **Total**     |    |    |    |     |     |    |       |        |
+---------------+----+----+----+-----+-----+----+-------+--------+

APPENDIX A: HRSA's Electronic Submission User Guide

User Guide Table of Contents

> 1\. INTRODUCTION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...62
>
> 1.1. DOCUMENT PURPOSE AND
> SCOPE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...62
>
> 1.2. DOCUMENT ORGANIZATION AND VERSION
> CONTROL\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....62
>
> 2\. NONCOMPETING CONTINUATION
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....62
>
> 2.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...62
>
> 2.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) (IF NOT ALREADY
> REGISTERED)...................................................................................................\...\...\...\...\...63
>
> 2.3. PROJECT DIRECTOR AND AUTHORIZING OFFICIAL NEED TO REGISTER WITH
> HRSA EHBs
>
> (IF NOT ALREADY REGISTERED)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....64
>
> 2.4. APPLY THROUGH [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....64
>
> 2.4.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....64
>
> 2.4.2 Download Application Package
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...65
>
> 2.4.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....65
>
> 2.4.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....65
>
> 2.4.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....65
>
> 2.5. VERIFY IN HRSA ELECTRONIC HANDBOOKS
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....66
>
> 2.5.1 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....66
>
> 2.5.2 Manage Access to Your Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....66
>
> 2.5.3 Check Validation
> Errors\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...67
>
> 2.5.4 Fix Errors and Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...67
>
> 2.5.5 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....67
>
> 3\. COMPETING
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....67
>
> 3.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....67
>
> 3.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) NOT ALREADY
> REGISTERED)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....68
>
> 3.3. APPLY THROUGH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....68
>
> 3.3.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...68
>
> 3.3.2 Download Application
> Package\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...69
>
> 3.3.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...69
>
> 3.3.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....69
>
> 3.3.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....69
>
> 4\. GENERAL INSTRUCTIONS FOR APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...70
>
> 4.1. NARRATIVE ATTACHMENT
> GUIDELINES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...70
>
> 4.1.1
> Font\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....70
>
> 4.1.2 Paper Size and
> Margins\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...71
>
> 4.1.3
> Names\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...71
>
> 4.1.4 Section Headings
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...71
>
> 4.1.5 Page
> Numbering\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....71
>
> 4.1.6 Allowable Attachment or Document
> Types\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....71
>
> 4.2. APPLICATION CONTENT ORDER (TABLE OF
> CONTENTS)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....71
>
> 4.3. PAGE
> LIMIT\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....72
>
> 5.0 CUSTOMER SUPPORT INFORMATION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....72
>
> 5.1.1 Grants.gov Customer
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....72
>
> 5.1.2 HRSA Call
> Center\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....72
>
> 5.1.3 HRSA Program
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....72
>
> 6.0
> FAQs\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....73
>
> 6.1.
> SOFTWARE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....73
>
> 6.1.1 What are the software requirements for using
> Grants.gov?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....73
>
> 6.1.2 Why can\'t I download PureEdge Viewer onto my
> machine?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....73
>
> 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What
> do I do if I use only a
> Macintosh?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\...\...\...\.....73
>
> 6.1.4 What are the software requirements for HRSA
> EHBs?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....74
>
> 6.1.5 What are the system requirements for using HRSA EHBs on a
> Macintosh computer?\...\...\...\...\...\...\...\...74
>
> 6.2. APPLICATION RECEIPT
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...74

6.2.1 What will be the receipt date\--the date the application is
stamped as received by Grants.gov

> or the date the data is received by HRSA?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....74
>
> 6.2.2 When do I need to submit my application?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....74
>
> 6.2.3 What emails can I expect once I submit my application? Is email
> reliable? \...\...\...\...\...\...\...\...\...\...\...\...\...74
>
> 6.2.4 If a resubmission is required because of Grants.gov system
> problems, will these be
>
> considered
> \"late\"?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....75
>
> 6.3. APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....76

6.3.1 How can I make sure that my electronic application is presented in
the right order for

> objective
> review?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....76
>
> 6.4 GRANT.GOV
> HELP\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....76

# 1. Introduction

## 1.1 Document Purpose and Scope {#document-purpose-and-scope .unnumbered}

Major changes are coming to HRSA's Grant Application Process. For
guidances released/posted on or after January 1, 2006, HRSA will no
longer accept applications for grant opportunities on paper. Applicants
submitting new and competing continuations and a selected number of
noncompeting continuation applications will be required to submit
electronically through Grants.gov. All applicants must submit in this
manner unless the applicant is granted a written exemption from this
requirement in advance by the Director of HRSA's Division of Grants
Policy.

The purpose of this document is to provide detailed instructions to help
applicants and grantees submit applications electronically to HRSA
through Grants.gov. The document is intended to be the comprehensive
source of all information related to the new processes that HRSA and its
customers have to adopt and will be updated periodically. This document
is not meant to replace program guidance documents for funding
announcements.

## 1.2 Document Organization and Version Control {#document-organization-and-version-control .unnumbered}

This document contains 5 sections apart from the Introduction. Following
is the summary:

  ------------------------------ ----------------------------------------
  **Section**                    **Description**

  Noncompeting Continuation      Provides detailed instructions to
  Application                    existing HRSA grantees for applying
                                 electronically using Grants.gov for all
                                 noncompeting announcements

  Competing Application          Provides detailed instructions to
                                 applicant organizations for applying
                                 electronically using Grants.gov for all
                                 competing announcements

  General Instructions for       Provides instructions and important
  Application Submission         policy guidance on application format
                                 requirements

  Customer Support Information   Provides contact information to address
                                 technical and programmatic questions

  Frequently Asked Questions     Provides answers to frequently asked
  (FAQs)                         questions by various categories
  ------------------------------ ----------------------------------------

This document is under version control. Please visit
<http://www.hrsa.gov/grants> to retrieve the latest published version.

# 2. Noncompeting Continuation Application

## 2.1 Process Overview {#process-overview .unnumbered}

Following is the process for submitting a noncompeting continuation
application through Grants.gov:

1.  HRSA will communicate noncompeting announcement number to the
    project director (PD) and authorizing official (AO) via email. The
    announcement number will be required to search for the announcement
    in Grants.gov.

2.  Search for the announcement in Grants.gov Apply
    (<http://www.grants.gov/Apply>).

3.  Download the application package and instructions from Grants.gov.
    The program guidance is also part of the instructions that must be
    downloaded.

4.  Save a local copy of the application package on your computer and
    complete all the forms based on the instructions provided in the
    program guidance.

5.  Submit the application package through Grants.gov. (Requires
    registration)

6.  Track the status of your submitted application at Grants.gov until
    you receive a notification from Grants.gov that your application has
    been received by HRSA.

7.  HRSA Electronic Handbooks (EHBs) software pulls the application
    information into EHBs and validates the data against HRSA's business
    rules.

8.  HRSA notifies the project director, authorizing official, business
    official (BO) and application point of contact (POC) by email to
    check HRSA EHBs for results of HRSA validations and enter additional
    information, including in some cases performance measures, necessary
    to process the noncompeting continuation.

9.  AO verifies the application in HRSA EHBs, fixes any validation
    errors, makes necessary corrections and submits the application to
    HRSA. (Requires registration)

10. AO prints the application face page from HRSA EHBs (not Grants.gov),
    signs it and mails it to HRSA's Grant Application Center (GAC).

11. HRSA receives the signed face page and scans it into the system
    saving it with the electronic application.

## 2.2 Grantee Organization Needs to Register With Grants.gov (if not already registered) -- See Appendix B {#grantee-organization-needs-to-register-with-grants.gov-if-not-already-registered-see-appendix-b .unnumbered}

Grants.gov requires a **one-time** registration by the applicant
organization. This is a three step process and should be completed by
any organization wishing to apply for grant. If you do not complete this
registration process you will not be able to submit an application. The
registration process will require some time (anywhere from 5 business
days to a month). Therefore, applicants or those considering applying at
some point in the future should register immediately. Registration with
Grants.gov provides the individuals from the organization the required
credentials in order to apply.

If an applicant organization has already completed Grants.gov
registration for another Federal agency, this section can be skipped.

For those applicant organizations still needing to register with
Grants.gov, registration information can be found on the Grants.gov Get
Started website (<http://www.grants.gov/GetStarted>). To be able to
successfully register in Grants.gov, it is necessary that you complete
all of the following required actions:

-   Obtain an organizational Data Universal Number System (DUNS) number

-   Register the organization with Central Contractor Registry (CCR)

-   Identify the organization's E-Business POC (Point of Contact)

-   Confirm the organization's CCR "Marketing Partner ID Number (M-PIN)"
    password

-   Register an Authorized Organization Representative (AOR)

```{=html}
<!-- -->
```
-   Obtain a username and password from the Grants.gov Credential
    Provider

-   Register the username and password with Grants.gov

-   Get authorized as an AOR by your organization

In addition, if an applicant does not have a Taxpayer Identification
Number (TIN) or Employer Identification Number (EIN), allow for extra
time. Beginning Oct. 30, 2005, the CCR also validates the EIN against
Internal Revenue Service records, a step that will take one to two
business days.

Please direct questions regarding Grants.gov registration to the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

It is recommended that this registration process be completed at least
two weeks prior to the submittal date of your organization's first
Grants.gov submission.

##  {#section-1 .unnumbered}

## 2.3 Project Director and Authorizing Official Need to Register with HRSA EHBs (if not already registered) {#project-director-and-authorizing-official-need-to-register-with-hrsa-ehbs-if-not-already-registered .unnumbered}

In order to access your noncompeting continuation application in HRSA
EHBs, existing grantee organizations must register within the EHBs. The
purpose of the registration process is to collect consistent information
from all users, avoid collection of redundant information and allow for
the unique identification of each system user. Note that registration
within HRSA EHBs is required only **once for each user for each
organization they represent.**

Registration within HRSA EHBs is a two-step process. In the first step,
individual users from an organization who participate in the grants
process such as applying for noncompeting continuations must create
**individual** system accounts. In the second step, the users must
associate themselves with the appropriate grantee organization. **To
find your organization record use the 10-digit grant number from the
Notice of Grant Award (NGA) belonging to your grant.** Note that since
all existing grantee organization records already exist within EHBs,
there is no need to create a new one.

To complete the registration quickly and efficiently we recommend that
you have the following information handy:

1.  Identify your role in the grants management process. HRSA EHBs offer
    the following three functional roles for individuals from
    applicant/grantee organizations:

-   Authorizing Official (AO),

-   Business Official (BO), and

-   Other Employee (for project directors, assistant staff, AO designees
    and others).

For more information on functional responsibilities refer to the HRSA
EHBs online help.

2.  10-digit grant number from the latest NGA belonging to your grant
    (Box 4b on NGA). You must use the grant number to find your
    organization during registration. All individuals from the
    organization working on the grant must use the same grant number to
    ensure correct registration.

In order to access the noncompeting application, the project director
and other participants have to register the specific grant and add it to
their respective portfolios. This step is required to ensure that only
the authorized individuals from the organization have access to grant
data. **Project directors will need the last released NGA in order to
complete this additional step**. Again, note that this is a one time
requirement.

The project director must give the necessary privileges to the
authorizing official and other individuals who will assist in the
noncompeting continuation application submission using the administer
feature in the grant handbook. The project director should also delegate
the "Administer Grant Users" privilege to the authorizing official.

Once you have access to your grant handbook, use the "Noncompeting
Continuations" link under the deliverables section to access your
noncompeting application.

Note that registration with HRSA EHBs is independent of Grants.gov
registration.

For assistance in registering with HRSA EHBs, call 877-GO4-HRSA
(877-464-4772) between 9:00 am to 5:30 pm ET or email
<callcenter@hrsa.gov>.

You must use your 10-digit grant number (box 4b from NGA) to identify
your organization.

## 2.4 Apply through Grants.gov {#apply-through-grants.gov .unnumbered}

### 2.4.1 Find Funding Opportunity {#find-funding-opportunity .unnumbered}

Search for the announcement in Grants.gov **Apply**
(<http://www.grants.gov/Apply>).

Enter the announcement number communicated to you in the field *Funding
Opportunity Number*. (Example announcement number: 5-S45-06-001)

Noncompeting announcements are not available in Grants.gov FIND!

### 2.4.2 Download Application Package {#download-application-package .unnumbered}

Download the application package and instructions. In order to view
application package and instructions, you will also need to download and
install the PureEdge Viewer (<http://www.grants.gov/DownloadViewer>).
This small, free program will allow you to access, complete, and submit
applications electronically and securely.

Please review the system requirements for PureEdge Viewer on the
Grants.gov website.

### 2.4.3 Complete Application {#complete-application .unnumbered}

Complete the application using both the built-in instructions and the
instructions provided in the program guidance. Ensure that you save a
copy of the application on your local computer.

Ensure that you provide your 10-digit grant number (box 4b from NGA) in
the Federal Award Identifier field (box 5b in SF424 or box 4 in SF424
R&R)

Please direct questions regarding PureEdge to Grants.gov. Contact the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

For assistance with program guidance related questions, please contact
the program contact listed on the program guidance.

You can complete the application offline -- you do not have to be
connected to the Internet.

### 2.4.4 Submit Application {#submit-application .unnumbered}

The \"Submit\" button on the application package cover page will become
active after you have downloaded the application package, completed all
required forms, attached all required documents, and saved your
application package. Click on the \"Submit\" button once you have done
all these things and you are ready to send your completed application to
Grants.gov.

Review the provided application summary to confirm that the application
will be submitted to the program you wish to apply for. To submit, you
will be asked to Log into Grants.gov. Once you have logged in, your
application package will automatically be uploaded to Grants.gov. A
confirmation screen will appear once the upload is complete. Note that a
Grants.gov Tracking number will be provided on this screen. Please
record this number so that you may refer to it for all subsequent help.

Please direct questions regarding application submission to the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

You must be connected to the Internet and must have a Grants.gov
username and password to submit the application package.

### 2.4.5 Verify Status of Application {#verify-status-of-application .unnumbered}

Once Grants.gov has received your submission, Grants.gov will send email
messages to advise you of the progress of your application through the
system. Over the next 24 to 48 hours, you should receive two emails. The
first will confirm receipt of your application by the Grants.gov system
("Received"), and the second will indicate that the application has
either been successfully validated ("Validated") by the system prior to
transmission to the grantor agency or has been rejected due to errors
("Rejected with Errors").

In case of any errors, you must correct the application and resubmit it
to Grants.gov. If you are unable to resubmit because the opportunity has
since closed, **contact the HRSA Call Center** at 877-GO4-HRSA
(877-464-4772) between 9:00 am to 5:30 pm ET or email
<callcenter@hrsa.gov>. You may be asked to provide a copy of the
"Rejected with Errors" notification you received from Grants.gov.

You can check the status of your application(s) anytime after
submission, by logging into Grants.gov using the black \'Applicants\'
link at the top of any page, and clicking on the \'Check Application
Status\' link.

If there are no errors, the application will be downloaded by HRSA. On
successful download at HRSA, the status of the application will change
to "Received by Agency" and you will receive an additional email from
Grants.gov. Subsequently within two to three business days the status
will change to "Agency Tracking Number Assigned."

It is recommended that you check the status of your application in
Grants.gov until the status is changed to "Agency Tracking Number
Assigned".

## 2.5 Verify in HRSA Electronic Handbooks {#verify-in-hrsa-electronic-handbooks .unnumbered}

For assistance in registering with or using HRSA EHBs, call 877-GO4-HRSA
(877-464-4772) between 9:00 am to 5:30 pm ET or email
<callcenter@hrsa.gov>.

Grant Project Director must be registered in HRSA EHBs and have access
to the specific grant for which the noncompeting application is being
submitted for further actions.

### 2.5.1 Verify Status of Application {#verify-status-of-application-1 .unnumbered}

Once your application is received by HRSA, it will be processed to
ensure that the application is submitted for the correct funding
announcement, with the correct grant number and grantee organization.
Upon this processing, which is expected to take up to two to three
business days, HRSA will assign a unique tracking number to your
application. This tracking number will be posted to Grants.gov and the
status of your application will be changed to "Agency Tracking Number
Assigned". Note the HRSA tracking number and use it for all
correspondence with HRSA. At this point, your application is ready for
review and submission in HRSA EHBs.

You should also receive an email from HRSA EHBs confirming the
successful receipt of your application at HRSA. The email is sent to the
project director, authorizing official, point of contact for the
application and the business official -- all from the submitted
application. The email is also sent to the current project director
listed on the NGA. Because email is not always reliable, please check
the HRSA EHBs or Grants.gov to see if the application is available for
review in HRSA EHBs.

Because email is not reliable, check HRSA EHBs within two to three
business days from submission within Grants.gov for availability of your
application.

### 2.5.2 Manage Access to Your Application {#manage-access-to-your-application .unnumbered}

You must be registered in HRSA EHBs to get access to your application.
To ensure that only the right individuals from the organization get
access to the application, you must follow the process described
earlier.

The project director, using the Administer feature in the grant
handbook, must give the necessary privileges to the authorizing official
and other individuals who will assist in the submission of the
noncompeting continuation application. Project directors must also
delegate the "Administer Grant Users" privilege to the authorizing
official so that future administration can be managed by the authorizing
official.

Once you have access to your grant handbook, use the "Noncompeting
Continuations" link under the deliverables section to access your
noncompeting application.

### 2.5.3 Check Validation Errors {#check-validation-errors .unnumbered}

HRSA EHBs will apply HRSA's business rules to the application received
through Grants.gov. All validation errors are recorded and displayed to
the applicant. To view the validation errors use the 'Grants.gov Data
Validation Comments' link on the application status page in HRSA EHBs.

### 2.5.4 Fix Errors and Complete Application {#fix-errors-and-complete-application .unnumbered}

Applicants must review the errors in HRSA EHBs and make necessary
changes. Applicants must also complete the detailed budget and other
required forms in HRSA EHBs and assign an AO registered in HRSA EHBs to
the application. HRSA EHBs will show the status of each form in the
application package and all forms must be complete before submission.

### 2.5.5 Submit Application {#submit-application-1 .unnumbered}

To submit an application, you must have the 'Submit Noncompeting
Continuation' privilege. This privilege must be given by the project
director to the authorizing official or a designee. Once all forms are
complete, the application can be submitted to HRSA.

You will have two weeks from the date the application was due in
Grants.gov for submission of the remaining information in HRSA EHBs. The
new due date will be listed in HRSA EHBs.

Face page must be printed from HRSA EHBs and not from Grants.gov
application.

# 3. Competing Application

## 3.1 Process Overview {#process-overview-1 .unnumbered}

Following is the process for submitting a competing application through
Grants.gov:

1\. HRSA will post all competing announcements on Grants.gov FIND
(<http://grants.gov/search/>). Announcements are typically posted at the
beginning of the fiscal year when HRSA releases its annual Preview,
although program guidances are generally not available until later. For
more information visit <http://www.hrsa.gov/grants>.

2\. When program guidance is available, search for the announcement in
Grants.gov Apply (<http://www.grants.gov/Apply>).

3\. Download the application package and instructions from Grants.gov.
The program guidance is also part of the instructions that must be
downloaded.

4\. Save a local copy of the application package on your computer and
complete all the forms based on the instructions provided in the program
guidance.

5\. Submit the application package through Grants.gov. (Requires
registration)

6\. Track the status of your submitted application at Grants.gov until
you receive a notification from Grants.gov that your application has
been received by HRSA.

7\. AO prints the application face page from the local copy, signs it
and mails it to HRSA's Grant Application Center (GAC).

8\. HRSA receives the signed face page and scans it into the system
saving it with the electronic application.

## 3.2 Grantee Organization Needs to Register With Grants.gov (if not already registered) -- See Appendix B {#grantee-organization-needs-to-register-with-grants.gov-if-not-already-registered-see-appendix-b-1 .unnumbered}

Grants.gov requires a **one-time** registration by the applicant
organization. This is a three step process and should be completed by
any organization wishing to apply for grant. If you do not complete this
registration process you will not be able to submit an application. The
registration process will require some time (anywhere from 5 business
days to a month). Therefore, applicants or those considering applying at
some point in the future should register immediately. Registration with
Grants.gov provides the individuals from the organization the required
credentials in order to apply.

If an applicant organization has already completed Grants.gov
registration for another Federal agency, this section can be skipped.

For those applicant organizations still needing to register with
Grants.gov, registration information can be found on the Grants.gov Get
Started website (<http://www.grants.gov/GetStarted>). To be able to
successfully register in Grants.gov, it is necessary that you complete
all of the following required actions:

-   Obtain an organizational Data Universal Number System (DUNS) number

-   Register the organization with Central Contractor Registry (CCR)

-   Identify the organization's E-Business POC (Point of Contact)

-   Confirm the organization's CCR "Marketing Partner ID Number (M-PIN)"
    password

-   Register an Authorized Organization Representative (AOR)

```{=html}
<!-- -->
```
-   Obtain a username and password from the Grants.gov Credential
    Provider

-   Register the username and password with Grants.gov

-   Get authorized as an AOR by your organization

In addition, if an applicant does not have a Taxpayer Identification
Number (TIN) or Employer Identification Number (EIN), allow for extra
time. Beginning Oct. 30, 2005, the CCR also validates the EIN against
Internal Revenue Service records, a step that will take one to two
business days.

Please direct questions regarding Grants.gov registration to the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

It is recommended that this registration process be completed at least
two weeks prior to the submittal date of your organization's first
Grants.gov submission.

## 3.3 Apply through Grants.gov {#apply-through-grants.gov-1 .unnumbered}

### 3.3.1 Find Funding Opportunity {#find-funding-opportunity-1 .unnumbered}

Search for announcements in Grants.gov **FIND**
(<http://grants.gov/search/>) and select the announcement that you wish
to apply for. Refer to the program guidance for eligibility criteria.

Please visit <http://www.hrsa.gov/grants> to read annual HRSA Preview.

All competing announcements should be available in Grants.gov FIND! When
program guidance is release, announcements are made available in
Grants.gov APPLY.

### 3.3.2 Download Application Package {#download-application-package-1 .unnumbered}

Download the application package and instructions. In order to view
application package and instructions, you will also need to download and
install the PureEdge Viewer (<http://www.grants.gov/DownloadViewer>).
This small, free program will allow you to access, complete, and submit
applications electronically and securely.

Please review the system requirements for PureEdge Viewer on the
Grants.gov website.

### 3.3.3 Complete Application {#complete-application-1 .unnumbered}

Complete the application using both the built-in instructions and the
instructions provided in the program guidance. Ensure that you save a
copy of the application on your local computer.

If you are applying for a competing continuation or a supplemental
grant, ensure that you provide your 10-digit grant number (box 4b from
NGA) in the Federal Award Identifier field (box 5b in SF424 or box 4 in
SF424 R&R)

Please direct questions regarding PureEdge to Grants.gov. Contact the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

For assistance with program guidance related questions, please contact
the program contact listed on the program guidance.

You can complete the application offline -- you do not have to be
connected to the Internet.

### 3.3.4 Submit Application {#submit-application-2 .unnumbered}

The \"Submit\" button on the application package cover page will become
active after you have downloaded the application package, completed all
required forms, attached all required documents, and saved your
application package. Click on the \"Submit\" button once you have done
all these things and you are ready to send your completed application to
Grants.gov.

Review the provided application summary to confirm that the application
will be submitted to the program you wish to apply for. To submit, you
will be asked to Log into Grants.gov. Once you have logged in, your
application package will automatically be uploaded to Grants.gov. A
confirmation screen will appear once the upload is complete. Note that a
Grants.gov Tracking number will be provided on this screen. Please
record this number so that you may refer to it for all subsequent help.

Please direct questions regarding application submission to the
Grants.gov Contact Center at Tel.: 1-800-518-4726. Contact Center hours
of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time,
excluding Federal holidays.

You must be connected to the Internet and must have a Grants.gov
username and password to submit the application package.

### 3.3.5 Verify Status of Application {#verify-status-of-application-2 .unnumbered}

Once Grants.gov has received your submission, Grants.gov will send email
messages to advise you of the progress of your application through the
system. Over the next 24 to 48 hours, you should receive two emails. The
first will confirm receipt of your application by the Grants.gov system
("Received"), and the second will indicate that the application has
either been successfully validated ("Validated") by the system prior to
transmission to the grantor agency or has been rejected due to errors
("Rejected with Errors").

In case of any errors, you must correct the application and resubmit it
to Grants.gov. If you are unable to resubmit because the opportunity has
since closed, **contact the Director of the Division of Grants Policy**
via email at <DGPWaivers@hrsa.gov> and thoroughly explain the situation;
include a copy of the "Rejected with Errors" notification.

You can check the status of your application(s) anytime after
submission, by logging into Grants.gov using the black \'Applicants\'
link at the top of any page, and clicking on the \'Check Application
Status\' link.

If there are no errors, the application will be downloaded by HRSA. On
successful download at HRSA, the status of the application will change
to "Received by Agency" and you will receive an additional email from
Grants.gov.

Once your application is received by HRSA, it will be processed to
ensure that the application is submitted for the correct funding
announcement, with the correct grant number (if applicable), and
applicant/grantee organization. Upon this processing, which is expected
to take up to two to three business days, HRSA will assign a unique
tracking number to your application. This tracking number will be posted
to the Grants.gov and the status of your application will be changed to
"Agency Tracking Number Assigned". Note the HRSA tracking number and use
it for all correspondence with HRSA.

It is recommended that you check the status of your application in
Grants.gov until the status is changed to "Agency Tracking Number
Assigned".

# 4. General Instructions for Application Submission

It is mandatory to follow the instructions provided in this section to
ensure that your application can be printed efficiently and consistently
for review.

Failure to follow the instructions may make your application
non-compliant. Non-compliant applications will not be given any
consideration and the particular applicants will be notified.

## 4.1 Narrative Attachment Guidelines {#narrative-attachment-guidelines .unnumbered}

The following guidelines are applicable to both electronic and paper
submissions (when allowed) unless otherwise noted.

### 4.1.1 Font  {#font .unnumbered}

Please use an easily readable serif typeface, such as Times Roman,
Courier, or CG Times. The text and table portions of the application
must be submitted in not less than 12 point and 1.0 line spacing.
Applications not adhering to 12 point font requirements may be returned.
Do not use colored, oversized or folded materials. For charts, graphs,
footnotes, and budget tables, applicants may use a different pitch or
size font, not less than 10 pitch or size font. However, it is vital
that when scanned and/or reproduced, the charts are still clear and
readable.

Please do not include organizational brochures or other promotional
materials, slides, films, clips, etc. 

### 4.1.2 Paper Size and Margins {#paper-size-and-margins .unnumbered}

For duplication and scanning purposes, please ensure that the
application can be printed on 8 ½" x 11" white paper. Margins must be at
least one (1) inch at the top, bottom, left and right of the paper.
Please left-align text.

### 4.1.3 Names {#names .unnumbered}

Please include the name of the applicant and 10-digit grant number (if
competing continuation, supplemental or noncompeting continuation) on
each page.

### 4.1.4 Section Headings {#section-headings .unnumbered}

Please put all section headings flush left in bold type.

### 4.1.5 Page Numbering {#page-numbering .unnumbered}

**Electronic Submissions**

For electronic submissions, applicants only have to number the
electronic attachment pages sequentially, resetting the numbering for
each attachment, i.e., start at page 1 for each attachment.

Do not number the standard OMB approved form pages.

**Paper Submissions (When allowed)**

Do not number the standard OMB approved forms. Please number each
attachment page sequentially. Reset the numbering for each attachment.
(Treat each attachment/document as a separate section.)

### 4.1.6 Allowable Attachment or Document Types {#allowable-attachment-or-document-types .unnumbered}

**Electronic Submissions**

The following attachment types are supported in HRSA EHBs. Even though
grants.gov may allow you to upload any type of attachment, it is
important to note that HRSA only accepts the following types of
attachments:

.DOC - Microsoft Word

.RTF - Rich Text Format

.TXT - Text

.WPD - Word Perfect Document

.PDF - Adobe Portable Document Format

.XLS - Microsoft Excel

## 4.2 Application Content Order (Table of Contents) {#application-content-order-table-of-contents .unnumbered}

When applications were submitted in paper, it was easy to direct the
applicants to prepare a table of contents and make it as a part of the
application. Applicants did not have any problem in preparing the
package that included standard forms as well as attachments. All the
pages were numbered sequentially. Preparation instructions were given in
the program guidance. With the transition to electronic application
receipt, this process has changed significantly. HRSA is using an
approach that will ensure that regardless of the mode of submission
(electronic or paper when exemptions are granted), all applications will
look the same when printed for objective review.

HRSA uses two standard packages from Grants.gov.

SF 424 (otherwise known as 5161) -- For service delivery programs

SF 424 R&R -- For research and training programs (programs previously
using the 398 or the 6025 and 2590 application packages)

For each package HRSA has defined a standard order of forms and that
order is available within the program guidance. The program guidance may
also provide applicants with explicit instructions on where to upload
specific documents.

If you are applying on paper (when allowed), you must use the program
guidance for the order of the forms and all other applicable guidelines.

## 4.3 Page Limit {#page-limit .unnumbered}

HRSA prints your application for review regardless of whether it is
submitted electronically or by paper (when allowed).

When your application is printed, the narrative documents may not exceed
80 pages in length unless otherwise stated in the program guidance.
These narrative documents include the abstract, project and budget
narratives, and any other attachments such as appendices, letters of
support required as a part of the guidance. This 80 page limit does not
include the OMB approved forms. Note that some program guidances may
require submission of OMB approved program specific forms as
attachments. These attachments will not be included in the 80 page
limit.

Applicants must follow the instructions provided in this section and
ensure that they print out all attachments on paper and count the number
of pages before submission.

Applications, whether submitted electronically or on paper, that exceed
the specified limits will be deemed non-compliant. Non-compliant
competing applications will not be given any consideration and the
particular applicants will be notified. Non-compliant noncompeting
applications will have to be resubmitted to comply with the page limits.

# 5. Customer Support Information

### 5.1.1 Grants.gov Customer Support {#grants.gov-customer-support .unnumbered}

Please direct ALL questions regarding Grants.gov to Grants.gov Contact
Center at Tel.: 1-800-518-4726. Contact Center hours of operation are
Monday-Friday from 7:00 a.m. to 9:00 p.m. Eastern Time, excluding
Federal holidays.

Please visit the following support URL for additional material on
Grants.gov website.

<http://www.grants.gov/CustomerSupport>

### 5.1.2 HRSA Call Center {#hrsa-call-center .unnumbered}

For assistance with or using HRSA EHBs, call 877-GO4-HRSA (877-464-4772)
between 9:00 am to 5:30 pm ET or email <callcenter@hrsa.gov>.

Please visit HRSA EHBs for online help. Go to:

<https://grants.hrsa.gov/webexternal/home.asp> and click on 'Help'

### 5.1.3 HRSA Program Support {#hrsa-program-support .unnumbered}

For assistance with program guidance related questions, please contact
the program contact listed on the program guidance. Do not call the
program contact for technical questions related to either Grants.gov or
HRSA EHBs.

# 6. FAQs

## 6.1 Software {#software .unnumbered}

### 6.1.1 What are the software requirements for using Grants.gov? {#what-are-the-software-requirements-for-using-grants.gov .unnumbered}

Applicants will need to download the PureEdge viewer. Grants.gov website
provides the following information:

**System Requirements:**

For PureEdge Viewer to function properly, your computer must meet the
following system requirements:

Windows 98, ME, NT 4.0, 2000, XP\
500 Mhz processor\
128 MB of RAM\
40 MB disk space\
Web browser: Internet Explorer 5.01 or higher, Netscape Communicator
4.5 - 4.8, Netscape 6.1, 6.2, or 7

If you do not have a Windows operating system, you will need to use a
Windows Emulation program. Please visit
<http://www.grants.gov/DownloadViewer> for all details and any updates.

### 6.1.2 Why can't I download PureEdge Viewer onto my machine? {#why-cant-i-download-pureedge-viewer-onto-my-machine .unnumbered}

Depending on your organization's computer network and security protocols
you may not have the necessary permissions to download software onto
your workstation. Contact your IT department or system administrator to
download the software for you or give you access to this function.

### 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What do I do if I use only a Macintosh? {#i-have-heard-that-grants.gov-is-not-macintosh-compatible.-what-do-i-do-if-i-use-only-a-macintosh .unnumbered}

Grants.gov is aware of the issues facing Macintosh users who apply for
Federal grants electronically. Grants.gov has provided the following
response regarding this issue on its website at
<http://www.grants.gov/MacSupport>:

> *Grants.gov recognizes that support to users of Non-Windows operating
> systems and the PureEdge Viewer is often required across a distinct
> segment of the grant applicant community. Although at this time, the
> PureEdge Viewer is only available for Windows based installs,
> Grants.gov offers support for Non-Windows platforms.*
>
> *Grants.gov is working with PureEdge in the development of a
> Non-Windows compatible viewer. PureEdge has committed to providing a
> platform independent viewer by November 2006. Information related to
> the Non-Windows compatible viewer will be posted to this webpage
> (http://www.grants.gov/MacSupport). Please bookmark this page and
> return at your convenience for more details.*

Grants.gov and NIH have partnered to provide free access to Citrix
servers for Macintosh Users who are looking for an alternative to using
PC emulation software with the PureEdge forms. A Citrix server
connection allows Macintosh users to remotely launch a Windows session
on their own machines by using the free Citrix client application.
Applicants will need to download and install the free Citrix client
application in order to work. This service is now available for use.

Grants.gov website states:

> *Beginning December 20, 2005, non-Windows users will be able to
> download and complete the PureEdge forms by taking advantage of the
> free Citrix server. Non-Windows users are also able to submit
> completed grant applications via the Citrix environment.*

For details, please visit <http://www.grants.gov/MacSupport>

### 6.1.4 What are the software requirements for HRSA EHBs? {#what-are-the-software-requirements-for-hrsa-ehbs .unnumbered}

HRSA EHBs can be accessed over the Internet using Internet Explorer (IE)
v5.0 and above and Netscape 4.72 and above. HRSA EHBs are 508 compliant.

IE 6.0 and above is the recommended browser.

HRSA EHBs use pop-up screens to allow users to view or work on multiple
screens. Ensure that your browser settings allow for pop-ups.

In addition, to view attachments such as Word and PDF, you will need
appropriate viewers.

### 6.1.5 What are the system requirements for using HRSA EHBs on a Macintosh computer?  {#what-are-the-system-requirements-for-using-hrsa-ehbs-on-a-macintosh-computer .unnumbered}

Mac users are requested to download the latest version of Netscape for
their OS version. It is recommended that Safari v1.2.4 and above or
Netscape v7.2 and above be used.

Note that Internet Explorer (IE) for Mac has known issues with SSL and
Microsoft is no longer supporting IE for Mac. HRSA EHBs do not work on
IE for Mac. In addition, to view attachments such as Word and PDF, you
will need appropriate viewers.

## 6.2 Application Receipt {#application-receipt .unnumbered}

### 6.2.1 What will be the receipt date\--the date the application is stamped as received by Grants.gov or the date the data is received by HRSA? {#what-will-be-the-receipt-date--the-date-the-application-is-stamped-as-received-by-grants.gov-or-the-date-the-data-is-received-by-hrsa .unnumbered}

**Competing Submissions:**

The submission/receipt date will be the date the application is received
by Grants.gov.

**Noncompeting Submissions:**

The submission/receipt date will be the date the application is
submitted in HRSA EHBs.

### 6.2.2 When do I need to submit my application? {#when-do-i-need-to-submit-my-application .unnumbered}

**Competing Submissions:**

Applications must be submitted to Grants.gov by 8 PM ET on the due date.

**Noncompeting Submissions:**

Applications must be submitted to Grants.gov by 8 PM ET on the due date.

Applications must be verified and submitted in HRSA EHBs by 5:00 PM ET
on the due date. (2 weeks after the due date in Grants.gov) Refer to the
program guidance for specific dates.

### 6.2.3 What emails can I expect once I submit my application? Is email reliable? {#what-emails-can-i-expect-once-i-submit-my-application-is-email-reliable .unnumbered}

**Competing Submissions:**

When you submit your noncompeting application in Grants.gov, it is first
received and validated by Grants.gov. Typically, this takes a few hours
but it may take up to 48 hours during peak volumes. You should receive
two emails from Grants.gov.

The first will confirm receipt of your application by the Grants.gov
system ("Received"), and the second will indicate that the application
has either been successfully validated ("Validated") by the system prior
to transmission to the grantor agency or has been rejected due to errors
("Rejected with Errors").

Subsequently, the application will be downloaded by HRSA. This happens
within minutes of when your application is successfully validated by
Grants.gov and made available for HRSA to download. On successful
download at HRSA, the status of the application will change to "Received
by Agency" and you will receive another email from Grants.gov.

Because email is not reliable, you must check the respective systems if
you do not receive any emails within the specified timeframes.

**Noncompeting Submissions:**

When you submit your noncompeting application in Grants.gov, it is first
received and validated by Grants.gov. Typically, this takes a few hours
but it may take up to 48 hours during peak volumes. You should receive
two emails from Grants.gov.

Subsequently, the application will be downloaded by HRSA. This happens
within minutes of when your application is successfully validated by
Grants.gov and made available for HRSA to download. On successful
download at HRSA, the status of the application will change to "Received
by Agency" and you will receive another email from Grants.gov.

Subsequently, it is processed by HRSA to ensure that the application is
submitted for the correct funding announcement, with the correct grant
number and grantee organization. This may take up to 3 business days. At
this point you will receive an email from HRSA confirming the successful
receipt of your application and asking the PD and AO to review and
resubmit the application in HRSA EHBs.

Because email is not reliable, you must check the respective systems if
you do not receive any emails within the specified timeframes.

For more information refer to sections 2.4 and 2.5 in this guide

### 6.2.4 If a resubmission is required because of Grants.gov system problems, will these be considered \"late\"? {#if-a-resubmission-is-required-because-of-grants.gov-system-problems-will-these-be-considered-late .unnumbered}

**Competing Submissions:**

No. But you must **contact the Director of the Division of Grants
Policy** via email at <DGPWaivers@hrsa.gov> and thoroughly explain the
situation. Include a copy of the "Rejected with Errors" notification you
received from Grants.gov.

**Noncompeting Submissions:**

No. But you must **contact the HRSA Call Center** at 877-GO4-HRSA
(877-464-4772) between 9:00 am to 5:30 pm ET or email
<callcenter@hrsa.gov>. You may be asked to provide a copy of the
"Rejected with Errors" notification you received from Grants.gov.

## 6.3 Application Submission {#application-submission .unnumbered}

### 6.3.1 How can I make sure that my electronic application is presented in the right order for objective review? {#how-can-i-make-sure-that-my-electronic-application-is-presented-in-the-right-order-for-objective-review .unnumbered}

Follow the instructions provided in section 4.2 to ensure that your
application is presented in the right order and is compliant with all
the requirements.

## 6.4 Grants.gov {#grants.gov .unnumbered}

For a list of frequently asked questions and answers maintained by
Grants.gov please visit the following URL:

<http://www.grants.gov/GrantsGov_UST_Grantee/!SSL!/WebHelp/GrantsGov_UST_Grantee.htm#index.html>

**Appendix B -- Registering and Applying Through Grants.gov**

**Prepare to Apply through Grants.gov:**

HRSA, in providing the grant community a single site to Find and Apply
for grant funding opportunities, is [requiring]{.underline} applicants
for this funding opportunity to apply electronically through Grants.gov.
By using Grants.gov you will be able to download a copy of the
application package, complete it off-line, and then upload and submit
the application via the Grants.gov site. You may [not]{.underline}
e-mail an electronic copy of a grant application to us.

Please understand that we will not consider additional information
and/or materials submitted after your initial application. You must
therefore ensure that all materials are submitted together.

Note: Except in rare cases, paper applications will NOT be accepted for
this grant opportunity. If you believe you are technologically unable to
submit an on-line application you MUST contact the Director of the
Division of Grants Policy, at <DGPWaivers@hrsa.gov> and explain why you
are technologically unable to submit on-line. Make sure you specify the
announcement number you are requesting relief for. HRSA and its Grants
Application Center (GAC) will only accept paper applications from
applicants that received prior written approval.

In order to apply through Grants.gov the Applicant must register with
Grants.gov. This is a three step process that must be completed by any
organization wishing to apply for a grant opportunity. The registration
process will require some time. Therefore, applicants or those
considering applying at some point in the future should register
**[immediately]{.underline}**. Registration in Grants.gov does not
require the organization to apply for a grant; it simply provides the
organization the required credentials so that the organization may apply
for a grant in the future. Registration is required only once.

**[REGISTRATION:]{.underline}**

GET STARTED NOW AND COMPLETE THE ONE-TIME REGISTRATION PROCESS TO BEGIN
SUBMITTING GRANT APPLICATIONS AS SOON AS YOU READ THIS.

You don't need to be registered to search or to begin selecting,
downloading and completing grant applications. Registration is required
to submit applications. Therefore, it is essential that your
organization be registered prior to attempting to submit a grant
application or your organization will not be able to do so. **Be sure to
complete the process early as the registration process may take some
time (anywhere from 5 days to 1 month).**

**There are three steps to the registration process:**

Step 1: Register your organization

Step 2: Register yourself as an Authorized Organization Representative

Step 3: Get authorized by your organization to submit grants

These instructions will walk you through the three basic registration
steps. Additional assistance is available at Grants.gov at
[www.grants.gov](../www.grants.gov). Individual assistance is available
at [http://www.grants.gov/Support](http://www.grants.gov/Support  ) or
1-800-518-4726. Grants.gov also provides a variety of support options
through online Help including Context-Sensitive Help, Online Tutorials,
FAQs, Training Demonstration, User Guide, and Quick Reference Guides.

Follow this checklist to complete your registration---

1\. Register Your Organization

\- Obtain your organization's Data Universal Number System (DUNS) number

\- Register your organization with Central Contractor Registry (CCR)

\- Identify your organization's E-Business POC (Point of Contact)

\- Confirm your organization's CCR "Marketing Partner ID Number (M-PIN)"
password

2\. Register Yourself as an Authorized Organization Representative (AOR)

\- Obtain your username and password

\- Register your username and password with Grants.gov

3\. Get Yourself Authorized as an AOR

\- Contact your E-Business POC to ensure your AOR status

\- Log in to Grants.gov to check your AOR status

The Grants.gov/Apply feature includes a simple, unified application
process to enable applicants to apply for grants online. The information
applicants need to understand and execute the steps is at
http://www.grants.gov/GetStarted. Applicants should read the Get Started
steps carefully. The site also contains registration checklists to help
you walk through the process. HRSA recommends that you download the
checklists and prepare the information requested before beginning the
registration process. Reviewing information required and assembling it
before beginning the registration process will save you time and make
the process faster and smoother.

**REGISTER YOUR ORGANIZATION**

Before you can apply for a grant via Grants.gov, your organization must
obtain a Data Universal Number System (DUNS) number and register early
with the Central Contractor Registry (CCR).

**Obtain your organization's DUNS number**

A DUNS number is a unique number that identifies an organization. It has
been adopted by the Federal government to help track how Federal grant
money is distributed. Ask your grant administrator or chief financial
officer to provide your organization's DUNS number.

\-**How do you do it**? If your organization does not have a DUNS
number, call the special Dun & Bradstreet hotline at 1-866-705-5711 to
receive one free of charge.

\- **How long will this take?** You will receive a DUNS number at the
conclusion of the phone call.

**Register your organization with CCR**

The CCR is the central government repository for organizations working
with the Federal government. Check to see if your organization is
already registered at the CCR website. If your organization is not
already registered, identify the primary contact who should register
your organization.

When your organization registers with CCR, it will be required to
designate an E-Business Point of Contact (E-Business POC). The designee
authorizes individuals to submit grant applications on behalf of the
organization and creates a special password called a Marketing Partner
ID Number (M-PIN) to verify individuals authorized to submit grant
applications for the organization.

\-**How do you do it?** Visit the CCR website at http://www.ccr.gov.
Check whether your organization is already registered or register your
organization right online. Be certain to enter an MPIN number during
this process as this is an optional field for the CCR registration but
mandatory for Grants.gov.

\- **How long will this take?** It may take a few days for you to
collect the information needed for your organization's registration, but
once you finish the registration process, you can move on to Step 2 the
very next business day. Note it will take up to a month for the total
registration- therefore this should be done as soon as possible.

**GET AUTHORIZED as an AOR by Your Organization**

The registration process is almost complete. All that remains is the
final step ---getting authorized. Even though you have registered, your
E-Business POC must authorize you so Grants.gov will know that you are
verified to submit applications.

\- **Obtain your E-Business POC authorization**

After your Authorized Organizational Representative (AOR) profile is
completed, your organization's E-Business POC will receive an email
regarding your requested AOR registration, with links and instructions
to authorize you as an AOR.

\- **How do you do it?** Instruct your E-Business POC to login to
Grants.gov at http://www.grants.gov/ForEbiz and enter your
organization's DUNS number and M-PIN. They will select you as an AOR
they wish to authorize and you will be verified to submit grant
applications.

\- **How long will this take?** It depends on how long it takes your
E-Business POC to log in and authorize your AOR status. You can check
your AOR status by logging in to Grants.gov at
http://www.grants.gov/ForApplicants.

**REGISTER YOURSELF as an Authorized Organization Representative (AOR)**

Once the CCR Registration is complete, your organization is finished
registering. You must now register yourself with Grants.gov and
establish yourself as an AOR, an individual authorized to submit grant
applications on behalf of your organization. There are two elements
required to complete this step --- both must be completed to move onto
Step 3.

1\. **Obtain your username and password**

In order to safeguard the security of your electronic information, and
to submit a Federal grant application via Grants.gov, you must first
obtain a username and password from the Grants.gov Credential Provider.

\- **How do you do it**? Just register with Grants.gov's Credential
Provider at http://www.grants.gov/Register1. You will need to enter your
organization's DUNS number to access the registration form. Once you
complete the registration form you will be given your username and you
will create your own password.

\- **How long will this take?** Same day. When you submit your
information you will receive your username and be able to create your
password.

**2. Register with Grants.gov**

Now that you have your username and password, allow about 30 minutes for
your data to transfer from the Credential Provider, then you must
register with Grants.gov to set up a short profile.

\> **How do you do it?** Simply visit http://www.grants.gov/Register2 to
register your username and password and set up your profile. Remember,
you will only be authorized for the DUNS number which you register in
your Grants.gov profile.

\> **How long will this take?** Same day. Your AOR profile will be
complete after you finish filling in the profile information and save
the information at Grants.gov.

You have now completed the registration process for Grants.gov. If you
are applying for a [new or competing continuation]{.underline} you may
find the application package through Grants.gov FIND. If you are filling
out a [non-competing continuation]{.underline} application you must
obtain the announcement number through your program office, and enter
this announcement number in the search field to pull up the application
form and related program guidance. Download the required forms and enter
your current grant number in the

appropriate field to begin the non-competing continuation application
which you will then upload for electronic submittal through Grants.gov.
For continuation applications which require submittal of performance
measures electronically, instructions are provided in the program
guidance on how to enter the HRSA electronic handbooks to provide this
information.

**How to submit an electronic application to HRSA via Grants.gov/Apply**

a\. [Applying using Grants.gov.]{.underline} Grants.gov has a full set
of instructions on how to apply for funds on its website at
<http://www.grants.gov/CompleteApplication>. The following provides
simple guidance on what you will find on the Grants.gov/Apply site.
Applicants are encouraged to read through the page entitled, "Complete
Application Package" before getting started. See Appendix A for specific
information.

b\. [Customer Support]{.underline}. The grants.gov website provides
customer support via (800) 518-GRANTS (this is a toll-free number) or
through e-mail at support@grants.gov. The customer support center is
open from 7:00 a.m. to 9:00 p.m. Eastern time, Monday through Friday,
except federal holidays, to address grants.gov technology issues. For
technical assistance to program related questions, contact the number
listed in the Program Section of the program you are applying for.

**Timely Receipt Requirements and Proof of Timely Submission**

a\. Electronic Submission. All applications must be received by
www.grants.gov/Apply by 8:00 P.M. Eastern Time on the due date
established for each program.

Proof of timely submission is automatically recorded by Grants.gov. An
electronic time stamp is generated within the system when the
application is successfully received by Grants.gov. The applicant will
receive an acknowledgement of receipt and a tracking number from
Grants.gov with the successful transmission of their application.
Applicants should print this receipt and save it, along with facsimile
receipts for information provided by facsimile, as proof of timely
submission. When HRSA successfully retrieves the application from
Grants.gov, Grants.gov will provide an electronic acknowledgment of
receipt to the e-mail address of the AOR. Proof of timely submission
shall be the date and time that Grants.gov receives your application.

Applications received by grants.gov, after the established due date and
time for the program, will be considered late and will not be considered
for funding by HRSA. HRSA suggests that applicants submit their
applications during the operating hours of the Grants.gov Support Desk,
so that if there are questions concerning transmission, operators will
be available to walk you through the process. Submitting your
application during the Support Desk hours will also ensure that you have
sufficient time for the application to complete its transmission prior
to the application deadline. Applicants using dial-up connections should
be aware that transmission should take some time before Grants.gov
receives it. Grants.gov will provide either an error or a successfully
received transmission message. The Grants.gov Support desk reports that
some applicants abort the transmission because they think that nothing
is occurring during the transmission process. Please be patient and give
the system time to process the application. Uploading and transmitting
many files, particularly electronic forms with associated XML schemas,
will take some time to be processed.

Note the following additional information regarding submission of all
HRSA applications through Grants.gov:

• You must submit all documents electronically, including all
information typically included on the SF424 and all necessary assurances
and certifications.

• Your application must comply with any page limitation requirements
described in this program announcement.

• After you electronically submit your application, you will receive an
automatic acknowledgement from Grants.gov that contains a Grants.gov
tracking number. HRSA will retrieve your application from Grants.gov.

**Formal Submission of the Electronic Application**

Applications completed online are considered formally submitted when the
Authorizing Official electronically submits the application to HRSA
through Grants.gov. You must, however, ensure that a copy of the
SF-424/5161 Face Sheet is printed from Grants.gov, [signed]{.underline},
scanned, and included with your application as Attachment 1.

Competitive applications will be considered as having met the deadline
if: (1) the application has been successfully transmitted electronically
by your organization's Authorizing Official through Grants.gov on or
before the deadline date and time, and (2) the signed SF-424/5161 Face
Sheet is included in the electronic submission.

**Performance Measures for Competitive Applications**

Many HRSA guidances include specific data forms and require performance
measure reporting. If the completion of performance measure information
is indicated in this guidance, successful applicants receiving grant
funds will be required, within 30 days of the Notice of Grant Award
(NGA), to register in HRSA's Electronic Handbooks (EHBs) and
electronically complete the program specific data forms that appear in
this guidance. This requires the provision of budget breakdowns in the
financial forms based on the grant award amount, the project abstract
and other grant summary data, and objectives for the performance
measures.

**Performance Measures for Non-Competing Continuation Applications**

For applications which require submittal of performance measures
electronically through the completion of program specific data forms,
instructions will be provided both in the program guidance and through
an e-mail, notifying grantees of their responsibility to provide this
information, and providing instructions on how to do so.

**Appendix C**

**[Instructions for the SF424 R&R (Research and Related)]{.underline}**

This application form has replaced the 6025 training application form
and the 398 application form. The 424 R&R is now used for all HRSA
training and research programs.

**INSTRUCTIONS FOR THE APPLICATION FACE PAGES**

Below are detailed instructions for the completion of the 424 R&R form:

+----+-----------------------------------------------------------------+
| F  | Instructions                                                    |
| ie |                                                                 |
| ld |                                                                 |
+----+-----------------------------------------------------------------+
| 1  | Select **Type of Submission**: Check the appropriate type from  |
| \. | the submission options. Select **Application** for all HRSA     |
|    | grant programs                                                  |
+----+-----------------------------------------------------------------+
| 2  | **Date Submitted**: Enter the date the application is submitted |
| \. | to the Federal agency.                                          |
+----+-----------------------------------------------------------------+
| 3  | **Date Received by State**: State Use Only (if applicable)      |
| \. |                                                                 |
+----+-----------------------------------------------------------------+
| 4  | **Federal Identifier**: New Project Applications should leave   |
| \. | this field blank. If this is a Continuation application         |
|    | (competing or non-competing) or a Supplement, enter your grant  |
|    | number located on your Notice of Grant Award (NGA.              |
+----+-----------------------------------------------------------------+
| 5  | **Applicant Information**: All items in bold are required       |
| \. | fields and must be completed                                    |
|    |                                                                 |
|    | Enter your **Organization's DUNS** Number (received from Dun    |
|    | and Bradstreet), Enter the **Legal Name**, **Applicant          |
|    | Department** (if applicable) and **Division** (if applicable)   |
|    | who will undertake the assistance activity. In **Street 1**     |
|    | enter the first line of the street address of your              |
|    | organization. In **Street2** enter the second line of your      |
|    | organization, if applicable. Enter the **City, County** and     |
|    | **State,** **Zip Code** and **Country** where your organization |
|    | is located. Enter the **Person to be Contacted on Matters       |
|    | Involving the Application:**                                    |
|    |                                                                 |
|    | **This is the POINT OF CONTACT, the person to be contacted**    |
|    | for the matters pertaining to this specific application (i.e.   |
|    | principle investigator, project director, other)**.** Enter the |
|    | **Prefix, First Name, Middle Name and Last Name and Suffix**    |
|    | (if applicable) of the person to be contacted on matters        |
|    | relating to this application. Enter the **Phone** and **Fax**   |
|    | number as well as the **E-MAIL** address of this person.        |
|    | **These are all required fields.**                              |
+----+-----------------------------------------------------------------+
| 6  | **Employer Identification (EIN)/ (TIN)**                        |
| \. |                                                                 |
|    | Enter the 9 Digit Employer Identification Number as Assigned by |
|    | the Internal Revenue Services.                                  |
+----+-----------------------------------------------------------------+
| 7  | **Type of Applicant :** Select the appropriate letter from one  |
| \. | of the following:                                               |
|    |                                                                 |
|    | A.  State Government                                            |
|    |                                                                 |
|    | B.  County Government                                           |
|    |                                                                 |
|    | C.  City or Township Government                                 |
|    |                                                                 |
|    | D.  Special District Government                                 |
|    |                                                                 |
|    | E.  Independent School District                                 |
|    |                                                                 |
|    | F.  State Controlled Institution of Higher Education            |
|    |                                                                 |
|    | G.  Native American Tribal Government (Federally Recognized)    |
|    |                                                                 |
|    | H.  Public/Indian Housing Authority                             |
|    |                                                                 |
|    | I.  Native American Tribal Organization (other than Federally   |
|    |     recognized)                                                 |
|    |                                                                 |
|    | J.  Nonprofit with 501C3 IRS status (other than Institute of    |
|    |     Higher Education)                                           |
|    |                                                                 |
|    | K.  Nonprofit without 501C3 IRS status (other than Institute of |
|    |     Higher Education                                            |
|    |                                                                 |
|    | L.  Private Institution of Higher Education                     |
|    |                                                                 |
|    | M.  Individual                                                  |
|    |                                                                 |
|    | N.  For Profit Organization(other than small business)          |
|    |                                                                 |
|    | O.  Small Business                                              |
|    |                                                                 |
|    | P.  Other (specify)                                             |
|    |                                                                 |
|    | **Women Owned:** Check if you are a woman owned small business( |
|    | 51% owned/controlled and operated by a woman/women)             |
|    |                                                                 |
|    | **Socially and Economically Disadvantaged:** Check if you are a |
|    | socially and economically disadvantaged small business, as      |
|    | determined by the U.S. SBA pursuant to Section 8(a) of the SBA  |
|    | U.S.C.637(a).                                                   |
+----+-----------------------------------------------------------------+
| 8  | **Type of Application: Select the Type from the following list  |
| \. | :**                                                             |
|    |                                                                 |
|    | \- **New**: A new assistance award                              |
|    |                                                                 |
|    | \- **Resubmission** ( not applicable to HRSA)                   |
|    |                                                                 |
|    | \- **Renewal --** An application for a competing continuation   |
|    | -- this is a request for an extension for an additional         |
|    | funding/budget period for a project with a projected            |
|    | completion.                                                     |
|    |                                                                 |
|    | \-**Continuation**: A non-competing application for an          |
|    | additional funding/budget period for a project within a         |
|    | previously approved projected period                            |
|    |                                                                 |
|    | \- **Revision**: Any change in the Federal Governments          |
|    | financial obligation or contingent liability from an existing   |
|    | obligation. Indicate the **Type of Revision** by checking the   |
|    | appropriate box:                                                |
|    |                                                                 |
|    | A. Increase in Award (supplement, competing supplement)         |
|    |                                                                 |
|    | B. Decrease Award                                               |
|    |                                                                 |
|    | C. Increase Duration                                            |
|    |                                                                 |
|    | D. Decrease Duration                                            |
|    |                                                                 |
|    | E. Other (Enter text to Explain)                                |
|    |                                                                 |
|    | **Is Application being submitted to Other Agencies:** Indicate  |
|    | by checking **YES** or **NO** if the application is being       |
|    | submitted to HRSA only.                                         |
|    |                                                                 |
|    | **What other Agencies:** Enter Agency Name ( if applicable)     |
+----+-----------------------------------------------------------------+
| 9  | **Name of Federal Agency:** Enter the Name of the Federal       |
| \. | Agency from which assistance is being requested                 |
+----+-----------------------------------------------------------------+
| 10 | **Catalogue of Federal Domestic Assistance Number (CFDA):** Use |
| \. | the CFDA Number found on the front pea of the program guidance  |
|    | and associated Title of the CFDA (if available).                |
+----+-----------------------------------------------------------------+
| 11 | **Descriptive Title of Applicant's Project:** Enter a brief     |
| \. | descriptive title of the project**.** A continuation or         |
|    | revision must use the same title as the currently funded        |
|    | project.                                                        |
+----+-----------------------------------------------------------------+
| 12 | **Areas Affected by Project**: List only the largest political  |
| \. | Entities affected by the project ( ex. states, counties,        |
|    | cities)                                                         |
+----+-----------------------------------------------------------------+
| 13 | **Proposed Project:** Enter the project **Start Date** of the   |
| \. | project in the Start Date Field and the project **Ending Date** |
|    | in the Ending Date Field. ( ex.11/01/2005 to 10/31/2008)        |
+----+-----------------------------------------------------------------+
| 14 | **Congressional District Applicant and Congressional District   |
| \. | Project:** Enter your Congressional District(s) in Applicant    |
|    | Field. Enter the Congressional District (s) of Project, the     |
|    | primary site where the project will be performed.               |
|    | (http://www.gpoaccess.gov/cdirectory/browse-cd-05.html)         |
+----+-----------------------------------------------------------------+
| 15 | **Project Director/Principal Investigator Contact Information   |
| \. | :** All items in bold are required fields and must be completed |
|    |                                                                 |
|    | Enter the **Prefix, First Name, Middle Name and Last Name and   |
|    | Suffix** (if applicable) of the Project Director/Principle      |
|    | Investigator (PD/PI) for the project. Enter the **Title** of    |
|    | the PD/PI and the **name of the organization** of the PD/PI.    |
|    | Enter the name of the primary organization **Department** and   |
|    | **Division** of the PD/PI. In **Street 1** enter the first line |
|    | of the street address of the PD/PI for the project. In          |
|    | **Street2** enter the second line of the street address for the |
|    | PD/PI, if applicable. Enter the **City, County** and **State,** |
|    | **Zip Code** and **Country** of the PD/PI. Enter the **Phone**  |
|    | and **Fax** number as well as the **E-MAIL** address of this    |
|    | person. **These are all required fields.**                      |
+----+-----------------------------------------------------------------+
| 16 | **Estimated Project Funding:**                                  |
| \. |                                                                 |
|    | **a. Total Estimated Project Funding** Enter the total          |
|    | **Federal Funds** requested for the **BUDGET PERIOD** for which |
|    | you are applying**. Enter only the amount for the year you are  |
|    | applying, NOT the amount for the entire project period.**       |
|    |                                                                 |
|    | **b. Total Federal and Non-Federal Funds:** Enter the total     |
|    | Federal and non-Federal funds for the **BUDGET PERIOD** for     |
|    | which you are applying.                                         |
|    |                                                                 |
|    | **c.** **Estimated Program Income:** Identify any Program       |
|    | Income for the **BUDGET PERIOD.**                               |
+----+-----------------------------------------------------------------+
| 17 | **Is Application Subject to Review by State Executive Order     |
| \. | 12372 Process:**                                                |
|    |                                                                 |
|    | If YES: Check the YES box if the announcement indicates that    |
|    | the program is covered under State Executive Order 12372. If    |
|    | NO: Place a check in the NO box.                                |
+----+-----------------------------------------------------------------+
| 18 | **Complete Certification**                                      |
| \. |                                                                 |
|    | Check the "I agree" box to attest to acceptance of required     |
|    | certifications and assurances listed at the end of the          |
|    | Application**.**                                                |
+----+-----------------------------------------------------------------+
| 19 | **Authorized Representative** (Authorizing Official - This is   |
| \. | the person who has the authority to sign the application for    |
|    | the organization ) All items in bold are required fields and    |
|    | must be completed                                               |
|    |                                                                 |
|    | Enter the name of Authorized Representative/Authorizing         |
|    | Official. Enter the **Prefix, First Name, Middle Name and Last  |
|    | Name and Suffix** (if applicable) of the Authorized             |
|    | Representative (AR) or Authorizing Official (AO). Enter the     |
|    | **Title** of the Authorized Representative and the              |
|    | **organization** of the AR/AO. Enter the name of the primary    |
|    | organization **Department** and **Division** of the AO. In      |
|    | **Street1** enter the first line of the street address of the   |
|    | AR/AO for the project. In **Street2** enter the second line of  |
|    | the street address for the AR/AO, if applicable. Enter the      |
|    | **City, County** and **State,** **Zip Code** and **Country** of |
|    | the AR/AO. Enter the **Phone** and **Fax** number as well as    |
|    | the **E-MAIL** address of AR/AO this person. **These are all    |
|    | required fields .**                                             |
|    |                                                                 |
|    | **Date Signed: If you are submitting this electronically please |
|    | print off a copy of the face/cover pages of the application,    |
|    | sign and send them to HRSA's Grants Application Center (GAC)    |
|    | --( See the program guidance for the GAC's address)**           |
|    |                                                                 |
|    | Note: Applicant applying in paper must send their entire grant  |
|    | application with the signed face/cover pages to the GAC         |
+----+-----------------------------------------------------------------+
| 20 | **Pre-Application**                                             |
| \. |                                                                 |
|    | This is Not applicable to HRSA. A limited number of HRSA        |
|    | programs require a Letter of Intent which is different from a   |
|    | preapplication. Information required and the process for        |
|    | submitting such a Letter of Intent is outlined in the funding   |
|    | opportunity announcements for those programs with such a        |
|    | requirement. .                                                  |
+----+-----------------------------------------------------------------+

INSTRUCTIONS FOR 5161 CHECKLIST (This is used for the 424 R&R as well)

+-----------------+----------------------------------------------------+
| Field           | Instructions                                       |
+-----------------+----------------------------------------------------+
| Type of         | Check one of the boxes corresponding to one of the |
| Application     | following types:                                   |
|                 |                                                    |
|                 | \- **New**: A new application is a request for     |
|                 | financial assistance for a project or program not  |
|                 | currently receiving DHHS support.                  |
|                 |                                                    |
|                 | **-Non competing Continuation**: A non-competing   |
|                 | application for an additional funding/budget       |
|                 | period for a project within a previously approved  |
|                 | project period                                     |
|                 |                                                    |
|                 | \- **Competing Continuation (** same as Renewal    |
|                 | from 424R&R face page)                             |
|                 |                                                    |
|                 | --this is a request for an extension of support    |
|                 | for an additional funding/budget period for a      |
|                 | project with a projected completion.               |
|                 |                                                    |
|                 | **- Supplemental (**same as Revision from 424 R&R  |
|                 | face page) An application requesting a change in   |
|                 | the Federal Governments financial obligation or    |
|                 | contingent liability from an existing obligation.  |
+-----------------+----------------------------------------------------+
| Part A          | Leave this Section Blank                           |
+-----------------+----------------------------------------------------+
| Part B          | Leave this Section Blank                           |
+-----------------+----------------------------------------------------+
| Part C          | In the Space Provided below, please provide the    |
|                 | requested information                              |
+-----------------+----------------------------------------------------+
| Business        | Enter the name of Business Official to be notified |
| Official to be  | if an award is to be made. Enter the **Prefix,     |
| notified if an  | First Name, Middle Name and Last Name and Suffix** |
| award is to be  | (if applicable) of the Business Official and the   |
| made            | **organization. Enter the Address** Street1 enter  |
|                 | the first line of the street address of the        |
|                 | Business Official. In **Street2** enter the second |
|                 | line of the street address for the AR/AO, if       |
|                 | applicable. Enter the **City, County** and         |
|                 | **State,** **Zip Code** and **Country** of the     |
|                 | business official. Enter the **Telephone** and     |
|                 | **Fax** number as well as the **E-MAIL** address   |
|                 | of Business Official. Enter the Applicant          |
|                 | Organizations 12 Digit DHHS EIN ( if already       |
|                 | assigned) -- This should be the same information   |
|                 | as supplied in file number 5 of the 424 R&R face   |
|                 | page .                                             |
+-----------------+----------------------------------------------------+
| Project         | Enter the name of Project Director/Principle       |
| Dir             | Investigator (PD/PI) -- this should be the same    |
| ector/Principle | information as supplied on the 424 R & R face page |
| Investigator    | field number 15. Enter the **Prefix, First Name,   |
| designated to   | Middle Name and Last Name and Suffix** (if         |
| direct the      | applicable). Enter the name of the primary         |
| proposed        | organization and Address: **Street1** enter the    |
| project         | first line of the street address of the AR/AO for  |
|                 | the project. In **Street2** enter the second line  |
|                 | of the street address for the AR/AO, if            |
|                 | applicable. Enter the **City, County** and         |
|                 | **State,** **Zip Code** and **Country** of the     |
|                 | PD/PI. Enter the **Telephone Number, E-Mail** and  |
|                 | **Fax** number. **DO NOT** enter the social        |
|                 | security number. Enter the highest degree earned   |
|                 | for the PD/PI.                                     |
+-----------------+----------------------------------------------------+

INSTRUCTIONS FOR R&R SENIOR/KEY PERSON PROFILE

Starting with the PD/PI, provide a profile for each senior/key person
proposed. Unless otherwise specified in an agency announcement senior
key personnel are defined as all individuals who contribute in a
substantive, measurable way to the execution of the project or activity
whether or not salaries are requested. Consultants should be included if
they meet this definition. For each of these individuals a Biosketch
should be attached which lists the individual's credentials/degrees.

+-----------+----------------------------------------------------------+
| Field     | Instruction                                              |
+-----------+----------------------------------------------------------+
| Prefix    | Ex. Mr., Ms. Mrs. Rev. Enter the Prefix for the          |
|           | Individual identified as a key person for the project.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the prefix for the project director    |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| First     | This is the first (given) name of the Individual         |
| Name      | identified as a key person for the project. If this is   |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the name of the project director       |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| Middle    | This is the middle name of the Individual identified as  |
| Name      | a key person for the project. If this is the entry for   |
|           | the Project Director and you are submitting              |
|           | electronically this field will be prepopulated with the  |
|           | name of the project director identified on the face page |
|           | of the 424 R&R.                                          |
+-----------+----------------------------------------------------------+
| Last Name | This is the last name of the Individual identified as a  |
|           | key person for the project. If this is the entry for the |
|           | Project Director and you are submitting electronically   |
|           | this field will be prepopulated with the last name of    |
|           | the project director identified on the face page of the  |
|           | 424 R&R.                                                 |
+-----------+----------------------------------------------------------+
| Suffix    | Enter the Suffix (Ex. Jr., Sr., PhD.,) for the           |
|           | Individual identified as a key person for the project.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the prefix for the project director    |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| Posit     | Enter the Title for the Individual identified as a key   |
| ion/Title | person for the project. If this is the entry for the     |
|           | Project Director and you are submitting electronically   |
|           | this field will be prepopulated with the Title for the   |
|           | project director identified on the face page of the 424  |
|           | R&R.                                                     |
+-----------+----------------------------------------------------------+
| D         | This is the name of the primary organizational           |
| epartment | department, service, laboratory, or equivalent level     |
|           | within the organization for the Individual identified as |
|           | a key person for the project. If this is the entry for   |
|           | the Project Director and you are submitting              |
|           | electronically this field will be prepopulated with the  |
|           | Department for the project director identified on the    |
|           | face page of the 424 R&R.                                |
+-----------+----------------------------------------------------------+
| Org       | This is the name of the organizational for the           |
| anization | Individual identified as a key person for the project.   |
| Name      | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the Organization Name for the project  |
|           | director identified on the face page of the 424 R&R.     |
+-----------+----------------------------------------------------------+
| Division  | This is the primary organizational division, office, or  |
|           | major subdivision of the individual. If this is the      |
|           | entry for the Project Director and you are submitting    |
|           | electronically this field will be prepopulated with the  |
|           | Division for the project director identified on the face |
|           | page of the 424 R&R.                                     |
+-----------+----------------------------------------------------------+
| Street1   | This is the first line of the street address for the     |
|           | individual identified as a key/senior person. If this is |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the Street address for the project     |
|           | director identified on the face page of the 424 R&R.     |
+-----------+----------------------------------------------------------+
| Street 2  | This is the second line of the street address (if        |
|           | applicable) for the individual identified. If this is    |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the second line of the Street address  |
|           | ( if applicable) for the project director identified on  |
|           | the face page of the 424 R&R                             |
+-----------+----------------------------------------------------------+
| City      | Enter the city where the key/senior person is located.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated.                                            |
+-----------+----------------------------------------------------------+
| County    | Enter the County where the key/senior person is located. |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated.                                            |
+-----------+----------------------------------------------------------+
| State     | Enter the state where the key/senior person is located.  |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| ZIP Code  | Enter the Zip Code where the key/senior person is        |
|           | located. If this is the entry for the Project Director   |
|           | and you are submitting electronically this field will be |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Phone     | Enter the daytime phone number for the senior/key        |
| Number    | person. If this is the entry for the Project Director    |
|           | and you are submitting electronically this filed will be |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Fax       | Enter the fax number for the senior/key person. If this  |
| Number    | is the entry for the Project Director and you are        |
|           | submitting electronically this filed will be             |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Email     | Enter the email address for the senior/key person. If    |
| address   | this is the entry for the Project Director and you are   |
|           | submitting electronically this filed will be             |
|           | prepopulated- This is a required field                   |
+-----------+----------------------------------------------------------+
| C         | Leave this field blank                                   |
| redential |                                                          |
| e.g.      |                                                          |
| agency    |                                                          |
| login     |                                                          |
+-----------+----------------------------------------------------------+
| Project   | Enter the project role from the list below               |
| Role      |                                                          |
|           | 1\. Project Director (PD)/Principle Investigator(PI)     |
|           |                                                          |
|           | 2\. Co- PD/Co- PI                                        |
|           |                                                          |
|           | 3.Faculty                                                |
|           |                                                          |
|           | 4\. Post Doctoral                                        |
|           |                                                          |
|           | 5\. Post Doctoral Associate                              |
|           |                                                          |
|           | 6\. Other Professional                                   |
|           |                                                          |
|           | 7\. Graduate Student                                     |
|           |                                                          |
|           | 8\. Undergraduate Student                                |
|           |                                                          |
|           | 9\. Technician                                           |
|           |                                                          |
|           | 10\. Consultant                                          |
|           |                                                          |
|           | 11\. Other (Specify)                                     |
+-----------+----------------------------------------------------------+
| Other     | Complete if you selected "Other "as a project role. For  |
| Project   | example, Engineer, social worker.                        |
| Role      |                                                          |
| Category  |                                                          |
+-----------+----------------------------------------------------------+
| Attach    | Provide a biographical sketch for the PD/PI or Senior    |
| Bio       | Key Person identified. For each of these individuals a   |
| graphical | Biosketch should be attached which lists the             |
| Sketch    | individual's credentials/degrees. Recommended            |
|           | information includes: education and training, research   |
|           | and professional and synergistic activities. Save the    |
|           | information in a single file and attach by clicking Add  |
|           | attachment --if applying electronically                  |
+-----------+----------------------------------------------------------+
| Attach    | Follow the individual program guidance pertaining to     |
| Current & | this issue. If current and pending support on level of   |
| Pending   | effort documentation is required, please attach          |
| Support   | accordingly.                                             |
+-----------+----------------------------------------------------------+
|           |                                                          |
+-----------+----------------------------------------------------------+

INSTRUCTIONS FOR R&R PROJECT PERFORMANCE SITE LOCATION(S) FORM

Indicate the primary site/sites where the work or activity will occur.
If a portion of the project is at any other location(s), identify it in
the section provided. If more than eight project/performance site
locations are proposed, provide the information in a separate file and
attach these in a file in the space provided at the bottom of the form.
If applying in paper add this information as part of the appendix.

Enter the Primary Performance Site first. Add all other performance
sites in the space provided.

  -------------- ------------------------------------------------------------
  Field name     Instructions

  Organization   Enter the Name of the Performance Site/Organization
  Name           

  Street 1       Enter the first line of the street address of the
                 performance site location

  Street 2       Enter the second line of the street address of the
                 performance site location, if applicable

  City           Enter the city of the performance site.

  County         Enter the county where the performance site is located.

  State          Select from the list of States or enter the State/province
                 in which the performance site is located

  Zip Code       Enter the zip code of the performance sit location

  Country        Enter the country of the performance site from the list
  -------------- ------------------------------------------------------------

> INSTRUCTIONS FOR R&R BUDGET

**Section A & B**

**SECTION** A

+-------------+--------------------------------------------------------+
| Field Name  | Instructions                                           |
+-------------+--------------------------------------------------------+
| Org         | Enter the DUNS or DUNS +4 number of your organization. |
| anizational | For applicants applying electronically, this field is  |
| DUNS        | pre-populated from the R&R SF424 Cover Page.           |
+-------------+--------------------------------------------------------+
| Budget Type | Check the appropriate block. Check Project if the      |
|             | budget requested is for the primary applicant          |
|             | organization. Check Subaward/consortium organizations  |
|             | (if applicable). Separate budgets are usually required |
|             | only for Subaward Budgets and are not allowed by HRSA  |
|             | unless legislatively authorized or requested in the    |
|             | program application guidance. Use the R&R Subaward     |
|             | Budget Attachment and attach as a separate file on the |
|             | R&R Budget Attachment(s) form..                        |
+-------------+--------------------------------------------------------+
| Enter Name  | Enter the name of your organization                    |
| of          |                                                        |
| O           |                                                        |
| rganization |                                                        |
+-------------+--------------------------------------------------------+
| Start Date  | Enter the requested Start Date of Budget Period        |
+-------------+--------------------------------------------------------+
| End Date    | Enter the requested End Date of the Budget Period (    |
|             | these should cover 1 full year/12 months)              |
+-------------+--------------------------------------------------------+
| Budget      | Identify the specific budget period (1 for first year  |
| Period      | of the grant, 2 for second year of the grant, 3 for    |
|             | third etc.)                                            |
+-------------+--------------------------------------------------------+
| A.          | Enter the **Prefix**, F**irst/(Given) name**, **Middle |
|             | name** (if applicable), **Last Name** and **Suffix**   |
| Senior/Key  | of the senior/key person                               |
| Person      |                                                        |
+-------------+--------------------------------------------------------+
| Project     | Enter the project role of the Senior/Key person.       |
| Role        |                                                        |
+-------------+--------------------------------------------------------+
| Base Salary | Enter the annual compensation paid by the employer for |
| (\$)        | each Senior/Key person. This includes all activities   |
|             | such as research, teaching, patient care. etc.         |
+-------------+--------------------------------------------------------+
| Cal. Months | Enter the number of Calendar months devoted to the     |
|             | project in the applicable box for each project role    |
|             | category                                               |
+-------------+--------------------------------------------------------+
| Acad.       | Enter the number of academic year months devoted to    |
| Months      | the project in the applicable box for each project     |
|             | role category ( If your institution does not use a 9   |
|             | month academic period, indicate your institution's     |
|             | definition of academic year in the budget              |
|             | justification)                                         |
+-------------+--------------------------------------------------------+
| Sum. Months | Enter the number of summer months devoted to the       |
|             | project in the applicable box for each project role    |
|             | category ( If your institution does not use a 3 month  |
|             | summer period, indicate your institution's definition  |
|             | of summer period in the budget justification)          |
+-------------+--------------------------------------------------------+
| Requested   | Regardless of the number of months being devoted to    |
| Salary (\$) | the project, indicate only the funds being requested   |
|             | to cover the amount of salary/wages for each           |
|             | senior/key person for this budget period               |
+-------------+--------------------------------------------------------+
| Fringe      | Enter applicable fringe benefits, if any, for each     |
| Benefits    | senior/key person                                      |
| (\$)        |                                                        |
+-------------+--------------------------------------------------------+
| Funds       | Enter federal funds requested for salary/wages &       |
| Requested   | fringe benefits for each senior/key person for this    |
| (\$)        | budget period for this project.                        |
+-------------+--------------------------------------------------------+
| Line 9.     | Enter the total federal funds requested for all        |
| Total Funds | senior/key persons listed in the attached file (these  |
| Requested   | requested funds would be for key persons over and      |
| for all     | above those listed in the preceding rows/fields of     |
| Senior Key  | section A). If applicants are applying in hardcopy     |
| Persons in  | please attach a table listing the key personnel over   |
| the         | and above the 8 persons listed on the budget page      |
| attached    | using the same format appearing in the budget table    |
| Files       | and enter the total funds requested for these          |
|             | additional by people in row 9.                         |
+-------------+--------------------------------------------------------+
| Additional  | If applying electronically attach a file here          |
| Senior Key  | detailing the funds requested for key personnel over   |
| Persons     | and above the 8 senior/key persons already listed in   |
| (attach     | this section; include all pertinent budget             |
| file)       | information. The total funds requested in this file    |
|             | should be entered in "**the total funds requested for  |
|             | all additional senior/key persons in line 9 of Section |
|             | A** . If applying in hardcopy please be certain to     |
|             | provide detailed information on the key personnel as   |
|             | well as funds requested in the same format appearing   |
|             | in the budget table. Be certain to include the total   |
|             | funds for these additional key persons in **the total  |
|             | funds requested for all additional senior/key persons  |
|             | in line 9 of Section A.**                              |
+-------------+--------------------------------------------------------+

**SECTION B. Other Personnel**

  ------------- ---------------------------------------------------------
  Field Name    Instructions

  Number of     For each project role/category identify the number of
  Personnel     personnel proposed.

  Project Role  If project role is other than Post-Doctoral Associates,
                Graduate Students, Undergraduate students, or
                Secretarial/Clerical, enter the appropriate project role
                ( for example, Engineer, Statistician, IT Professional
                etc. ) in the blanks.

  Cal. Months   Enter the number of Calendar months devoted to the
                project in the applicable box for each project role
                category/stipend category

  Acad. Months  Enter the number of academic year months devoted to the
                project in the applicable box for each project role
                category ( If your institute does not use a 9 month
                academic period , indicate your institution's definition
                of academic year in the budget justification)

  Sum. Months   Enter the number of summer months devoted to the project
                in the applicable box for each project role category ( If
                your institute does not use a 3 month summer period ,
                indicate your institution's definition of summer period
                in the budget justification)

  Requested     Regardless of the number of months being devoted to the
  Salary (\$)   project, indicate only the amount of salary/wages/stipend
                amount being requested for each project role

  Fringe        Enter applicable fringe benefits, if any, for each
  Benefits (\$) project role category

  Funds         Enter requested salary/wages & fringe benefits for each
  Requested     project role category
  (\$)          

  Total Number  Enter the total number of other personnel and related
  Other         funds requested for this project
  Personnel     

  Total Salary, Enter the total funds requested for all senior key
  Wages and     persons, stipends and all other personnel- If applying
  Fringe        electronically this will be computed based on detailed
  Benefits (A   information provided. If applying through hard copy
  &B)           please enter this number, ensuring that the total is
                equal to the detailed information provided
  ------------- ---------------------------------------------------------

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

**Section C, D & E**

**SECTION C: Equipment Description**

  ---------------- ---------------------------------------------------------
  Field Name       Instructions

  Organizational   Enter the DUNS or DUNS +4 number of your organization.
  DUNS             For Project applicants and those applying electronically,
                   this field is pre-populated from the R&R SF424 Cover
                   Page.

  Budget Type      Check the appropriate block. Check Project if the budget
                   requested is for the primary applicant organization.
                   Check Subaward/consortium organizations (if applicable).
                   Separate budgets are usually required only for Subaward
                   Budgets and are not allowed by HRSA unless legislatively
                   authorized or requested in the program application
                   guidance. Use the R&R Subaward Budget Attachment and
                   attach as a separate file on the R&R Budget Attachment(s)
                   form)

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of Budget Period

  End Date         Enter the requested/proposed End Date of the Budget
                   Period ( these should cover 1 full year/12 months)

  Budget Period    Identify the specific budget period (1 for first year of
                   the grant, 2 for second year of the grant, 3 for third
                   etc. )

  Equipment Item   Equipment is identified as an item of property that has
                   an acquisition cost of \$5,000 or more (unless the
                   organization has established lower levels) and an
                   expected service life of more than 1 year. List each item
                   of equipment separately and justify each in the budget
                   justification section. Ordinarily allowable items are
                   limited to those which will be used primarily or
                   exclusively in the actual conduct or performance of grant
                   activities.

  Funds Requested  Enter the estimated cost of each item of equipment,
                   including shipping and any maintenance costs and
                   agreements.

  Total Funds      Enter the estimated cost of all equipment listed in any
  Requested for    attached documents/files.
  all equipment    
  listed in the    
  attached files   

  Additional       If the space provided can not accommodate all the
  Equipment        equipment proposed, attach a file or document delineating
                   the equipment proposed. If applying in hardcopy please
                   provide this information on a separate/attached sheet.
                   List the total funds requested on line 11 of this
                   section.
  ---------------- ---------------------------------------------------------

**SECTION D. Travel**

  -------------- ---------------------------------------------------------
  Field Name     Instructions

  Domestic       Enter the total funds requested for domestic travel.
  Travel Costs   Domestic travel includes Canada, Mexico and US
  (Incl. Canada, possessions. In the budget justifications section,
  Mexico, and US include the purpose , destinations, dates of travel (if
  Possessions)   known) , and number of individuals for each trip. If the
                 dates of travel are known, specify estimated length of
                 trip (for example, 3 days)

  Foreign Travel Enter the total funds to be used for foreign travel.
  Costs          Foreign travel includes any travel outside of the United
                 States, Canada, Mexico and or the U.S. Possessions. In
                 the budget justification section, include the purpose,
                 destination, travel dates (if known), and number of
                 individuals for each trip. If the dates of travel are not
                 known , specify estimated length of trip ( ex. 3 days)

  Total Travel   The total funds requested for all travel related to this
  Costs          project-- this should equal the total of all domestic and
                 foreign and may be computed if applying electronically.
                 If applying in hardcopy please enter this amount
  -------------- ---------------------------------------------------------

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

**SECTION E: Participant/Trainee Support Costs**

  --------------------- -----------------------------------------------------
  Field Name            Instructions

  Tuition/Fees/Health   Enter the total amount of funds requested for
  Insurance             participant /trainee tuition, fees, and /or health
                        insurance. (if applicable)

  Stipends              Enter the total amount of funds requested for
                        participant /trainee stipends.

  Travel                Enter the total funds requested for
                        participant/trainee travel associated with this
                        project (if applicable)

  Subsistence           Enter the total funds requested for
                        participant/trainee subsistence (if applicable)

  Other                 Describe and enter the total funds requested for any
                        other participant/trainee costs/institutional
                        allowances, scholarships etc. Please identify these
                        in the space provided.

  Number of             Enter the total number of proposed
  Participants          participants/trainees (those receiving stipends,
                        scholarships, etc.)

  Trainee Costs         Enter the total costs associated with the above
                        categories (i.e. participants/trainees- items 1-5).
                        If applying electronically this total will be
                        calculated for you.
  --------------------- -----------------------------------------------------

RESEARCH AND RELATED BUDGET - SECTION F-K Budget Period

  ---------------- ---------------------------------------------------------
  Field Name       Instructions

  Organizational   Enter the DUNS or DUNS +4 number of your organization.
  DUNS             For Project applicants and those applying electronically,
                   this field is pre-populated from the R&R SF424 Cover
                   Page.

  Budget Type      Check the appropriate block. Check Project if the budget
                   requested is for the primary applicant organization.
                   Check Subaward/consortium organizations (if applicable).
                   Separate budgets are usually required only for Subaward
                   Budgets and are not allowed by HRSA unless legislatively
                   authorized or requested in the program application
                   guidance. Use the R&R Subaward Budget Attachment and
                   attach as a separate file on the R&R Budget Attachment(s)
                   form.

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of the Budget Period

  End Date         Enter the requested/proposed End Date of the Budget
                   Period (these should cover 1 full year/12 months)

  Budget Period    Identify the specific budget period (1 for first year of
                   the grant, 2 for second year of the grant, 3 for third
                   etc. )
  ---------------- ---------------------------------------------------------

**SECTION F. Other Direct Cost**

+---------------------------+------------------------------------------+
| Field Name                | Instructions                             |
+---------------------------+------------------------------------------+
| 1\. Materials and         | Enter the total funds requested for      |
| Supplies                  | materials and supplies. In the budget    |
|                           | justification attachment please itemize  |
|                           | all categories for which costs exceed    |
|                           | \$1,000. Categories less than \$1,000 do |
|                           | not have to be itemized.                 |
+---------------------------+------------------------------------------+
| 2\. Publication Costs     | Enter the total publication funds        |
|                           | requested. The budget may request funds  |
|                           | for the cost of documenting, preparing,  |
|                           | publishing or otherwise disseminating    |
|                           | the findings of this project to others.  |
|                           | In the budget justification include      |
|                           | supporting information.                  |
+---------------------------+------------------------------------------+
| 3\. Consultant Services   | Enter the total funds requested for      |
|                           | consultant services. In the budget       |
|                           | justification identify each consultant,  |
|                           | the services to be performed, travel     |
|                           | related to this project and the total    |
|                           | estimated costs.                         |
+---------------------------+------------------------------------------+
| 4\. ADP/Computer Services | Enter total funds requested for          |
|                           | ADP/computer services. In the budget     |
|                           | justification include the established    |
|                           | computer service rates at the proposed   |
|                           | organization (if applicable)             |
+---------------------------+------------------------------------------+
| 5\. Subawards/Consortia/  | Enter total funds requested for          |
| Contractual Costs         | subaward, consortium and/or contractual  |
|                           | costs proposed for this project.         |
+---------------------------+------------------------------------------+
| 6\. Equipment/Facility    | Enter total funds requested for          |
|                           | equipment or facility rental or users    |
| Rental/ User Fees         | fees. In the budget justification please |
|                           | identify and justify these fees.         |
+---------------------------+------------------------------------------+
| 7\. Alterations and       | Enter the total funds requested for      |
| Renovations               | alterations and renovations. In the      |
|                           | budget justification itemize by category |
| (not applicable to        | and justify the costs including repairs, |
| training program grants)  | painting, removal or installation of     |
|                           | partitions. Where applicable provide     |
|                           | square footage and costs.                |
+---------------------------+------------------------------------------+
| Items 8-10                | In items 8-10 please describe any        |
|                           | "other" direct costs not requested       |
|                           | above. Use the Budget Justification      |
|                           | attachment to further itemize and        |
|                           | justify these costs. If line space is    |
|                           | inadequate please use line 10 to combine |
|                           | all remaining "other direct costs" and   |
|                           | include details of these costs in the    |
|                           | budget justification.                    |
+---------------------------+------------------------------------------+
| Total Other Costs         | The total funds requested for all Other  |
|                           | Direct Costs                             |
+---------------------------+------------------------------------------+

**SECTION G: Direct Costs**

**If applying electronically, this item will be computed as the sum of
sections A-F . If applying in paper please enter the sum of sections A-F
in this field**

**SECTION H: Indirect Costs**

  ----------------- -----------------------------------------------------
  Field Name        Instructions

  Indirect Cost     Indicate the type of indirect cost. Also indicate if
  Type              this is off-site. If more than one rate/base is
                    involved, use separate lines for each. If you do not
                    have a current indirect cost rate (s) approved by a
                    Federal Agency indicate "None---will negotiate" and
                    include information for proposed rate. Use the budget
                    justification if additional space is needed.

  Indirect Cost     Indicate the most recent indirect cost rate(s), also
  Rate (%)          known as Facilities and Administrative Costs {F&A}
                    established with a cognizant Federal office or, in
                    the case of for--profit organizations, the rate(s)
                    established with the appropriate agency. If you do
                    not have a cognizant oversight agency and are
                    selected for an award, you must submit your requested
                    indirect cost rate documentation to the awarding
                    department. For HHS this would be the Division of
                    Cost Allocation in DHHS.

  Indirect Cost     Enter amount of the base for each indirect cost type.
  Base (\$)         

  Funds Requested   Enter the total funds requested for each indirect
                    cost type.

  Cognizant Federal Enter the name of the cognizant Federal Agency, name
  Agency            and telephone number of the individual responsible
                    for negotiating your rate. If no cognizant agency is
                    known, enter None.
  ----------------- -----------------------------------------------------

**SECTION I: Total Direct and Indirect Institutional Costs (Section G+
Section H)**

Enter the total funds requested for direct and indirect costs. If
applying electronically this field will be calculated for you.

**SECTION J: Fee**

Generally, a fee is not allowed on a grant or cooperative agreement. Do
not include a fee in your budget, unless the program announcement
specifically allows the inclusion of a fee. If a fee is allowable, enter
the fee requested in this field.

**SECTION K: Budget Justification**

Detailed instructions for information to include in this section will be
provided in the program application guidance. Use the budget
justification to provide the additional information in each budget
category and any other information necessary to support your budget
request. Please use this attachment/section to provide the information
requested/required in the program guidance. Please refer to the guidance
to determine the need for and placement of (ex. in Appendix section) any
other required budget tables stipulated in the guidance.

RESEARCH AND RELATED BUDGET --CUMULATIVE BUDGET

If applying electronically, all of the values on this form will be
calculated based on the amounts that were entered previously under
sections A through K for each of the individual budget periods.
Therefore, if this application is being submitted electronically no data
entry is allowed or required in order to complete this Cumulative Budget
section.

If any amounts displayed on this form appear to be incorrect you may
correct the value by adjusting one or more of the values that
contributed to the total from the previous sections. To make such an
adjustment you will need to revisit the appropriate budget period
form(s) to enter corrected values.

If applying in paper form please ensure that entries in the cumulative
budget are consistent with those entered in Sections A-K.

+-----------------+----------------------------------------------------+
| Field Name      | Instructions                                       |
+-----------------+----------------------------------------------------+
| **Section A:**  | The cumulative total funds requested for all       |
| **Senior/Key    | Senior/Key personnel.                              |
| Person**        |                                                    |
+-----------------+----------------------------------------------------+
| **Section B:**  | The cumulative total funds requested for all other |
|                 | personnel.                                         |
| **Other         |                                                    |
| Personnel**     |                                                    |
+-----------------+----------------------------------------------------+
| Total Number    | The cumulative total number of other personnel.    |
| Other Personnel |                                                    |
+-----------------+----------------------------------------------------+
| Total Salary,   | The cumulative total funds requested for all       |
| Wages, and      | Senior/Key personnel and all other personnel.      |
| Fringe Benefits |                                                    |
| (Section A +    |                                                    |
| Section B)      |                                                    |
+-----------------+----------------------------------------------------+
| **Section C:    | The cumulative total funds requested for all       |
| Equipment**     | equipment.                                         |
+-----------------+----------------------------------------------------+
| **Section D:**  | The cumulative total funds requested for all       |
|                 | travel.                                            |
| **Travel**      |                                                    |
+-----------------+----------------------------------------------------+
| 1\. Domestic    | The cumulative total funds requested for all       |
|                 | domestic travel.                                   |
+-----------------+----------------------------------------------------+
| 2\. Foreign     | The cumulative total funds requested for all       |
|                 | foreign travel.                                    |
+-----------------+----------------------------------------------------+
| **Section E:    | The cumulative total funds requested for all       |
| Part            | participant/trainee costs.                         |
| icipant/Trainee |                                                    |
| Support Costs** |                                                    |
+-----------------+----------------------------------------------------+
| 1\.             | Enter the number of Calendar months devoted to the |
| Tuit            | project in the applicable box for each project     |
| ion/Fees/Health | role category.                                     |
| Insurance       |                                                    |
+-----------------+----------------------------------------------------+
| 2\. Stipends    | Enter the cumulative total funds requested for     |
|                 | participants/trainee stipends.                     |
+-----------------+----------------------------------------------------+
| 3\. Travel      | The cumulative total funds requested for Trainee   |
|                 | /Participant travel.                               |
+-----------------+----------------------------------------------------+
| 4\. Subsistence | The cumulative total funds requested for           |
|                 | Trainee/Participant subsistence.                   |
+-----------------+----------------------------------------------------+
| 5\. Other       | The cumulative total funds requested for any Other |
|                 | participant trainee costs including scholarships.  |
+-----------------+----------------------------------------------------+
| 6\. Number of   | The cumulative total number of proposed            |
| partic          | participants/trainees.                             |
| ipants/trainees |                                                    |
+-----------------+----------------------------------------------------+
| **Section F:    | The cumulative total funds requested for all other |
| Other Direct    | direct costs.                                      |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| 1\. Materials   | The cumulative total funds requested for Materials |
| and Supplies    | and Supplies.                                      |
+-----------------+----------------------------------------------------+
| 2\. Publication | The cumulative total funds requested for           |
| Costs           | Publications.                                      |
+-----------------+----------------------------------------------------+
| 3\. Consultant  | The cumulative total funds requested for           |
| Services        | Consultant Services.                               |
+-----------------+----------------------------------------------------+
| 4\.             | The cumulative total funds requested for           |
| ADP/Computer    | ADP/Computer Services.                             |
| Services        |                                                    |
+-----------------+----------------------------------------------------+
| 5\. Subawards/  | The cumulative total funds requested for 1) all    |
| Consortium/     | subaward/ consortium organization(s) proposed for  |
| Contractual     | the project, and 2) any other contractual costs    |
| Costs           | proposed for the project.                          |
+-----------------+----------------------------------------------------+
| 6\. Equipment   | The cumulative total funds requested for Equipment |
| or Facility     | or Facility Rental/ User Fees.                     |
| Rental/User     |                                                    |
| Fees            |                                                    |
+-----------------+----------------------------------------------------+
| 7\. Alterations | The cumulative total funds requested for           |
| and Renovations | Alterations and Renovations.                       |
+-----------------+----------------------------------------------------+
| 8\. Other 1     | The cumulative total funds requested in line 8 or  |
|                 | the first Other Direct Costs category.             |
+-----------------+----------------------------------------------------+
| 9\. Other 2     | The cumulative total funds requested in line 9or   |
|                 | the second Other Direct Costs category.            |
+-----------------+----------------------------------------------------+
| 10\. Other 3    | The cumulative total funds requested in line 10 or |
|                 | the third Other Direct Costs category.             |
+-----------------+----------------------------------------------------+
| **Section G:    | The cumulative total funds requested for all       |
| Direct Costs    | direct costs.                                      |
| A-F**           |                                                    |
+-----------------+----------------------------------------------------+
| **Section H:    | The cumulative total funds requested for all       |
| Indirect        | indirect costs.                                    |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| **Section I :   | The cumulative total funds requested for direct    |
| Total Direct    | and indirect costs.                                |
| and Indirect    |                                                    |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| **Section J:    | The cumulative funds requested for Fees (if        |
| Fee**           | applicable).                                       |
+-----------------+----------------------------------------------------+

INSTRUCTIONS FOR R&R SUBAWARD BUDGET ATTACHMENT(s) FORM

Subawards are not allowed by HRSA unless legislatively authorized or
requested in the Program Application Guidance. Please click on the
subaward budget attachment to obtain the required budget forms. Attach
all budget information by attaching the files in line items 1-10. Please
do not attach any files to the subaward documents as they will not be
transferred to HRSA. All justification for expenditures should be added
to the budget justification for the project in section K of the project
budget.

SF 424 R&R ASSURANCES

Read the 424 R&R Assurances in the program guidance. Signing of the
application FACE Page and sending the signed face page to the Grants
Application Center (see guidance) indicates acceptance of these
Assurances listed.

SF 424 R&R OTHER PROJECT INFORMATION COMPONENT

**SF 424 R&R Other Project Information:**

**If this is an application for a Research Grant Please Respond to All
of the Questions on this page.**

**If this is an application for a Training Grant Please Respond to Items
1 and Items 6-11.**

+----------------+-----------------------------------------------------+
| Field Name     | Instructions                                        |
+----------------+-----------------------------------------------------+
| 1\. Are Human  | If activities involving human subjects are planned  |
| Subjects       | at any time during proposed project check YES.      |
| Involved       | Check this box even if the proposed project is      |
|                | exempt from Regulations for the protection of Human |
|                | Subjects. Check NO if this is a training grant or   |
|                | if no activities involving human subjects are       |
|                | planned and skip to step 2.                         |
+----------------+-----------------------------------------------------+
| 1.a If YES to  | Skip this section if the answer to the previous     |
| Human Subjects | question was NO. If the answer was YES, indicate if |
| Involved       | the IRB review is pending. If IRB has been approved |
|                | enter the approval date. If exempt from IRB         |
|                | approval enter the exemption numbers corresponding  |
|                | to one or more of the exemption categories. See:    |
|                | http://ohrp                                         |
|                | .osophs.dhhs.gov/humansubjects/guidance/45cfr46.htm |
|                |                                                     |
|                | for a list of the six categories of research that   |
|                | qualify for exemption from coverage by the          |
|                | regulations are defined in the Common Rule for the  |
|                | Protection of Human Subjects.                       |
|                |                                                     |
|                | For Human Subject Assurance Number enter the IRB    |
|                | approval number OR the approved Federal Wide        |
|                | Assurance ( FWA) , multiple project assurance (MPA) |
|                | , Single Project Assurance(SPA) Number or           |
|                | Cooperative Project Assurance Number that the       |
|                | applicant has on file with the Office of Human      |
|                | Research Protections, if available.                 |
+----------------+-----------------------------------------------------+
| 2\. Are        | If activities using vertebrae animals are planned   |
| Vertebrae      | at any time during the proposed project at any      |
| Animals Used   | performance site check the YES box; otherwise check |
|                | NO and proceed to step 3.                           |
+----------------+-----------------------------------------------------+
| 2 a. If YES to | Indicate if the IACUC review is pending by checking |
| Vertebrae      | YES in this field otherwise check NO. Enter the     |
| animals        | IACUC approval Date in the approval date field      |
|                | leave blank if approval is pending.                 |
|                |                                                     |
|                | For Animal Welfare Assurance Number , enter the     |
|                | Federally approved assurance number if available    |
+----------------+-----------------------------------------------------+
| 3\. Is         | Patentable ideas, trade secrets, privileged or      |
| Proprietary    | confidential commercial or financial information,   |
| /Privileged    | disclosure of which may harm the applicant, should  |
| Information    | be included in the application only when such       |
| Included in    | information is necessary to convey an understanding |
| the            | of the proposed project. If the application         |
| Application    | includes such information, check the YES box and    |
|                | clearly mark each line or paragraph of the pages    |
|                | containing proprietary/privileged information with  |
|                | a legend similar to: "the following contains        |
|                | proprietary /privileged information that (name of   |
|                | applicant) requests not be released to persons      |
|                | outside the Government, except for purposes of      |
|                | review and evaluation.                              |
+----------------+-----------------------------------------------------+
| 4a. Does this  | If your project will have an actual or potential    |
| project have   | impact on the environment check the YES box and     |
| an actual or   | explain in the box provided in **4b.** Otherwise    |
| potential      | check NO and proceed to question 5a.                |
| impact on the  |                                                     |
| environment?   |                                                     |
+----------------+-----------------------------------------------------+
| 4.b. If yes,   | If you checked the YES box indicating an actual or  |
| please explain | potential impact on the environment, enter the      |
|                | explanation or the actual or potential impact on    |
|                | the environment here.                               |
+----------------+-----------------------------------------------------+
| 4c. If this    | If an exemption has been authorized or an EA or EIS |
| project has an | has been performed check the YES box in 4d.         |
| actual or      | Otherwise check the NO box.                         |
| potential      |                                                     |
| impact on the  |                                                     |
| environment    |                                                     |
| has an         |                                                     |
| exemption been |                                                     |
| authorized or  |                                                     |
| an             |                                                     |
| Environmental  |                                                     |
| Assessment     |                                                     |
| (EA) or an     |                                                     |
| Environmental  |                                                     |
| Impact         |                                                     |
| Statement      |                                                     |
| (EIS) been     |                                                     |
| performed?     |                                                     |
+----------------+-----------------------------------------------------+
| 4d. If yes     | If you checked the YES box indicating an exemption  |
| please explain | has been authorized or an EA or EIS has been        |
|                | performed, enter the explanation.                   |
+----------------+-----------------------------------------------------+
| 5a. Does the   | If your project involves activities outside of the  |
| project        | U.S. or partnerships with international             |
| involve        | collaborators check the YES box and list the        |
| activities     | countries in the box provided in 5b and an optional |
| outside of the | explanation in box 5c. Otherwise check NO and       |
| U.S. or        | proceed to item 6.                                  |
| partnership    |                                                     |
| with           |                                                     |
| international  |                                                     |
| collaborators? |                                                     |
+----------------+-----------------------------------------------------+
| 5b. If yes     | If the answer to 5a is YES -- identify the          |
| Identify       | countries with which international cooperative      |
| Countries      | activities are involved.                            |
+----------------+-----------------------------------------------------+
| 5c. Optional   | Use this box to provide any supplemental            |
| explanation    | information, if necessary. If necessary you can     |
|                | provide the information as an attachment by         |
|                | clicking "Add Attachment" to the right of Item 11   |
|                | below.                                              |
+----------------+-----------------------------------------------------+
| 6\. Project    | Please refer to the guidance for instructions       |
| Summary/       | regarding the information to include in the project |
| Abstract       | summary/abstract. The project summary must contain  |
|                | a summary of the proposed activity suitable for     |
|                | dissemination to the public. It should be a         |
|                | self-contained description of the project and       |
|                | should contain a statement of the objectives and    |
|                | methods employed. The summary must NOT include any  |
|                | proprietary/confidential information.               |
|                |                                                     |
|                | If applying electronically attach the               |
|                | summary/abstract by clicking on "Add Attachment"    |
|                | and browse to where you saved the file on your      |
|                | computer and attach.                                |
+----------------+-----------------------------------------------------+
| 7\. Project    | Provide the project narrative in accordance with    |
| Narrative      | the program guidance/announcement and/or            |
|                | agency/program specific instructions. If you are    |
|                | applying electronically, to attach project          |
|                | narrative click "Add Attachment," browse to where   |
|                | you saved the file, select the file, and click to   |
|                | attach. .                                           |
+----------------+-----------------------------------------------------+
| 8\.            | Provide a bibliography of any references cited in   |
| Bibliography   | the Project Narrative. Each reference must include  |
| and References | the names of all authors (in the sequence in which  |
| Cited          | they appear in the publication), the article and    |
|                | journal title, book title, volume number, page      |
|                | numbers and year of publication. Include only       |
|                | bibliographic citations. Be especially careful to   |
|                | follow scholarly practices in providing citations   |
|                | for source materials relied upon when preparing any |
|                | section of this application. If applying            |
|                | electronically -- attach the bibliography by        |
|                | clicking "Add Attachment" on line 8.                |
+----------------+-----------------------------------------------------+
| 9\. Facilities | This information is used to assess the capability   |
| and Other      | of the organizational resources available to        |
| Resources      | perform the effort proposed. Identify the           |
|                | facilities to be used (Laboratory, Animal,          |
|                | Computer, Office, Clinical and Other). If           |
|                | appropriate, indicate their pertinent capabilities, |
|                | relative proximity and extent of availability to    |
|                | the project (e.g. machine shop, electronic shop),   |
|                | and the extent to which they would be available to  |
|                | the project.                                        |
|                |                                                     |
|                | To attach a Facilities and Other Resources file,    |
|                | click Add Attachment, browse to where you saved the |
|                | file, select the file and then click open.          |
+----------------+-----------------------------------------------------+
| 10\. Equipment | List major items of equipment already available for |
|                | this project and if appropriate identify location   |
|                | pertinent capabilities. To attach an Equipment file |
|                | click "Add Attachment " and select the file to be   |
|                | attached.                                           |
+----------------+-----------------------------------------------------+
| 11\. Other     | Attach a file to provide any program specific forms |
| Attachments    | or requirements not provided elsewhere in the       |
|                | application in accordance with the agency or        |
|                | program specific guidance. Click "Add Attachment"   |
|                | and select the file for attachment from where you   |
|                | saved the file.                                     |
+----------------+-----------------------------------------------------+

ATTACHMENTS FORM

Use this form to add files/attachments required in the program guidance
whose location has not been specified elsewhere in the application
package. Use the first line item to attach the file with information on
your organization's Business Official. Name this file BUSINESS OFFICIAL
INFORMATION. Attach other files as required in the program guidance.

**Appendix D**

**[ASSURANCES, CERTIFICATIONS AND OTHER REQUIREMENTS]{.underline}**

If the applicant has met the requirements of each of the following
assurances, certification and other requirements, please check the "Yes"
space on the Checklist. See Appendix for sample form. If one or more of
the following assurances, certifications and other requirements are not
met, check "No" and explain. If you need assistance, please contact the
Division of Grants Management Operations at HRSA.

**Civil Rights**: Before an award is made, the applicant organization
must have submitted, and had accepted by the DHHS Office for Civil
Rights, an Assurance of Compliance Form HHS 441, in accordance with
Title VI of the Civil Rights Act of 1964, P.L. 88-352. Pertinent DHHS
regulations are found in 45 CFR Part 80. This provides that no person in
the United States shall on the grounds of race, color, or national
origin, be excluded from participation in, be denied the benefits of, or
be otherwise subjected to discrimination under any program or activity
receiving Federal financial assistance from DHHS.

**Handicapped Individuals**: Before an award is made, the applicant
organization must have submitted, and had accepted by the DHHS Office
for Civil Rights, and Assurance of Compliance Form HHS 641, in
accordance with Sec. 504 of the Rehabilitation Act of 1973, P.L. 93-112,
as amended (29 USC 794). This provides that no handicapped individual
shall, solely by reason of the handicap, be excluded from participation
in, be denied the benefits of, or be subject to discrimination under any
program or activity receiving Federal financial assistance. Pertinent
DHHS regulations are found in 45 CFR Part 84.

**Age Discrimination**: In accordance with 45 CFR Part 91, attention is
called to the general rule that no person in the United States shall, on
the basis of age, be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under any program or
activity receiving Federal financial assistance.

**Sex Discrimination**: Before an award is made, the applicant
educational organization must have submitted and had accepted by the
DHHS Office for Civil Rights an Assurance of Compliance Form HHS 639 in
accordance with Sec. 901 of Title IX of the Education Amendments of
1972, P. L. 92-318, as amended, which provides that no person shall, on
the basis of sex, be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under any education
program or activity receiving Federal financial assistance. Pertinent
DHHS regulations are found in 45 CFR Part 86.

In accordance with sections 794 and 810 of the Public Health Service Act
and 45 CFR Part 83, no grant, cooperative agreement, loan guarantee, or
interest subsidy payment under Titles VII or VIII of the PHS Act shall
be made to or for the benefit of any entity, and no contract under
Titles VII or VIII of the PHS Act shall be made with any entity, unless
the entity furnishes assurances satisfactory to the Director, Office for
Civil Rights, that the entity will not discriminate on the basis of sex
in the admission of individuals to its training programs.

**Other Discrimination**: Attention is called to the requirement of Sec.
401 of the Health Programs Extension Act of 1973, P. L. 93-45, as
amended (42 USC 300a-7), which provides that no entity which receives
any grant, contract, loan, loan guarantee, or interest subsidy under the
PHS Act may deny admission or otherwise discriminate against any
applicant (including applicants for internships and residencies) for
training or study because of the applicant's reluctance or willingness
to counsel, suggest, recommend, assist, or in any way participate in the
performance of abortions or sterilizations contrary to, or consistent
with, the applicant's religious beliefs or moral convictions.

**Drug Free Workplace Act of 1988**: The applicant institution must
comply with the requirements of 45 CFR Part 82, which require
certification that grantees will provide and maintain a drug-free
workplace.

**Certification Regarding Lobbying and Disclosure of Lobbying
Activities**: A certification regarding lobbying is required for each
Federal contract, grant, loan, or cooperative agreement award action
exceeding \$100,000 before such action can be taken. Restrictions on
lobbying are found at 45 CFR part 93. In addition, government-wide
guidance for restrictions on lobbying was published by the Office of
Management and Budget in the Federal Register (54 FR 52306, December 20,
1989).

**Misconduct in Science**: Each institution which applies for or
receives assistance under a research, research-training, or
research-related grant or cooperative agreement under the PHS Act must
submit an annual assurance (Form PHS 6315) certifying that the
institution has established administrative policies as required by the
Final Rule (42 CFR Part 50, Subpart A), and that it will comply with
those policies and the requirements of the Final Rule as published in
the Federal Register, 54 FR 32446, August 8, 1989.

As of January 1, 1990, Notice of Grant awards for grants and cooperative
agreements involving research may be issued only to institutions that
have filed with the Office of Research Integrity (ORI), acceptable
assurances for dealing with and reporting possible misconduct in
science. The respective Division of Grants Management Operations will
determine the status of an institution by contacting ORI.

**Debarment and Suspension**: The applicant organization must certify,
among other things, that neither it nor its principals are presently
debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department
or agency. Sub-awardees, that is, other corporations, partnerships, or
other legal entities (called "lower tier" participants), must make the
same certification to the applicant organization concerning their
covered transactions. Pertinent DHHS regulations are found in 45 CFR
Part 76 and refer to Executive Order 12549 which provides that, to the
extent permitted by law, executive departments and agencies shall
participate in a government-wide system for non-procurement debarment
and suspension.

**Statement of Non-Delinquency on Federal Debt**: The question applies
only to the person or institution requesting financial assistance, and
does not apply to the person who signs an application form as the
authorized representative of an institution or on behalf of another
person who actually receives the funds.

Examples of Federal Debt include delinquent taxes, audit disallowances,
guaranteed or direct student loans, FHS loans, and other miscellaneous
administrative debts. For purposes of this statement, the following
definitions apply:

\- For direct loans, a debt more than 31 days past due on a scheduled
payment.

\- For agents, recipients of a "Notice of Grants Cost Disallowance" who
have not repaid the disallowed amount or who have not resolved the
disallowance.

\- For guaranteed and insured loans, recipients of a loan guaranteed by
the Federal Government that the Federal Government has repurchased from
a lender because the borrower breached the loan agreement and is in
default.

**Drug-Free Schools and Campuses**: The Drug-Free Schools and
Communities Act Amendments of 1989, P. L. 101-226, Sec. 22, which added
Sec. 1213 to the Higher Education Act, require that any public or
private institution of higher education (including independent,
hospitals conducting training programs for health care personnel), State
educational agency, or local educational agency receiving Federal
financial assistance must certify to the Secretary of Education, as a
condition for funding, that it has adopted and implemented a drug
prevention program as described in regulations at 34 CFR Part 86, (55 FR
33581), August 16, 1990, as amended at 61 FR 66225, December 17, 1996.
The provisions of the regulations also apply to sub-grantees which
received Federal funds from any Federal grantee regardless of whether or
not the primary grantee is an institution of higher education, State
educational agency, or local educational agency.

**Bloodborne Diseases**: Sec. 308 of Title III of P. L. 102-408, the
Health Professions Education Extension Amendments of 1992, requires that
with respect to awards of grants or contracts under Title VII or VIII of
the PHS Act, the Secretary of HHS may make such an award for the
provision of traineeships only if the applicant for the award provides
assurances satisfactory to the Secretary that all trainees will, as
appropriate, receive instruction in the utilization of

universal precautions and infection control procedures for the
prevention of the transmission of bloodborne diseases.

**Smoke-Free Workplace**: The Public Health Service strongly encourages
all grant and cooperative agreement recipients to provide a smoke-free
workplace and promote the non-use of all tobacco products. Title X, Part
C of P. L. 103-227, the Pro-Children Act of 1994, prohibits smoking in
certain facilities that receive Federal funds in which education,
library, day care, health care, and early childhood development services
are provided to children.

**[RELEASE OF INFORMATION]{.underline}**

General Public Information: DHHS makes available routinely to interested
persons a report listing grants awarded. Information made available
includes the title of the project, grantee institution, project
director, and the amount of the award.

The Freedom of Information Act (5 USC 552) and the associated Freedom of
Information Regulations of DHHS (45 CFR Part 5) require the release of
certain information about grants

upon request. Release does not depend upon the intended use of the
information.

Generally available for release upon request are all funded grant
applications; progress reports of grantees; and final reports of any
review or evaluation of grantee performance conducted or caused to be
conducted by the Department. Release is subject to deletion of material
that would affect patent or other valuable rights.

Information Available to the Project Director: The Privacy Act of 1974
(5 USC 552a) and the associated Privacy Act Regulations (45 CFR part 5b)
give individuals the right to access, upon request, information in the
records concerning themselves. The Act provides a mechanism for
correction or amendment of such information. It also provides for the
protection of information pertaining to an individual, but it does not
prevent disclosure if release of such information is required under the
Freedom of Information Act. If a Privacy Act system of records applies,
the name and number of the system will be identified.

If applicable, the Privacy Act requires that a Federal Agency requesting
information from an individual advise the individual of the Agency's
authority to make the request; whether compliance with the request is
voluntary or mandatory; how and why the information will be used both
inside and outside the Agency; and what the consequences are for the
individual of failing to provide all or any part of the requested
information.

The DHHS requests the information described in these instructions under
authority of the PHS Act as amended (42 USC 289a-1). Although provision
of the information requested is entirely voluntary, it is necessary for
making grant award decisions. A lack of sufficient information may
hinder DHHS's ability to review applications. This information will be
used by the DHHS and may be disclosed outside the Department as
permitted by the Privacy Act under the applicable system of records.

Government Use of Information: In addition to being used in evaluating
applications, other routine uses of information can include disclosures
to the public as required by the Freedom of Information Act; to the
Congress; to the National Archives and Records Service; to the Bureau of
the Census; to law enforcement agencies upon their request; to the
General Accounting Office; and under court order. It may also be
disclosed outside of the Department if necessary for the following
purposes.

\- To the cognizant audit agency for auditing;

\- To the Department of Justice as required for litigation;

\- To respond to an inquiry from a Congressional office about the record
of an individual made at the request of that individual;

\- To qualified experts not within the definition of Department
employees as prescribed in Department regulations (45 CFR Part 5b.2,
Purpose and Scope) for opinion as a part of the application review
process.

\- To the Federal agency, in response to its request, in connection with
the letting of a contract, or the issuance of a license, grant or other
benefit by the requesting agency, to the extent that the record is
relevant and necessary to the requesting agency's decision on the
matter;

\- To individuals and organizations deemed qualified by the DHHS to
carry out specific research related to the review and award process of
the DHHS;

\- To organizations in the private sector with whom DHHS has contracted
for the purpose of collating, analyzing, aggregating or otherwise
refining records in a system. Relevant records will be disclosed to such
a contractor. The contractor shall be required to maintain Privacy Act
safeguards with respect to such records; and

\- To the applicant organization in connection with performance or
administration under the terms and conditions of the award.