U.S. Department of Health and Human Services

**Health Resources and Services Administration**

Bureau of Health Professions

Division of Nursing

**Nurse Anesthetist Traineeship Program (NAT)**

**New Competition**

**Announcement Number HRSA-09-103**

**Catalog of Federal Domestic Assistance (CFDA) No. 93.124**

**PROGRAM GUIDANCE**

Fiscal Year 2009

**Phase 1: Application Due Date in Grants.gov: November 14, 2008**

**Phase 2: Supplemental Information Due Date in EHBs: December 5, 2008**

Release Date: September 15, 2008

Date of Issuance: September 15, 2008

Contact Name: Karen Delia Breeden, MPA

Title, Office: Program Analyst, BHPr, Division of Nursing

Tel: (301) 443-5787

Fax: (301) 443-0791

Authority: Title VIII of the Public Health Service (PHS) Act as amended,
Sections 811(a)(2 and 811(f), (42 U.S.C. 296j)

**Executive Summary**

The purpose of the **Nurse Anesthetist Traineeship (NAT)** **Program**
grant is to provide funding for traineeships for licensed registered
nurses enrolled as full-time students beyond the twelfth month of study
in a master's or doctoral nurse anesthesia program. Traineeships will
pay all or part of the costs of the tuition, books, and fees, and the
reasonable living expenses of the individual during the period for which
the traineeship is provided. The funds appropriated for the NAT Program
are distributed among eligible institutions based on a formula**.**

For Fiscal year (FY) 2009, approximately \$1,250,000 is expected to be
available to fund approximately 80 awards.

Only full-time, **SECOND-YEAR** or more nurse anesthesia students are
eligible for appointment under the NAT Program. Institutions must submit
a separate application under the *Advanced Education Nurse Traineeship
Program (HRSA-09-102)* to request support for first-year nurse
anesthesia students.

Eligible applicants are education programs in accredited schools of
nursing, academic health centers, and other private or public entities
that provide registered nurses with full-time nurse anesthetist
education and are accredited, or have initial accreditation, by the
American Association of Nurse Anesthetists Council on Accreditation
(COA) of Nurse Anesthesia Educational Programs. All applicants must be
accredited as outlined in this guidance.

**FUNDING FACTORS**

Under the *Nurse Anesthetist Traineeship Program*, funding factors are a
"statutory funding preference" and a "special consideration" (see
below). Funding factors may be applied in determining the funding of
approved applications. A funding factor is defined as a favorable
financial adjustment of the formula that determines the amount of the
grant award. Applicants that qualify for one or both of the funding
factors may receive an increase to their grant award amount.

**Statutory Funding Preference**

As provided in section 805 of the Public Health Service (PHS) Act, a
"Statutory Funding Preference" will be applied to approved applications
that will substantially benefit rural **OR** underserved populations,
**OR** help meet public health nursing needs in State or local health
departments.

**Special Consideration**

Section 811(f)(3) of the PHS Act, as amended by the Nursing Education
and Practice Improvement Act of 1998, provides for a "Special
Consideration" to eligible entities that agree to expend the award to
train advanced education nurses who will practice in Health Professional
Shortage Areas (HPSAs) designated under section 332 of the PHS Act as
amended.

Guidance Table of Contents

I. Funding Opportunity Description 5

[Purpose](#__RefHeading___Toc47265097) 5

Background 5

II\. Award Information 5

Type of Award 5

[Summary of Funding 5](#__RefHeading___Toc47265102)

III\. Eligibility Information 5

> 1\. Eligible Applicants 5
>
> 2\. Cost Sharing/Matching 8
>
> 3\. Other Eligibility Information 8

IV\. Application and Submission Information 10

1\. Address to Request Application Package 10

Application Materials 10

> 2\. Content and Form of Application Submission 11
>
> Application Format Requirements 11
>
> Application Format 12
>
> i\. Application Face Page 15
>
> DUNS
> Number..................................................................................15
>
> ii\. Table of Contents 15
>
> [iii. Application Checklist 15](#__RefHeading___Toc47265120)
>
> iv\. Budget 16
>
> [v. Budget Justification 16](#__RefHeading___Toc47265122)
>
> [vi. Staffing Plan and Personnel Requirements
> 16](#__RefHeading___Toc47265123)
>
> vii\. Assurances 16
>
> [viii.
> Certifications....................................................................................16](#__RefHeading___Toc47265124)
>
> ix\. [Project Abstract 16](#__RefHeading___Toc47265126)
>
> x\. Program Narrative 16
>
> xi[. NAT Program Specific Forms 17](#__RefHeading___Toc47265128)

3\. Submission Dates and Times 17

[4. Intergovernmental Review](#__RefHeading___Toc47265137) 18

5\. Funding Restriction(s) 18

6\. Other Submission Requirements 19

V. Application Review Information 20

> [1. Review Criteria](#__RefHeading___Toc47265143) 20
>
> 2\. Review and Selection Process 20
>
> 3\. Anticipated Announcement and Award Dates 21

VI\. Award Administration Information 21

> 1\. Award Notices 21
>
> 2\. Administrative and National Policy Requirements 22
>
> 3\. Reporting 23

VII\. Agency Contacts 23

VIII\. Other Information: Program
Definitions.................................................................24

IX\. Tips for Writing a Strong
Application......................................................................29

X.
Appendices.....................................................................................................32
Appendix A: Electronic Submission
Guide...........................................................40

> Appendix B: Registering and Applying Through
> Grants.Gov.................................\....62
>
> Appendix C: Instructions for the SF424R&R (Research & Related) Short
> Form..............68
>
> Appendix D: NAT Program
> Attachments...........................................................87
>
> Attachment 1: NAT Program
> Agreement................................................. 89
>
> Attachment 2: Full-Time and Part-Time Status/Tuition, Fees and
> Stipends.........90
>
> Attachment 3: Accreditation
> Documentation..............................................92
>
> Attachments 4-6: Biographical Sketch, Project Abstract and Program
> Narrative....
>
> NAT Program Tables and
> Instructions..........................................................93
>
> Table 1 - NAT: Enrollment, Traineeship Support and Graduate Data
>
> Table 2 - NAT: Graduate Data -- Rural, Underserved, or Public Health

Table 3 - NAT: Ethnicity Data

Table 4 -- NAT: Racial / Disadvantaged Data

NAT Special Consideration Assurance
Statement.........................................

**FUNDING OPPORTUNITY DESCRIPTION**

> **Purpose**
>
> Title VIII of the Public Health Service (PHS) Act, as amended by
> Subtitle B, of the *Nursing Education and Practice Improvement Act of
> 1998* of Public Law 105-392, authorizes grants for traineeships that
> will pay all or part of the costs of the tuition, books, and fees of
> the program of nurse anesthesia, and the reasonable living expenses of
> the licensed registered nurse during the period for which the
> traineeship is provided. This announcement solicits applications for
> the Nurse Anesthetist Traineeship (NAT) program.

**Background**

> The NAT program is an important program supporting access to nurse
> anesthetist care for underserved populations. The mission of the
> HRSA's BHPr is to increase the population's access to health care by
> providing national leadership in the development, distribution and
> retention of a diverse, culturally competent health workforce that can
> adapt to the population's changing health care needs and provide the
> highest quality of care for all.  BHPr serves as a focal point for
> those interested in health professions and workforce issues. 
> Additional information about the Bureau of Health Professions and its
> programs is available at <http://bhpr.hrsa.gov/>. 

  

## AWARD INFORMATION

1.  **Type of Award**

> Funding will be provided in the form of grants. The funds appropriated
> for the NAT program are distributed among eligible institutions based
> on a formula. The projects are awarded annually.

2.  **Summary of Funding**

> The NAT Program will provide funding during Federal fiscal year 2009
> (FY 09). For FY09, approximately \$1,250,000 is expected to be
> available to fund approximately 80 awards.

I.  **ELIGIBILITY INFORMATION**

1.  **Eligible Applicants**

> Eligible applicants are collegiate schools of nursing, academic health
> centers, and other private or public entities accredited by a national
> nurse education accrediting agency or State approval agency recognized
> by the Secretary of the U.S. Department of Education. For FY 2008,
> these agencies include the Commission on Collegiate Nursing Education
> (CCNE), the National League for Nursing Accrediting Commission
> (NLNAC), Kansas Board of Nursing, Maryland Board of Nursing, Missouri
> Board of Nursing, Montana Board of Nursing, North Dakota Board of
> Nursing or New York Board of Nursing; and the Council on Accreditation
> of Nurse Anesthesia Programs of the American Association of Nurse
> Anesthetists. All nursing programs and consortium partners, if
> applicable, associated with the project, must be accredited for the
> purpose of nursing education. Applicants must submit documentation
> providing proof of accreditation (e.g., an accreditation letter from
> the accrediting agency or a copy of the certificate of accreditation)
> with the application. Failure to provide proof of accreditation with
> the HRSA program application will render the application
> non-responsive and the application will not be considered for funding
> under this announcement.
>
> **Accreditation for Newly Established Graduate Program of Nursing:** A
> new graduate program of nursing that, by reason of an insufficient
> period of operation, is not, at the time of the submission of an
> application for a grant or contract under this title, eligible for
> accreditation by such a recognized body or bodies or State agency,
> shall be deemed accredited for the purposes of this title if the
> Secretary of Education finds, after consultation with the appropriate
> recognized State approval or accrediting body or bodies, that there is
> reasonable assurance that the program will meet the accreditation
> standards of such body or bodies prior to the beginning of the
> academic year following the normal graduation date of students of the
> first entering class in such a program.  For Fiscal year 2009, there
> is no specific accreditation available through CCNE or NLNAC for
> doctoral programs. Applicants requesting support for doctoral programs
> should include documentation of accreditation of their graduate
> programs. Applicants that are requesting a "substantive change" to an
> existing accredited graduate nursing education program do
> **[not]{.underline}** need to contact the Department of Education,
> however, must include acknowledgement from the specific accrediting
> body regarding approval of the "substantive change".
>
> The following process must be followed for new graduate program
> applicants just beginning the accreditation process who wish to
> establish eligibility based on the provisions above:

-   The applicant must contact a national nursing accrediting agency or
    State approval body recognized by the Secretary of the Department of
    Education to obtain a reasonable assurance letter. These agencies
    are listed above. The letter from the recognized body should state
    that the new program is an accrediting activity that falls within
    the scope of the Secretary's recognition and that there is
    reasonable assurance that the new program will meet the
    accreditation/approval standards prior to the beginning of the
    academic year following the normal graduation date of students of
    the first entering class in such a program. The letter from the
    recognized accrediting body must answer/report the following
    questions/information related to the new program:

    1.  Is this program actively pursuing accreditation with your
        agency?

    2.  Provide the date of each program's pending application for
        accreditation and the date or approximate date when your
        decision-making body is likely to decide whether to grant or
        deny accreditation for this program.

    3.  Are any other nursing education programs at this institution
        currently accredited by your agency, and are those programs in
        good standing with your agency?

    4.  At this point in the pending application process, what stages of
        the accreditation process has this program completed, and what
        stages remain to be completed? Please summarize the kinds of
        materials already submitted in support of the program's
        application and reviewed by your agency, as well as any on-site
        visits that have occurred.

    5.  Based on your records, what will be the start date or
        approximate start date of the program's academic year that
        immediately follows the expected graduation date for the
        students comprising the program's first entering class?

    6.  Based on your agency's review of each program to date, do you
        have any reason to believe that the program will be unable to
        demonstrate compliance with your standards and requirements and
        gain accreditation by the beginning of the academic year
        following the normal graduation date of students of the first
        entering class in such a program?  If so, why?

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-   The applicant will submit the request for a letter of assurance
    along with attached copies of the letter from the recognized body
    and any supporting documentation regarding the accreditation or
    approval of the nursing program to:

> U.S. Department of Education
>
> Attn: Accreditation and State Liaison Unit (Cathy Sheffield)
>
> 1990 K Street, NW, Room 7126
>
> Washington, DC 20006-8509
>
> Telephone: (202) 219-7011
>
> Fax: (202) 219-7005
>
> Or by email to: <cathy.sheffield@ed.gov>

-   To allow for processing time, **[at least 45 days prior to the HRSA
    application due date of November 14, 2008]{.underline}**, applicants
    should submit to the Department of Education the above information,
    with their request for a letter documenting the Secretary's
    determination that there is "reasonable assurance" the new graduate
    program will meet the appropriate accreditation
    [standards]{.underline} prior to the beginning of the academic year
    following the normal graduation date of students of the first
    entering class in such a program. [The program will need to include
    a contact name(s),]{.underline}

> [address(es), phone number(s), and email addresses with all
> correspondence sent to the Department of Education]{.underline}.

-   The Department of Education staff will review the documents
    submitted by the applicant, make a "reasonable assurance"
    determination, and send the applicant a letter documenting the
    Secretary's determination.

-   [The applicant must include this letter from the Department of
    Education with the HRSA application (Attachment 3)]{.underline}.
    Failure to provide the Department of Education's

> letter with the HRSA application will render the application
> non-responsive and the application will not be considered for funding
> under this announcement.

2.  **Cost Sharing/Matching**

> Cost sharing is not required for the NAT program.
>
> **Other Eligibility Information**
>
> \(1\) Applicants must submit a **[single application per
> campus]{.underline}**.
>
> \(2\) Only full-time, **SECOND-YEAR** or beyond nurse anesthesia
> students are eligible for appointment under the NAT Program. **NOTE:**
> **Institutions must submit a separate application under the *Advanced
> Education Nurse Traineeship Program (HRSA-09-102)* to request support
> for first-year nurse anesthesia students.**
>
> **[Guidelines for Nurse Anesthesia Programs]{.underline}**
>
> Projects that enhance nurse anesthesia programs must provide
> registered nurses with full-time nurse anesthetist education.
> **Evidence of accreditation from the American Association of Nurse
> Anesthetists' (AANA) Council on Accreditation (COA) of Nurse
> Anesthesia Educational Programs must be provided and submitted as an
> attachment with the application. Applicants that require ongoing
> accreditation during the specified project period should provide
> documentation of the date of the scheduled site visit by the COA.**
>
> **Documentation of the program's approval by the COA for major
> programmatic changes must also be provided and submitted with the
> application.** In the case of new programs, please reference Section
> III of this guidance concerning what is required for all "new
> programs".
>
> Advanced education nursing programs must meet all applicable Federal
> guidelines and/or graduates must be eligible for national nursing
> organization certification, and/or programs must meet other national
> organizational guidelines, as appropriate, in the nursing field of
> study. **A statement regarding eligibility for graduates of the
> program to sit for the certification examination from the American
> Association of Nurse Anesthetists (AANA) Council on Certification of
> Nurse Anesthetists must be included in the Program Narrative.**
>
> **[Requirements for the Nurse Anesthetist Traineeship
> Program]{.underline}**
>
> The institution must adhere to the following requirements for use of
> grant funds, student eligibility, appointment and termination of
> student trainees, and length of support.
>
> **Use of Funds** -- The grantee is responsible for the disbursement of
> grant funds to eligible students. The following statements indicate
> how traineeship grant funds may be used:

1)  NAT grant funds may be used only to support traineeships awarded
    under the terms of the Notice of Grant Award.

2)  Stipends for students cannot exceed \$8,800 per year and are to be
    prorated for training periods involving less than 12 months.

3)  Full tuition and fees are allowable costs.

4)  Required textbooks are an allowable cost up to \$500 per trainee.
    However, books for library or personal use may [NOT]{.underline} be
    charged to the grant.

5)  Trainee travel is [NOT]{.underline} an allowable expense.

> **Eligible Students --** To be eligible for NAT Program support, the
> student must be:

1)  a registered nurse **enrolled full-time beyond the first 12 months
    of study** in a master or doctoral nurse anesthesia program;

2)  a citizen of the United States, a non-citizen national, or foreign
    national who possesses a visa permitting permanent residence in the
    United States (Individuals on temporary or student visas are
    [NOT]{.underline} eligible to receive NAT Program support.);

> and

3)  graduates should be eligible to sit for the certification
    examination from the American Association of Nurse Anesthetists
    (AANA) Council on Certification of Nurse Anesthetists to become a
    Certified Registered Nurse Anesthetist (CRNA).

> **Appointment of Trainees --** The grantee is responsible for the
> appointment of eligible students as trainees. Following the receipt of
> the Notice of Grant Award:

1)  Only full-time, **SECOND-YEAR** or more nurse anesthesia students
    are eligible for appointment under the NAT Program. **NOTE:**
    **Institutions must submit a separate application under the
    *Advanced Education Nurse Traineeship Program (HRSA-09-102)* to
    request support for first-year nurse anesthesia students.**

2)  A trainee may be appointed at the [beginning of any academic
    period]{.underline}, including a summer session, which falls within
    the budget period specified by the current Notice of Grant Award.

3)  The training period supported by a traineeship may extend beyond the
    budget period [only if the training is continuous]{.underline}.

4)  Each new appointment or reappointment must be made for a [period of
    not less than 9 months]{.underline}, except to complete the required
    program of study.

5)  No appointment or reappointment may exceed 12 months.

6)  Trainees must agree to provide the institution with the necessary
    information to complete the required **Statement of Appointment**
    form (<http://grants.nih.gov/grants/forms.htm>[)]{.underline}. **The
    records are filed at the university / institution and
    [not]{.underline} submitted to HRSA[.]{.underline}**

7)  Trainees must agree to submit data regarding professional activity
    following graduation to the School of Nursing.

> **Length of Support** -- Under the NAT Program, the maximum length of
> support per student is limited to 18 months. The initial traineeship
> appointment must be made for a full academic year, not to exceed 12
> months. However, a shorter appointment may be made when necessary to
> enable the trainee to complete the training program. A re-appointment
> may not exceed 9 months.
>
> *NAT Program support for each individual recipient:*

1)  is limited to students enrolled full-time;

2)  is awarded on a yearly basis;

3)  is not transferable from the grantee institution which provided the
    support; and

4)  may be provided by more than one institution if the student who has
    a traineeship at one institution receives an appointment in another
    institution, but only if the cumulative traineeship support received
    does not exceed 18 months.

> **Termination of Trainees --** The grantee is responsible for
> monitoring the academic success or failure of each trainee and for the
> termination of an NAT trainee, if the trainee:

1)  is unable to complete the program of study for which the traineeship
    was

> awarded;

2)  withdraws from the institution prior to the scheduled completion of
    the program;

3)  fails to meet the predetermined academic standards of the
    institution; or

4)  requests to terminate NAT Program support.

    IV. **APplication and Submission Information**

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1.  **Address to Request Application Package**

    **Application Materials**

> 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]{.underline} by the
> Director of HRSA's Division of Grants Policy or designee. Applicants
> must request an exemption in writing from <DGPWaivers@HRSA.gov>, and
> provide details as to why they are technologically unable to submit
> electronically through the Grants.gov portal. Make sure you specify
> the announcement number for which you are seeking relief, and include
> specific information, including any tracking or anecdotal information
> received from Grants.gov and/or the HRSA Call Center, in your
> justification request. As indicated in this guidance, **HRSA and its
> Grants Application Center (GAC) will only accept alternative
> submission methods 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 and submission
> process.
>
> Applicants must submit proposals according to the instructions in
> Appendix A, using this guidance in conjunction with the Standard Form
> 424 Research and Related (SF-424 R&R) Short Form. These forms contain
> additional general information and instructions
>
> for grant applications, proposal narratives, and budgets. These forms
> may be obtained from the following sites by:

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

> or

(2) Contacting the HRSA Grants Application Center at:

> The Legin Group, Inc.
>
> ATTN: Nurse Anesthetist Traineeship **HRSA-09-103**
>
> 910 Clopper Road, Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 877-477-2123
>
> <HRSAGAC@hrsa.gov>
>
> Instructions for preparing portions of the application that must
> accompany Standard Form 424 Research and Related (SF 424 R&R) Short
> Form appear in the "Application Format" section below.
>
> **Note:** Once the application has been successfully submitted through
> Grants.gov, the applicant will receive an email from HRSA within 7
> business days. This email will provide instructions and necessary
> information needed to access your application through HRSA's
> Electronic Handbooks) EHBs. This email will be sent to the authorizing
> official, the business official, the point of contact and the project
> director listed on the face page of the application.
>
> Data for Tables 1 through 4 for the Nurse Anesthetist Traineeship
> Program, as well as for the NAT Special Consideration Assurance
> Statement must be entered electronically via the HRSA's EHBs.
>
> Copies of these tables are included in this application guidance for
> your reference. **[Do not include them as part of the Grants.gov
> application submission]{.underline}** since you will be entering the
> data online in the HRSA EHB (Phase 2) upon receiving the instructions
> from HRSA.

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

**Application Format Requirements**

**[IMPORTANT NOTE:]{.underline}** The application process is divided
into two phases:

-   **Phase 1** **(Grants.gov)** - Standard Form (SF 424 R&R Short Form)
    and HHS Checklist Form PHS 5161-1 must be submitted via Grants.gov
    with a due date of November 14, 2008.

-   **Phase 2 (HRSA EHBs)** -- Biographical Sketch, Project Abstract,
    Program Narrative, NAT Attachments and NAT Program Specific Tables
    must be submitted via the HRSA's EHBs with a due date of December 5,
    2008.

    All grant applicants who successfully submit the Standard Form (SF
    424 R&R) Short Form and HHS Checklist Form PHS-5161 in Grants.gov by
    the application due date will be notified via e-mail regarding
    availability of the online module for data entry of the Biographical
    Sketch, Project Abstract, Program Narrative, NAT Attachments and NAT
    Program Specific Tables in HRSA's EHBs. **[Only applicants who
    successfully submit an application in Grants. Gov (Phase 1) by the
    due date may submit the additional information and NAT Program
    Specific Tables in HRSA's EHBs (Phase 2)]{.underline}**.

    See Appendix A, Section 4 for detailed application submission
    instructions in the HRSA's EHBs. These instructions must be
    followed.

    See Appendix B and C for detailed instructions on electronic
    submission through Grants.gov.

    See Appendix D for instructions on program specific forms and
    guidelines.

    Also refer to the instructions provided in this section for a
    checklist of all required forms and the submission source. These
    instructions must be followed.

    The total size of all uploaded files **may not exceed the equivalent
    of 20 pages when printed by HRSA, approximately 3MB. This 20-page
    limit includes the project abstract, program narrative,
    attachments.** Standard forms are NOT included in the page limit.

    **Applications that exceed the specified limits (20 pages when
    printed by HRSA, or approximately 3MB) 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 Short Form / NAT Program -- Table of Contents

-   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 those particular applicants will be notified.

-   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.

+------------------+------+-----------------+-------------------------+
| **Application    | **   | **Instruction** | **HRSA/Program          |
| Section**        | Form |                 | Guidelines**            |
|                  | Ty   |                 |                         |
|                  | pe** |                 |                         |
+==================+======+=================+=========================+
| Application for  | Form | Pages 1 and 2   | Required. Not counted   |
| Federal          |      | of the R&R face | in the page limit       |
| Assistance       |      | page. Refer to  |                         |
|                  |      | Appendix C in   | If you received funding |
| SF-424 R&R Short |      | this guidance   | for this program last   |
| Form Cover Page  |      | for general     | year, in Box 8, select  |
|                  |      | instructions.   | "**Renewal**" and in    |
|                  |      |                 | Box 4 enter your grant  |
|                  |      |                 | number from Box 4b of   |
|                  |      |                 | the Notice of Grant     |
|                  |      |                 | Award.                  |
|                  |      |                 |                         |
|                  |      |                 | If you did not receive  |
|                  |      |                 | funding for this        |
|                  |      |                 | program last year, use  |
|                  |      |                 | "**New**".              |
+------------------+------+-----------------+-------------------------+
| HHS Checklist    | Form | Pages 1 and 2   | Required. Not counted   |
| Form PHS-5161    |      | of the HHS      | in the page limit       |
|                  |      | Checklist.      |                         |
+------------------+------+-----------------+-------------------------+
| Project Abstract | At   | Complete in     | Required attachment.    |
|                  | tach | HRSA EHBs --    | Counted in the page     |
|                  | ment | Attachment 5    | limit. Refer to         |
|                  |      |                 | guidance for detailed   |
|                  |      |                 | instructions.           |
+------------------+------+-----------------+-------------------------+
| Program          | At   | Complete in     | Required attachment.    |
| Narrative        | tach | HRSA EHBs --    | Counted in the page     |
|                  | ment | Attachment 6    | limit. Refer to         |
|                  |      |                 | guidance for detailed   |
|                  |      |                 | instructions.           |
+------------------+------+-----------------+-------------------------+

-   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.

    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        NAT Program Agreement (electronic version)

  Attachment 2        Full-Time and Part-Time Status/Tuition, Fees and
                      Stipends

  Attachment 3        Accreditation Documentation

  Attachment 4        Biographical Sketch

  Attachment 5        Project Abstract

  Attachment 6        Program Narrative

  Attachments7-15     Other NAT Attachments not requested elsewhere
  -----------------------------------------------------------------------

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

-   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.

+------------------+------+-----------------------+-------------------+
| **Application    | **   | **Instruction**       | **HRSA/Program    |
| Section**        | Form |                       | Guidelines**      |
|                  | Ty   |                       |                   |
|                  | pe** |                       |                   |
+==================+======+=======================+===================+
| NAT Program      | Form | Table 1 - NAT:        | **To be entered   |
| Tables           |      | Enrollment,           | into the EHB as   |
|                  |      | Traineeship Support   | Phase 2 of the    |
|                  |      | and Graduate Data     | application       |
|                  |      |                       | process**         |
|                  |      | Table 2 - NAT:        |                   |
|                  |      | Graduate Data --      |                   |
|                  |      | Rural, Underserved,   |                   |
|                  |      | or Public Health      |                   |
|                  |      |                       |                   |
|                  |      | Table 3 - NAT:        |                   |
|                  |      | Ethnicity Data        |                   |
|                  |      |                       |                   |
|                  |      | Table 4 -- NAT:       |                   |
|                  |      | Racial/Disadvantaged  |                   |
|                  |      | Data                  |                   |
+------------------+------+-----------------------+-------------------+
| Special          | Form | NAT Special           | **To be entered   |
| Consideration    |      | Consideration         | into EHB as Phase |
| Assurance        |      | Assurance Statement   | 2 of the          |
| Statements       |      |                       | application       |
|                  |      |                       | process.**        |
+------------------+------+-----------------------+-------------------+

> **Data for Tables 1 through 4 for the Nurse Anesthetist Traineeship
> Program must be entered electronically via HRSA's EHB along with the
> electronic version of the NAT Special Consideration Assurance
> Statement.**
>
> Copies of these tables are included in the application guidance for
> your reference. Do [not]{.underline} include them as part of the
> Grants.gov application submission, since you will be entering the data
> online in the EHBs (Phase 2) after receiving the instructions from
> HRSA.
>
> **[NOTE:]{.underline}** Once the application has been successfully
> submitted to Grants.gov, the applicant will receive an email from HRSA
> within 7 business days. This email will provide instructions and
> necessary information needed to access your application through HRSA's
> EHBs. This email will be sent to the authorizing official, the
> business official, the point of contact and the project director
> listed on the face page of the application. Your application will not
> be considered submitted unless you review and submit the additional
> information in HRSA's EHBs. Refer to the HRSA Electronic Submission
> Guide provided in Appendix A (Section 4) of this guidance for complete
> process and instructions.

#### i. Application Face Page  {#i.-application-face-page .unnumbered}

> Applicants shall use SF-424 R&R Short Form provided with the
> application package. Prepare this page according to instructions
> provided in the form itself. For information pertaining to the Catalog
> of Federal Domestic (CFDA) Assistance, **the CFDA Number is 93.124**.

#### 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> 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>.

####  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

> Use SF-424 R&R Short Form provided with the application package.

**iv. Budget**

The NAT Program is a formula-based grant program that does not require
submission of a formal budget.

> **v.**[]{#__RefHeading___Toc47265122 .anchor} **Budget Justification**
>
> The NAT Program is a formula-based grant program that does not require
> submission of a formal budget.

[]{#__RefHeading___Toc47265123 .anchor} **vi. Staffing Plan and
Personnel Requirements**

> Applicants must provide a Biographical Sketch for the Project Director
> that will be assigned to the project. See instructions on the NAT
> Table of Contents; include as Attachment 4 in the EHBs.

#### vii. Assurances

> SF 424 R&R Short Form includes a list of assurances.
>
> **viii. Certifications**
>
> SF 424 R&R Short Form includes a list of certifications.
>
> **ix. Project Abstract - EHBs**
>
> Provide a summary of the application. Because the abstract is often
> distributed to provide information to the public and Congress, please
> prepare this abstract 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. **The project abstract must be single-spaced and limited to
> one page in length.**
>
> [Please place the following at the **top** of the Project
> Abstract:]{.underline}

-   Project Director Name and Credentials

-   Project Title

-   Applicant Name

-   Address

-   Project Director Contact Phone and Fax Numbers

-   Project Director E-Mail Address

-   Web Site Address, if applicable

> **x.** **Program Narrative - EHBs**
>
> This section provides a comprehensive framework and description of all
> aspects of the proposed program. It should be succinct,
> self-explanatory and well organized. Use the following section headers
> for the Narrative:

-   INTRODUCTION

> This section should briefly describe the purpose of the proposed
> project and include a brief description of the Nurse Anesthesia
> program offered at the institution.

-   NEEDS ASSESSMENT

> Briefly describe the institution's need for traineeship support and
> the impact that the traineeship program has on the institution.
> Briefly provide information on the number of students expected to
> receive support under the NAT Program. Applicants must provide summary
> information on the nurse anesthetist student enrollees; enrollees
> (trainees) supported, graduates, and projected enrollees. **This
> information must be consistent with the data provided on Table 1.**
> Project the total number of students to be enrolled in the program
> during the following fiscal year.
>
> Schools must provide information on how [full-time status]{.underline}
> is defined by the institution and provide information on the total
> [costs of tuition, fees, and stipend]{.underline} support that will be
> required to support students for the budget period. See Attachment 2.

-   ORGANIZATIONAL INFORMATION

> Provide information on the School of Nursing or sponsoring
> institution's current mission and structure, scope of current
> activities, and describe how these all contribute to the ability of
> the organization to conduct the program requirements and meet program
> expectations.
>
> **xi. NAT Program Specific Forms**
>
> The following forms, information, tables and instructions are specific
> for the NAT Program.

-   **NAT Program Forms and Information (HRSA's EHBs - Phase 2)**

> Attachment 1: NAT Program Agreement (electronic version)
>
> Attachment 2: NAT Full-Time and Part-Time Status/Tuition, Fees and
> Stipends
>
> Attachment 3: Accreditation Documentation
>
> Attachments 4-6: Biographical Sketch, Project Abstract, and Program
> Narrative

-   **NAT Program Tables and Instructions (HRSA EHB - Phase 2)**

> Table 1 - NAT: Enrollment, Traineeship Support and Graduate Data

Table 2 - NAT: Graduate Data -- Rural, Underserved, or Public Health

Table 3 - NAT: Ethnicity Data

Table 4 - NAT: Racial / Disadvantaged Data

NAT Special Consideration Assurance Statement (electronic version)

> **3. Submission Dates and Times**
>
> **A****pplication Due Dates**
>
> **The due date in Grants.gov (Phase 1) for applications under this
> grant announcement is November 14, 2008 at 8:00P.M. ET. The due date
> to complete all other required information in HRSA's EHBs (Phase 2) is
> December 5, 2008 at 5:00pm E.T.** Applications will be considered as
> meeting the deadline if they are E-marked on or before the due date.
> Please consult Appendix A, Section 4 for detailed instructions on
> submission requirements.
>
> **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 4 for important information on
> applying through Grants.gov.
>
> After successful submission of the above forms in Grants.gov (Phase 1)
> and subsequent processing by HRSA, you will be notified by HRSA
> confirming the successful receipt of your application and the
> requirements for the Project Director and Authorizing Official to
> review and submit additional information in the HRSA's EHBs (Phase 2).
> **[Your application will not be considered compliant and complete
> unless you review and submit the additional information in HRSA's EHBs
> by the due date.]{.underline}** Refer to Section 4 of the HRSA
> Electronic Submission Guide provided in Appendix A of this guidance
> for complete process and instructions.
>
> Notifications from HRSA's EHBs are expected to go out within 7
> business days from the date of submission. If you do not receive
> notification that your application has been successfully received,
> please 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>. Please
> have your Grants.gov tracking number available.
>
> **[Late applications:]{.underline}**
>
> Applications which do not meet the criteria above are considered late
> applications. The Health Resources and Services Administration shall
> notify each late applicant that its application will not be considered
> in the current competition.
>
> The Chief Grants Management Officer (CGMO) or designee may authorize
> an extension of published deadlines when justified by circumstances
> such as 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).

2.  **Intergovernmental Review**

    The NAT Program is not subject to the provisions of Executive Order
    12372, as implemented by 45 CFR 100.

3.  **Fundin****g Restrictions**

    Funding is limited to trainee costs and enrollees beyond the 12
    months of study only. Only full-time, **SECOND-YEAR** or beyond
    nurse anesthesia students are eligible. According to current
    legislation, no more than ten percent of the traineeship funds may
    be obligated for individuals in doctoral degree programs.

4.  **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 registers*** in Grants.gov and becomes
> 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 register successfully 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 web site 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 through
> Grants.gov and the Project Director (or designate) electronically
> submits the required supplemental information to HRSA EHBs.

### Applications will be considered as having met the due dates if: (1) the application has been successfully transmitted electronically by your organization's Authorizing Official through Grants.gov on or before the due date and time, and (2) the Project Director has entered the HRSA EHBs to review the application and submit additional information prior to the due date. {#applications-will-be-considered-as-having-met-the-due-dates-if-1-the-application-has-been-successfully-transmitted-electronically-by-your-organizations-authorizing-official-through-grants.gov-on-or-before-the-due-date-and-time-and-2-the-project-director-has-entered-the-hrsa-ehbs-to-review-the-application-and-submit-additional-information-prior-to-the-due-date. .unnumbered}

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

1.  **Review Criteria**

    This is a formula-based grant program. The Division of Nursing is
    responsible for managing the objective review of the NAT Program.
    The Division of Nursing Staff objectively reviews each application
    for eligibility, qualifications of the Project Director,
    completeness, accuracy (including the data reported on NAT Tables 1
    -- 4) and compliance to the application guidance and grant policies.

2.  **Review and Selection Process**

> The funds appropriated for the NAT Program are distributed among
> eligible institutions based on a formula. Applicants are requested to
> provide program data on student enrollment, traineeship support and
> graduates. **Program data reported on NAT Tables 1 and 2 are used to
> determine funding.** All four NAT tables must be submitted
> electronically in the EHBs with the Phase 2 submission. **Applications
> received without the appropriate tables will be deemed non-responsive
> to the Program Guidance and will not be considered for funding under
> this announcement.**

-   **FUNDING FACTORS**

> Under the NAT Program, funding factors are a "statutory funding
> preference" and a "special consideration" (see below). Funding factors
> may be applied in determining the funding of approved applications. A
> funding factor is defined as a favorable financial adjustment of the
> formula that determines the amount of the grant award. Applicants that
> qualify for one or both of the funding factors may receive an increase
> to their grant award amount.
>
> **Statutory Funding Preference**
>
> As provided in section 805 of the Public Health Service (PHS) Act, a
> "Statutory Funding Preference" will be applied to approved
> applications that will substantially benefit rural
>
> **OR** underserved populations, **OR** help meet public health nursing
> needs in State or local health departments.
>
> Preference will be given to any qualified applicant for the Nurse
> Anesthetist Traineeship grant that demonstrates a **"high rate"** of
> graduates accepting positions in practice settings that will
> substantially benefit rural or underserved populations, or help meet
> public health nursing needs in State or local health departments.
>
> ***"High rate" is defined as a [minimum of 40 percent of
> graduates]{.underline} in academic year 7/1/2007-6/30/2008 who spend
> at least 50 percent of their work-time in clinical practice sites
> substantially benefiting rural or underserved populations, or in State
> or local health departments.***
>
> For the purpose of this **statutory funding preference**, data
> collected on practice setting locations [of graduates reported in
> *Table 2: Graduate Data - Rural, Underserved, or *]{.underline}
>
> [*Public Health (7/01/07 - 6/30/08)* will be used to determine if the
> applicant has met the requirement]{.underline}. Credit for the
> statutory funding preference will be automatically computed.
>
> **Special Consideration**
>
> Section 811(f)(3) of the PHS Act, as amended by the Nursing Education
> and Practice Improvement Act of 1998, provides for a "Special
> Consideration" to eligible entities that agree to expend the award to
> train advanced education nurses who will practice in Health
> Professional Shortage Areas (HPSAs) designated under section 332 of
> the PHS Act.
>
> Special consideration will be given to those applicants who provide a
> statement that a **minimum of ten (10) percent** of the students have
> signed commitments to practice in HPSAs after graduation, contingent
> to receiving some type of student assistance. Students who have signed
> such agreements are subject to the terms and conditions as
>
> identified by the student assistance programs in the school. **Signed
> commitments [must not]{.underline} be mailed to HRSA but retained by
> the school of nursing for three years**.
>
> Applicants requesting Special Consideration must assure compliance by
> completing the electronic "Special Consideration Assurance Statement".
>
> **3. Anticipated Announcement and Award Dates**

The anticipated announcement and award date is July 1, 2009.

V.  **Award Administration Information**

    1.  **Award Notices**

        The Notice 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 period for which initial support
        will be given, the non-Federal share to be provided (if
        applicable), and the one year project period. Signed by the
        Grants Management Officer, it is sent to the applicant

        agency's Authorized Representative, and reflects the only
        authorizing document. The award start date is July 1, 2009.

        **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 the grant based on
> recipient type and purpose of 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/>. 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 Grant Award).
>
> HRSA is committed to ensuring access to quality health care for all.
> Quality care means access to services, information, materials
> delivered by competent providers in a manner that factors in the
> language needs, cultural richness, and diversity of populations
> served. Quality also means that, where appropriate, data collection
> instruments used should adhere to culturally competent and
> linguistically appropriate norms. For additional information and
> guidance, refer to the National Standards for Culturally and
> Linguistically Appropriate Services in Health Care published by HHS.
> This document is available online at <http://www.omhrc.gov/CLAS>.
>
> Awards issued under this guidance are subject to the requirements of
> Section 106 (g) of the Trafficking Victims Protection Act of 2000, as
> amended (22 U.S.C. 7104). For the full text of the award term, go to
> <http://www.hrsa.gov/grants/trafficking.htm>. If you are unable to
> access this link, please contact the Grants Management Specialist
> identified in this guidance to obtain a copy of the Term.

**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 program's objectives and/or sub-objectives relate to
the goals of the Healthy People 2010 initiative in the [Program
Narrative]{.underline}**.

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

Reporting requirements have changed. 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 (PMS). 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 PSC-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**

    The annual Financial Status Report (FSR), SF 269, is no longer
    required. For the purpose of this grant program, your quarterly PMS
    272 Report will be used to fulfill your financial reporting
    requirement. Timely/ accurate information provided in the PMS 272
    will be used in lieu of the FSR.

    **VII. Agency Contacts**

    Applicants may obtain additional information regarding business or
    fiscal issues related to this grant announcement by contacting:

> **Ardena Githara**
>
> Grants Management Specialist
>
> Division of Grants Management Operation, OFAM
>
> 5600 Fishers Lane Room 11A-02
>
> Rockville, MD 20857
>
> Telephone: 301-443-4903
>
> Fax: 301-443-6343
>
> Email Address: <AGithara@HRSA.gov>
>
> Additional information related to the overall program issues and
> technical assistance may be obtained by contacting:
>
> **Karen Delia Breeden, MPA**
>
> Public Health (Program) Analyst
>
> Bureau of Health Professions, HRSA
>
> Division of Nursing
>
> 5600 Fishers Lane Room 8C-26
>
> Rockville, MD 20857
>
> Telephone: 301-443-5787
>
> Fax: 301-443-0791
>
> Email Address: <KBreeden@HRSA.gov>

**VIII. OTHER INFORMATION: PROGRAM DEFINITIONS**

The following definitions shall apply to the NAT Program for Fiscal year
2009:

**"Academic Health Center"** means an institution that includes a school
of medicine, a teaching hospital, and at least one additional health
education school (e.g. nursing) and which is owned and/or affiliated
with clinical agencies providing for the delivery of patient services.
Each entity generally maintains a separate identity and autonomy. While
the organization and structure may vary, it must include an accredited
school of nursing.

**"Accredited"** means a program accredited by a recognized body or
bodies, or by a State agency, approved for such purpose by the Secretary
of Education and when applied to a hospital, school, college, or
university (or a unit thereof) means a hospital, school, college, or
university (or a unit thereof) which is accredited by a recognized body
or bodies, or by a State agency, approved for such purpose by the
Secretary of Education. The Secretary of Education publishes a list of
recognized accrediting bodies, and of State agencies, which the
Secretary of Education determines to be a reliable authority as to the
quality of education offered at <http://ope.ed.gov/accreditation/>

Applicants to Division of Nursing programs that are just beginning the
accreditation process who want to establish eligibility based on the
provisions above should reference Section III of this guidance
information on securing the required determination from the Secretary of
Education. An official letter from the United States Department of
Education providing "reasonable assurance" of accreditation must be
submitted with the grant application.

There are two forms of accreditation: (1) professional or specialized
accreditation and (2) institutional accreditation. Professional or
specialized accreditation is focused on programs of study in
professional or occupational fields. Institutional accreditation is
focused on the quality and integrity of the total institution, assessing
the achievement of the institution in meeting its own stated mission,
goals, and expected outcomes. Professional accrediting agencies assess
the extent to which programs achieve their stated mission, goals, and
expected outcomes. Professional accrediting agencies also consider the
program's mission, goals, and expected

outcomes in determining the quality of the program and the educational
preparation of members of the profession or occupation.

**"Advanced Education Nursing Program"** means a program of study in a
collegiate school of nursing or other eligible entity which leads to a
master\'s and/or doctoral degree and which prepares nurses to serve as
nurse practitioners, clinical nurse specialists, nurse-midwives, nurse
anesthetists, nurse educators, nurse administrators, or public health
nurses, or in other nurse specialties determined by the Secretary to
require advanced education. In addition, programs to prepare advanced
education nurses through combined registered nurse to Master's degree
programs, post-nursing Master's certificate programs, and eligible
nurse-midwifery certificate programs are included as advanced nurse
education programs for purposes of this legislation. Eligible
nurse-midwifery certificate programs in existence on November 12, 1998
are included as advanced education nurses for purposes of this
legislation.

**"Advanced Education Nurse Trainee"** means a student enrolled in a
graduate program receiving traineeship support from an Advanced
Education Nursing traineeship grant.

**"Approvals"** means that a specific body, committee, Board, or
Commission at the faculty, department, school, university, or state
levels has formally voted in agreement for the initiation of or a
substantive change in the program.  This must be documented by evidence
such as copies of meeting minutes, letter from the Faculty Senate,
letter from the Board of Regents, letter from the State Finance Board,
letter from State Board of Nursing.  Each university/college has a
unique process for gaining approval to start new programs, especially
new masters and doctoral programs.  Examples of steps in the approval
process are the following:  nursing faculty curriculum committee, 
Faculty Senate, Board of Regents of the University, State Finance Board
for Higher Education, State Board of Nursing.  Applicants must list
the entities whose agreement is necessary to initiate the program and
enroll students in the program of study.

**"Certification"** means a process by which an agency or organization
validates, based upon predetermined standards, an individual nurse's
qualifications and knowledge for practice in a defined functional or
clinical area of nursing.

**"Collegiate School of Nursing"** means a department, division, or
other administrative unit in a college or university which provides
primarily or exclusively a program of education in professional nursing
and related subjects leading to the degree of bachelor of arts, bachelor
of science, bachelor of nursing, or to an equivalent degree, or to a
graduate degree in nursing, and

including advanced education related to such program of education
provided by such school, but

only if such program, or such unit, college or university is accredited
as defined in section 801(3) of the PHS Act.

**"Doctoral Program in Nursing"** means a program of instruction beyond
the baccalaureate and master's degrees in nursing (e.g. PhD, DNS, DSN,
DNSc, DNP).  Doctoral programs in nursing fall into two principal
types:  research focus and practice focus.  

**"Educationally Disadvantaged"** means 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 their
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.

**"Full-Time Student"** means a student who is enrolled on a full-time
basis as defined by the institution.

**"Graduate"** means an individual who has successfully completed all
institutional requirements necessary to be granted a degree/certificate.

**"Graduate Education Program or Training"** means a program
administered by an institution of higher learning, leading to a
master\'s or higher degree.

"**Health Literacy**" means the degree to which individuals have the
capacity to obtain, process, and understand basic health information and
services needed to make appropriate health decisions.

**"Medically Underserved Community"** as defined in section 799B(6) of
the PHS Act, means an urban or rural area or population that:

> \(1\) is eligible for designations under section 332 of the PHS Act as
> a health professional shortage area;
>
> \(2\) is eligible to be served by a migrant health center (MHC), under
> section 329 of the PHS Act, a community health center (CHC) under
> section 330 of the PHS Act, , a grantee under section 330(h) of the
> PHS Act (relating to homeless individuals), or a grantee under section
> 340A of the PHS Act (relating to residents of public housing);
>
> \(3\) has a shortage of personal health services, as 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.

In keeping with the Congressional intent that eligible entities should
not be limited to formally designated Health Professional Shortage Areas
(HPSAs) and populations served by CHCs, MHCs, or homeless health
centers, the list of types of practice sites that can be claimed under
this provision has been expanded to include 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 (NHSC) Sites

> Indian Health Services (IHS) Sites
>
> Federally Qualified Health Centers
>
> Primary Medical Care Health Professional Shortage Areas (HPSAs)
>
> State or Local Health Departments (regardless of sponsor - for
> example, local health
>
> departments that are funded by the State would qualify)
>
> Ambulatory practice sites designated by State Governors as serving
> medically
>
> underserved communities

Information on HPSAs is available on HRSA's web site under the Bureau of
Primary Health Care (BPHC) at http://bhpr.hrsa.gov/shortage or you may
call

1-800-400-2742 /

Information on CHCs, MHCs, and/or homeless health centers is available
on HRSA=s web site under the Bureau of Primary Health Care (BPHC) at:
http://bphc.hrsa.gov/about/specialpopulations.htm or you may call
1-800-400-2742.

**"Minority"** means an individual whose race or ethnicity is classified
as American Indian or Alaska Native, Asian, Black or African American,
Hispanic or Latino, Native Hawaiian or Pacific Islander.

#### 

#### ETHNICITY:

> **Hispanic or Latino:** A person of Cuban, Mexican, Puerto Rican,
> South or Central American, or other Spanish culture or origin,
> regardless of race. The term, \"Spanish origin,\" can be used in
> addition to \"Hispanic or Latino.\"
>
> **RACE:**
>
> **American Indian or Alaska Native:** A person having origins in any
> of the original peoples of North, Central, or South America, and who
> maintains tribal affiliation or community attachment.
>
> **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.
>
> **Black or African American:** A person having origins in any of the
> black racial groups of Africa. Terms such as \"Haitian\" or \"Negro\"
> can be used in addition to \"Black or African American.\"
>
> **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, the Middle East, or North Africa.

**"National of the United States"** means an individual who owes his
sole allegiance to the United States, including all U.S. citizens, and
including some individuals who are not U.S. citizens. These individuals
would include citizens of certain U.S. possessions such as American
Samoa and Northern Mariana Islands.

**"Nonprofit"** means any school, agency, organization, or institution
which is a corporation or association, or is owned and operated by one
or more corporations or associations, no part of the net earnings of
which inures, or may lawfully inure to the benefit of any private
shareholder or individual as defined in Section 801(7) of the PHS Act.

**"Nurse Anesthetist"** means a registered nurse that has successfully
completed a nurse anesthetist education program.

**"Nurse Anesthetist Trainee"** means a student enrolled in a graduate
program and who is receiving traineeship support from a nurse
anesthetist traineeship grant.

**"Part-time Student"** means an individual enrolled in an advanced
education nursing program, carrying less than the full-time course load,
as defined by the institution, and will meet degree/certificate
requirements within the twelve months following appointment as an AENT
trainee.

**"Program"** means a combination of identified courses and other
educational or training experiences at a specified academic level, the
sum of which provides the required competence(s) to practice.

**"Project"** means all proposed activities, including educational
programs, specified or described in a grant application as approved for
funding.

**"Rural Area"** means an area other than a Metropolitan Statistical
Area (MSA) as designated by the Office of Management and Budget (OMB)
based on current census data. Census tracts in certain metropolitan
areas may also be eligible if they are located at a significant distance
from the major city in the Standard Metropolitan Area (SMA).

**"School of Nursing"** means a collegiate, associate degree, or diploma
school of nursing as defined in Section 801(2) of the PHS Act, as
amended.

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

> **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
> [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
> 1-866-705-5711. Please include the DUNS number in Item 5 on the face
> page.
>
> **Keep your audience in mind.** Reviewers will use only the
> information contained in the application to assess the application.
> Therefore, the applicant should be sure the application, tables and
> responses to the program requirements and expectations are complete,
> numerically accurate and clearly written. Do not assume that reviewers
> are familiar with the applicant organization, service area, barriers
> to health care, or health care needs. 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,
> if applicable, should reflect back to the proposed activities, and all
> forms should be filled in accurately and completely.
>
> **Be organized and logical**. Ensure that the reviewers can follow the
> thought process of the applicant and that parts of the application 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.** Mathematical errors,
> 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. Make
> sure your application is 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 before sending the application forward.**
>
> **Ensure that all information is submitted at the same time. We will
> not consider additional information and/or materials (i.e. tables)
> submitted after your initial submission, nor will we accept e-mailed
> applications or supplemental materials once your application has been
> received.**

HRSA's Electronic Submission User Guide

Table of Contents

[**1.** **Introduction 3**](#__RefHeading___Toc149623370)

> [[1.1.]{.smallcaps} [Document Purpose and Scope
> 3]{.smallcaps}](#__RefHeading___Toc149623371)
>
> [[1.2.]{.smallcaps} [Document Organization and Version Control
> 3]{.smallcaps}](#__RefHeading___Toc149623372)

[**2.** **Noncompeting Continuation Application
3**](#__RefHeading___Toc149623373)

> [[2.1.]{.smallcaps} [Process Overview
> 3]{.smallcaps}](#__RefHeading___Toc149623374)
>
> [[2.2.]{.smallcaps} [Grantee Organization Needs to Register With
> Grants.gov (if not already registered)
> 3]{.smallcaps}](#__RefHeading___Toc149623375)
>
> [[2.3.]{.smallcaps} [Project Director and Authorizing Official Need to
> Register with HRSA EHBs (if not already registered)
> 3]{.smallcaps}](#__RefHeading___Toc149623376)
>
> [[2.4.]{.smallcaps} [Apply through Grants.gov
> 3]{.smallcaps}](#__RefHeading___Toc149623377)
>
> [*2.4.1* *Find Funding Opportunity 3*](#__RefHeading___Toc149623378)
>
> [*2.4.2* *Download Application Package
> 3*](#__RefHeading___Toc149623379)
>
> [*2.4.3* *Complete Application 3*](#__RefHeading___Toc149623380)
>
> [*2.4.4* *Submit Application 3*](#__RefHeading___Toc149623381)
>
> [*2.4.5* *Verify Status of Application
> 3*](#__RefHeading___Toc149623382)
>
> [[2.5.]{.smallcaps} [Verify in HRSA Electronic Handbooks
> 3]{.smallcaps}](#__RefHeading___Toc149623383)
>
> [*2.5.1* *Verify Status of Application
> 3*](#__RefHeading___Toc149623384)
>
> [*2.5.2* *Manage Access to Your Application
> 3*](#__RefHeading___Toc149623385)
>
> [*2.5.3* *Check Validation Errors 3*](#__RefHeading___Toc149623386)
>
> [*2.5.4* *Fix Errors and Complete Application
> 3*](#__RefHeading___Toc149623387)
>
> [*2.5.5* *Submit Application 3*](#__RefHeading___Toc149623388)

[**3.** **Competing Application (without verification in HRSA EHBs)
3**](#__RefHeading___Toc149623390)

> [[3.1.]{.smallcaps} [Process Overview
> 3]{.smallcaps}](#__RefHeading___Toc149623391)
>
> [[3.2.]{.smallcaps} [Grantee Organization Needs to Register With
> Grants.gov (if not already registered)
> 3]{.smallcaps}](#__RefHeading___Toc149623392)
>
> [[3.3.]{.smallcaps} [Apply through Grants.gov
> 3]{.smallcaps}](#__RefHeading___Toc149623393)
>
> [*3.3.1* *Find Funding Opportunity 3*](#__RefHeading___Toc149623394)
>
> [*3.3.2* *Download Application Package
> 3*](#__RefHeading___Toc149623395)
>
> [*3.3.3* *Complete Application 3*](#__RefHeading___Toc149623396)
>
> [*3.3.4* *Submit Application 3*](#__RefHeading___Toc149623397)
>
> [*3.3.5* *Verify Status of Application
> 3*](#__RefHeading___Toc149623398)

[**4.** **Competing Application (with verification in HRSA EHBs)
3**](#__RefHeading___Toc149623400)

> [[4.1.]{.smallcaps} [Process Overview
> 3]{.smallcaps}](#__RefHeading___Toc149623401)
>
> [[4.2.]{.smallcaps} [Grantee Organization Needs to Register With
> Grants.gov (if not already registered)
> 3]{.smallcaps}](#__RefHeading___Toc149623402)
>
> [[4.3.]{.smallcaps} [Register with HRSA EHBs (if not already
> registered) 3]{.smallcaps}](#__RefHeading___Toc149623403)
>
> [[4.4.]{.smallcaps} [Apply through Grants.gov
> 3]{.smallcaps}](#__RefHeading___Toc149623404)
>
> [*4.4.1* *Find Funding Opportunity 3*](#__RefHeading___Toc149623405)
>
> [*4.4.2* *Download Application Package
> 3*](#__RefHeading___Toc149623406)
>
> [*4.4.3* *Complete Application 3*](#__RefHeading___Toc149623407)
>
> [*4.4.4* *Submit Application 3*](#__RefHeading___Toc149623408)
>
> [*4.4.5* *Verify Status of Application
> 3*](#__RefHeading___Toc149623409)
>
> [[4.5.]{.smallcaps} [Verify in HRSA Electronic Handbooks
> 3]{.smallcaps}](#__RefHeading___Toc149623410)
>
> [*4.5.1* *Verify Status of Application
> 3*](#__RefHeading___Toc149623411)
>
> [*4.5.2* *Validate Grants.Gov Application
> 3*](#__RefHeading___Toc149623412)
>
> [*4.5.3* *Manage Access to Your Application
> 3*](#__RefHeading___Toc149623413)
>
> [*4.5.4* *Check Validation Errors 3*](#__RefHeading___Toc149623414)
>
> [*4.5.5* *Fix Errors and Complete Application
> 3*](#__RefHeading___Toc149623415)
>
> [*4.5.6* *Submit Application 3*](#__RefHeading___Toc149623416)

[**5.** **General Instructions for Application Submission
3**](#__RefHeading___Toc149623418)

> [[5.1.]{.smallcaps} [Narrative Attachment Guidelines
> 3]{.smallcaps}](#__RefHeading___Toc149623419)
>
> [*5.1.1* *Font 3*](#__RefHeading___Toc149623420)
>
> [*5.1.2* *Paper Size and Margins 3*](#__RefHeading___Toc149623421)
>
> [*5.1.3* *Names 3*](#__RefHeading___Toc149623422)
>
> [*5.1.4* *Section Headings 3*](#__RefHeading___Toc149623423)
>
> [*5.1.5* *Page Numbering 3*](#__RefHeading___Toc149623424)
>
> [*5.1.6* *Allowable Attachment or Document Types
> 3*](#__RefHeading___Toc149623425)
>
> [[5.2.]{.smallcaps} [Application Content Order (Table of Contents)
> 3]{.smallcaps}](#__RefHeading___Toc149623426)
>
> [[5.3.]{.smallcaps} [Page Limit
> 3]{.smallcaps}](#__RefHeading___Toc149623427)

[**6.** **Customer Support Information
3**](#__RefHeading___Toc149623428)

> [*6.1.1* *Grants.gov Customer Support
> 3*](#__RefHeading___Toc149623429)
>
> [*6.1.2* *HRSA Call Center 3*](#__RefHeading___Toc149623430)
>
> [*6.1.3* *HRSA Program Support 3*](#__RefHeading___Toc149623431)

[**7.** **FAQs 3**](#__RefHeading___Toc149623432)

> [[7.1.]{.smallcaps} [Software
> 3]{.smallcaps}](#__RefHeading___Toc149623433)
>
> [*7.1.1* *What are the software requirements for using Grants.gov?
> 3*](#__RefHeading___Toc149623434)
>
> [*7.1.2* *Why can't I download PureEdge Viewer onto my machine?
> 3*](#__RefHeading___Toc149623435)
>
> [*7.1.3* *I have heard that Grants.gov is not Macintosh compatible.
> What do I do if I use only a Macintosh?
> 3*](#__RefHeading___Toc149623436)
>
> [*7.1.4* *What are the software requirements for HRSA EHBs?
> 3*](#__RefHeading___Toc149623437)
>
> [*7.1.5* *What are the system requirements for using HRSA EHBs on a
> Macintosh computer? 3*](#__RefHeading___Toc149623438)
>
> [[7.2.]{.smallcaps} [Application Receipt
> 3]{.smallcaps}](#__RefHeading___Toc149623439)
>
> [*7.2.1* *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? 3*](#__RefHeading___Toc149623440)
>
> [*7.2.2* *When do I need to submit my application?
> 3*](#__RefHeading___Toc149623441)
>
> [*7.2.3* *What emails can I expect once I submit my application? Is
> email reliable? 3*](#__RefHeading___Toc149623442)
>
> [*7.2.4* *If a resubmission is required because of Grants.gov system
> problems, will these be considered \"late\"?
> 3*](#__RefHeading___Toc149623443)
>
> [[7.3.]{.smallcaps} [Application Submission
> 3]{.smallcaps}](#__RefHeading___Toc149623444)
>
> [*7.3.1* *How can I make sure that my electronic application is
> presented in the right order for objective review?
> 3*](#__RefHeading___Toc149623445)
>
> [[7.4.]{.smallcaps} [Grants.gov
> 3]{.smallcaps}](#__RefHeading___Toc149623446)

[]{#__RefHeading___Toc149623370 .anchor}**1. Introduction**

[]{#__RefHeading___Toc149623371 .anchor}**1.1 Document Purpose and
Scope**

Major changes have come to HRSA's Grant Application Process. For
guidances released/posted on or after January 1, 2006, HRSA no longer
accepts applications for grant opportunities on paper. Applicants
submitting new, competing continuations, and most non-competing
continuation applications are 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 these 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, but it provides important submission information and is
to be used in tandem with the guidance.

[]{#__RefHeading___Toc149623372 .anchor}**1.2 Document Organization and
Version Control**

This document contains 6 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   |
| (Section 2)                  | all noncompeting announcements        |
+------------------------------+---------------------------------------+
| Competing Application\       | Provides streamlined instructions to  |
| (w/o HRSA EHBs Verification) | applicant organizations for           |
|                              | electronic online application using   |
| (Section 3)                  | Grants.gov for competing              |
|                              | announcements that do                 |
|                              | [not]{.underline} require HRSA EHBs   |
|                              | verification.                         |
+------------------------------+---------------------------------------+
| Competing Application\       | Provides detailed instructions for    |
| ([with]{.underline} HRSA     | applying electronically using         |
| EHBs Verification)           | Grants.gov and HRSA EHBs for          |
|                              | competing announcements that require  |
| (Section 4)                  | the EHBs verification.                |
+------------------------------+---------------------------------------+
| General Instructions for     | Provides instructions and important   |
| Application Submission       | policy guidance on application format |
|                              | requirements                          |
| (Section 5)                  |                                       |
+------------------------------+---------------------------------------+
| Customer Support Information | Provides contact information to       |
|                              | address technical and programmatic    |
| (Section 6)                  | questions                             |
+------------------------------+---------------------------------------+
| Frequently Asked Questions   | Provides answers to frequently asked  |
| (FAQs)                       | questions by various categories       |
|                              |                                       |
| (Section 7)                  |                                       |
+------------------------------+---------------------------------------+

This document is under version control. Please visit
[[http://www.hrsa.gov/grants]{.underline}](http://www.hrsa.gov/grants)
to retrieve the latest published version.

[]{#__RefHeading___Toc149623373 .anchor}**2. Noncompeting Continuation
Application**

[]{#__RefHeading___Toc149623374 .anchor}**2.1 Process Overview**

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]{.underline}](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)

[]{#__RefHeading___Toc149623375 .anchor}**2.2 Grantee Organization Needs
to Register With Grants.gov (if not already registered)**

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]{.underline}](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)

> o Obtain a username and password from the Grants.gov Credential
> Provider
>
> o Register the username and password with Grants.gov
>
> o 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.**

[]{#__RefHeading___Toc149623376 .anchor}**2.3 Project Director and
Authorizing Official Need to Register with HRSA EHBs (if not already
registered)**

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]{.underline}](mailto:callcenter@hrsa.gov).

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

[]{#__RefHeading___Toc149623377 .anchor}**2.4 Apply through Grants.gov**

[]{#__RefHeading___Toc149623378 .anchor}**2.4.1 Find Funding
Opportunity**

Search for the announcement in Grants.gov **Apply**
([[http://www.grants.gov/Apply]{.underline}](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!**

[]{#__RefHeading___Toc149623379 .anchor}**2.4.2 Download Application
Package**

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]{.underline}](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.**

[]{#__RefHeading___Toc149623380 .anchor}**2.4.3 Complete Application**

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 SF-424 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.**

[]{#__RefHeading___Toc149623381 .anchor}**2.4.4 Submit Application**

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.**

[]{#__RefHeading___Toc149623382 .anchor}**2.4.5 Verify Status of
Application**

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]{.underline}](mailto: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".**

[]{#__RefHeading___Toc149623383 .anchor}**2.5 Verify in HRSA Electronic
Handbooks**

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]{.underline}](mailto: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.**

[]{#__RefHeading___Toc149623384 .anchor}**2.5.1 Verify Status of
Application**

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.**

[]{#__RefHeading___Toc149623385 .anchor}**2.5.2 Manage Access to Your
Application**

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.

[]{#__RefHeading___Toc149623386 .anchor}**2.5.3 Check Validation
Errors**

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.

[]{#__RefHeading___Toc149623387 .anchor}**2.5.4 Fix Errors and Complete
Application**

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.

[]{#__RefHeading___Toc149623388 .anchor}**2.5.5 Submit Application**

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 usually 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.**

[]{#__RefHeading___Toc149623390 .anchor}**3. Competing Application
([without]{.underline} verification in HRSA EHBs)**

[]{#__RefHeading___Toc149623391 .anchor}**3.1 Process Overview**

> **You should review program guidance to determine if verification in
> HRSA EHBs is required. [If verification is required]{.underline}, you
> should refer to [Section]{.underline} . If verification is not
> required, continue reading this section.**

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/]{.underline}](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]{.underline}](http://www.hrsa.gov/grants).

2\. When program guidance is available, search for the announcement in
Grants.gov Apply
([[http://www.grants.gov/Apply]{.underline}](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.

[]{#__RefHeading___Toc149623392 .anchor}**3.2 Grantee Organization Needs
to Register With Grants.gov (if not already registered)**

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]{.underline}](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)

> o Obtain a username and password from the Grants.gov Credential
> Provider
>
> o Register the username and password with Grants.gov
>
> o 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.**

[]{#__RefHeading___Toc149623393 .anchor}**3.3 Apply through Grants.gov**

[]{#__RefHeading___Toc149623394 .anchor}**3.3.1 Find Funding
Opportunity**

Search for announcements in Grants.gov **FIND**
([[http://grants.gov/search/]{.underline}](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]{.underline}](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.**

[]{#__RefHeading___Toc149623395 .anchor}**3.3.2 Download Application
Package**

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]{.underline}](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.**

[]{#__RefHeading___Toc149623396 .anchor}**3.3.3 Complete Application**

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 SF-424 or box 4
> in SF-424 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.**

[]{#__RefHeading___Toc149623397 .anchor}**3.3.4 Submit Application**

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.**

[]{#__RefHeading___Toc149623398 .anchor}**3.3.5 Verify Status of
Application**

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]{.underline}](mailto: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".**

[]{#__RefHeading___Toc149623400 .anchor}**4. Competing Application
([with]{.underline} verification in HRSA EHBs)**

[]{#__RefHeading___Toc149623401 .anchor}**4.1 Process Overview**

> **You should review program guidance to determine if verification in
> HRSA EHBs is required. [If verification is NOT required]{.underline},
> you should refer to [Section 3]{.underline}. If verification is
> required, continue reading this section.**

Following is the process for submitting a competitive application
through Grants.gov with verification required within HRSA EHBs:

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]{.underline}](http://www.hrsa.gov/grants)

1.  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. (Confirm from the program guidance if verification is
required in HRSA EHBs. If it is not required, you must refer to section
3 of this document.) Note the *announcement number* as it will be
required later in the process.

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

5\. Submit the application package through Grants.gov. (Requires
registration) Note the *grants.gov tracking number* as it will be
required later in the process.

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 (AO),
business official (BO) and application point of contact (POC) by email
to check HRSA EHBs for results of HRSA validations and enter
supplemental information required to process the competing application.
Note the *HRSA EHBs tracking number* from the email.

9\. The application in HRSA EHBs is validated by a user from the
applicant organization by providing three independent data elements
(Announcement Number, Grants.gov Tracking Number and HRSA EHBs Tracking
Number).

10\. The AO verifies the pending application in HRSA EHBs, fixes any
validation errors, and makes necessary corrections. Supplemental forms
are completed. AO submits the application to HRSA.

[]{#__RefHeading___Toc149623402 .anchor}**4.2 Grantee Organization Needs
to Register With Grants.gov (if not already registered)**

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 time (5 business days to one month) to
process. 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]{.underline}](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)

> o Obtain a username and password from the Grants.gov Credential
> Provider
>
> o Register the username and password with Grants.gov
>
> o 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.**

[]{#__RefHeading___Toc149623403 .anchor}**4.3 Register with HRSA EHBs
(if not already registered)**

In order to access the competitive application in HRSA EHBs, the
Authorizing Official (and other application preparers) must register in
HRSA 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 in 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 must create **individual** system accounts. In the second step,
the users must associate themselves with the appropriate grantee
organization.

Once the individual is registered, they are given two options. One, they
can search for an existing organization using the **10-digit grant
number** from the **Notice of Grant Award (NGA**). Secondly, if the
grant number is not known or if the organization has never received a
grant from HRSA, they can search using the **HRSA EHBs Tracking
Number**. Your organization's record is created in HRSA EHBs based on
information entered in Grants.gov.

To complete the registration quickly and efficiently we recommend that
you 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. Note that registration with HRSA EHBs is independent
of Grants.gov registration.

Note that once the registration is completed, any one user from the
organization needs to go through an additional step to get access to the
application in HRSA EHBs. This is required to ensure that only the right
individuals have access to the competing application. In this step, the
first user is challenged to enter the announcement number, grants.gov
tracking number and the HRSA EHBs tracking number. Once the individual
has successfully provided this information and received access to the
application, other users can be given access through the 'Peer Access'
feature within HRSA EHBs.

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]{.underline}](mailto:callcenter@hrsa.gov).

> **You must use your HRSA EHBs Tracking Number to identify your
> organization.**

[]{#__RefHeading___Toc149623404 .anchor}**4.4 Apply through Grants.gov**

[]{#__RefHeading___Toc149623405 .anchor}**4.4.1 Find Funding
Opportunity**

Search for announcements in Grants.gov **FIND**
([[http://grants.gov/search/]{.underline}](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]{.underline}](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.**

[]{#__RefHeading___Toc149623406 .anchor}**4.4.2 Download Application
Package**

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]{.underline}](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.**

[]{#__RefHeading___Toc149623407 .anchor}**4.4.3 Complete Application**

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 SF-424 or box 4
> in SF-424 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.**

[]{#__RefHeading___Toc149623408 .anchor}**4.4.4 Submit Application**

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.**

[]{#__RefHeading___Toc149623409 .anchor}**4.4.5 Verify Status of
Application**

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]{.underline}](mailto: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".**

[]{#__RefHeading___Toc149623410 .anchor}**4.5 Verify in HRSA Electronic
Handbooks**

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]{.underline}](mailto:callcenter@hrsa.gov).

> **The authorizing official submitting the application must be
> registered in HRSA EHBs.**

[]{#__RefHeading___Toc149623411 .anchor}**4.5.1 Verify Status of
Application**

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 (in case of competing
continuation and competing supplemental applications) and application or
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. 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.**

[]{#__RefHeading___Toc149623412 .anchor}**4.5.2 Validate Grants.Gov
Application**

In order to ensure that only the right individuals from the applicant
organization get access to their competing application, HRSA EHBs has a
validation process built into it. The first user who seeks access to the
application needs to provide the following information:

  ---------------------- ----------------------------- -------------------
  Data Element           Source                        Example

  Announcement Number    From submitted Grants.gov     HRSA-04-061 or
                         application                   04-016

  Grants.gov Tracking    From submitted Grants.gov     GRANT00059900
  Number                 application                   

  HRSA EHBs\             From email notification       25328
  Application Tracking                                 
  Number                                               
  ---------------------- ----------------------------- -------------------

Note that the source of each data element is different and knowledge of
the three numbers together is considered sufficient to provide that
individual access to the application.

To validation the grants.gov application, click on the "View
Applications" link, then click on the "Add Grants.Gov Application" link
(this is only visible for grant applications requiring supplemental
forms).

At this point you will be presented with a form, which will request you
to provide the numbers specified in the table above in order to validate
your grants.gov application.

> **Note that the first individual who completes this step needs to use
> the 'Peer Access' feature to share the application with other
> individuals from the organization. It is recommended that the AO
> complete this step.**

[]{#__RefHeading___Toc149623413 .anchor}**4.5.3 Manage Access to Your
Application**

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 first person who gets access to the application must use the Peer
Access feature to share this application with other individuals from the
organization. This is required if you wish to allow multiple individuals
to work on the application in HRSA EHBs.

[]{#__RefHeading___Toc149623414 .anchor}**4.5.4 Check Validation
Errors**

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.

[]{#__RefHeading___Toc149623415 .anchor}**4.5.5 Fix Errors and Complete
Application**

Applicants must review the errors in HRSA EHBs and make necessary
changes. Applicants must complete any 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.

[]{#__RefHeading___Toc149623416 .anchor}**4.5.6 Submit Application**

The application can be submitted by the AO assigned to the application
within HRSA EHBs. The application can also be submitted by the designee
of the AO. Once all forms are complete, the application must be
submitted to HRSA by the due date listed within the program guidance.

> **You must submit the application by the due date listed within the
> program guidance. Note that there are two deadlines within the
> guidance -- one for submission within Grants.gov and other for
> submission within HRSA EHBs.**

[]{#__RefHeading___Toc149623418 .anchor}**5. 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.**

[]{#__RefHeading___Toc149623419 .anchor}**5.1 Narrative Attachment
Guidelines**

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

[]{#__RefHeading___Toc149623420 .anchor}**5.1.1 Font**

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. 

[]{#__RefHeading___Toc149623421 .anchor}**5.1.2 Paper Size and Margins**

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.

[]{#__RefHeading___Toc149623422 .anchor}**5.1.3 Names**

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

[]{#__RefHeading___Toc149623423 .anchor}**5.1.4 Section Headings**

Please put all section headings flush left in bold type.

[]{#__RefHeading___Toc149623424 .anchor}**5.1.5 Page Numbering**

**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.)

[]{#__RefHeading___Toc149623425 .anchor}**5.1.6 Allowable Attachment or
Document Types**

**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

[]{#__RefHeading___Toc149623426 .anchor}**5.2 Application Content Order
(Table of Contents)**

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.

[]{#__RefHeading___Toc149623427 .anchor}**5.3 Page Limit**

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 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.**

[]{#__RefHeading___Toc149623428 .anchor}**6. Customer Support
Information**

[]{#__RefHeading___Toc149623429 .anchor}**6.1.1 Grants.gov Customer
Support**

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]{.underline}](http://www.grants.gov/CustomerSupport)

[]{#__RefHeading___Toc149623430 .anchor}**6.1.2 HRSA Call Center**

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]{.underline}](mailto:callcenter@hrsa.gov).

Please visit HRSA EHBs for online help. Go to:

[[https://grants.hrsa.gov/webexternal/home.asp]{.underline}](https://grants.hrsa.gov/webexternal/home.asp)
and click on 'Help'

[]{#__RefHeading___Toc149623431 .anchor}**6.1.3 HRSA Program Support**

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.

[]{#__RefHeading___Toc149623432 .anchor}**7. FAQs**

[]{#__RefHeading___Toc149623433 .anchor}**7.1 Software**

[]{#__RefHeading___Toc149623434 .anchor}**7.1.1 What are the software
requirements for using Grants.gov?**

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]{.underline}](http://www.grants.gov/DownloadViewer)
for all details and any updates.

[]{#__RefHeading___Toc149623435 .anchor}**7.1.2 Why can't I download
PureEdge Viewer onto my machine?**

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.

[]{#__RefHeading___Toc149623436 .anchor}**7.1.3 I have heard that
Grants.gov is not Macintosh compatible. What do I do if I use only a
Macintosh?**

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]{.underline}](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]{.underline}](http://www.grants.gov/MacSupport)

[]{#__RefHeading___Toc149623437 .anchor}**7.1.4 What are the software
requirements for HRSA EHBs?**

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.

[]{#__RefHeading___Toc149623438 .anchor}**7.1.5 What are the system
requirements for using HRSA EHBs on a Macintosh computer?**

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.

[]{#__RefHeading___Toc149623439 .anchor}**7.2 Application Receipt**

[]{#__RefHeading___Toc149623440 .anchor}**7.2.1 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?**

**Competing Submissions:**

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

For applications that require verification in HRSA EHBs (refer to
program guidance), the submission/receipt date will be the date the
application is submitted in HRSA EHBs.

**Noncompeting Submissions:**

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

[]{#__RefHeading___Toc149623441 .anchor}**7.2.2 When do I need to submit
my application?**

**Competing Submissions:**

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

For applications that require verification in HRSA EHBs (refer to
program guidance), verification must be completed and applications
submitted in HRSA EHBs by 5:00 PM ET on the due date mentioned in the
guidance. This supplemental due date is different from the Grants.gov
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.

[]{#__RefHeading___Toc149623442 .anchor}**7.2.3 What emails can I expect
once I submit my application? Is email reliable?**

**Competing Submissions:**

When you submit your competing 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.

For applications that require verification in HRSA EHBs, HRSA processes
the application to ensure that it is submitted for the correct funding
announcement, with the correct grant number (if applicable) and
grantee/applicant 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.

**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** **and** **in this guide**

[]{#__RefHeading___Toc149623443 .anchor}**7.2.4 If a resubmission is
required because of Grants.gov system problems, will these be considered
\"late\"?**

**Competing Submissions:**

No. But you must **contact the Director of the Division of Grants
Policy** via email at
[[DGPWaivers@hrsa.gov]{.underline}](mailto: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]{.underline}](mailto:callcenter@hrsa.gov). You may
be asked to provide a copy of the "Rejected with Errors" notification
you received from Grants.gov.

[]{#__RefHeading___Toc149623444 .anchor}**7.3 Application Submission**

[]{#__RefHeading___Toc149623445 .anchor}**7.3.1 How can I make sure that
my electronic application is presented in the right order for objective
review?**

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

[]{#__RefHeading___Toc149623446 .anchor}**7.4 Grants.gov**

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]{.underline}](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]{.underline}](../../../GLipton.000/My%20Documents/Grants/guidance/FY06/DGPClearances@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]{.underline}](../www.grants.gov). Individual assistance
is available at
[[http://www.grants.gov/Support]{.underline}](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]{.underline}](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.

Competitive applications will be considered as having met the deadline
if the application has been successfully transmitted electronically by
your organization's Authorizing Official through Grants.gov on or before
the deadline date and time.

**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 .**                                             |
|    |                                                                 |
|    | 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. Electronic
submission of the application (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***

> **NAT PROGRAM ATTACHMENTS**

**Grants.gov (Phase 1) Submission due date Friday, November 14, 2008.
Refer to Section IV of this guidance for detailed instructions.**

SF 424 R&R Short Form and HHS Checklist Form PHS-5161.

**HRSA's EHBs (Phase 2) Submission due date Friday, December 5, 2008 --
Refer to Section IV of this guidance for detailed instructions.**

Biographical Sketch, Project Abstract, Program Narrative, NAT
Attachments, NAT Program Tables and the Special Consideration Assurance
Statement (electronic version).

[NAT Attachments]{.underline}

Attachment 1 NAT Program Agreement (electronic version)

Attachment 2 Full-Time and Part-Time Status / Tuition, Fees and Stipends

Attachment 3 Accreditation Documentation of the Program (i.e. NLN, CCNE,
ACNM, United States Department of Education)

Attachments 4-6 Biographical Sketch, Project Abstract and Program
Narrative

[NAT Program Tables and Instructions]{.underline}

Table 1 - NAT: Enrollment, Traineeship Support and Graduate Data Table
2 - NAT: Graduate Data -- Rural, Underserved, or Public Health

Table 3 - NAT: Ethnicity Data

Table 4 -- NAT: Racial / Disadvantaged Data

[NAT Special Consideration Assurance Statement]{.underline}

**Electronic version of NAT Special Consideration Assurance Statement.**

**ATTACHMENT 1**

**NURSE ANESTHETIST TRAINEESHIP PROGRAM AGREEMENT**

> **The Project Director must complete and electronically submit the
> AENT Program Agreement as Attachment 1 with its on-line application.**

1)  The applicant agrees not to provide a traineeship to an individual
    enrolled in a Master's nurse anesthetist program unless the
    individual is a licensed registered nurse in the second year of an
    AANA accredited master's program.

2)  The applicant agrees that traineeships provided with grant funds
    will only be used to support all or part of the costs of the
    tuition, books, and fees of the program of nursing with respect to
    which the traineeship is provided and reasonable living expenses of
    the individual during the period for which the traineeship is
    provided.

3)  The applicant agrees to complete a **Statement of Appointment**
    form, signed by the project director and trainee, and maintain the
    **Statement of Appointment** form for a period of 3 years, primarily
    for auditing and data collection purposes. The trainee should
    receive a copy.

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Signature of Project Director Date

**ATTACHMENT 2**

**FULL-TIME AND PART-TIME STATUS**

> Provide information on how the applicant institution defines the
> following:
>
> \(1\) Full-time graduate study: \_\_\_\_ (Indicate the number of
> credit hours or units required)

\(2\) Part-time graduate study: \_\_\_\_ (Indicate the number of credit
hours or units required)

> **IMPORTANT NOTE: Institutions are no longer required to provide
> full-time equivalent (FTE) calculations for part-time enrollees.**

**TUITION, FEES AND STIPENDS**

(1) Provide the in-state and out-of-state tuition costs for a full-time
    and part-time student.

+----------------------+-----------------------+-----------------------+
| **TUITION**          | **Full-Time           | **Part-Time           |
|                      | Students**            | Students**            |
|                      |                       |                       |
|                      | **PER YEAR**          | **PER CREDIT HOUR**   |
+----------------------+-----------------------+-----------------------+
| Tuition: In-State    |                       |                       |
+----------------------+-----------------------+-----------------------+
| Tuition:             |                       |                       |
| Out-of-State         |                       |                       |
+----------------------+-----------------------+-----------------------+

> \(2\) Based on the "Projected Student Enrollees" (full-time and
> part-time) reported on
>
> Tables 1 and 2, indicate the **total cost of tuition and fees** that
> would be required to support all the graduate students eligible for
> support from July 1, 2008 - June 30, 2009, if funds were available:
> \$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
>
> \(3\) Indicate the **total cost of stipend support** that would be
> required to support all the graduate students eligible for support
> from July 1, 2008 - June 30, 2009 based on \$8,800 for a 12-month
> period, if funds were available: \$\_\_\_\_\_\_\_\_\_\_\_\_\_\_**\_**

**ATTACHMENT 3**

Accreditation Documentation of the Program (CCNE, NLNAC, COA, ACNM
letter or certificate; letter from the United States Department of
Education providing reasonable assurance of accreditation) for your
Program(s) and also include a statement regarding accreditation in the
Program Narrative. **Failure to provide documentation of accreditation
with the HRSA program application will render the application
non-responsive and the application will not be considered for funding
under this announcement.**

OMB No. 0915-0305

Exp. Date: 03/31/2010

**Nurse Anesthetist Traineeship Program (NAT)**

**Tables and Instructions and Special Consideration Assurance
Statement**

> Public Burden Statement: An agency may not conduct or sponsor, and a
> person is not required to respond to, a collection of information
> unless it displays a currently valid OMB control number. The OMB
> control number for this project is 0915-0305. Public reporting burden
> for this collection of information is estimated to average 1 hour per
> response, including the time for reviewing instructions, searching
> existing data sources, and completing and reviewing the collection of
> information. Send comments regarding this burden estimate or any other
> aspect of this collection of information, including suggestions for
> reducing this burden, to: HRSA Reports Clearance Officer, 5600 Fishers
> Lane, Room 10-33, Rockville, Maryland, 20857.
>
> **NOTE**: **Once the application has been successfully submitted by
> the applicant into Grants.gov, the applicant will receive an email
> from HRSA within 7 business days. This email will provide instructions
> and necessary information needed to access your application through
> HRSA EHBs. This email will be sent to the authorizing official, the
> business official, the point of contact and the project director
> listed on the face page of the application.**
>
> **Data for Tables 1 through 4 for the Nurse Anesthetist Traineeship
> Program must be entered electronically via the HRSA Electronic
> Handbook (EHB) along with the electronic version of the NAT Special
> Consideration Assurance Statement.**
>
> **Copies of these tables are included in the application guidance for
> your reference. [Do not include them as part of the Grants.gov
> application submission,]{.underline} since you will be entering the
> data online in the electronic handbook after receiving the
> instructions from HRSA**.
>
> Complete the following table(s) electronically, as appropriate,
> summarizing enrollment, student support, graduate data, and enrollment
> projections:

-   NAT Tables and Instructions

Table 1 - NAT: Enrollment, Traineeship Support and Graduate Data

Table 2 - NAT: Graduate Data -- Rural, Underserved, or Public Health

> Table 3 - NAT: Ethnicity Data

Table 4 -- NAT: Racial / Disadvantaged Data

**NAT PROGRAM TABLES AND INSTRUCTIONS 1-4**

Applicants must adhere to the table instructions to ensure that the data
provided are accurate and complete.

Schools are encouraged to consult with Program Staff for technical
assistance prior to submitting the grant application.

**Table 1 - NAT: Enrollment, Traineeship Support and Graduate Data**

Complete Table 1 summarizing student enrollment, student support,
graduates, graduates supported and projected student enrollment.
Instructions for completing Table 1 are below.

+-------------+-----------+----------+----------+-----------+---------+
| *           | **Total   | **Total  | **Total  | **Total   | **Total |
| *STUDENTS** | \# of     | \# of    | \# of    | \# of     | \# of   |
|             | Full-time | NAT**    | Gra      | NAT**     | NAT**   |
|             | Students  |          | duates** |           |         |
|             | E         | **       |          | **        | **S     |
|             | nrolled** | Students | **7      | Graduates | tudents |
|             |           | Sup      | /01/07-6 | Su        | Proj    |
|             | **As of   | ported** | /30/08** | pported** | ected** |
|             | 1         |          |          |           |         |
|             | 0/15/08** | **7/1/07 |          | *         | **As of |
|             |           | --       |          | *7/01/07- | 10/     |
|             |           | 6        |          | 6/30/08** | 15/09** |
|             |           | /30/08** |          |           |         |
+-------------+-----------+----------+----------+-----------+---------+
| **\#        |           | **N/A**  | **N/A**  | **N/A**   |         |
| Students in |           |          |          |           |         |
| [First]{    |           |          |          |           |         |
| .underline} |           |          |          |           |         |
| 12 Months   |           |          |          |           |         |
| of Study**  |           |          |          |           |         |
+-------------+-----------+----------+----------+-----------+---------+
| **\#        |           |          |          |           |         |
| Master's    |           |          |          |           |         |
| Students    |           |          |          |           |         |
| [Beyond]{   |           |          |          |           |         |
| .underline} |           |          |          |           |         |
| First 12    |           |          |          |           |         |
| Months of   |           |          |          |           |         |
| Study**     |           |          |          |           |         |
+-------------+-----------+----------+----------+-----------+---------+
| **\#        |           |          |          |           |         |
| Doctoral    |           |          |          |           |         |
| Students    |           |          |          |           |         |
| [Beyond]{   |           |          |          |           |         |
| .underline} |           |          |          |           |         |
| First 12    |           |          |          |           |         |
| Months of   |           |          |          |           |         |
| Study**     |           |          |          |           |         |
+-------------+-----------+----------+----------+-----------+---------+
| **GRAND     |           |          |          |           |         |
| TOTAL**     |           |          |          |           |         |
+-------------+-----------+----------+----------+-----------+---------+

**[NOTES:]{.underline}** (1) Students should not be double counted. (2)
Only students beyond the 12 Months of Study are supported by the NAT
Program. NAT students in the First 12 Months of Study are supported
under the AENT Program. (3) Data for Students in First 12 Months of
Study is collected for data analysis and reconciliation with the AENT
Program only.

**Instructions for Completing Table 1 - NAT:**

-   **[All]{.underline} applicants should complete this table.**

-   Do not make any changes to this table.

-   For **"Total \# of Full-time Students Enrolled"**, enter the total
    number of full-time students enrolled as of 10/15/08.

-   For **"Total \# of NAT Students Supported"**, enter the total number
    of students (Master's and Doctoral) supported from July 1, 2007 -
    June 30, 2008 who have received Nurse Anesthetist Traineeship
    support.

-   For **"Total \# of Graduates"**, enter the total number of graduates
    who completed degree requirements between July 1, 2007 and June
    30, 2008. If this is a new program, enter "0\" in the "Total \# of
    Graduates" column.

-   For **"Total \# of NAT Graduates Supported"**, enter the total
    number of graduates who received NAT support and completed degree
    requirements between July 1, 2007 and June 30, 2008. If this is a
    new program, enter "0\" in the "Total \# of NAT Graduates" column.

-   For **"Total \# of NAT Students Projected"**, enter the total number
    of students projected to enroll by October 15, 2009.

**Table 2 - NAT: Graduate Data - Rural, Underserved, or Public Health
(7/01/07-6/30/08)**

Complete Table 2, as appropriate, providing data on the number of
[graduates]{.underline} who completed degree requirements between
7/1/07-6/30/08 who spend at least 50 percent of their work-time in
clinical practice sites substantially benefiting rural or underserved
populations, or in State or local health departments. Instructions for
completing Table 2 are below.

  ------------------------------------------------- ---------------------
  **Practice Settings**                             **Nurse
                                                    Anesthetists**

  Community Health Centers                          

  Migrant Health Centers                            

  Health Care for the Homeless Grantees             

  Public Housing Primary Care Grantees              

  Rural Health Clinics                              

  National Health Service Corps Sites               

  Indian Health Service Sites/Tribal Health Sites   

  Federally Qualified Health Centers                

  Health Professional Shortage Areas (HPSAs)        

  State or Local Health Departments                 

  Ambulatory Practice Sites Designated by State     
  Governors                                         

  Other Rural or Underserved Population -- specify  

  **Total Number of Graduates in these Settings     
  (from 07/01/07 -- 06/30/08)**                     

  **Total Number of Graduates (from 07/01/07 --     
  06/30/08)**                                       

  **Percentage of Graduates in these Settings**     

  **Total Number of Graduates Supported by          
  Traineeships from 07/01/07 to 06/30/08 working in 
  these Settings**                                  
  ------------------------------------------------- ---------------------

**Instructions for completing Table 2 - NAT:**

-   **[All]{.underline} applicant institutions requesting the Statutory
    Funding Preference must complete this table.**

-   Do not make any changes to this table.

```{=html}
<!-- -->
```
-   Data on this table should reflect only the **number of nurse
    anesthetist [graduates]{.underline}** who completed degree
    requirements between 07/01/07 and 06/30/08.

-   Although a graduate's practice site may qualify under more than one
    category, each individual graduate should be reported only once.

-   Enter the total number of **"Nurse Anesthetist"**
    [graduates]{.underline} employed in each of the **"Practice
    Settings"** listed.

-   Enter the **"Total Number of Graduates in these Settings"** working
    in the identified settings from 07/01/07 -- 06/30/08).

-   Enter the **"Total Number of Graduates"** completing degree
    requirements between 07/01/07 and 06/30/08.

-   Enter the **"Percentage of Graduates in these Settings"** working in
    the identified settings ("Total Number of Graduates in these
    Settings" divided by the "Total Number of Graduates).

-   Enter the **"Total Number of Graduates Supported by Traineeships"**
    who completed degree requirements between 07/01/07 and 06/30/08 and
    worked in the identified setting. This information is for data
    analysis and data collection **[only]{.underline}**.

**TABLE 3 - NAT: Ethnicity Data**

On the following Table 3, provide the **total number of Hispanic or
Latino enrollees, students supported, graduates and graduates
supported** **reported on Table 1**. Instructions for completing Table 3
are below.

+--------------+----------------+------------------+------------------+
|              | > **Hispanic   | > **Unreport     | **TOTAL**        |
|              | > or Latino**  | ed/Unavailable** |                  |
+--------------+----------------+------------------+------------------+
| *            |                |                  |                  |
| *ENROLLEES** |                |                  |                  |
|              |                |                  |                  |
| **(As of     |                |                  |                  |
| 10/15/08)**  |                |                  |                  |
+--------------+----------------+------------------+------------------+
| **STUDENTS   |                |                  |                  |
| SUPPORTED**  |                |                  |                  |
|              |                |                  |                  |
| **(7/1/0     |                |                  |                  |
| 7-6/30/08)** |                |                  |                  |
+--------------+----------------+------------------+------------------+
| *            |                |                  |                  |
| *GRADUATES** |                |                  |                  |
|              |                |                  |                  |
| **(7/1/0     |                |                  |                  |
| 7-6/30/08)** |                |                  |                  |
+--------------+----------------+------------------+------------------+
| **GRADUATES  |                |                  |                  |
| SUPPORTED    |                |                  |                  |
| (7/1/0       |                |                  |                  |
| 7-6/30/08)** |                |                  |                  |
+--------------+----------------+------------------+------------------+

**Instructions for completing Table 3:**

-   Enter the total number of **"Enrollees"** by category and the
    "total" for students enrolled **[as of 10/15/2008]{.underline}**.
    This total number should only include full-time, **second-year and
    beyond** nurse anesthetist supported students (do not include
    first-year nurse anesthesia students in this total number).

-   Enter the total number of **"Students Supported"** by category and
    the "total" for students supported **[7/01/2007 and
    6/30/2008]{.underline}**. This total number should only include
    full-time, **second-year and beyond** nurse anesthetist supported
    students (do not include first-year nurse anesthesia students in
    this total number).

-   Enter the total number of **"Graduates"** by category and the
    "total" for graduates

    who completed degree requirements between **[7/01/2007 and
    6/30/2008]{.underline}**.

-   Enter the total number of **"Graduates Supported"** by category and
    the "total" for graduates supported that completed degree
    requirements between **[7/01/2007 and 6/30/2008]{.underline}**.

    **TABLE 4 - NAT: Racial/Disadvantaged Data**

    On the following Table 4, provide the **total number of enrollees,
    students supported, graduates and graduates supported** **reported
    on Table 1** by race/disadvantaged category. Instructions for
    completing Table 4 are below.

<table style="width:100%;">
<colgroup>
<col style="width: 17%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 9%" />
<col style="width: 9%" />
<col style="width: 9%" />
</colgroup>
<tbody>
<tr class="odd">
<td></td>
<td><blockquote>
<p><strong>American Indian or</strong></p>
<p><strong>Alaska Native</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Underrepresented Asian Subgroup*</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Asian (Not Under-</strong></p>
<p><strong>Represented)</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Black or African American</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>White: Disadvantaged</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>White: Not-</strong></p>
<p><strong>Disadvantaged</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>More than one race</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Unreported/Unavailable Student Ethnicity</strong></p>
</blockquote></td>
<td><strong>TOTAL</strong></td>
</tr>
<tr class="even">
<td><p><strong>ENROLLEES</strong></p>
<p><strong>(As of 10/15/08)</strong></p></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>STUDENTS SUPPORTED</strong></p>
<p><strong>(7/1/07-6/30/08)</strong></p></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>GRADUATES</strong></p>
<p><strong>(7/1/07-6/30/08)</strong></p></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>GRADUATES SUPPORTED (7/1/07-6/30/08)</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

**\***Any Asian ***other than*** Chinese, Filipino, Japanese, Korean,
Asian Indian, or Thai.

**Instructions for completing Table 4:**

-   Enter the total number of **"Enrollees"** by category and the
    "total" for students enrolled **[as of 10/15/2008]{.underline}**.
    This total number should only include full-time, **second-year and
    beyond** nurse anesthetist supported students (do not include
    first-year nurse anesthesia students in this total number).

-   Enter the total number of **"Students Supported"** by category and
    the "total" for students supported **[7/01/2007 and
    6/30/2008]{.underline}**. This total number should only include
    full-time, **second-year and beyond** nurse anesthetist supported
    students (do not include first-year nurse anesthesia students in
    this total number).

-   Enter the total number of **"Graduates"** by category and the
    "total" for graduates

    who completed degree requirements between **[7/01/2007 and
    6/30/2008]{.underline}**.

-   Enter the total number of **"Graduates Supported"** by category and
    the "total" for graduates supported that completed degree
    requirements between **[7/01/2007 and 6/30/2008]{.underline}**.

  -----------------------------------------------------------------------
  **IMPORTANT NOTE: Enrollees, students supported, graduates and
  graduates supported that do not report ethnicity or racial /
  disadvantaged status must be reported in the "Unreported / Unavailable"
  column.**

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

-   Use the following definitions from the OMB standards for the
    classification of Federal data on ethnicity and race for the
    identified **ethnicity/racial** **categories**:

> **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.
>
> **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.
>
> **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 or 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.
>
> **More than one race: a person reporting more than one race.**

Use the following definition for **low-income populations** to determine
Disadvantaged status:

> The Secretary defines a \`\`**low income family\'\'** for programs
> included in Titles III, VII and VIII of the Public Health Service Act
> as a family having an annual income that does not exceed 200 percent
> of the Department\'s poverty guidelines. A \`\`family\'\' is a group
> of two or more individuals related by birth, marriage, or adoption who
> live together or an individual who is not living with any relatives.
> Most HRSA programs use the income of the student\'s parents to compute
> low income status, whole, a few programs, depending upon the
> legislative intent of the program, programmatic purpose of the low
> income level, as well as the age and circumstances of the average
> participant, will use the student\'s family income, as long as he or
> she is not listed as a dependent upon the parents\' tax form. The
> Department\'s poverty guidelines are based on poverty thresholds
> published by the U.S. Bureau of the Census, adjusted annually for
> changes in the Consumer Price Index.

The Secretary annually adjusts the low income levels based on the
Department's poverty

guidelines and makes them available to persons responsible for
administering the

applicable programs.

> The income figures below have been updated to reflect increases in the
> Consumer Price Index through December 31, 2007.
>
> Size of parents' family \* Income Level \*\*
>
> 1 \$20,800
>
> 2 \$28,000
>
> 3 \$35,200
>
> 4 \$42,400
>
> 5 \$49,600
>
> 6 \$56,800
>
> 7 \$64,000
>
> 8 \$71,200
>
> \\\*\\ Includes only dependents listed on Federal income tax forms.
> Some programs will use the student\'s family rather than his or her
> parents\' family.
>
> \\\*\*\\ Adjusted gross income for calendar year 2007.
>
> **NAT PROGRAM**
>
> **[SPECIAL CONSIDERATION ASSURANCE STATEMENT]{.underline}**
>
> **Applicant requesting "Special Consideration" must assure compliance
> with the following statement to be uploaded in HRSA EHBS and submitted
> with the [electronic]{.underline} application.**

I certify that \_\_\_\_\_\_\_ of the \_\_\_\_\_\_\_ combined total
number of Master's and Doctoral

students enrolled beyond the first 12 months of study (Total \# of
Full-time Students

Enrolled from NAT Table 1) as of October 15, 2008 have signed
commitments to

practice in HPSAs after graduation. The percent of students who have
signed

commitments is \_\_\_\_\_\_\_\_\_\_.

> **The school of nursing at the applicant organization will retain the
> signed commitments for three years. The signed commitments [will
> not]{.underline} be mailed to the HRSA Division of Nursing.**
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Project Director Signature Date