**U.S. Department of Health and Human Services**

**Health Resources and Services Administration**

**Maternal and Child Health Bureau**

**Maternal and Child Health Training Program**

***5-T02-05-001-Continuing Education/Distance Learning (DL)***

***5-T04-05-001-MCH Certificate Program (CERT)***

***5-T16-05-001-Graduate Medical Education and Summer Mentors Program
(GME)***

***5-T21-05-001-Collaborative Office Rounds (COR)***

***5-T21-05-001-Continuing Education (CE)***

**Catalog of Federal Domestic Assistance (CFDA) No. 93.110**

**CONTINUATION APPLICATION PROGRAM GUIDANCE**

**Non-Competitive Renewal**

Fiscal Year 2005

**Application Due Date: April 8, 2005**

**Release Date: *February 6, 2005***

> Contact Names: DL--- Audrey M. Koertvelyessy, MSN, RN, FNP, (301)
> 443-0392
>
> CERT---Nanette Pepper, BSRN, MEd, (301) 443-6445
>
> GME, COR, CE---Diana L. Rule, MPH, (301) 443-0233
>
> Titles, Offices: Program Officers; Division of Research Training and
> Education
>
> Fax: (301) 443-4842
>
> Legislative Authority: Title V of the Social Security Act, as amended

**TABLE OF CONTENTS**

**I. PURPOSE 4**

**II. AWARD INFORMATION 4**

> Summary of Funding

**III. ELECTRONIC SUBMISSION INSTRUCTIONS 4**

> A. Background and Rationale for Electronic Submission 4
>
> B. Getting Started 5
>
> 1\. Registration 5
>
> 2\. Overview of the Electronic Process 6
>
> 3\. Length Limitation 6
>
> 4\. Assistance with Electronic Submission 7
>
> C. Basic Information 7
>
> 1\. Applicant Organization Information 7
>
> 2\. Applicant Project Information and Project Abstract 7
>
> D. Budget Information 9
>
> 1\. Detailed Budget 9
>
> 2\. Consolidated Budget 10
>
> 3\. Budget Narrative - Budget Justification 10
>
> E. Project Details 10
>
> 1\. Table of Contents 10
>
> 2\. Continuation Application Narrative 10
>
> 3\. Format Requirements 12
>
> F. Assurances and Certifications 12
>
> G. Appendices 12
>
> 1\. Biographical Sketches 12
>
> 2\. Letters of Support 12
>
> 3\. Funding Priority Requests 12
>
> 4\. Appendices 12
>
> H. Program Specific Information 13
>
> I. Paper Submission Format 14

**IV. Submission Dates and Times 14**

**V. Intergovernmental Review 15**

**VI Funding Restrictions 15**

**VII. Continuation Application Review Information 15**

> A. Review Process 15

**VIII. Agency Contacts 15**

> A. Business, Administration and Fiscal Inquiries 15
>
> B. Programmatic Assistance 16
>
> C. Electronic Application, HRSA Electronic Handbooks Assistance 16

**IX. Guidance Appendices 17**

> Appendix A: Sample Completed Status Page 18
>
> Appendix B: Key Word List 19
>
> Appendix C: Program Specific Forms 24
>
> Appendix D: Training Web Site 27

#### I. PURPOSE 

A continuation application is required for continuation of grant funding
for each budget year within a project period. This application serves as
the primary source of information regarding activities, accomplishments,
outcomes, and obstacles related to achieving project outcomes during the
current budget period. It provides documentation necessary to justify
continuation of the project.

#### II. Award Information

**Summary of Funding**

The budget period is June 1, 2005 through May 31, 2006, except for COR
whose project period is July 1, 2005-June 30, 2006. Your continuation
budget request should not exceed your budget from last year. If you have
any questions regarding your budget request, contact your project
officer. All budget items and amounts must be fully justified based on
the proposed activities. Funding is dependent on the availability of
appropriated funds in subsequent years and satisfactory grantee
performance.

#### III. ELECTRONIC SUBMISSION INSTRUCTIONS

**A. Background and Rationale for Electronic Submission**

A new online application and reporting system has been implemented
during FY 2005 and all Health Resources and Services Administration
(HRSA) grantees are now urged to submit non-competing continuation
applications electronically using the HRSA Electronic Handbooks (EHB).
Ultimately, this system will provide grantees with information from
previous years, including budget and services data. There are several
features of the online system that are designed to ease the reporting
burden on grantees:

-   Data are submitted via forms to a central database and reports and
    other documents are attached on line.

-   Since electronic submissions are saved to a central database, you
    will not need to resubmit the same information year after year.  In
    subsequent years, data previously submitted will be accessed and
    displayed. 

-   When the same item is requested on multiple forms, you will only be
    required to enter it once.  The system will insert the data to the
    appropriate fields on subsequent forms.  This reduces the need for
    redundant data entry. 

-   The system has built-in checks to help improve the quality of
    reported data, including features that guard against data entry or
    calculation errors.  For example, the system checks to ensure that
    budget totals match across financial forms, and alerts the applicant
    when errors are detected. 

>  
>
> For grant reviewers, the system will provide quick access to submitted
> data, as data will be automatically transmitted to the HRSA database,
> and those data can be accessed immediately thereafter by program
> management staff.  Compared to the paper submission process, lag time
> will be greatly reduced.

**B. Getting Started**

This section describes the HRSA EHB's registration process and provides
an overview of how the electronic system works.

**1. Registration**

To access the HRSA EHB, go to
<https://grants.hrsa.gov/webexternal/home.asp>.

> Your organization and each person within your organization who will
> contribute to the continuation application must register within the
> EHB. The purpose of the registration process is to collect consistent
> information from all users, avoid collection of redundant information,
> and uniquely identify each system user.
>
> Registration within the HRSA EHB is a two-step process:

-   In the first step, individual users from an organization who will
    work on a grant application or continuation application must create
    individual system accounts.

-   In the second step, the users must search for and select their
    organization. Because this is a non-competing continuation
    application, your grantee organization record exists within EHB,
    there is no need to create a new organizational record. Each user
    should register only once.

> Multiple individuals within your organization can work on an
> application, but the application can only be submitted by your
> organization's designated Authorizing Official (AO). Ensure that your
> AO registers so that applications can be submitted. The AO is the
> individual within your organization who will assume the obligations
> required by Federal laws, regulations and conditions associated with
> the application process.
>
> To complete the registration quickly and efficiently we recommend that
> you have the following information handy:

-   Your role in the grants management process: HRSA EHB offers three
    functional roles for external organization users, the 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 online help.

-   If you are legally responsible for the contents of this application,
    as well as regulatory compliance with conditions of grant awards on
    behalf of your organization, select AO. Remember that as AO you must
    review and submit the final application to HRSA.

-   If you are the individual responsible for financial transactions
    related to this grant, select BO.

-   If you are not covered by the two categories described above (e.g.,
    you are the project director, project staff, etc.) choose "Other."

-   The 10-digit grant number from a Notice of Grant Award (NGA) which
    uniquely identifies your grant. Use the grant number to find your
    organization during registration. To start your non-competing
    continuation application, click on \"Noncompeting Continuations\"
    after logging in. Use your grant number to search for the funding
    opportunity and follow the instructions.

> For step-by-step instructions about the online application and how to
> get started, go to MCHB Critical Highlights at:
>
> <https://performance.hrsa.gov/mchb/mchreports/criticalhighlights.asp>.
>
>   

**2. Overview of the Electronic Process**

Once you have completed the EHB registration process, you will see an
Application Forms Status Menu (See Guidance Appendix A). You can track
your progress in completing the application through this menu. As you
complete items, the status menu will note that those portions of the
application are complete.

> The sections of the application are:

+---------------------+------------------------------------------------+
| > Basic Information | Grantee organization information, DUNS and CCR |
|                     | numbers, project information, and a project    |
|                     | abstract                                       |
+---------------------+------------------------------------------------+
| > Budget            | 6025 Training Budget Form, Consolidated Budget |
| > Information       | Form, and Budget Narrative                     |
+---------------------+------------------------------------------------+
| > Project Details   | Continuation Application Narrative             |
+---------------------+------------------------------------------------+
| > Assurances and    | Checklist of policies                          |
| > Certifications    |                                                |
+---------------------+------------------------------------------------+
| > Appendices        | Biographical sketches for new faculty          |
+---------------------+------------------------------------------------+
| > Program Specific  | Data about your project and performance        |
| > Information       | measures                                       |
+---------------------+------------------------------------------------+

> **3. Length Limitation**
>
> If applying online, the total size of all uploaded files may not
> exceed the equivalent of 30 pages when printed by HRSA, approximately
> 5 MB.  This 30-page limit includes the abstract, project and budget
> narratives, the HRSA 6025, attachments, and any appendices such as
> letters of commitment and support.  However, it does not include
> program specific forms required by funding programs (found in the
> Programs Specific Information Section, i.e., financial, program and
> performance measures forms) -- Guidance Appendix C.
>
>  
>
> If applying on paper, the entire application may not exceed 30 pages
> in length, with the exclusion of the Program Specific Information as
> discussed above.  Pages must be numbered consecutively.  
>
> ** **
>
> **Applications, whether submitted electronically or on paper, that
> exceed the specified limits (30 pages or approximately 5 MB, or that
> exceed 30 pages when printed by HRSA, excluding program specific
> required forms) will be deemed non-compliant.  All non-compliant
> applications will be returned to the applicant without further
> consideration.  **

**4. Assistance with Electronic Submission**

> For assistance in using HRSA EHB, call 877-Go4-HRSA (877-464-4772)
> between 9:00 am to 5:30 pm ET or e-mail: <callcenter@hrsa.gov>.
>
> ** **

**C. Basic Information**

General information about the organization and the project are requested
in this section:

**1. Applicant Organization Information:**

Enter your type of organization, and contact information for your
project director, business official, single point of contact and
authorizing official, and update your mailing address if needed. Provide
your Data Universal Numbering System (DUNS) number and Central
Contractor Registry (CCR) number.

> **DUNS and CCR Numbers**
>
> All applicant organizations are now 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/preview/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm ).
> or call 1-866-705-5711. Please include the DUNS number beneath the
> Grant Number on the progress report cover page. Progress reports
> ***will not*** be reviewed without a DUNS number.
>
> Additionally, the applicant organization will be required to register
> with the Federal Government's Central Contractor Registry (CCR) in
> order to do business with the Federal Government, including
> electronic. Information about registering with the CCR can be found at
> [http://www.hrsa.gov/grants/preview/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm )..

**2. Applicant Project Information:**

Provide project information, such as the title of your grant program if
it differs from the announcement and revisions to your period of
performance if necessary, and note other congressional districts that
benefit from your application. Attach your Project Abstract. A Project
Summary is not required for this grant program.

**Project Abstract:**

> Provide a project abstract. Because the abstract is often distributed
> to provide information to the public and Congress, please prepare this
> so that it is clear, accurate, concise, and without reference to other
> parts of the application. It must include a brief description of the
> grant project including the needs addressed, services provided, and
> the population group(s) served. The abstract is attached as a Word
> document to the application and must not exceed three (3) pages.
>
> Please place the following at the top of the abstract:
>
> **Project Identifying Information**

-   Project Title

-   Grant Number

-   Project Director

-   Contact Person

-   Grantee Organization and Address

-   Contact Phone Numbers (Voice, Fax)

-   E-Mail Address **(please make sure this is up to date)**

-   Web Site Address

-   Project Period

> The project abstract must be single-spaced and limited to three pages
> in length and should include the following headings:
>
> PROBLEM: Briefly state the principal needs and problems which are
> addressed by the project, including the project\'s relationship to
> current MCH program priorities.
>
> GOAL(S) AND OBJECTIVES: Identify the major training goal(s) and
> objectives for the project period. Typically, the goal is stated in a
> sentence or paragraph, and the objectives are presented in a numbered
> list.
>
> METHODOLOGY: Describe the educational programs and activities used to
> attain the objectives and comment on innovation, cost, and other
> characteristics of the methodology. This section describes the
> activities which have been proposed or are being implemented to
> achieve the stated objectives.
>
> COORDINATION: Describe the coordination planned with appropriate
> national, regional, state and/or local health agencies and/or
> organizations in the area(s) served by the project.
>
> EVALUATION: Briefly describe the evaluation methods used to assess
> program outcomes and the effectiveness and efficiency of the training
> project in attaining goals and objectives.
>
> EXPERIENCE TO DATE: Summarize or list the major activities and
> outcomes of the training program to date. Provide evidence of progress
> toward meeting project goals.
>
> ANNOTATION:
>
> Prepare a three to five-sentence summary of the project which
> identifies the project's purpose, needs and problems addressed, goals
> and objectives, educational programs and activities for attaining
> goals, and evaluation.
>
> KEY WORDS:
>
> Key words are the terms under which your project will be indexed in
> databases. Select the most significant terms which describe the
> training project, including health professions for which training is
> offered; populations served; scope of services; and major issues being
> addressed through service, research, and training. Reference the key
> word list in Appendix B for appropriate key words.
>
> In addition to completing the abstract as a standalone document that
> is attached in the online application, the abstract must also be
> entered on Form 6 in the Program Specific Information section.  To do
> this, you can copy from the application abstract and paste the text in
> the appropriate data fields on Form 6. The text sections in Form 6
> have length limitations so be concise when composing your abstract.
>
> Information is extracted from each of these documents for different
> purposes, including HRSA publications and Web reports.

**D. Budget Information**

> Complete a budget form and budget justification for the coming project
> year (June 1, 2005-May 31, 2006: COR is July 1, 2005-June 30, 2006).
> Include all direct and indirect expenses supported by the grant on the
> budget form, HRSA 6025 budget form. All line items must be well
> justified in a narrative budget justification. By completing the
> Budget Information Section in the HRSA EHB, you are completing the
> HRSA 6025 budget form. You will also complete financial forms in the
> Program Specific Information, see Appendix C.
>
> The Budget Information Section is comprised of three subsections:
> Detailed Budget, Consolidated Budget and the Budget Narrative.

**1. Detailed Budget**

> The detailed budget form tracks those expenses that are planned for
> the application year in the following categories: non-trainee expenses
> -- personnel, other non-trainee expenses, and trainee expenses.
> Trainee stipend levels for Health Resources and Services
> Administration training grantees were last updated on February 4,
> 2005, and posted at
> <http://grants.nih.gov/grants/guide/notice-files/NOT-OD-05-032.html>.
> The stipend levels may, for the Maternal and Child Health Training
> Program, be treated as ceilings rather than mandatory amounts, i.e.,
> stipends may be less than but may not exceed the amounts indicated.
> However, where lesser amounts are awarded, the institution must have
> an established written policy which identifies the basis for such
> variation and which ensures equitable treatment of all eligible
> trainees/fellows.
>
> Also note that under the trainee expenses, a justification for trainee
> travel is requested and required.

**2. Consolidated Budget**

> **Consolidated Budget (Direct/Indirect Costs)**
>
> In the HRSA EHB, budget amounts that you enter in the Detailed Budget
> are brought forward to the Consolidated Budget for the current
> application year. To adjust any of these amounts for the application
> year, return to the Detailed Budget to change these values.
>
> To enter budgets for future years, select the button "Add New Budget
> Period" to provide budget information.
>
> **Consolidated Budget (Total) -- Funding Sources**
>
> Enter the Federal amount request for the application year and future
> years under this grant. Because this training grant is not
> cost-sharing, there is no requirement to complete the other funding
> categories (Other Federal Funding, Applicant/Institution, State,
> Local/Other and Project Income) on this form. Entering these amounts
> is required in the Program Specific Information Section for Form 1,
> where this budget information is collected.

**3. Budget Narrative**

> Provide a narrative that explains the amounts requested for each line
> in the budget (i.e., personnel, consultant costs, equipment,
> contracts, supplies, staff travel, other expenses for non-trainee
> expenses and stipends, tuition and fees and trainee travel for
> trainees as well as indirect costs. In particular, provide detailed
> justifications for all consultant, contract, and travel costs,
> providing name of consultants and hourly rates, clear descriptions of
> contractual costs, and detailed break-outs of all travel costs (number
> of trips, destination, cost per trip, etc.). The budget justification
> must clearly describe each cost element and explain how each cost
> contributes to meeting the project's objectives/goals. Please show how
> each item in the "other" category is justified.
>
> The budget justification should be completed on your desktop and
> attached to the online application.

**E. Project Details**

Attach your continuation application narrative. Report achievements to
date for the past budget period and projected plans for the coming
budget period, June 1, 2005-May 31, 2006; COR: July 1, 2005 through June
30, 2006.

**1. Table of Contents**

> The Table of Contents should be the first page of your Continuation
> Application Narrative, and should display the Sections in the
> following order: Abstract, Budget Justification, Continuation
> Application Narrative, and Appendices. The Table of Contents should
> provide the title of each section of the narrative and appendices with
> corresponding page numbers.
>
> **2. Continuation Application Narrative**---Section headings for the
> continuation application narrative should be:
>
> **A. Administration/Organization**---Indicate any changes affecting
> the structure or placement of the program, significant changes in
> administration, faculty/staff, resources, funding, facilities, etc. If
> personnel changes are to be made, indicate the plan for staffing the
> training program during the transition, and plans for any new hires.
> In the appendix, include a Biographical Sketch (two page maximum) for
> new grant-supported faculty appointed during the past year, i.e.,
> since the last continuation application was submitted.
>
> **B. Project Plan Amendments**---Describe and justify proposed
> amendments/revisions to your originally approved project plan and /or
> previously approved continuation application.
>
> **C. Training---** Provide a narrative description of the training
> program supported by your grant in the past year, including the goals,
> objectives, activities, and outcomes that you planned to achieve in
> your original grant submission, and any changes that are noteworthy.
> Indicate any needs assessments conducted, methods used, outcomes, and
> any lessons learned. Significant challenges to program implementation
> should also be identified, as well as your plans to address them.
>
> **D. Collaboration/Coordination**--- Describe the purpose and outcomes
> from collaborative, consultative and technical assistance activities
> provided through your training program in the past year. In
> particular, the activities related to, or resulting from, established
> relationships of the program and faculty with State and local Title V
> agencies/programs and with other maternal and child health programs in
> the community, state, and region should be described.
>
> Describe any collaborative activities with other MCH training
> programs, outlining areas of cross-fertilization, trainee
> participation in activities, outcomes and lessons learned. Describe
> any collaborative activities with other academic programs (MCH or
> non-MCH) at your university, including recruitment efforts.
>
> **E. Leadership**---Briefly describe (1-2 paragraphs) any best
> practices or innovations that your program has implemented to promote
> leadership development in your trainees and faculty.
>
> For CERT only: Provide profiles (one paragraph or one-third page each)
> of one or two faculty and one or two former trainees who exemplify
> leadership. These should be written as narratives that highlight their
> leadership activities, e.g., participation on advisory boards,
> significant positions/roles in professional organizations, research,
> teaching, publications, or other efforts in which they may be
> influential in changing policy, services, or systems to improve the
> health of the MCH population and/or further the development of their
> field/profession.
>
> **F. Marketing/Dissemination**---Describe how you market your training
> program(s) and disseminate any products. Do not send copies of
> publications and other materials with the Continuation Application.
>
> **G. Evaluation/Impact**---Describe the outcomes to date of the
> evaluation plan presented in your initial proposal. Are you meeting
> project goals and objectives? If so, how are you measuring this?
>
> How does this training grant make a difference in your training
> program? Summarize the benefits of this grant to the
> program/department/ institution, e.g., outcomes that are linked to
> this MCHB support. In addition, briefly explain the training grant's
> impact at the local, state, regional and national levels.

**3. Format Requirements**

a.  **Font:** Please use an easily readable serif typeface, such as
    Times Roman, Courier, CG Times, or Arial. The text and table
    portions of the progress report must be submitted in not less than
    12 point and 1.0 line spacing. Narrative reports and attachments not
    adhering to 12 point font requirements may be returned.

> []{.mark}

b.  **Paper Size and Margins:** Please format the continuation
    application narrative for 8 ½" x 11" paper. Margins must be at least
    one (1) inch at the top, bottom, left and right of the paper. Please
    left-align text.

c.  **Numbering:** Please number the pages of the attachments
    sequentially from page 1 to the end of the application, including
    all appendices, such as charts, figures, and tables. Follow the
    order as outlined in the Table of Contents above for numbering these
    pages.

d.  **Names:** Please include the name of the applicant on each page.

e.  **Section Headings:** Please put all section headings flush left in
    bold type.

**F. Assurances and Certifications**

Review the assurances and certifications and certify each listed. If one
or more of the following are not met, check \"NO\" for the assurance or
certification and attach an explanation.

**G. Appendices**

Attachments may be provided in the following categories:

> 1\. Biographical Sketches: Please include only biographical sketches
> of key personnel that are NEW faculty. Biographical sketches should
> not to exceed two pages in length. The biographical sketch must
> include: Name (Last, first, middle initial), Title on Training Grant,
> Education, and, Professional Experience, beginning with the current
> position, then in reverse chronological order, a list of relevant
> previous employment and experience. Also, a list, in reverse
> chronological order, of all relevant publications, or the most
> representative, must be provided.
>
> 2\. Letters of Support: Please include letters of support that you
> have that are from NEW collaborations.
>
> 3\. Funding Priority Requests: No attachment is needed in this
> section.
>
> 4\. Appendices: Provide additional attachments of appendices needed to
> support your continuation application.

**H. Program Specific Information -- MCHB Performance Measures and Data
Collection**

The Health Resources and Services Administration (HRSA) has modified its
reporting requirements for SPRANS projects, CISS projects, and other
grant programs administered by the MCHB to include national performance
measures being developed in accordance with the requirements of the
Government Performance and Results Act (GPRA) of 1993 (Public Law
103-62). This Act requires the establishment of measurable goals for
Federal programs that can be reported as part of the budgetary process,
thus linking funding decisions with performance. Performance measures
for States have also been established under the Block Grant provisions
of Title V of the Social Security Act, the MCHB's authorizing
legislation. Performance measures for other MCHB-funded grant programs
have been approved by the Office of Management and Budget and are
primarily based on existing or administrative data that projects should
easily be able to access or collect.

Performance measures and other data collection information are collected
in the Program Specific Information Section. When you click on the
Program Specific Information link, a menu of the forms assigned to your
specific training program is displayed. These include performance
measures, financial, program, and additional data element forms. Refer
to Guidance Appendix C for these forms and performance measures.

**All continuing education training programs complete the following
Program Specific Forms:**

Form 1: MCHB Project Budget Detail

Form 2: Project Funding Profile

Form 4: Project Budget and Expenditures by Types of Services

Form 6: Maternal and Child Health Discretionary Grant Project Abstract

Form 7: Discretionary Grant Project Summary Data

MCH Training and Education Program Data Form

**Completing the Program Specific Information for this Continuation
Application**

Certain information is required to be entered in the Program Specific
forms for the non-competing continuation application:

Form 1: Complete the budget details for next year's budget period (June
1, 2005-May 31, 2006: COR is July 1, 2005-June 30, 2006).

Form 2: Complete the budget for future budget years by source of
funding.

Form 4: Complete the budget for next year's budget and future budget
years by types of service. Training programs should put all funding into
the infrastructure category.

Form 6: Enter your abstract.

Form 7: Enter discretionary grant information, including the number of
products and publications.

MCH Training and Education Program Data Form: Unless your data are
final, report provisionally for the period June 1, 2004 through May 31,
2005 for all sections (COR reports for period July 1, 2004 through June
30, 2005).

**Completing the MCH Training and Education Program Data Form**

The MCH Training and Education Program Data Form is comprised of the
following four sections: 1. Catalog of Federal Domestic Assistance
(CFDA) Number, 2. Faculty and Staff Information, 3. Short-term Training
Information, and 4. Continuing Education. Specific instructions for
completing sections of this form are provided below:

**Section 2, Faculty and Staff Information:** Complete for faculty and
staff members supported by the grant.

**Section 3, Short and Medium Term Trainee Information**. Complete the
Short and Medium Term Trainee section for all trainees reached by your
program in the past year. Short term trainees are those who have had
less than 40 contact hours with your training program in the last 12
month grant period. Medium term trainees are those with 40 or more but
less than 300 contact hours in the past 12 month grant period. Indicate
the number and disciplines of short and medium term trainees.

**Section 4, Continuing Education**. Complete the Continuing Education
section for all CE activities in the past year. Presentations/seminars,
workshops/conferences, web-based courses, and audio and video
conferences should be reported, indicating topics, methods, number of
students, duration, and whether CE units were provided for the top 5
most significant CE events provided last year, and a total number of CE
events and trainees reached for ALL events in the past year.

**I. Paper Submission**

Electronic submission of this non-competing continuation and progress
report is the standard, so hard-copy submission is considered the
exception to the rule. If you are unable to submit electronically, you
must contact the project officer informing them of a hard-copy
submission and requesting a forms package and instructions.

#### IV. Submission Dates and Times

**The Continuation Application due date is April 8, 2005 at 5:00 p.m.
E.T.**

Applications completed online are considered formally submitted when the
AO electronically submits the application to HRSA.  However, to complete
the submission requirements, a hard-copy of the HRSA 6025 Face Sheet
must be printed, signed, and submitted to the HRSA Grants Application
Center.  The Face Sheet can be printed from the online application.

 

**For an online application, the signed Face Sheet must be sent to the
HRSA Grants Application Center at the following address and received by
HRSA no later than 5 days after the deadline date:**  

HRSA Grants Application Center

MCHB Continuation Application, CFDA# 93.110

Announcement \# **5-TXX-05-001**

ATTN: **XX**                

901 Russell Avenue, Suite 450

Gaithersburg, MD 20879

Telephone: 1-877-477-2123

** **

Applications will be considered as having met the deadline if:

-   all parts of the online application are noted as COMPLETE on the
    Application Forms Status menu,

-   the application has been submitted electronically by your
    organization's Authorizing Official to HRSA on or before the
    deadline date and time, and

-   the signed HRSA 6025 Face Sheet is received by HRSA no later than 5
    days after the deadline date.

**REMINDER:**  Only applicants who apply online are permitted to forego
hard-copy submission of all application forms EXCEPT the signed HRSA
6025 Face Sheet.   If you are submitting a hard-copy application, the
application must be received by the deadline noted above.

#### V. Intergovernmental Review

EO 12372 does not apply to this program.

#### VI. Funding Restrictions

Awards to support projects beyond the first budget year will be
contingent upon Congressional appropriation, satisfactory progress in
meeting the project's objectives, and a determination that continued
funding would be in the best interest of the government.

Indirect costs are limited to 8%.

#### VII. Continuation Application Review Information

**Review Process**

All Continuation Applications are reviewed by grants management
officials (business and financial review) and program staff (technical
review and analysis of performance measures).

#### VIII. Agency Contacts

Grantees are encouraged to request assistance in the development of
their continuation applications.

**A. Business, Administrative and Fiscal Inquiries**

Grantees may obtain additional information regarding business,
administrative, or fiscal issues by contacting:

> Ms. Jacquelyn Whitaker
>
> Lead Grants Management Specialist
>
> Research and Training Branch, HRSA
>
> Div. of Grants Management Operations
>
> 5600 Fishers Lane, Room 11A-16
>
> Rockville, MD 20857
>
> Telephone:  (301) 443-3893
>
> Email: <jwhitaker@hrsa.gov>

**B. Programmatic Assistance**

Additional information related to the overall program issues or
technical assistance may be obtained by contacting your project officer.
The mailing address and fax for all project officers is:

> Maternal and Child Health Bureau
>
> 5600 Fishers Lane, Room 18A55
>
> Rockville, MD 20857
>
> Fax: (301) 443-4842

Telephone numbers and email addresses for individual project officers
are as follows:

**DL** Audrey M. Koertvelyessy, MSN, RN, FNP

\(301\) 443-0392

[akoertvelyessy@hrsa.gov](mailto:mreddy@hrsa.gov)

**CERT** Nanette Pepper, BSRN, MEd

\(301\) 443-6445

<npepper@hrsa.gov>

**GME, COR, CE** Diana L. Rule, MPH

\(301\) 443-0233

<drule@hrsa.gov>

**C. Electronic Application, HRSA EHB Assistance**

Grantees may need assistance when working online to submit their
continuation application forms. For assistance, contact:

> HRSA Call Center\
> 12530 Parklawn Drive, Suite 350\
> Rockville, MD 20852\
> Phone: (877) GO4-HRSA or (877) 464-4772\
> Fax: (301) 998-7377\
> E-mail: <CallCenter@HRSA.GOV>

####  IX. GUIDANCE APPENDICES

**Guidance Appendix A: Sample Completed Status Page---MCHB Training
Noncompeting Continuation**

**HRSA's Electronic Handbooks (EHBs) Application Forms Status Page**

![](media/image1.png){width="6.678472222222222in"
height="6.247916666666667in"}

**Guidance Appendix B: Key Words for Project Abstract**

**Menu of Suggested Key Words for Project Abstracts**

A list of keywords used to describe MCHB-funded projects follows. Please
choose from this list when selecting terms to classify your project.

If no term on this list adequately describes a concept that you would
like to convey, please select a term which you think is appropriate and
include it in your list of keywords.

Access to Health Care

Adolescent Health Programs

Adolescent Nutrition

Adolescent Parents

Adolescent Pregnancy

Adolescent Pregnancy Prevention

Adolescent Risk Behavior Prevention

Adolescents

Adolescents with Disabilities

Advocacy

African Americans

Agricultural Safety

AIDS

AIDS Prevention

Alaska Natives

Alcohol

American Academy of Pediatrics

American College of Obstetricians and Gynecologists

American Public Health Association

Amniocentesis

Anemia

Anticipatory Guidance

Appalachians

Arthritis

Asian Language Materials

Asians

Asthma

Attachment

Attachment Behavior

Attention Deficit Disorder

Audiology

Audiometry

Audiovisual Materials

Baby Bottle Tooth Decay

Battered Women

Behavior Disorders

Behavioral Pediatrics

Bereavement

Bicycle Helmets

Bicycle Safety

Bilingual Services

Biochemical Genetics

Blindness

Blood Pressure Determination

Body Composition

Bonding

Brain Injuries

Breast Pumps

Breastfeeding

Bronchopulmonary Dysplasia

Burns

Cambodians

Caregivers

Case Management

Cerebral Palsy

Chelation Therapy

Child Abuse

Child Abuse Prevention

Child Care

Child Care Centers

Child Care Workers

Child Mortality

Child Neglect

Child Nutrition

Child Sexual Abuse

Childhood Cancer

Children with Special Health Needs

Child Death Review

Chronic Illnesses and Disabilities

Cleft Lip

Cleft Palate

Clinical Genetics

Clinics

Cocaine

Collaborative Office Rounds

Communicable Diseases

Communication Disorders

Communication Systems

Community Based Health Education

Community Based Health Services

Community Based Preventive Health

Community Development

Community Health Centers

Community Integrated Service System

Community Participation

Compliance

Comprehensive Primary Care

Computer Linkage

Computer Systems

Conferences

Congenital Abnormalities

Consortia

Continuing Education

Continuity of Care

Cost Effectiveness

Counseling

County Health Agencies

Craniofacial Abnormalities

Cultural Diversity

Cultural Sensitivity

Curricula

Cystic Fibrosis

Cytogenetics

Data Analysis

Data Collection

Data Systems

Databases

Deafness

Decision Making Skills

Delayed Development

Dental Sealants

Dental Treatment of Children with Disabilities

Depression

Developmental Disabilities

Developmental Evaluation

Developmental Screening

Diagnosis

Diarrhea

Dietitians

Dispute Resolution

Dissemination

Distance Education

Divorce

DNA Analysis

Down Syndrome

Drowning

Early Childhood Development

Early Intervention

Electronic Bulletin Boards

Electronic Mail

Eligibility Determination

Emergency Medical Services for Children

Emergency Medical Technicians

Emergency Room Personnel

Emotional Disorders

Emotional Health

Employers

Enabling Services

Enteral Nutrition

EPSDT

Erythrocyte Protoporphyrin

Ethics

Evoked Otoacoustic Emissions

Failure to Thrive

Families

Family Centered Health Care

Family Centered Health Education

Family Characteristics

Family Environment

Family Medicine

Family Planning

Family Professional Collaboration

Family Relations

Family Support Programs

Family Support Services

Family Violence Prevention

Farm Workers

Fathers

Feeding Disorders

Fetal and Infant Mortality Review

Fetal Alcohol Effects

Fetal Alcohol Syndrome

Financing

Food Preparation in Child Care

Formula

Foster Care

Foster Children

Foster Homes

Foster Parents

Fragile X Syndrome

Genetic Counseling

Genetic Disorders

Genetic Screening

Genetic Services

Genetics Education

Gestational Weight Gain

Glucose Intolerance

Governors

Grief

Gynecologists

Hawaiians

Head Start

Health Care Financing

Health Care Reform

Health care utilization

Health Education

Health Insurance

Health Maintenance Organizations

Health Professionals

Health Promotion

Health Supervision

Healthy Mothers Healthy Babies Coalition

Healthy Start Initiative

Healthy Tomorrows Partnership for Children

Hearing Disorders

Hearing Loss

Hearing Screening

Hearing Tests

Hemoglobinopathies

Hemophilia

Hepatitis B

Hispanics

HIV

Hmong

Home Health Services

Home Visiting for At Risk Families

Home Visiting Programs

Home Visiting Services

Homeless Persons

Hospitals

Hygiene

Hyperactivity

Hypertension

Illnesses in Child Care

Immigrants

Immunization

Incarcerated Women

Incarcerated Youth

Indian Health Service

Indigence

Individualized Family Service Plans

Infant Health Care

Infant Morbidity

Infant Mortality

Infant Mortality Review Programs

Infant Nutrition

Infant Screening

Infant Temperament

Infants

Information Networks

Information Services

Information Sources

Information Systems

Injuries

Injury Prevention

Intensive Care

Interagency Cooperation

Interdisciplinary Teams

Internship and Residency

Intubation

Iron Deficiency Anemia

Iron Supplements

Jews

Juvenile Rheumatoid Arthritis

Laboratories

Lactose Intolerance

Language Barriers

Language Disorders

Laotians

Lead Poisoning

Lead Poisoning Prevention

Lead Poisoning Screening

Leadership Training

Learning Disabilities

Legal Issues

Life Support Care

Literacy

Local Health Agencies

Local MCH Programs

Low Birthweight

Low Income Population

Lower Birthweight

Males

Managed Care

Managed Competition

Marijuana

Marital Conflict

Maternal and Child Health Bureau

Maternal Nutrition

MCH Research

Media Campaigns

Medicaid

Medicaid Managed Care

Medical Genetics

Medical History

Medical Home

Mental Health

Mental Health Services

Mental Retardation

Metabolic Disorders

Mexicans

Micronesians

Migrant Health Centers

Migrants

Minority Groups

Minority Health Professionals

Mobile Health Units

Molecular Genetics

Morbidity

Mortality

Motor Vehicle Crashes

Multiple Births

Myelodysplasia

National Information Resource Centers

National Programs

Native Americans

Needs Assessment

Neonatal Intensive Care

Neonatal Intensive Care Units

Neonatal Mortality

Neonates

Networking

Neurological Disorders

Newborn Screening

Nurse Midwives

Nurses

Nutrition

Obstetricians

Occupational Therapy

One Stop Shopping

Online Databases

Online Systems

Oral Health

Organic Acidemia

Otitis Media

Outreach

P. L. 99-457

Pacific Islanders

Pain

Paraprofessional Education

Parent Education

Parent Education Programs

Parent Networks

Parent Professional Communication

Parent Support Groups

Parent Support Services

Parental Visits

Parenteral Nutrition

Parenting Skills

Parents

Patient Education

Patient Education Materials

Pediatric Advanced Life Support Programs

Pediatric Dentistry

Pediatric Intensive Care Units

Pediatric Nurse Practitioners

Pediatricians

Peer Counseling

Peer Support Programs

Perinatal Health

Phenylketonuria

Physical Disabilities

Physical Therapy

Pneumococcal Infections

Poisons

Preconception Care

Pregnant Adolescents

Pregnant Women

Prematurity

Prenatal Care

Prenatal Diagnosis

Prenatal Screening

Preschool Children

Preterm Birth

Preventive Health Care

Preventive Health Care Education

Primary Care

Professional Education in Adolescent Health

Professional Education in Behavioral Pediatrics

Professional Education in Breastfeeding

Professional Education in Chronic Illnesses and Disabilities

Professional Education in Communication Disorders

Professional Education in CSHN

Professional Education in Cultural Sensitivity

Professional Education in Dentistry

Professional Education in Developmental Disabilities

Professional Education in EMSC

Professional Education in Family Medicine

Professional Education in Genetics

Professional Education in Lead Poisoning

Professional Education in MCH

Professional Education in Metabolic Disorders

Professional Education in Nurse Midwifery

Professional Education in Nursing

Professional Education in Nutrition

Professional Education in Occupational Therapy

Professional Education in Physical Therapy

Professional Education in Primary Care

Professional Education in Psychological Evaluation

Professional Education in Pulmonary Disease

Professional Education in Social Work

Professional Education in Violence Prevention

Provider Participation

Psychological Evaluation

Psychological Problems

Psychosocial Services

Public Health Academic Programs

Public Health Education

Public Health Nurses

Public Policy

Public Private Partnership

Puerto Ricans

Pulmonary Disease

Quality Assurance

Recombinant DNA Technology

Referrals

Regional Programs

Regionalized Care

Regulatory Disorders

Rehabilitation

Reimbursement

Repeat pregnancy prevention

Research

Residential Care

Respiratory Illnesses

Retinitis Pigmentosa

Rheumatic Diseases

RNA Analysis

Robert Wood Johnson Foundation

Runaways

Rural Population

Russian Jews

Safety in Child Care

Safety Seats

Sanitation in Child Care

School Age Children

School Dropouts

School Health Programs

School Health Services

School Nurses

Schools

Screening

Seat Belts

Self Esteem

Sensory Impairments

Service Coordination

Sex Roles

Sexual Behavior

Sexuality Education

Sexually Transmitted Diseases

Shaken Infant Syndrome

Siblings

Sickle Cell Disease

Sleep Disorders

Smoking During Pregnancy

Social Work

Southeast Asians

Spanish Language Materials

Special Education Programs

Specialized Care

Specialized Child Care Services

Speech Disorders

Speech Pathology

Spina Bifida

Spouse Abuse

Standards of Care

State Health Agencies

State Health Officials

State Legislation

State Programs

State Staff Development

State Systems Development Initiative

Stress

Substance Abuse

Substance Abuse Prevention

Substance Abuse Treatment

Substance Abusing Mothers

Substance Abusing Pregnant Women

Substance Exposed Children

Substance Exposed Infants

Sudden Infant Death Syndrome

Suicide

Supplemental Security Income Program

Support Groups

Surveys

Tay Sachs Disease

Technology Dependence

Teleconferences

Television

Teratogens

Terminally Ill Children

Tertiary Care Centers

Thalassemias

Third Party Payers

Title V Programs

Toddlers

Training

Transportation

Trauma

Tuberculosis

Twins

Uninsured

Unintentional Injuries

University Affiliated Programs

Urban Population

Urinary Tract Infections

Usher Syndrome

Vietnamese

Violence

Violence Prevention

Vision Screening

Vocational Training

Waiver 1115

Well Baby Care

Well Child Care

WIC

Youth in Transition

**Guidance Appendix C: Program Specific Forms**

**MCH Training and Education Program Data Form**

**OMB #0915-0272**

**Expiration Date:  January 31, 2006**

Section 1

CFDA Number is 93.110

Section 2, Faculty and Staff Information

List all personnel (faculty, staff, and others) contributing to your
training project, include those not supported by the grant.

  -----------------------------------------------------------------------
  Personnel (Do not list trainees)

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

+----------------+-----------+-------+------+--------+-------+-------+
| Name           | Race      | Ethn  | Ge   | Disc   | De    | F     |
|                | (indicate | icity | nder | ipline | grees | ormer |
|                | all that  |       |      |        |       |       |
|                | apply     |       |      |        |       | MCHB  |
|                | e.g.,     |       |      |        |       |       |
|                | American  |       |      |        |       | Trai  |
|                | Indian or |       |      |        |       | nee ? |
|                | Alaska    |       |      |        |       |       |
|                | Native,   |       |      |        |       | Y/N   |
|                | Asian,    |       |      |        |       |       |
|                | Black or  |       |      |        |       |       |
|                | African   |       |      |        |       |       |
|                | American, |       |      |        |       |       |
|                | Native    |       |      |        |       |       |
|                | Hawaiian  |       |      |        |       |       |
|                | or Other  |       |      |        |       |       |
|                | Pacific   |       |      |        |       |       |
|                | Islander, |       |      |        |       |       |
|                | White)    |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
| Faculty        |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
| Staff          |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
| Other          |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+
|                |           |       |      |        |       |       |
+----------------+-----------+-------+------+--------+-------+-------+

**MCH Training and Education Program Data Form, Section 3**

> **Short and Medium Term Trainee Information Form**

**OMB #0915-0272**

**Expiration Date:  January 31, 2006**

> **Short-term (Less than 40 contact hours) and Medium-term (40 or more
> and less than 300 contact hours) Training Information**
>
> Number of Short term Trainees during the past 12-month grant
> period\_\_\_\_\_\_\_
>
> List types/disciplines (i.e., pediatricians, nutritionists, etc.)
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Number of Medium term Trainees during the past 12-month grant period
> \_\_\_\_\_\_\_
>
> List types/disciplines (i.e., residents, interns, etc.)
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**MCH Training and Education Program Data Form, Section 4**

**Continuing Education and Continuing Education/Distance Learning Form**

**OMB #0915-0272**

**Expiration Date:  January 31, 2006**

  -------------------- -------------- ------------- ------------ --------------
  **Topic**            **Method\***   **Number of   **Duration   **Continuing
                                      CE Students** in Hours**   Education
                                                                 Credits
                                                                 Provided?
                                                                 Y/N**

                                                                 

                                                                 

  Total                               \##                        
  -------------------- -------------- ------------- ------------ --------------

\*Method: Presentation/Seminar; Workshop/Conference; Web-based Course;
Audioconference; Videoconference, etc.

List the Topics, methods, number of students, duration and whether CE
units were provided for all CE activities in the past project year.
Provide the total number of CE students reached through your training
program last year.

**Guidance Appendix D**

**MCH TRAINING Web Site**

**For a map and contact information of all currently funded MCH Training
Programs, visit the MCH Training Web Site at
[www.mchb.hrsa.gov/training](http://www.mchb.hrsa.gov/training)**