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

**Health Resources and Services Administration**

Division of Nursing

> **Comprehensive Geriatric Education Program (CGEP)**
>
> []{.mark}
>
> **Second Cycle (New Competition)**
>
> Announcement Number: HRSA-06-132

[]{.mark}

> **CFDA No. 93.265**

**PROGRAM GUIDANCE**

Fiscal Year 2006

**Application Due Date: May 22, 2006**

[]{.mark}

**Release Date: April 20, 2006**

[]{.mark}

**Date of Issuance: April 20, 2006**

Patricia A. Calico, DNS, RN Nancy V. Douglas-Kersellius

BHPr, Division of Nursing BHPr, Division of Nursing

Telephone: 301-443-5486 Telephone: 301-443-0907

Fax: 301-443-0791 Fax: 301-443-0791

Authority: Title VIII of the Public Health Service (PHS) Act, as amended
by the Nurse Reinvestment Act, 2002, P.L. 107-205, section 855.

**Guidance Table of Contents**

I.  *FUNDING OPPORTUNITY DESCRIPTION* 5

> Purpose 5
>
> Background 5

II. *AWARD INFORMATION* 6

> Type of Award 6
>
> Summary of Funding 6

III. *ELIGIBILITY INFORMATION* 7

     1.  Eligible Applicants 7

     2.  Cost Sharing/Matching 7

     3.  Other 7

IV\. *APPLICATION AND SUBMISSION INFORMATION* 8

1.  Address to Request Application Package 8

> *Application Materials* 8

2.  Content and Form of Application Submission 9

> *Application Format Requirements* 9
>
> *Application Format*
>
> *\` SF424 R&R Table of
> Contents............................................................10*
>
> i\. Application Face Page 14

ii. Table Of Contents 14

iii. Application Checklist 14

iv. Budget 14

v.  Budget Justification 14

vi. Staffing Plan and Personnel Requirements 16

vii. Assurances 17

viii. Certifications 17

ix. Project Abstract 17

x.  Program Narrative 17

xi. Program (CGEP) Specific Forms 22

xii. Appendices 22

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3.  Submission Dates and Times 23

4.  Intergovernmental Review 24

5.  Funding Restrictions 24

6.  Other Submission Requirements 24

> *V. APPLICATION REVIEW INFORMATION* 26

1.  Review Criteria 26

2.  Review and Selection Process 26

3.  Anticipated Announcement and Award Dates 29

*VI. AWARD ADMINISTRATION INFORMATION* 29

1.  Award Notices 29

2.  Administrative and National Policy Requirements 29

3.  Reporting 30

4.  Performance
    Review.................................................................31

*VII. AGENCY CONTACTS* 31

*VIII. TIPS FOR WRITING A STRONG APPLICATION* 32

*IX. APPENDICES* 34

> Appendix A: HRSA's Electronic Submission User
> Guide..........................35
>
> Appendix B: Registering and Applying Through
> Grants.gov.....................52
>
> Appendix C: Instructions for the SF 424 R&R (Research and
> Related).........57
>
> Appendix D: Biographical Sketch
> Form..............................................75
>
> Appendix E: Project Specific Tables 1 &
> 2..........................................76
>
> Appendix F: Program
> Checklist........................................................79
>
> Appendix G: Assurances, Certifications and Other
> Information..................80

####### Appendix H: Definitions................................................................85

**Executive Summary**

The Comprehensive Geriatric Education Program (CGEP) funds grants to
support the development of the nursing workforce by providing education
to registered nurses and all other levels of nursing personnel in
providing geriatric care and thereby improving the quality of care for
older adults. The program is authorized through the Public Health
Service (PHS) Act, as amended by the Nurse Reinvestment Act, 2002, P.L.
107-205, section 855.

Eligible applicants are schools of nursing, academic health centers,
health care facilities, partnerships of a school and a health care
facility, partnerships of a program leading to CNA certification and a
health care facility, and appropriate public or private entities,
including faith-based and community-based organizations.

Funding will be provided in the form of a new or a competing
continuation grant. Applications may be submitted for three (3) years of
support. The period of support for approved and funded new and competing
continuation projects begins July 1, 2006 and ends June 30, 2009.
Approximately \$450,000 is expected to be available to fund 2-3 grantees
with an average award of \$160,000.

**I. Funding Opportunity Description**

**Purpose**

Title VIII funds are authorized to support nursing workforce
development. The Public Health Service (PHS) Act, as amended by the
Nurse Reinvestment Act, 2002, P.L. 107-205, section 855, authorizes
grants, in coordination with programs under section 753, to meet the
costs of projects that train and educate nursing personnel in providing
geriatric care.

Grants to support development of the nursing workforce in geriatric
education may be used to:

(1) provide training to individuals who will provide geriatric care for
    the elderly;

(2) develop and disseminate curricula relating to the treatment of the
    health problems of elderly individuals;

(3) train faculty members in geriatrics; or

(4) provide continuing education to individuals who provide geriatric
    care.

This announcement solicits applications for the Comprehensive Geriatric
Education Program.

Projects must provide education for nursing personnel. Registered nurses
and all other levels of nursing personnel may participate in the
proposed projects that provide educational offerings in the care of
older adults. Applicants are encouraged to use/adapt existing curricula
as appropriate to the proposed project rather than expend resources to
develop new curricula. Excellent geriatric educational resources are
available through entities *such a*s the Hartford Institute for
Geriatric nursing <http://www.hartfordign.org/> he Hartford Centers of
Excellence in Geriatric Nursing Education
<http://www.geriatricnursing.org/centers/>. The National Association of
Geriatric Education Centers website at: <http://www.nagec.org/> provides
resources and other useful information.

**Background**

It is estimated that by 2030 there will be approximately 70 million
individuals aged 65 and older who will constitute, about 20% of the
total US population. Americans are living longer, healthier, and more
independently than ever before, and health professionals prepared in
geriatrics are critical to assisting older adults to prevent health
problems through activities such as becoming immunized, adopting healthy
eating habits, exercising, and avoiding tobacco use; protect their
health through early detection of chronic health problems; and implement
plans that promote healthy living (Administration on Aging). Older
adults need access to a full range of services from community and home
health care to nursing home care and the assistance of health care
providers to help meet instrumental and other activities of daily living
(*Healthy People 2010*). The capacity for older adults to receive
quality care may be limited by insufficient numbers of healthcare
providers prepared in geriatrics. The Comprehensive Geriatric Education
Program will prepare nurses to address the unique health needs of older
Americans and enhance quality care (*Congressional Record* -- Senate,
July 22, 2002).

The Comprehensive Geriatric Education Program addresses the need for
nursing personnel to care for our aging population. In addition, it
supports the mission of the Health Resources and Services
Administration's (HRSA's) Bureau of Health Professions (BHPr), which is
to improve the health status of the population by providing national
leadership and resources to develop, distribute and retain a diverse,
culturally competent health workforce that provides the highest quality
health care for all, especially the underserved. To accomplish this
mission, BHPr's programs assist with getting the right people, with the
right skills, in the right places, to achieve the right health outcomes.
In support of this mission, BHPr goals provide the overall framework for
all Bureau programs. These goals are:

**Goal 1:** Eliminate Health Barriers: Assure the appropriate supply,
diversity, composition and distribution of the health professions
workforce.

**Goal 2**: Eliminate Health Disparities: Assure the availability of a
full range of healthcare skills and services to populations bearing a
disproportionate share of disease and disability.

**Goal 3**: Assure Quality of Care: Improve the knowledge, skills,
competencies and outcomes of health professions workforce.

**Goal 4**: Improve Public Health and Health Care Systems: Assure the
infrastructure to support an efficient and effective health professions
workforce.

Additional information regarding the BHPr goals is addressed under
Project Guidelines and in the Program Narrative section of this
application guidance.

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**II. Award Information**

**1. Type of Award**

Funding will be provided in the form of a new or competing continuation
grant.

*New Awards*

New applications may be submitted for a project not currently receiving
funding.

*Competing Continuation Awards*

A competing continuation application may be submitted during the
beginning of the third year of the initial project period. The
application forms and the submission date are the same for new
applications and competing continuation applications. Competing
continuation applicants are required to include a summary report on
progress in meeting each objective in the initial project period in the
Program Narrative.

**2. Summary of Funding**

New and competing continuation applications may be submitted for three
(3) years of support. The period of support for funded projects begins
July 1, 2006 and ends June 30, 2009. Approximately \$450,000 is expected
to be available to fund 2-3 grantees with an average award of \$160,000.

Funding beyond the first year is dependent on the availability of
appropriated funds for the Comprehensive Geriatric Education Program in
FY 2007, grantee satisfactory performance, and a decision that funding
is in the best interest of the Federal government.

**III. Eligibility Information**

**1. Eligible Applicants**

Schools of nursing, academic health centers, health care facilities,
partnerships of a school and a health care facility, partnerships of a
program leading to CNA certification and a health care facility, and
appropriate public or private entities, including faith-based and
community-based organizations are eligible to apply for these grants.

Applicants must have significant experience in geriatric nursing
education. Applications that fail to show such experience will not be
considered.

**2. Cost Sharing/Matching**

None Required

3.  **Other Eligibility Information**

> []{.mark}

**a. Maintenance of Effort**

Grant funds shall not be used to supplant current funding for activities
described in the application. The grantee must agree to maintain
non-Federal funding for grant activities at a level, which is not less
than expenditures for such activities during the fiscal year prior to
receiving the grant. Applicants must complete and submit the following
table for review by HRSA staff.

**NON-FEDERAL EXPENDITURES**

+-----------------------------------+-----------------------------------+
| **FY 2005 (Actual)**              | **FY 2006 (Estimated)**           |
|                                   |                                   |
| Actual FY 2005 non-Federal funds, | Estimated FY 2006 non-Federal     |
| including in-kind, expended for   | funds, including in-kind,         |
| activities proposed in this       | designated for activities         |
| application. If proposed          | proposed in this application.     |
| activities are not currently      |                                   |
| funded by the institution, enter  | **Amount**:                       |
| \$0.                              | [\$\_\_\_\_                       |
|                                   | \_\_\_\_\_\_\_\_\_\_]{.underline} |
| **Amount**:                       |                                   |
| [\$\_\_\_                         |                                   |
| \_\_\_\_\_\_\_\_\_\_]{.underline} |                                   |
+-----------------------------------+-----------------------------------+

**b. Other Limitations**

Any application that fails to satisfy the deadline requirements
referenced in Section IV.3 will be considered non-responsive and will
not be considered for funding under this announcement.

Projects should meet all applicable national organizational guidelines
and competencies as appropriate and available in the field of study.
Indicate the guidelines and competencies used.

Projects must be consistent, to the extent possible, with related
Federal, State, or regional nursing professions workforce program plans
or priorities, such as Federal or State Healthy People 2010 Objectives.
Cite the appropriate plan or priority in the application.

Applicants must provide evidence that the program/facilities meet all
local, regional or national accreditation/approval requirements for
patient care and the educational program necessary to implement the
project. Schools of Nursing are required to have accreditation thru the
National League for Nursing Accrediting Commission (NLNAC) or the
Commission on Collegiate Nursing Education (CCNE). Documentation must be
provided to HRSA no later than **June 1, 2006**.

**BHPr Goals**

The Comprehensive Geriatric Education Program applications must
demonstrate that projects address the BHPr goals by integrating content
within the project objectives that address and contribute toward meeting
the first three BHPr goals and the fourth goal as appropriate to the
project. Specific guidance on these requirements is included under the
instructions for the Program Narrative section included in the
application guidance. Funded applicants will be required to provide
baseline and yearly data on the BHPr goals and their corresponding
outcomes.

**Linkages**

Projects supported under the Comprehensive Geriatric Education Program
must include a description of linkages with relevant educational and
health care entities, including training programs for other health
professionals as appropriate.

An applicant may submit only one application under this announcement.

**IV. Application and Submission Information**

1.  **Address to Request Application Package**

**Application Materials**

The application and submission process has changed significantly. HRSA
is ***requiring*** applicants for this funding opportunity to apply
electronically through Grants.gov. All applicants ***must*** submit in
this manner unless the applicant is granted a written exemption from
this requirement in advance by the Director of HRSA's Division of Grants
Policy. Grantees must request an exemption in writing from
<DGPClearances@hrsa.gov>, and provide details as to why they are
technologically unable to submit electronically though the Grants.gov
portal. Make sure you specify the announcement number for which you are
seeking relief. As indicated in this guidance, HRSA and its Grants
Application Center (GAC) will only accept paper applications from
applicants that received prior written approval.

Refer to Appendix A for detailed application and submission
instructions. Pay particular attention to Section 3, which provides
detailed information on the competitive application and submission
process.

Applicants must submit proposals according to the instructions in
Appendix A, using this guidance in conjunction with Standard Form 424
Research and Related (SF-424 R&R). The forms contain additional general
information and instructions for grant applications, proposal
narratives, and budgets. These forms may be obtained from the following
sites by:

> []{.mark}

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

> Or

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

> The Legin Group, Inc.
>
> 901 Russell Avenue, Suite 450
>
> Gaithersburg, MD 20879
>
> Telephone: 877-477-2123
>
> <HRSAGAC@hrsa.gov>.
>
> []{.mark}

Instructions for preparing portions of the application that must
accompany Standard Form 424 Research and Related (SF-424 R&R) appear in
the "Application Format" section below.

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

**Application Format Requirements**

See Appendix A, Section 4 for detailed application submission
instructions. These instructions must be followed.

The total size of all uploaded files **may not exceed the equivalent of
65 pages when printed by HRSA, approximately 8 MB.** **This 65-page
limit includes the abstract, project and budget narratives, attachments,
appendices and letters of commitment and support.** Standard forms are
NOT included in the page limit.

**Applications that exceed the specified limits (approximately 8 MB, or
that exceed 65 pages when printed by HRSA) will be deemed non-compliant.
All non-compliant applications will be returned to the applicant without
further consideration.**

**Application Format**

Applications for funding must consist of the following documents in the
following order:

# SF 424 R&R -- Table of Contents

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

-   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.

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

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

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

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

-   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        Table 1 provides information on Project Specific
                      Courses and the Number of Participants. Table 2
                      provides Minority/Disadvantaged Status Data related
                      to projected project participants and faculty.
                      Merge similar documents into a single document.
                      Where several pages are expected in the attachment
                      ensure that you instruct the applicant to place a
                      table of content cover page specific to the
                      attachment. Table of content page will not be
                      counted in the page limit.

  Attachment 2        Job descriptions for key personnel. Merge similar
                      documents into a single document. Where several
                      pages are expected in the attachment ensure that
                      you instruct the applicant to place a table of
                      content cover page specific to the attachment.
                      Table of content page will not be counted in the
                      page limit.

  Attachment 3        Letters of Agreement and/or Description(s) of
                      Proposed/Existing Contracts (project specific).

  Attachment 4        Project Organizational Chart

  Attachment 5        Other Relevant Documents not listed elsewhere in
                      this Table of Contents

  Attachment 6        

  Attachment 7        

  Attachment 8        

  Attachment 9        

  Attachment 10       

  Attachment 11       

  Attachment 12       

  Attachment 13       

  Attachment 14       

  Attachment 15       
  -----------------------------------------------------------------------

i.  ***Application Face Page***

Applicants shall use Standard Form 424 Research and Related (SF-424 R&R)
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 Assistance, the Catalog of Federal
Domestic Assistance Number is 93.265.

> **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/preview/dunsccr.htm> or call 1-866-705-5711.
Please include the DUNS number in item 5 on the application face page.
Applications ***will not*** be reviewed without a DUNS number.

Additionally, the applicant organization will be 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/preview/dunsccr.htm>

ii. ***Table of Contents***

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 the checklist for Standard Form 424 Research and Related (SF-424
R&R) that is provided with the application package.

iv. ***Budget***

Applicants need to complete Sections A through K, and then provide a
line item budget for each grant year using the budget categories in the
SF-424 R&R - **Cumulative Budget** section. The budget period is for one
year and project period is for three years. The **Cumulative Budget**
provides overall budget information for each year of the grant. Standard
Form 424 R&R-- **Section A through K** lists the direct costs requested
for the first year of the project. The applicant must provide an
itemized cost-effective budget, compatible with stated objectives, and a
detailed justification for each budget line item for the first grant
year using the budget categories in SF-424 R&R-- **Section A through K**
(Note: Section E and J are not applicable). List in-kind contributions
that show institutional commitment to the project.

***v. Budget Justification***

Provide a narrative that explains the amounts requested for each line in
the budget. The budget justification should specifically describe how
each item would support the achievement of proposed objectives. The
budget period is for ONE year. However, the applicant must submit
one-year budgets for each of the subsequent project period years
(usually one to three years or more) at the time of application. Line
item information must be provided to explain the costs entered on SF-424
R&R. **The budget justification must clearly describe each cost element
and explain how each cost contributes to meeting the project's
objectives/goals.** Be very careful about showing how each item in the
"other" category is justified. The budget justification MUST be concise.
Do NOT use the justification to expand the project narrative.

***Budget for Multi-Year Grant Award***

This announcement is inviting applications for project periods up to 3
years. Awards, on a competitive basis, will be for a one-year budget
period, although project periods may be for 3 years. Applications for
continuation grants funded under these awards beyond the one-year budget
period but with the 3 year project period will be entertained in
subsequent years on a noncompetitive basis, subject to availability of
funds, satisfactory progress of the grantee, and a determination that
continuation funding would be in the best interest of the Government.

Include the following in the Budget Justification narrative:

**Personnel Costs**: Personnel costs should be explained by listing each
project staff who will be supported from funds, name (if possible),
position title, percent full time equivalency, annual salary, and the
exact amount requested for each project year. The sum of percentages of
time or effort to be expended by each individual for all professional
activities must not exceed 100%. Information on both grant and non-grant
supported positions is essential in order for reviewers to determine if
project resources are adequate.

**Indirect Costs**: Indirect costs are those costs incurred for common
or joint objectives which cannot be readily identified but are necessary
to the operations of the organization, e.g., the cost of operating and
maintaining facilities, depreciation, and administrative salaries. For
institutions subject to OMB Circular A-21, the term "facilities and
administration' is used to denote indirect costs. Indirect costs for
education and training grants may not exceed 8%. If an organization
applying for an assistance award does not have an indirect cost rate,
the applicant may wish to obtain one through HHS's Division of Cost
Allocation (DCA).  Visit DCA's website at
[http://rates.psc.gov](http://rates.psc.gov/)/ to learn more about rate
agreements, the process for applying for them, and the regional offices
that negotiate them.

**Fringe Benefits**: List the components that comprise the fringe
benefit rate, for example health insurance, taxes, unemployment
insurance, life insurance, retirement plan, tuition reimbursement. The
fringe benefits should be directly proportional to that portion of
personnel costs that are allocated for the project.

**Consultant Costs:** Give name and institutional affiliation,
qualifications of each consultant, if known, and indicate the nature and
extent of the consultant service to be performed. Include expected rate
of compensation and total fees, travel, per diem, or other related costs
for each consultant.

**Travel:** Enter amount for *staff* travel essential to the conduct of
the training project. List travel costs according to local and long
distance travel. For local travel, the mileage rate, number of miles,
reason for travel and staff member/consumers completing the travel
should be outlined. The budget should also reflect the travel expenses
associated with participating in meetings and other proposed trainings
or workshops*. Trainee expenses, including student travel, are not
allowable under this program. Please note that travel costs for
consultants should be included under "Consultants."* Note: For Budget
purposes, project directors may be asked to travel to the Washington, DC
area for an annual meeting.

**Equipment***:* List equipment costs and provide justification for the
need of the equipment to carry out the program's goals. Extensive
justification and a detailed status of current equipment must be
provided when requesting funds for the purchase of computers and
furniture items.

**Supplies***:* List the items that the project will use. In this
category, separate office supplies from medical and educational
purchases. Office supplies could include paper, pencils, and the like
and educational supplies may be pamphlets and educational videotapes,
etc. Remember, they must be listed separately. *Medical/clinical
supplies and drugs are not ordinarily acceptable for this program*.

**Subcontracts***:* To the extent possible, all subcontract budgets and
justifications should be standardized, and contract budgets should be
presented by using the same object class categories contained in the
Standard Form 424 R&R. Provide a clear explanation as to the purpose of
each contract, how the costs were estimated, and the specific contract
deliverables.

**Other***:* Put all costs that do not fit into any other category into
this category and provide and explanation of each cost in this category.
In some cases, grantee rent, utilities and insurance fall under this
category if they are not included in an approved indirect cost rate.

**Data Collection Activities:** Funds may be used to support appropriate
and justifiable costs directly related to meeting data reporting
requirements. Identify and justify how these funds will be used under
the appropriate budget category.

**Trainee Expenses:** Trainee expenses [are not applicable]{.underline}
to this program. Funds may not be used to support student (trainee)
travel, lodging, books, stipends, tuition and fees, scholarships,
bonuses, subsidies or paid release time for project participants, and
any other student (participant) expenses.

> **vi. Staffing Plan and Personnel Requirements**

Present a staffing plan in the Work Plan section of the Program
Narrative. Copies of biographical sketches for any key employed
personnel that will be assigned to work on the proposed project are to
be included in the Appendix of the application. Each biographical sketch
is limited to two pages, including publications. Include all degrees,
certificates, certifications and relevant professional accomplishments.
Include national certification(s) for relevant specialties, as well as
honors and awards. For professional experience, begin with the current
position, then, in reverse chronological order, list relevant previous
employment and experience. List; in reverse chronological order, all
relevant publications, or those most representative, if the two page
limit on the sketch presents a problem. The suggested format for
biographical sketches is located in the Appendix.

**vii. Assurances**

A list of Assurances is provided in Appendix.

> **viii.** **Certifications**

A list of Certifications is provided in Appendix.

> **ix.** ***Project Abstract***

Provide a summary of the application. The abstract is often distributed
to provide information to the public and Congress, therefore, prepare
the abstract so that it is clear, accurate, concise, and without
reference to other parts of the application. 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
populations to be served in this application are older adults. Include
the number of project participants predicted to enroll for each year of
the project period by level. Also, if you are requesting a statutory
funding preference for the project that substantially benefits rural
**or** underserved populations, **or** helps meet Public Health needs in
State or local Health Departments, indicate it in the abstract.

The abstract must be on a separate page and is limited to one page with
single spaced type.

Please use the following format:

+-----------------------------------------------------------------------+
| **ABSTRACT**                                                          |
|                                                                       |
| (not to exceed 1 page)                                                |
|                                                                       |
| Project Title:                                                        |
|                                                                       |
| Organization Name:                                                    |
|                                                                       |
| Address:                                                              |
|                                                                       |
| Project Director:                                                     |
|                                                                       |
| Phone Fax E-mail Website Address, if applicable                       |
|                                                                       |
| Project Period:                                                       |
|                                                                       |
| Abstract Narrative:                                                   |
+-----------------------------------------------------------------------+

**x. *Program Narrative***

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

Use the following section headers for the Narrative:

-   **Introduction**

> Present the purpose of the proposed project, consistent with the
> legislative purpose.

-   **NEEDS ASSESSMENT**

> Describe the need for this project and provide evidence to
> substantiate the need. The need is to be related to the care of older
> adults, the target population for the CGEP, and to the needs of your
> community and/or organization(s). Use and cite demographic data to
> support the information provided. In the needs assessment:

-   Provide evidence of a qualified and interested participant pool,
    including nursing personnel from underrepresented minority and/or
    disadvantaged backgrounds.

-   Help reviewers understand the community and/or organizations that
    will be served by the proposed project.

-   Inform the reviewers of how this project will improve the nursing
    workforce, actual and/or potential employment opportunities, nursing
    education and practice innovation and creativity, and the health
    care of the older adult population.

-   Describe how this project is consistent with related Federal, State,
    regional nursing workforce programs, plans and priorities, as
    appropriate.

-   Describe, as appropriate to this project, local, State or regional
    health status indicators as related to the aging population,
    including morbidity and mortality statistics and Healthy People 2010
    objectives for the Nation and State. Copies of the Healthy People
    2010 document may be obtained from the Superintendent of Documents
    or downloaded at the Healthy People 2010 website:
    [http://www.health.gov/healthypeople/document]{.underline}/.

> **Competing continuation** applicants are to provide a statement of
> need for continuation of the project. A competing continuation is an
> extension of the original project. For the competing continuation
> needs statement:

-   highlight the critical elements documented in the original need
    study and justify the need for three additional years of support.
    (It is not necessary to recreate the original need documentation for
    the competing continuation application such as a new feasibility
    study. The need is to be updated as necessary).

-   provide a succinct summary report on progress in meeting each
    objective in the initial project period.

-   identify gaps in achievement of objectives and work that remains to
    be done.

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-   **Methodology**

> Propose methods to meet each of the previously described CGEP
> requirements and expectations in this grant announcement.
>
> **Project objectives**: Provide measurable, time-framed objectives
> with specific outcomes and evaluations methods identified for each
> project year. Relate objectives to the education of nursing personnel
> in the care of older adults. Within project objectives integrate
> content that addresses and contributes to meeting:

-   The workforce and educational needs for Registered Nurses and other
    levels of nursing personnel related to the care of older adults.

-   The Bureau of Health Profession's first three goals and the fourth
    goal as appropriate for the project. Indicate by using bold and
    parentheses, e.g. (**BHPr Goal 1, BHPr Goal 2, BHPr Goal 3, and BHPr
    Goal 4**, as appropriate) next to the relevant objective or
    subobjective. (BHPr goals are listed under "Mission" in the
    application guidance).

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-   *Healthy People 2010* objectives for the Nation and/or State*.*
    Indicate by using bold and parentheses, e.g. (**Healthy People
    2010)** next to the relevant objective or subobjective.

-   Linkages with other community institutions. Indicate by using bold
    and parentheses, e.g. (**Linkages)** next to the relevant objective
    or subobjective.

-   Other areas as related to the purpose of the legislation, the needs
    assessment and the budget request.

> Approved and funded applicants will be required to provide baseline
> and yearly data on these objectives and their corresponding
> outcome(s).

-   **Work Plan**

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-   **Activities and Timeline**

> Describe the activities or steps that will be used to achieve each of
> the objectives proposed in the methodology section. Use a time line
> that includes each activity and identifies responsible staff. The
> objectives, activities, time line, responsible staff, outcomes and
> evaluation methods *may be displayed in a table format* as *well as a
> narrative*. Below is *one* example of a table format for presenting
> project information.

  -------------------------------------------------------------------------------------
  METHODOLOGY/WORK                                                         
  PLAN                                                                     
  ------------------ ------------ ----------------- ----------- ---------- ------------
  Objectives         Activities   Responsible       Time Period Outcomes   Evaluation
  Sub-objectives in               Person/Position   (s)                    
  measurable terms                                                         

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

Address the specific guidelines outlined below for the Comprehensive
Geriatric Education Program grants.

1.  Describe a plan to provide academic and/or continuing education to
    nursing personnel in the care of older adults.

2.  Identify the specific Healthy People 2010 goal(s) that will be
    addressed and delineate the activities directed toward meeting the
    goals as aligned with the project objectives and/or sub-objectives.

3.  Provide evidence that the institution/facilities meet all local,
    regional or national accreditation/approval requirements. If
    approvals are in process describe the process and current status.
    Provide evidence to HRSA that all approvals are met. Documentation
    must be provided to HRSA no later than June 1, 2006.

4.  Describe the educational components of the project. Include the
    following:

> a\. the curriculum or course offering(s) including the plan for
> didactic and clinical learning experiences.
>
> b\. a one paragraph course description and a topical outline for each
> course to be offered.
>
> c\. the number, length and frequency of educational sessions for all
> levels of personnel to be trained. Presenting course title,
> class/contact hours, schedule of offerings, and level of personnel in
> a table format may enhance the narrative for the reviewers (Refer to
> Tables 1 and 2 following the narrative section of this application).
>
> d\. the type of recognition to be awarded (e.g., certificate,
> continuing education units, academic credit).
>
> e\. a description of electronic distance learning methods, if
> applicable.

**Electronic Distance Learning Methodologies**

> If distance learning methodologies are planned to be used for all or
> part of the program of study, please describe the organization's
> infrastructure to support this, plans for faculty and student
> preparation for the use of the methods, user technology support, and
> plan for evaluation of the methods used.
>
> All projects using electronic distance learning methodologies, as
> defined in the definitions section of the application, as the main
> delivery mode for educational content should include the information
> below:
>
> *Educational Program*

-   Provide documentation that **all** applicable approvals related to
    delivering distance education have been obtained (may include
    institutional, accrediting agency, and/or other approvals).

-   Describe the distance learning method to be used in the project.
    Provide a rationale for the method chosen.

-   Describe the process for developing distance-learning courses and
    materials.

-   Describe the coursework distance learning students will take. You
    should consider number, sequencing, clinical experiences, and length
    of program. Compare to traditional program where appropriate.

-   Describe the faculty's expertise with the proposed distance-learning
    format.

-   Describe the measures that will be taken to ensure scholarly
    dialogue and interaction between students and faculty.

-   Describe how resources will be made available to off-site students.
    These should include library and administrative (i.e., orientation,
    registration) resources.

-   Describe the plan for evaluating the distance learning methods used.

> *Equipment and Technical Support*

-   Describe the hardware, software, peripherals, and other equipment
    which will be used. You should consider compatibility with other
    computer systems and use and upgrading following the award period.

-   Detail preparation and technical support that will be offered to
    faculty and students.

> *Experience and Financing*

-   Describe the financing of distance learning courses.

-   Describe the applicant's and any partner organization's previous
    experience with distance learning.

5.  Describe the participant population (students, faculty, nursing
    personnel and providence that participants will be enrolled in
    training before January, 2006.

6.  Describe the staffing plan including the didactic and clinical
    faculty who will teach in the project and include a justification
    for the plan that includes education and experience, qualifications,
    and rationale for the amount of time being requested for each staff
    position. Include biographical sketches in the Appendix.

7.  Describe how the project participants will interface with the
    interdisciplinary healthcare team.

8.  Provide evidence of employer support for the proposed activity
    (e.g., release time, tuition reimbursement, clinical facility), as
    applicable.

9.  Provide assurance that participants in the proposed project will not
    be limited to nursing personnel employed by a [single]{.underline}
    institution or entity (An institution with several sites is
    considered a single institution or entity for purposes of this
    application).

10. Describe linkages with collaborating entities including other
    community agencies or relevant educational and health care
    institutions.

11. Specify the methods and indicators to evaluate each project
    objective.

12. Describe the processes used to assure the quality of the project and
    the educational program, including theory and practice components.

13. Provide specific information that describes the extent and means by
    which the project will become self-sufficient.

14. Describe the potential for the project to be replicated or adapted
    to the needs of similar programs.

15. Describe a plan for dissemination of project outcomes or products,
    such as conferences, presentations, publications, videotapes, CDs,
    web-based publishing, etc. Include in the plan a methodology for
    providing copies of materials to the Division of Nursing. If a grant
    award is made, copies of any materials disseminated should include
    the following acknowledgement and disclaimer:

> *"This project is/was supported by funds from the Department of Health
> and Human Services (DHHS), Health Resources and Services
> Administration, the Bureau of Health Professions (BHPr), Division of
> Nursing (DN),* *under grant number and title for \$ (specify grant
> number, title and total award amount). The information or content and
> conclusions are those of the author and should not be construed as the
> official position or policy of, nor should be any endorsements be
> inferred by the U.S. Government, DHHS, BHPR or the DN."*
>
> The applicant is to include a statement that they will use the above
> disclaimer in all dissemination activities and products. It is not
> necessary to include the entire disclaimer verbatim in the
> application.
>
> 16\. Indicate if a statutory funding preference is requested for the
> project. If a funding preference is requested, provide a brief
> justification to support your request. State whether it is to
> substantially benefit rural, **or** underserved populations, **or**
> help meet Public Health needs in State or local Health Departments
> (Refer to the Funding Preference Section of the application materials
> for the definition and other information related to the Funding
> Preference).

-   **Resolution of Challenges**

> *Briefly* discuss challenges that are likely to be encountered in
> designing and implementing the activities described in the Work Plan,
> and approaches that will be used to resolve such challenges. Discuss
> any relevant barriers in the service area that the project hopes to
> overcome.

-   **Evaluation and Technical Support Capacity**

> Describe current experience, skills, and knowledge, including
> individuals on staff, materials published, and previous work of a
> similar nature (may refer to biographical sketch). Describe how the
> project will be evaluated including the data collection, analysis,
> reporting process, and benchmarks for each objective and the overall
> project as appropriate.

-   **Organizational Information**

> Provide a brief overview on the applicant agency's current mission and
> structure, scope of current activities, and an organizational chart,
> and describe how these all contribute to the ability of the
> organization to conduct the program requirements and meet program
> expectations. This may include institutional resources available,
> including teaching facilities, clinical resources, libraries, computer
> resources, etc.
>
> **xi. Program (CGEP) Specific Forms**

**Two Comprehensive Geriatric Education Program specific tables are to
be included as application Attachment 1, as indicated in the electronic
Table of Contents.**

## Table 1 provides information on Project Specific Courses and the Number of Participants. The table and instructions for completing the form are located in the Appendix.

Table 2 provides Minority/Disadvantaged Status Data related to projected
project participants and faculty. The table and instructions are located
in the Appendix.

> **xii. Application Attachments**

Please provide the following items to complete the content of the
application. Please note that they are not intended to be a continuation
of the program narrative. Be sure each attachment is clearly labeled.

1)  Attachment 1: Tables, Charts, budget pages, etc.

> As indicated above, include project specific Tables 1 and 2.

2)  Attachment 2: Job Descriptions for Key Personnel

> Refer to the page in the program narrative where this information is
> described. Include as application Attachment 2, as indicated in the
> electronic Table of Contents.

3)  Biographical Sketches of Key Personnel

> Include biographical sketches for persons occupying the key positions
> described in the Program Narrative, not to exceed two pages in length.
> In the event that a biographical sketch is included for an identified
> individual who is not yet hired, please include a letter of commitment
> from that person with the biographical sketch. The format for the
> biographical sketch is included in the Appendix of the application
> materials. Include where indicated in the electronic Table of
> Contents.

4)  Attachment 3: Letters of Agreement and/or Description(s) of
    Proposed/Existing Contracts (project specific).

> Provide any documents that describe working relationships between the
> applicant agency and other agencies and programs cited in the
> proposal. Documents that confirm actual or pending contractual
> agreements should clearly describe the roles of the subcontractors and
> any deliverable. Letters of agreements must be dated. Include as
> application Attachment 3, as indicated in the electronic Table of
> Contents.

5)  Attachment 4: Project Organizational Chart

> Provide a one-page figure that depicts the organizational structure of
> the project, and the relationship to significant collaborators.
> Include as application Attachment 4, as indicated in the electronic
> Table of Contents

6)  Attachment 5: Other Relevant Documents

> Include here any other documents that are relevant to the application,
> including letters of support. Include only letters of support which
> specifically indicate a commitment to the project/program (in-kind
> services, dollars, staff, space, equipment, etc). Letters of support
> must be dated. List all other support letters on one page. Include as
> application Attachment 5, as indicated in the electronic Table of
> Contents

**3. Submission Dates and Times**

**Application Due Date**

The due date for applications under this grant announcement is May 22,
2006, at 8:00

> P.M. Eastern Time. Applications will be considered as meeting the
> deadline if they are E marked on or before the due date. Please
> consult Appendix A, Section 3 for detailed instructions on submission
> requirements.
>
> The Chief Grants Management Officer (CGMO) or a higher level designee
> may authorize an extension of published deadlines when justified by
> circumstances such as acts of God (e.g. floods or hurricanes),
> widespread disruptions of mail service, or other disruptions of
> services, such as a prolonged blackout. The authorizing official will
> determine the affected geographical area(s).
>
> Applications must be submitted by 8:00 P.M. ET. **To ensure that you
> have adequate time to follow procedures and successfully submit the
> application, we recommend you register immediately in Grants.gov (see
> Appendix B) and complete the forms as soon as possible, as this is a
> new process and may take some time.**
>
> **Please refer to the Appendix B for important specific information on
> registering and Appendix A, Section 3 for important information on
> applying through Grants.gov.**
>
> **Late applications:**
>
> Applications which do not meet the criteria above are considered late
> applications. Health Resources and Services Administration (HRSA)
> shall notify each late applicant that its application will not be
> considered in the current competition.
>
> **4. Intergovernmental Review**
>
> *The provisions of Executive Order 12372, as implemented by 45 CFR
> 100, do not apply.*

**5. Funding Restrictions**

> Applicants responding to this announcement may request funding for a
> project period of up to 3 years, at an average of \$160,000 per year.
> Awards to support projects beyond the first budget year will be
> contingent upon Congressional appropriation, satisfactory progress in
> meeting the project's objectives, and a determination that continued
> funding would be in the best interest of the government.

**6. Other Submission Requirements**

> As stated in Section IV.1, except in rare cases HRSA will no longer
> accept applications for grant opportunities in paper form. Applicants
> submitting for this funding opportunity are ***required*** to submit
> ***electronically*** through Grants.gov. To submit an application
> electronically, please use the
> [http://www.Grants.gov](http://www.Grants.gov/) apply site. When using
> Grants.gov you will be able to download a copy of the application
> package, complete it off-line, and then upload and submit the
> application via the Grants.gov site.
>
> As soon as you read this, whether you plan on applying for a HRSA
> grant later this month or later this year, it is incumbent that your
> organization ***immediately register*** in Grants.gov and become
> familiar with the Grants.gov site application process. If you do not
> complete the registration process, you will be unable to submit an
> application. The registration process can take up to one month, so you
> need to begin immediately.
>
> To be able to successfully register in Grants.gov, it is necessary
> that you complete all of the following required actions:
>
> • Obtain an organizational Data Universal Number System (DUNS) number
>
> • Register the organization with Central Contractor Registry (CCR)
>
> • Identify the organization's E-Business POC (Point of Contact)
>
> • Confirm the organization's CCR "Marketing Partner ID Number (M-PIN)"
> password
>
> • Register an Authorized Organization Representative (AOR)
>
> • Obtain a username and password from the Grants.gov Credential
> Provider
>
> Instructions on how to register, tutorials and FAQs are available on
> the Grants.gov 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 the Appendix B to this
> guidance.
>
> 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.
>
> Online applications are still required to submit **ONE** form in
> signed hard copy: Form HRSA SF-424 R&R Face Sheet, since all other
> elements of the application have been captured and transmitted
> electronically

**Formal submission of the electronic application:** Applications
completed online are considered formally submitted when the Authorizing
Official electronically submits the application to HRSA. However, to
complete the submission requirements, a hard copy of the SF-424 R&R Face
Sheet must be printed, signed, and submitted to the HRSA Grants
Application Center. The SF-424 R&R can be printed from the online
application.

> For an online application, the signed SF-424 R&R must be sent to the
> HRSA GRANTS APPLICATION CENTER at the following address and received
> by HRSA by no later than five days after the date of submission in
> Grants.gov:
>
> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: Comprehensive Geriatric Education Program
>
> Program Announcement No. HRSA-06-132
>
> CFDA No. 93.265
>
> 901 Russell Avenue, Suite 450
>
> Gaithersburg, MD 20879
>
> Telephone: 877-477-2123
>
> Applications will be considered as having met the deadline if: (1) the
> application has been successfully transmitted electronically by your
> organization's Authorizing Official through Grants.gov on or before
> the deadline date and time, and (2) the signed SF-424 R&R Face Sheet
> is received by HRSA no later than five days after the date of
> submission in Grants.gov.
>
> It is incumbent on applications to ensure that the AO is available to
> submit the application to HRSA by the application due date. We will
> [not]{.underline} accept submission or re-submission of incomplete,
> rejected or otherwise delayed applications after the deadline.
>
> Again, please understand that we will not consider additional
> information and/or materials submitted after your initial application.
> You must therefore ensure that all materials are submitted together.
>
> I

**V. Application Review Information**

**1. Review Criteria**

> Procedures for assessing the technical merit of grant applications
> have been instituted to provide for an objective review of
> applications and to assist the applicant in understanding the
> standards against which each application will be judged. Critical
> indicators have been developed for each review criterion to assist the
> applicant in presenting pertinent information related to that
> criterion and to provide the reviewer with a standard for evaluation.
> Review criteria are outlined below with specific detail and scoring
> points.
>
> Review Criteria are used to review and rank applications. The
> Comprehensive Geriatric Education Program has 7 review criteria.
> *Applicants should pay strict attention to addressing all of these
> criteria, as they are the basis upon which the reviewers will evaluate
> their application.*

**Criterion 1. Need (15 points).**

The purpose is clearly stated and consistent with the legislative
purpose.

The need for the proposed project is convincing and thoroughly
documented including:

-   Specific indicators of how the project will enhance the current or
    anticipated nursing workforce needs (local or state or regional or
    national);

-   Evidence to support how the nursing workforce will be better
    prepared to care for older adults as a result of the project;

-   Evidence that the nursing education process in the care of older
    adults will be enhanced through innovation and creativity;

-   How the health care needs of the elderly population will be
    addressed;

-   Evidence of an interested and eligible participant pool, including
    underrepresented minorities/disadvantaged;

-   Demonstrated community support of the project and its activities;

-   Rationale for how the proposed project contributes to meeting the
    documented needs;

-   For competing continuation applications:

```{=html}
<!-- -->
```
-   A statement of need for continuation of the project;

-   A succinct summary of progress in meeting each objective;

-   An identification of gaps and work that remains to be done.

**Criterion 2.** **Response (25 Points**)

-   The project plan is reasonable, clearly articulated and addresses
    **specific guidance** for the project outlined in the Program
    Narrative section of the application;

-   The curriculum is appropriate to the level of the participants and
    is consistent with national/association/and/or commission
    guidelines/recommendations for care of older adults;

-   The objectives are written as measurable with outcomes attainable
    within the stated time frame;

-   The measurable outcome objectives integrate content that addresses
    and contributes to meeting Healthy People 2010 objectives, the
    Bureau of Health Professions Goals, and Linkages;

-   The activities to carry out each objective are clear and contribute
    to meeting each specific objective;

-   An evaluation method is described for each objective. The evaluation
    method is congruent with the objective and includes outcomes;

-   The plan for dissemination of outcomes or products delineates each
    outcome/product and includes a feasible methodology for providing
    copies to the Health Resources and Services Administration. The plan
    includes a statement that the disclaimer will be used in all
    dissemination activities;

-   The required tables are completed appropriately and an explanatory
    narrative supports the data;

-   The electronic distance learning methodologies, if applicable, are
    completely and clearly described according to the outline in the
    Program Narrative section of the application guidance.

**Criterion 3. Evaluative Measures.** **(10 Points)**

> The potential effectiveness of the proposed project in carrying out
> the Comprehensive Geriatric Education Program including:

-   Relevant Federal Goals and Objectives related to *Healthy People
    2010*

```{=html}
<!-- -->
```
-   The outcomes objectives and activities in relationship to the needs
    of the participants and the population(s) to be served;

-   The relationship of the project to increased competencies of and
    retention of nursing personnel who care for older adults;

-   Strength of the applicant's plans for evaluation of the project and
    program.

**Criterion 4. Impact (10 Points)**

-   The relevance of projected activities and outcomes to the objectives
    and given the proposed level of staff, resources available, length
    of the project period;

-   The extent and effectiveness of plans for dissemination of project
    information and results;

-   Potential for the project to continue on a self-sustaining basis
    after the period of Federal support;

-   The effectiveness of linkages that describe partnerships with
    Geriatric Education Centers, community agencies and other relevant
    partnerships in promoting health of older adults;

-   The extent to which project results may be national in scope;

-   Degree to which the project activities are replicable;

-   Extent to which project participants are not limited to a single
    institution.

**Criterion 5. Resources/Capabilities (15 Points)**

-   The extent to which project personnel are qualified by education and
    experience to implement and carry out the project;

-   The capabilities of the applicant organization to provide sufficient
    and quality resources to implement the project;

-   Evidence of community support for the project;

-   The extent to which linkages with partners such as community
    agencies and other relevant partnerships enrich the capabilities for
    implementation of the project.

**Criterion 6. Support Requested (15 Points)**

> The fiscal plan describes a budget that demonstrates:

-   Effective use of grant funds and resources to carry out the project;

-   A reasonable budget in relation to the objectives, the scope and
    complexity of the activities, and the anticipated results;

-   Clearly defined and justified budget line items.

**Criterion 7. Diversity and Cultural Competence (10 Points)**

> The plan for diversity and cultural competence aspects is reasonable
> and includes:

-   Assurance that there will be participants from underrepresented
    minority backgrounds and/or from low income or educationally
    disadvantaged backgrounds;

-   Convincing and clear documentation of activities to assure that
    participants are prepared to provide culturally competent care for
    the elderly*.*

    **2. Review and Selection Process**

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

[]{.mark}

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

[]{.mark}

**Funding Preference**

> The authorizing legislation provides a funding preference for some
> applicants. Applicants receiving the preference will be placed in a
> more competitive position among applications that can be funded.
> Applications that do not receive a funding preference will be given
> full and equitable consideration during the review process. The law
> provides that a funding preference be granted to any qualified
> applicant that specifically requests the preference and meets the
> criteria for the preference as follows:
>
> **Statutory Funding Preference**
>
> As provided in section 805 of the Public Health Service Act, a funding
> preference will be applied to approved applications with projects that
> will **substantially benefit** rural **OR** underserved populations,
> **OR** help meet public health nursing needs in State or local health
> departments. This preference will be applied only to applications that
> rank above the 20th percentile of applications recommended for
> approval.
>
> To meet this funding preference, the applicant **must specifically
> request** **the preference** by providing a statement that the
> preference is being requested. The statement must delineate which one
> of the three areas identified above will substantially benefit from
> the project. It is only necessary to address one of the areas. The
> applicant must provide a specific rationale to justify how the funding
> preference will be met through the activities and outcomes. (Refer to
> the Program Narrative Section of the application).

**3. Anticipated Announcement and Award Dates**

The expected award date is July 1, 2006.

**VI. Award Administration Information**

**1. Award Notices**

> Each applicant will receive written notification of the outcome of the
> objective review process, including a summary of the expert
> committee's assessment of the application's merits and weaknesses, and
> whether the application was selected for funding. Applicants who are
> selected for funding may be required to respond in a satisfactory
> manner to Conditions placed on their application before funding can
> proceed. Letters of notification do not provide authorization to begin
> performance.
>
> 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 total
> project period for which support is contemplated. Signed by the Grants
> Management Officer, it is sent to the applicant agency's Authorized
> Representative, and reflects the only the authorizing document. It
> will be sent prior to the start date of July 1, 2006.

**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.

**Public Policy Issuance**

**HEALTHY PEOPLE 2010**

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

> Applicants must summarize the relationship of their projects and
> identify which of their programs objectives and/or sub-objectives
> relate to the goals of the Healthy People 2010 initiative.
>
> Copies of the Healthy People 2010 may be obtained from the
> Superintendent of Documents or downloaded at the Healthy People 2010
> website: [http://www.health.gov/healthypeople/document]{.underline}/.
>
> *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.*
>
> []{.mark}

**3. Reporting**

The successful applicant under this guidance must:

a.  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.  Submit a Payment Management System Quarterly Report. The reports
    identify cash expenditures against the authorized funds for the
    grant. Failure to submit the report may result in the inability to
    access grant funds. Submit report to the:

> Division of Payment Management
>
> DPM/FMS/PSC/ASAM/HHS
>
> PO Box 6021
>
> Rockville, MD 20852
>
> Telephone: (301) 443-1660;

c.  Submit a Financial Status Report. A financial status report is
    required within 90 days of the end of each grant year. The report is
    an accounting of expenditures under the project that year;

d.  Submit a Progress Report(s). All Bureau of Health Professions
    grantees are required to submit reports to HRSA on an annual basis.
    The reports are the Uniform Progress Reports (UPR), Comprehensive
    Performance Management System (CPMS) Reports, and a Final Summary
    Report. Reports are submitted on-line using a web-based data entry
    tool. Reporting system information is available on the Bureau's web
    page. Due dates for the reports will be posted on the web page when
    they are available. The Bureau's web page address is
    [www.bhpr.hrsa.gov/grants](http://www.bhpr.hrsa.gov/grants). On the
    web page, click on Grantee Reports.

**4. Performance Review**

HRSA's Office of Performance Review (OPR) serves as the agency's focal
point for reviewing and enhancing the performance of HRSA funded
programs within communities and States. On a regularly scheduled basis,
HRSA grantees are required to participate in a performance review of
their HRSA funded program(s) by a review team from one of the ten OPR
regional divisions. Grantees should expect to participate in a
performance review at some point during their project period. When a
grantee receives more than one HRSA grant, each of the grantee's HRSA
funded programs will be reviewed during the same performance review.

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

For additional information on performance reviews, please visit:
<http://www.hrsa.gov/performancereview>.

**VII. Agency Contacts**

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

> []{.mark}

Attn.: Jackie Whitaker

Division of Grants Management Operation, OFAM

5600 Fishers Lane

Parklawn Building Room 11A-16

Rockville, MD 20857

Telephone: 301-443-3893

Fax: 301-443-6343

> []{.mark}

Program Technical assistance regarding this funding announcement may be
obtained by contacting the following Division of Nursing Staff:

Patricia A. Calico, DNS, RN <pcalico@hrsa.gov>

Nancy Douglas-Kersellius, BSN, RN <ndouglas@hrsa.gov>

Attn: Comprehensive Geriatric Education Program

DN, BHPR, HRSA, DHHS

5600 Fishers Lane

Parklawn Building Room 9-36

Rockville, MD 20857

Telephone: 301-443-6333

Fax: 301-443-0791

**VIII. 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 http:
> /www.hrsa.gov/grants/preview/dunsccr.htm or call 1-866-705-5711.
> Please include the DUNS number next to the OMB Approval Number on the
> application face page.
>
> **Keep your audience in mind.** Reviewers will use only the
> information contained in the application to assess the application. Be
> sure the application and responses to the program requirements and
> expectations are complete and clearly written. Do not assume that
> reviewers are familiar with the applicant organization. Keep the
> review criteria in mind when writing the application.
>
> **Start preparing the application early.** Allow plenty of time to
> gather required information from various sources.
>
> **Follow the instructions in this guidance carefully.** Place all
> information in the order requested in the guidance. If the information
> is not placed in the requested order, you may receive a lower score.
>
> **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.
>
> **Be organized and logical.** Many applications fail to receive a high
> score because the reviewers cannot follow the thought process of the
> applicant or because parts of the application do not fit together.
>
> **Be careful in the use of appendices.** Do not use the appendices for
> information that is required in the body of the application. Be sure
> to cross-reference all tables and attachments located in the
> appendices to the appropriate text in the application.
>
> **Carefully proofread the application.** Misspellings and grammatical
> errors will impede reviewers in understanding the application. Be sure
> pages are numbered (including appendices) and 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 you submit your application in final form, without markups.
>
> **Ensure that all information is submitted at the same time**. We will
> not consider additional information and/or materials submitted after
> your initial submission, nor will we accept e-mailed applications or
> supplemental materials once your application has been accepted.
>
> **Appendices**
>
> Appendix A: HRSA's Electronic Submission User Guide
>
> Appendix B: Registering and Applying Through Grants.gov
>
> Appendix C: Instructions for the SF 424 R&R (Research and Related)
>
> Appendix D: Biographical Sketch Form
>
> Appendix E: Project Specific Tables 1 & 2
>
> Appendix F: Program Checklist
>
> Appendix G: Assurances, Certifications and Other Information
>
> Appendix H: Definitions
>
> APPENDIX A: HRSA's Electronic Submission User Guide

User Guide Table of Contents

> 1\. INTRODUCTION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 37
>
> 1.1. DOCUMENT PURPOSE AND
> SCOPE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 1.2. DOCUMENT ORGANIZATION AND VERSION
> CONTROL\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....37
>
> 2\. NONCOMPETING CONTINUATION
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 2.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 2.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) (IF NOT ALREADY
> REGISTERED)...................................................................................................\...\...\...\...\...38
>
> 2.3. PROJECT DIRECTOR AND AUTHORIZING OFFICIAL NEED TO REGISTER WITH
> HRSA EHBS
>
> (IF NOT ALREADY REGISTERED)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...39
>
> 2.4. APPLY THROUGH [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...39
>
> 2.4.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....39
>
> 2.4.2 Download Application Package
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40
>
> 2.4.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...40
>
> 2.4.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40
>
> 2.4.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40
>
> 2.5. VERIFY IN HRSA ELECTRONIC HANDBOOKS
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....41
>
> 2.5.1 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....41
>
> 2.5.2 Manage Access to Your Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...41
>
> 2.5.3 Check Validation
> Errors\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....42
>
> 2.5.4 Fix Errors and Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...42
>
> 2.5.5 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....42
>
> 2.6. SUBMIT SIGNED FACE
> PAGE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....42
>
> 3\. COMPETING
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...42
>
> 3.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....42
>
> 3.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) NOT ALREADY
> REGISTERED)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....43
>
> 3.3. APPLY THROUGH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...43
>
> 3.3.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....43
>
> 3.3.2 Download Application
> Package\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....44
>
> 3.3.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....44
>
> 3.3.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....44
>
> 3.3.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....44
>
> 3.4. SUBMIT SIGNED FACE PAGE
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....45
>
> 4\. GENERAL INSTRUCTIONS FOR APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...45
>
> 4.1. NARRATIVE ATTACHMENT
> GUIDELINES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....45
>
> 4.1.1
> Font\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....45
>
> 4.1.2 Paper Size and
> Margins\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....46
>
> 4.1.3
> Names\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....46
>
> 4.1.4 Section Headings
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....46
>
> 4.1.5 Page
> Numbering\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...46
>
> 4.1.6 Allowable Attachment or Document
> Types\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...46
>
> 4.2. APPLICATION CONTENT ORDER (TABLE OF
> CONTENTS)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....46
>
> 4.3. PAGE
> LIMIT\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....47
>
> 5.0 CUSTOMER SUPPORT INFORMATION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....47
>
> 5.1.1 Grants.gov Customer
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...47
>
> 5.1.2 HRSA Call
> Center\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...47
>
> 5.1.3 HRSA Program
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...47
>
> 6.0
> FAQs\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...48
>
> 6.1.
> SOFTWARE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....48
>
> 6.1.1 What are the software requirements for using
> Grants.gov?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....48
>
> 6.1.2 Why can\'t I download PureEdge Viewer onto my
> machine?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....48
>
> 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What
> do I do if I use only a
> Macintosh?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\...\...\...\...\.....48
>
> 6.1.4 What are the software requirements for HRSA
> EHBs?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...49
>
> 6.1.5 What are the system requirements for using HRSA EHBs on a
> Macintosh computer?\...\...\...\...\...\...\...\...\...49
>
> 6.2. APPLICATION RECEIPT
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...49

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

> or the date the data is received by HRSA?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....49
>
> 6.2.2 When do I need to submit my application?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....49
>
> 6.2.3 What emails can I expect once I submit my application? Is email
> reliable? \...\...\...\...\...\...\...\...\...\...\...\...\...\.....50
>
> 6.2.4 If a resubmission is required because of Grants.gov system
> problems, will these be
>
> considered
> \"late\"?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...50
>
> 6.3. APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....51

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

> objective
> review?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....51
>
> 6.4 GRANT.GOV
> HELP\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....51

# 

# 1. Introduction

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

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

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

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

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

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

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

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

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

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

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

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

# 2. Noncompeting Continuation Application

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

-   Register the organization with Central Contractor Registry (CCR)

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

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

-   Register an Authorized Organization Representative (AOR)

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

-   Register the username and password with Grants.gov

-   Get authorized as an AOR by your organization

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

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

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

##  {#section-1 .unnumbered}

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

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

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

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

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

-   Authorizing Official (AO),

-   Business Official (BO), and

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

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

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

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

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

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

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

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

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

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

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

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

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

-   Noncompeting announcements are not available in Grants.gov FIND!

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

###  {#section-2 .unnumbered}

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

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

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

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

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

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

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

## 2.6 Submit Signed Face Page {#submit-signed-face-page .unnumbered}

After successful submission, the AO must print the face page of the
application from the HRSA EHBs, sign it and mail it to HRSA at the
address listed below:

HRSA Grants Application Center

Reference: Announcement Number: *\<Provide HRSA Announcement Number\>*

Reference: Grants.gov Tracking Number: *\<Provide Your Grants.gov
Tracking Number\>*

901 Russell Avenue, Suite 450

Gaithersburg, MD 20879

The face page must be received by HRSA within **5** business days from
the date of submission in HRSA EHBs.

Once your signed face page is received by HRSA and saved with the
application, you will receive an email receipt of application from HRSA.

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

# 3. Competing Application

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

-   Register the organization with Central Contractor Registry (CCR)

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

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

-   Register an Authorized Organization Representative (AOR)

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

-   Register the username and password with Grants.gov

-   Get authorized as an AOR by your organization

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

In case of any errors, you must correct the application and resubmit it
to Grants.gov. If you are unable to resubmit because the opportunity has
since closed, **contact the Director of the Division of Grants Policy**
via email at <DGPClearances@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".

## 3.4 Submit Signed Face Page {#submit-signed-face-page-1 .unnumbered}

After successful submission in Grants.gov, the AO must print the face
page of the application from Grants.gov, write the Grants.gov Tracking
Number in Federal Award Identifier field (box 5b in SF424 or box 4 in
SF424 R&R), sign it and mail it to HRSA at the address listed below:

HRSA Grants Application Center

Reference: Announcement Number: *\<Provide HRSA Announcement Number\>*

Reference: Grants.gov Tracking Number: *\<Provide Your Grants.gov
Tracking Number\>*

901 Russell Avenue, Suite 450

Gaithersburg, MD 20879

The face page must be received by HRSA within **5** business days from
the date of submission in Grants.gov.

Once your signed face page is received by HRSA and saved with the
application, you will receive an email receipt of application from HRSA.

# 4. General Instructions for Application Submission

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

-   

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

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

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

### 4.1.1 Font  {#font .unnumbered}

Please use an easily readable serif typeface, such as Times Roman,
Courier, or CG Times. The text and table portions of the application
must be submitted in not less than 12 point and 1.0 line spacing.
Applications not adhering to 12 point font requirements may be returned.
Do not use colored, oversized or folded materials. For

charts, graphs, footnotes, and budget tables, applicants may use a
different pitch or size font, not less than 10 pitch or size font.
However, it is vital that when scanned and/or reproduced, the charts are
still clear and readable.

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

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

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

### 4.1.3 Names {#names .unnumbered}

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

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

Please put all section headings flush left in bold type.

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

**Electronic Submissions**

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

Do not number the standard OMB approved form pages.

**Paper Submissions (When allowed)**

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

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

**Electronic Submissions**

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

.DOC - Microsoft Word

.RTF - Rich Text Format

.TXT - Text

.WPD - Word Perfect Document

.PDF - Adobe Portable Document Format

.XLS - Microsoft Excel

.XFD -- PureEdge Form

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

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

HRSA uses two standard packages from Grants.gov.

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

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

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

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

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

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

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

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

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

# 5. Customer Support Information

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

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

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

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

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

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

Please visit HRSA EHBs for online help. Go to:

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

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

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

# 

# 6. FAQs

## 6.1 Software {#software .unnumbered}

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

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

**System Requirements:**

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

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

If you do not have a Windows operating system, you will need to use a
Windows Emulation program.

Please visit <http://www.grants.gov/DownloadViewer> for all details and
any updates.

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

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

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

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

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

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

Grants.gov website states:

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

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

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

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

IE 6.0 and above is the recommended browser.

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

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

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

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

Note that Internet Explorer (IE) for Mac has known issues with SSL and
Microsoft is no longer supporting IE for Mac. HRSA EHBs do not work on
IE for Mac.

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

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

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

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

###  {#section-4 .unnumbered}

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

**Competing Submissions:**

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

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

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

You will receive an additional email from HRSA once your signed face
page is received and processed. This email serves as the official
receipt for your application.

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.

You will receive an additional email from HRSA once your signed face
page is received and processed. This email serves as the official
receipt for your application.

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

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

###  {#section-5 .unnumbered}

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

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

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

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

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

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

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

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

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

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

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

Note: Except in rare cases, paper applications will NOT be accepted for
this grant opportunity. If you believe you are technologically unable to
submit an on-line application you MUST contact the Director of the
Division of Grants Policy, at
[DGPClearances@hrsa.gov](../DGPClearances@hrsa.gov%20) and explain why
you are technologically unable to submit on-line. Make sure you specify
the announcement number you are requesting relief for. HRSA and its
Grants Application Center (GAC) will only accept paper applications from
applicants that received prior written approval.

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

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

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

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

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

Step 1: Register your organization

Step 2: Register yourself as an Authorized Organization Representative

Step 3: Get authorized by your organization to submit grants

These instructions will walk you through the three basic registration
steps. Additional assistance is available at Grants.gov at
[www.grants.gov](../www.grants.gov). Individual assistance is available
at [http://www.grants.gov/Support](http://www.grants.gov/Support  ) or
1-800-447-8477. Grants.gov also provides a variety of support options
through online Help including Context-Sensitive Help, Online Tutorials,
FAQs, Training Demonstration, User Guide, and Quick Reference Guides.

Follow this checklist to complete your registration---

1\. Register Your Organization

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

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

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

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

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

\- Obtain your username and password

\- Register your username and password with Grants.gov

3\. Get Yourself Authorized as an AOR

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

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

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

**REGISTER YOUR ORGANIZATION**

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

**Obtain your organization's DUNS number**

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

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

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

**Register your organization with CCR**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**2. Register with Grants.gov**

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

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

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

You have now completed the registration process for Grants.gov. If you
are applying for a [new or competing continuation]{.underline} you may
find the application package through Grants.gov FIND. If you are filling
out a [non-competing continuation]{.underline} application you must
obtain the announcement number through your program office, and enter
this announcement number in the search field to pull up the application
form and related program guidance. Download the required forms and enter
your current grant number in the appropriate field to begin the
non-competing continuation application which you will then upload for
electronic submittal through Grants.gov. For continuation applications
which require submittal of performance measures electronically,
instructions are provided in the program guidance on how to enter the
HRSA electronic handbooks to provide this information.

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

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

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

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

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

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

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

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

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

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

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

Online applications are required to submit ONLY one form in signed hard
copy: the SF-424/5161 Face Sheet, since all other elements of the
application have been captured and transmitted electronically. This face
page should be sent to HRSA's Grants Application Center at:

The HRSA Grants Application Center

The Legin Group, Inc.

Attn: \[provide Grants.gov Tracking Number\]

> Program Announcement No. \[provide HRSA announcement number\]
>
> CFDA No. \[provide the CFDA number\]

901 Russell Avenue, Suite 450

Gaithersburg, MD 20879

Telephone: 877-477-2123

**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. However, to complete the submission requirements, a
hard-copy of the SF-424/5161 Face Sheet must be printed, signed, and
submitted to the HRSA Grants Application Center. For competitive
applications, the SF-424/5161 must be printed from Grants.gov.

For an online application, the signed SF-424/5161 must be sent to the
HRSA GRANTS APPLICATION CENTER at the above address and received by HRSA
by no later than five days after the date of submission in Grants.gov.

Competitive applications will be considered as having met the deadline
if: (1) the application has been successfully transmitted electronically
by your organization's Authorizing Official through Grants.gov on or
before the deadline date and time, and (2) the signed SF-424/5161 Face
Sheet is received by HRSA no later than five days after submission in
Grants.gov.

**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 is replacing the 6025 training application form
and the 398 application form. The 424 R&R will be used for all HRSA
training and research programs.

**INSTRUCTIONS FOR THE APPLICATION FACE PAGES**

Below are detailed instructions for the completion of the 424 R&R form:

+----+-----------------------------------------------------------------+
| F  | Instructions                                                    |
| ie |                                                                 |
| ld |                                                                 |
+----+-----------------------------------------------------------------+
| 1  | Select **Type of Submission**: Check the appropriate type from  |
| \. | the submission options. Select **Application** for all HRSA     |
|    | grant programs                                                  |
+----+-----------------------------------------------------------------+
| 2  | **Date Submitted**: Enter the date the application is submitted |
| \. | to the Federal agency.                                          |
+----+-----------------------------------------------------------------+
| 3  | **Date Received by State**: State Use Only (if applicable)      |
| \. |                                                                 |
+----+-----------------------------------------------------------------+
| 4  | **Federal Identifier**: New Project Applications should leave   |
| \. | this field blank. If this is a Continuation application         |
|    | (competing or non-competing) or a Supplement, enter your grant  |
|    | number located on your Notice of Grant Award (NGA.              |
+----+-----------------------------------------------------------------+
| 5  | **Applicant Information**: All items in bold are required       |
| \. | fields and must be completed                                    |
|    |                                                                 |
|    | Enter your **Organization's DUNS** Number (received from Dun    |
|    | and Bradstreet), Enter the **Legal Name**, **Applicant          |
|    | Department** (if applicable) and **Division** (if applicable)   |
|    | who will undertake the assistance activity. In **Street 1**     |
|    | enter the first line of the street address of your              |
|    | organization. In **Street2** enter the second line of your      |
|    | organization, if applicable. Enter the **City, County** and     |
|    | **State,** **Zip Code** and **Country** where your organization |
|    | is located. Enter the **Person to be Contacted on Matters       |
|    | Involving the Application:**                                    |
|    |                                                                 |
|    | **This is the POINT OF CONTACT, the person to be contacted**    |
|    | for the matters pertaining to this specific application (i.e.   |
|    | principle investigator, project director, other)**.** Enter the |
|    | **Prefix, First Name, Middle Name and Last Name and Suffix**    |
|    | (if applicable) of the person to be contacted on matters        |
|    | relating to this application. Enter the **Phone** and **Fax**   |
|    | number as well as the **E-MAIL** address of this person.        |
|    | **These are all required fields.**                              |
+----+-----------------------------------------------------------------+
| 6  | **Employer Identification (EIN)/ (TIN)**                        |
| \. |                                                                 |
|    | Enter the 9 Digit Employer Identification Number as Assigned by |
|    | the Internal Revenue Services.                                  |
+----+-----------------------------------------------------------------+
| 7  | **Type of Applicant :** Select the appropriate letter from one  |
| \. | of the following:                                               |
|    |                                                                 |
|    | A.  State Government                                            |
|    |                                                                 |
|    | B.  County Government                                           |
|    |                                                                 |
|    | C.  City or Township Government                                 |
|    |                                                                 |
|    | D.  Special District Government                                 |
|    |                                                                 |
|    | E.  Independent School District                                 |
|    |                                                                 |
|    | F.  State Controlled Institution of Higher Education            |
|    |                                                                 |
|    | G.  Native American Tribal Government (Federally Recognized)    |
|    |                                                                 |
|    | H.  Public/Indian Housing Authority                             |
|    |                                                                 |
|    | I.  Native American Tribal Organization (other than Federally   |
|    |     recognized)                                                 |
|    |                                                                 |
|    | J.  Nonprofit with 501C3 IRS status (other than Institute of    |
|    |     Higher Education)                                           |
|    |                                                                 |
|    | K.  Nonprofit without 501C3 IRS status (other than Institute of |
|    |     Higher Education                                            |
|    |                                                                 |
|    | L.  Private Institution of Higher Education                     |
|    |                                                                 |
|    | M.  Individual                                                  |
|    |                                                                 |
|    | N.  For Profit Organization(other than small business)          |
|    |                                                                 |
|    | O.  Small Business                                              |
|    |                                                                 |
|    | P.  Other (specify)                                             |
|    |                                                                 |
|    | **Women Owned:** Check if you are a woman owned small business( |
|    | 51% owned/controlled and operated by a woman/women)             |
|    |                                                                 |
|    | **Socially and Economically Disadvantaged:** Check if you are a |
|    | socially and economically disadvantaged small business, as      |
|    | determined by the U.S. SBA pursuant to Section 8(a) of the SBA  |
|    | U.S.C.637(a).                                                   |
+----+-----------------------------------------------------------------+
| 8  | **Type of Application: Select the Type from the following list  |
| \. | :**                                                             |
|    |                                                                 |
|    | \- **New**: A new assistance award                              |
|    |                                                                 |
|    | \- **Resubmission** ( not applicable to HRSA)                   |
|    |                                                                 |
|    | \- **Renewal --** An application for a competing continuation   |
|    | -- this is a request for an extension for an additional         |
|    | funding/budget period for a project with a projected            |
|    | completion.                                                     |
|    |                                                                 |
|    | \-**Continuation**: A non-competing application for an          |
|    | additional funding/budget period for a project within a         |
|    | previously approved projected period                            |
|    |                                                                 |
|    | \- **Revision**: Any change in the Federal Governments          |
|    | financial obligation or contingent liability from an existing   |
|    | obligation. Indicate the **Type of Revision** by checking the   |
|    | appropriate box:                                                |
|    |                                                                 |
|    | A. Increase in Award (supplement, competing supplement)         |
|    |                                                                 |
|    | B. Decrease Award                                               |
|    |                                                                 |
|    | C. Increase Duration                                            |
|    |                                                                 |
|    | D. Decrease Duration                                            |
|    |                                                                 |
|    | E. Other (Enter text to Explain)                                |
|    |                                                                 |
|    | **Is Application being submitted to Other Agencies:** Indicate  |
|    | by checking **YES** or **NO** if the application is being       |
|    | submitted to HRSA only.                                         |
|    |                                                                 |
|    | **What other Agencies:** Enter Agency Name ( if applicable)     |
+----+-----------------------------------------------------------------+
| 9  | **Name of Federal Agency:** Enter the Name of the Federal       |
| \. | Agency from which assistance is being requested                 |
+----+-----------------------------------------------------------------+
| 10 | **Catalogue of Federal Domestic Assistance Number (CFDA):** Use |
| \. | the CFDA Number found on the front pea of the program guidance  |
|    | and associated Title of the CFDA (if available).                |
+----+-----------------------------------------------------------------+
| 11 | **Descriptive Title of Applicant's Project:** Enter a brief     |
| \. | descriptive title of the project**.** A continuation or         |
|    | revision must use the same title as the currently funded        |
|    | project.                                                        |
+----+-----------------------------------------------------------------+
| 12 | **Areas Affected by Project**: List only the largest political  |
| \. | Entities affected by the project ( ex. states, counties,        |
|    | cities)                                                         |
+----+-----------------------------------------------------------------+
| 13 | **Proposed Project:** Enter the project **Start Date** of the   |
| \. | project in the Start Date Field and the project **Ending Date** |
|    | in the Ending Date Field. ( ex.11/01/2005 to 10/31/2008)        |
+----+-----------------------------------------------------------------+
| 14 | **Congressional District Applicant and Congressional District   |
| \. | Project:** Enter your Congressional District(s) in Applicant    |
|    | Field. Enter the Congressional District (s) of Project, the     |
|    | primary site where the project will be performed.               |
|    | (http://www.gpoaccess.gov/cdirectory/browse-cd-05.html)         |
+----+-----------------------------------------------------------------+
| 15 | **Project Director/Principal Investigator Contact Information   |
| \. | :** All items in bold are required fields and must be completed |
|    |                                                                 |
|    | Enter the **Prefix, First Name, Middle Name and Last Name and   |
|    | Suffix** (if applicable) of the Project Director/Principle      |
|    | Investigator (PD/PI) for the project. Enter the **Title** of    |
|    | the PD/PI and the **name of the organization** of the PD/PI.    |
|    | Enter the name of the primary organization **Department** and   |
|    | **Division** of the PD/PI. In **Street 1** enter the first line |
|    | of the street address of the PD/PI for the project. In          |
|    | **Street2** enter the second line of the street address for the |
|    | PD/PI, if applicable. Enter the **City, County** and **State,** |
|    | **Zip Code** and **Country** of the PD/PI. Enter the **Phone**  |
|    | and **Fax** number as well as the **E-MAIL** address of this    |
|    | person. **These are all required fields.**                      |
+----+-----------------------------------------------------------------+
| 16 | **Estimated Project Funding:**                                  |
| \. |                                                                 |
|    | **a. Total Estimated Project Funding** Enter the total          |
|    | **Federal Funds** requested for the **BUDGET PERIOD** for which |
|    | you are applying**. Enter only the amount for the year you are  |
|    | applying, NOT the amount for the entire project period.**       |
|    |                                                                 |
|    | **b. Total Federal and Non-Federal Funds:** Enter the total     |
|    | Federal and non-Federal funds for the **BUDGET PERIOD** for     |
|    | which you are applying.                                         |
|    |                                                                 |
|    | **c.** **Estimated Program Income:** Identify any Program       |
|    | Income for the **BUDGET PERIOD.**                               |
+----+-----------------------------------------------------------------+
| 17 | **Is Application Subject to Review by State Executive Order     |
| \. | 12372 Process:**                                                |
|    |                                                                 |
|    | If YES: Check the YES box if the announcement indicates that    |
|    | the program is covered under State Executive Order 12372. If    |
|    | NO: Place a check in the NO box.                                |
+----+-----------------------------------------------------------------+
| 18 | **Complete Certification**                                      |
| \. |                                                                 |
|    | Check the "I agree" box to attest to acceptance of required     |
|    | certifications and assurances listed at the end of the          |
|    | Application**.**                                                |
+----+-----------------------------------------------------------------+
| 19 | **Authorized Representative** (Authorizing Official - This is   |
| \. | the person who has the authority to sign the application for    |
|    | the organization ) All items in bold are required fields and    |
|    | must be completed                                               |
|    |                                                                 |
|    | Enter the name of Authorized Representative/Authorizing         |
|    | Official. Enter the **Prefix, First Name, Middle Name and Last  |
|    | Name and Suffix** (if applicable) of the Authorized             |
|    | Representative (AR) or Authorizing Official (AO). Enter the     |
|    | **Title** of the Authorized Representative and the              |
|    | **organization** of the AR/AO. Enter the name of the primary    |
|    | organization **Department** and **Division** of the AO. In      |
|    | **Street1** enter the first line of the street address of the   |
|    | AR/AO for the project. In **Street2** enter the second line of  |
|    | the street address for the AR/AO, if applicable. Enter the      |
|    | **City, County** and **State,** **Zip Code** and **Country** of |
|    | the AR/AO. Enter the **Phone** and **Fax** number as well as    |
|    | the **E-MAIL** address of AR/AO this person. **These are all    |
|    | required fields .**                                             |
|    |                                                                 |
|    | **Date Signed: If you are submitting this electronically please |
|    | print off a copy of the face/cover pages of the application,    |
|    | sign and send them to HRSA's Grants Application Center (GAC)    |
|    | --( See the program guidance for the GAC's address)**           |
|    |                                                                 |
|    | Note: Applicant applying in paper must send their entire grant  |
|    | application with the signed face/cover pages to the GAC         |
+----+-----------------------------------------------------------------+
| 20 | **Pre-Application**                                             |
| \. |                                                                 |
|    | This is Not applicable to HRSA. A limited number of HRSA        |
|    | programs require a Letter of Intent which is different from a   |
|    | preapplication. Information required and the process for        |
|    | submitting such a Letter of Intent is outlined in the funding   |
|    | opportunity announcements for those programs with such a        |
|    | requirement. .                                                  |
+----+-----------------------------------------------------------------+

INSTRUCTIONS FOR 5161 CHECKLIST (This is used for the 424 R&R as well)

+-----------------+----------------------------------------------------+
| Field           | Instructions                                       |
+-----------------+----------------------------------------------------+
| Type of         | Check one of the boxes corresponding to one of the |
| Application     | following types:                                   |
|                 |                                                    |
|                 | \- **New**: A new application is a request for     |
|                 | financial assistance for a project or program not  |
|                 | currently receiving DHHS support.                  |
|                 |                                                    |
|                 | **-Non competing Continuation**: A non-competing   |
|                 | application for an additional funding/budget       |
|                 | period for a project within a previously approved  |
|                 | project period                                     |
|                 |                                                    |
|                 | \- **Competing Continuation (** same as Renewal    |
|                 | from 424R&R face page)                             |
|                 |                                                    |
|                 | --this is a request for an extension of support    |
|                 | for an additional funding/budget period for a      |
|                 | project with a projected completion.               |
|                 |                                                    |
|                 | **- Supplemental (**same as Revision from 424 R&R  |
|                 | face page) An application requesting a change in   |
|                 | the Federal Governments financial obligation or    |
|                 | contingent liability from an existing obligation.  |
+-----------------+----------------------------------------------------+
| Part A          | Leave this Section Blank                           |
+-----------------+----------------------------------------------------+
| Part B          | Leave this Section Blank                           |
+-----------------+----------------------------------------------------+
| Part C          | In the Space Provided below, please provide the    |
|                 | requested information                              |
+-----------------+----------------------------------------------------+
| Business        | Enter the name of Business Official to be notified |
| Official to be  | if an award is to be made. Enter the **Prefix,     |
| notified if an  | First Name, Middle Name and Last Name and Suffix** |
| award is to be  | (if applicable) of the Business Official and the   |
| made            | **organization. Enter the Address** Street1 enter  |
|                 | the first line of the street address of the        |
|                 | Business Official. In **Street2** enter the second |
|                 | line of the street address for the AR/AO, if       |
|                 | applicable. Enter the **City, County** and         |
|                 | **State,** **Zip Code** and **Country** of the     |
|                 | business official. Enter the **Telephone** and     |
|                 | **Fax** number as well as the **E-MAIL** address   |
|                 | of Business Official. Enter the Applicant          |
|                 | Organizations 12 Digit DHHS EIN ( if already       |
|                 | assigned) -- This should be the same information   |
|                 | as supplied in file number 5 of the 424 R&R face   |
|                 | page .                                             |
+-----------------+----------------------------------------------------+
| Project         | Enter the name of Project Director/Principle       |
| Dir             | Investigator (PD/PI) -- this should be the same    |
| ector/Principle | information as supplied on the 424 R & R face page |
| Investigator    | field number 15. Enter the **Prefix, First Name,   |
| designated to   | Middle Name and Last Name and Suffix** (if         |
| direct the      | applicable). Enter the name of the primary         |
| proposed        | organization and Address: **Street1** enter the    |
| project         | first line of the street address of the AR/AO for  |
|                 | the project. In **Street2** enter the second line  |
|                 | of the street address for the AR/AO, if            |
|                 | applicable. Enter the **City, County** and         |
|                 | **State,** **Zip Code** and **Country** of the     |
|                 | PD/PI. Enter the **Telephone Number, E-Mail** and  |
|                 | **Fax** number. **DO NOT** enter the social        |
|                 | security number. Enter the highest degree earned   |
|                 | for the PD/PI.                                     |
+-----------------+----------------------------------------------------+

INSTRUCTIONS FOR R&R SENIOR/KEY PERSON PROFILE

Starting with the PD/PI, provide a profile for each senior/key person
proposed. Unless otherwise specified in an agency announcement senior
key personnel are defined as all individuals who contribute in a
substantive, measurable way to the execution of the project or activity
whether or not salaries are requested. Consultants should be included if
they meet this definition. For each of these individuals a Biosketch
should be attached which lists the individual's credentials/degrees.

+-----------+----------------------------------------------------------+
| Field     | Instruction                                              |
+-----------+----------------------------------------------------------+
| Prefix    | Ex. Mr., Ms. Mrs. Rev. Enter the Prefix for the          |
|           | Individual identified as a key person for the project.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the prefix for the project director    |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| First     | This is the first (given) name of the Individual         |
| Name      | identified as a key person for the project. If this is   |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the name of the project director       |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| Middle    | This is the middle name of the Individual identified as  |
| Name      | a key person for the project. If this is the entry for   |
|           | the Project Director and you are submitting              |
|           | electronically this field will be prepopulated with the  |
|           | name of the project director identified on the face page |
|           | of the 424 R&R.                                          |
+-----------+----------------------------------------------------------+
| Last Name | This is the last name of the Individual identified as a  |
|           | key person for the project. If this is the entry for the |
|           | Project Director and you are submitting electronically   |
|           | this field will be prepopulated with the last name of    |
|           | the project director identified on the face page of the  |
|           | 424 R&R.                                                 |
+-----------+----------------------------------------------------------+
| Suffix    | Enter the Suffix (Ex. Jr., Sr., PhD.,) for the           |
|           | Individual identified as a key person for the project.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the prefix for the project director    |
|           | identified on the face page of the 424 R&R.              |
+-----------+----------------------------------------------------------+
| Posit     | Enter the Title for the Individual identified as a key   |
| ion/Title | person for the project. If this is the entry for the     |
|           | Project Director and you are submitting electronically   |
|           | this field will be prepopulated with the Title for the   |
|           | project director identified on the face page of the 424  |
|           | R&R.                                                     |
+-----------+----------------------------------------------------------+
| D         | This is the name of the primary organizational           |
| epartment | department, service, laboratory, or equivalent level     |
|           | within the organization for the Individual identified as |
|           | a key person for the project. If this is the entry for   |
|           | the Project Director and you are submitting              |
|           | electronically this field will be prepopulated with the  |
|           | Department for the project director identified on the    |
|           | face page of the 424 R&R.                                |
+-----------+----------------------------------------------------------+
| Org       | This is the name of the organizational for the           |
| anization | Individual identified as a key person for the project.   |
| Name      | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated with the Organization Name for the project  |
|           | director identified on the face page of the 424 R&R.     |
+-----------+----------------------------------------------------------+
| Division  | This is the primary organizational division, office, or  |
|           | major subdivision of the individual. If this is the      |
|           | entry for the Project Director and you are submitting    |
|           | electronically this field will be prepopulated with the  |
|           | Division for the project director identified on the face |
|           | page of the 424 R&R.                                     |
+-----------+----------------------------------------------------------+
| Street1   | This is the first line of the street address for the     |
|           | individual identified as a key/senior person. If this is |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the Street address for the project     |
|           | director identified on the face page of the 424 R&R.     |
+-----------+----------------------------------------------------------+
| Street 2  | This is the second line of the street address (if        |
|           | applicable) for the individual identified. If this is    |
|           | the entry for the Project Director and you are           |
|           | submitting electronically this field will be             |
|           | prepopulated with the second line of the Street address  |
|           | ( if applicable) for the project director identified on  |
|           | the face page of the 424 R&R                             |
+-----------+----------------------------------------------------------+
| City      | Enter the city where the key/senior person is located.   |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated.                                            |
+-----------+----------------------------------------------------------+
| County    | Enter the County where the key/senior person is located. |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated.                                            |
+-----------+----------------------------------------------------------+
| State     | Enter the state where the key/senior person is located.  |
|           | If this is the entry for the Project Director and you    |
|           | are submitting electronically this field will be         |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| ZIP Code  | Enter the Zip Code where the key/senior person is        |
|           | located. If this is the entry for the Project Director   |
|           | and you are submitting electronically this field will be |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Phone     | Enter the daytime phone number for the senior/key        |
| Number    | person. If this is the entry for the Project Director    |
|           | and you are submitting electronically this filed will be |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Fax       | Enter the fax number for the senior/key person. If this  |
| Number    | is the entry for the Project Director and you are        |
|           | submitting electronically this filed will be             |
|           | prepopulated                                             |
+-----------+----------------------------------------------------------+
| Email     | Enter the email address for the senior/key person. If    |
| address   | this is the entry for the Project Director and you are   |
|           | submitting electronically this filed will be             |
|           | prepopulated- This is a required field                   |
+-----------+----------------------------------------------------------+
| C         | Leave this field blank                                   |
| redential |                                                          |
| e.g.      |                                                          |
| agency    |                                                          |
| login     |                                                          |
+-----------+----------------------------------------------------------+
| Project   | Enter the project role from the list below               |
| Role      |                                                          |
|           | 1\. Project Director (PD)/Principle Investigator(PI)     |
|           |                                                          |
|           | 2\. Co- PD/Co- PI                                        |
|           |                                                          |
|           | 3.Faculty                                                |
|           |                                                          |
|           | 4\. Post Doctoral                                        |
|           |                                                          |
|           | 5\. Post Doctoral Associate                              |
|           |                                                          |
|           | 6\. Other Professional                                   |
|           |                                                          |
|           | 7\. Graduate Student                                     |
|           |                                                          |
|           | 8\. Undergraduate Student                                |
|           |                                                          |
|           | 9\. Technician                                           |
|           |                                                          |
|           | 10\. Consultant                                          |
|           |                                                          |
|           | 11\. Other (Specify)                                     |
+-----------+----------------------------------------------------------+
| Other     | Complete if you selected "Other "as a project role. For  |
| Project   | example, Engineer, social worker.                        |
| Role      |                                                          |
| Category  |                                                          |
+-----------+----------------------------------------------------------+
| Attach    | Provide a biographical sketch for the PD/PI or Senior    |
| Bio       | Key Person identified. For each of these individuals a   |
| graphical | Biosketch should be attached which lists the             |
| Sketch    | individual's credentials/degrees. Recommended            |
|           | information includes: education and training, research   |
|           | and professional and synergistic activities. Save the    |
|           | information in a single file and attach by clicking Add  |
|           | attachment --if applying electronically                  |
+-----------+----------------------------------------------------------+
| Attach    | Follow the individual program guidance pertaining to     |
| Current & | this issue. If current and pending support on level of   |
| Pending   | effort documentation is required, please attach          |
| Support   | accordingly.                                             |
+-----------+----------------------------------------------------------+
|           |                                                          |
+-----------+----------------------------------------------------------+

INSTRUCTIONS FOR R&R PROJECT PERFORMANCE SITE LOCATION(S) FORM

Indicate the primary site/sites where the work or activity will occur.
If a portion of the project is at any other location(s), identify it in
the section provided. If more than eight project/performance site
locations are proposed, provide the information in a separate file and
attach these in a file in the space provided at the bottom of the form.
If applying in paper add this information as part of the appendix.

Enter the Primary Performance Site first. Add all other performance
sites in the space provided.

  -------------- ------------------------------------------------------------
  Field name     Instructions

  Organization   Enter the Name of the Performance Site/Organization
  Name           

  Street 1       Enter the first line of the street address of the
                 performance site location

  Street 2       Enter the second line of the street address of the
                 performance site location, if applicable

  City           Enter the city of the performance site.

  County         Enter the county where the performance site is located.

  State          Select from the list of States or enter the State/province
                 in which the performance site is located

  Zip Code       Enter the zip code of the performance sit location

  Country        Enter the country of the performance site from the list
  -------------- ------------------------------------------------------------

> INSTRUCTIONS FOR R&R BUDGET

**Section A & B**

SECTION A

+-------------+--------------------------------------------------------+
| Field Name  | Instructions                                           |
+-------------+--------------------------------------------------------+
| Org         | Enter the DUNS or DUNS +4 number of your organization. |
| anizational | For applicants applying electronically, this field is  |
| DUNS        | pre-populated from the R&R SF424 Cover Page.           |
+-------------+--------------------------------------------------------+
| Budget Type | Check the appropriate block. Check Project if the      |
|             | budget requested is for the primary applicant          |
|             | organization. Check Subaward/consortium organizations  |
|             | (if applicable). Separate budgets are usually required |
|             | only for Subaward Budgets and are not allowed by HRSA  |
|             | unless legislatively authorized or requested in the    |
|             | program application guidance. Use the R&R Subaward     |
|             | Budget Attachment and attach as a separate file on the |
|             | R&R Budget Attachment(s) form..                        |
+-------------+--------------------------------------------------------+
| Enter Name  | Enter the name of your organization                    |
| of          |                                                        |
| O           |                                                        |
| rganization |                                                        |
+-------------+--------------------------------------------------------+
| Start Date  | Enter the requested Start Date of Budget Period        |
+-------------+--------------------------------------------------------+
| End Date    | Enter the requested End Date of the Budget Period (    |
|             | these should cover 1 full year/12 months)              |
+-------------+--------------------------------------------------------+
| Budget      | Identify the specific budget period (1 for first year  |
| Period      | of the grant, 2 for second year of the grant, 3 for    |
|             | third etc.)                                            |
+-------------+--------------------------------------------------------+
| A.          | Enter the **Prefix**, F**irst/(Given) name**, **Middle |
|             | name** (if applicable), **Last Name** and **Suffix**   |
| Senior/Key  | of the senior/key person                               |
| Person      |                                                        |
+-------------+--------------------------------------------------------+
| Project     | Enter the project role of the Senior/Key person.       |
| Role        |                                                        |
+-------------+--------------------------------------------------------+
| Base Salary | Enter the annual compensation paid by the employer for |
| (\$)        | each Senior/Key person. This includes all activities   |
|             | such as research, teaching, patient care. etc.         |
+-------------+--------------------------------------------------------+
| Cal. Months | Enter the number of Calendar months devoted to the     |
|             | project in the applicable box for each project role    |
|             | category                                               |
+-------------+--------------------------------------------------------+
| Acad.       | Enter the number of academic year months devoted to    |
| Months      | the project in the applicable box for each project     |
|             | role category ( If your institution does not use a 9   |
|             | month academic period, indicate your institution's     |
|             | definition of academic year in the budget              |
|             | justification)                                         |
+-------------+--------------------------------------------------------+
| Sum. Months | Enter the number of summer months devoted to the       |
|             | project in the applicable box for each project role    |
|             | category ( If your institution does not use a 3 month  |
|             | summer period, indicate your institution's definition  |
|             | of summer period in the budget justification)          |
+-------------+--------------------------------------------------------+
| Requested   | Regardless of the number of months being devoted to    |
| Salary (\$) | the project, indicate only the funds being requested   |
|             | to cover the amount of salary/wages for each           |
|             | senior/key person for this budget period               |
+-------------+--------------------------------------------------------+
| Fringe      | Enter applicable fringe benefits, if any, for each     |
| Benefits    | senior/key person                                      |
| (\$)        |                                                        |
+-------------+--------------------------------------------------------+
| Funds       | Enter federal funds requested for salary/wages &       |
| Requested   | fringe benefits for each senior/key person for this    |
| (\$)        | budget period for this project.                        |
+-------------+--------------------------------------------------------+
| Line 9.     | Enter the total federal funds requested for all        |
| Total Funds | senior/key persons listed in the attached file (these  |
| Requested   | requested funds would be for key persons over and      |
| for all     | above those listed in the preceding rows/fields of     |
| Senior Key  | section A). If applicants are applying in hardcopy     |
| Persons in  | please attach a table listing the key personnel over   |
| the         | and above the 8 persons listed on the budget page      |
| attached    | using the same format appearing in the budget table    |
| Files       | and enter the total funds requested for these          |
|             | additional by people in row 9.                         |
+-------------+--------------------------------------------------------+
| Additional  | If applying electronically attach a file here          |
| Senior Key  | detailing the funds requested for key personnel over   |
| Persons     | and above the 8 senior/key persons already listed in   |
| (attach     | this section; include all pertinent budget             |
| file)       | information. The total funds requested in this file    |
|             | should be entered in "**the total funds requested for  |
|             | all additional senior/key persons in line 9 of Section |
|             | A** . If applying in hardcopy please be certain to     |
|             | provide detailed information on the key personnel as   |
|             | well as funds requested in the same format appearing   |
|             | in the budget table. Be certain to include the total   |
|             | funds for these additional key persons in **the total  |
|             | funds requested for all additional senior/key persons  |
|             | in line 9 of Section A.**                              |
+-------------+--------------------------------------------------------+

**SECTION B. Other Personnel**

  ------------- ---------------------------------------------------------
  Field Name    Instructions

  Number of     For each project role/category identify the number of
  Personnel     personnel proposed.

  Project Role  If project role is other than Post-Doctoral Associates,
                Graduate Students, Undergraduate students, or
                Secretarial/Clerical, enter the appropriate project role
                ( for example, Engineer, Statistician, IT Professional
                etc. ) in the blanks.

  Cal. Months   Enter the number of Calendar months devoted to the
                project in the applicable box for each project role
                category/stipend category

  Acad. Months  Enter the number of academic year months devoted to the
                project in the applicable box for each project role
                category ( If your institute does not use a 9 month
                academic period , indicate your institution's definition
                of academic year in the budget justification)

  Sum. Months   Enter the number of summer months devoted to the project
                in the applicable box for each project role category ( If
                your institute does not use a 3 month summer period ,
                indicate your institution's definition of summer period
                in the budget justification)

  Requested     Regardless of the number of months being devoted to the
  Salary (\$)   project, indicate only the amount of salary/wages/stipend
                amount being requested for each project role

  Fringe        Enter applicable fringe benefits, if any, for each
  Benefits (\$) project role category

  Funds         Enter requested salary/wages & fringe benefits for each
  Requested     project role category
  (\$)          

  Total Number  Enter the total number of other personnel and related
  Other         funds requested for this project
  Personnel     

  Total Salary, Enter the total funds requested for all senior key
  Wages and     persons, stipends and all other personnel- If applying
  Fringe        electronically this will be computed based on detailed
  Benefits (A   information provided. If applying through hard copy
  &B)           please enter this number, ensuring that the total is
                equal to the detailed information provided
  ------------- ---------------------------------------------------------

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

**Section C, D & E**

SECTION C: Equipment Description

  ---------------- ---------------------------------------------------------
  Field Name       Instructions

  Organizational   Enter the DUNS or DUNS +4 number of your organization.
  DUNS             For Project applicants and those applying electronically,
                   this field is pre-populated from the R&R SF424 Cover
                   Page.

  Budget Type      Check the appropriate block. Check Project if the budget
                   requested is for the primary applicant organization.
                   Check Subaward/consortium organizations (if applicable).
                   Separate budgets are usually required only for Subaward
                   Budgets and are not allowed by HRSA unless legislatively
                   authorized or requested in the program application
                   guidance. Use the R&R Subaward Budget Attachment and
                   attach as a separate file on the R&R Budget Attachment(s)
                   form)

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of Budget Period

  End Date         Enter the requested/proposed End Date of the Budget
                   Period ( these should cover 1 full year/12 months)

  Budget Period    Identify the specific budget period (1 for first year of
                   the grant, 2 for second year of the grant, 3 for third
                   etc. )

  Equipment Item   Equipment is identified as an item of property that has
                   an acquisition cost of \$5,000 or more (unless the
                   organization has established lower levels) and an
                   expected service life of more than 1 year. List each item
                   of equipment separately and justify each in the budget
                   justification section. Ordinarily allowable items are
                   limited to those which will be used primarily or
                   exclusively in the actual conduct or performance of grant
                   activities.

  Funds Requested  Enter the estimated cost of each item of equipment,
                   including shipping and any maintenance costs and
                   agreements.

  Total Funds      Enter the estimated cost of all equipment listed in any
  Requested for    attached documents/files.
  all equipment    
  listed in the    
  attached files   

  Additional       If the space provided can not accommodate all the
  Equipment        equipment proposed, attach a file or document delineating
                   the equipment proposed. If applying in hardcopy please
                   provide this information on a separate/attached sheet.
                   List the total funds requested on line 11 of this
                   section.
  ---------------- ---------------------------------------------------------

**SECTION D. Travel**

  -------------- ---------------------------------------------------------
  Field Name     Instructions

  Domestic       Enter the total funds requested for domestic travel.
  Travel Costs   Domestic travel includes Canada, Mexico and US
  (Incl. Canada, possessions. In the budget justifications section,
  Mexico, and US include the purpose , destinations, dates of travel (if
  Possessions)   known) , and number of individuals for each trip. If the
                 dates of travel are known, specify estimated length of
                 trip (for example, 3 days)

  Foreign Travel Enter the total funds to be used for foreign travel.
  Costs          Foreign travel includes any travel outside of the United
                 States, Canada, Mexico and or the U.S. Possessions. In
                 the budget justification section, include the purpose,
                 destination, travel dates (if known), and number of
                 individuals for each trip. If the dates of travel are not
                 known , specify estimated length of trip ( ex. 3 days)

  Total Travel   The total funds requested for all travel related to this
  Costs          project-- this should equal the total of all domestic and
                 foreign and may be computed if applying electronically.
                 If applying in hardcopy please enter this amount
  -------------- ---------------------------------------------------------

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

**SECTION E: Participant/Trainee Support Costs**

  --------------------- -----------------------------------------------------
  Field Name            Instructions

  Tuition/Fees/Health   Enter the total amount of funds requested for
  Insurance             participant /trainee tuition, fees, and /or health
                        insurance. (if applicable)

  Stipends              Enter the total amount of funds requested for
                        participant /trainee stipends.

  Travel                Enter the total funds requested for
                        participant/trainee travel associated with this
                        project (if applicable)

  Subsistence           Enter the total funds requested for
                        participant/trainee subsistence (if applicable)

  Other                 Describe and enter the total funds requested for any
                        other participant/trainee costs/institutional
                        allowances, scholarships etc. Please identify these
                        in the space provided.

  Number of             Enter the total number of proposed
  Participants          participants/trainees (those receiving stipends,
                        scholarships, etc.)

  Trainee Costs         Enter the total costs associated with the above
                        categories (i.e. participants/trainees- items 1-5).
                        If applying electronically this total will be
                        calculated for you.
  --------------------- -----------------------------------------------------

RESEARCH AND RELATED BUDGET - SECTION F-K Budget Period

  ---------------- ---------------------------------------------------------
  Field Name       Instructions

  Organizational   Enter the DUNS or DUNS +4 number of your organization.
  DUNS             For Project applicants and those applying electronically,
                   this field is pre-populated from the R&R SF424 Cover
                   Page.

  Budget Type      Check the appropriate block. Check Project if the budget
                   requested is for the primary applicant organization.
                   Check Subaward/consortium organizations (if applicable).
                   Separate budgets are usually required only for Subaward
                   Budgets and are not allowed by HRSA unless legislatively
                   authorized or requested in the program application
                   guidance. Use the R&R Subaward Budget Attachment and
                   attach as a separate file on the R&R Budget Attachment(s)
                   form.

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of the Budget Period

  End Date         Enter the requested/proposed End Date of the Budget
                   Period (these should cover 1 full year/12 months)

  Budget Period    Identify the specific budget period (1 for first year of
                   the grant, 2 for second year of the grant, 3 for third
                   etc. )
  ---------------- ---------------------------------------------------------

**SECTION F. Other Direct Cost**

+---------------------------+------------------------------------------+
| Field Name                | Instructions                             |
+---------------------------+------------------------------------------+
| 1\. Materials and         | Enter the total funds requested for      |
| Supplies                  | materials and supplies. In the budget    |
|                           | justification attachment please itemize  |
|                           | all categories for which costs exceed    |
|                           | \$1,000. Categories less than \$1,000 do |
|                           | not have to be itemized.                 |
+---------------------------+------------------------------------------+
| 2\. Publication Costs     | Enter the total publication funds        |
|                           | requested. The budget may request funds  |
|                           | for the cost of documenting, preparing,  |
|                           | publishing or otherwise disseminating    |
|                           | the findings of this project to others.  |
|                           | In the budget justification include      |
|                           | supporting information.                  |
+---------------------------+------------------------------------------+
| 3\. Consultant Services   | Enter the total funds requested for      |
|                           | consultant services. In the budget       |
|                           | justification identify each consultant,  |
|                           | the services to be performed, travel     |
|                           | related to this project and the total    |
|                           | estimated costs.                         |
+---------------------------+------------------------------------------+
| 4\. ADP/Computer Services | Enter total funds requested for          |
|                           | ADP/computer services. In the budget     |
|                           | justification include the established    |
|                           | computer service rates at the proposed   |
|                           | organization (if applicable)             |
+---------------------------+------------------------------------------+
| 5\. Subawards/Consortia/  | Enter total funds requested for          |
| Contractual Costs         | subaward, consortium and/or contractual  |
|                           | costs proposed for this project.         |
+---------------------------+------------------------------------------+
| 6\. Equipment/Facility    | Enter total funds requested for          |
|                           | equipment or facility rental or users    |
| Rental/ User Fees         | fees. In the budget justification please |
|                           | identify and justify these fees.         |
+---------------------------+------------------------------------------+
| 7\. Alterations and       | Enter the total funds requested for      |
| Renovations               | alterations and renovations. In the      |
|                           | budget justification itemize by category |
| (not applicable to        | and justify the costs including repairs, |
| training program grants)  | painting, removal or installation of     |
|                           | partitions. Where applicable provide     |
|                           | square footage and costs.                |
+---------------------------+------------------------------------------+
| Items 8-10                | In items 8-10 please describe any        |
|                           | "other" direct costs not requested       |
|                           | above. Use the Budget Justification      |
|                           | attachment to further itemize and        |
|                           | justify these costs. If line space is    |
|                           | inadequate please use line 10 to combine |
|                           | all remaining "other direct costs" and   |
|                           | include details of these costs in the    |
|                           | budget justification.                    |
+---------------------------+------------------------------------------+
| Total Other Costs         | The total funds requested for all Other  |
|                           | Direct Costs                             |
+---------------------------+------------------------------------------+

**SECTION G: Direct Costs**

**If applying electronically, this item will be computed as the sum of
sections A-F . If applying in paper please enter the sum of sections A-F
in this field**

**SECTION H: Indirect Costs**

  ----------------- -----------------------------------------------------
  Field Name        Instructions

  Indirect Cost     Indicate the type of indirect cost. Also indicate if
  Type              this is off-site. If more than one rate/base is
                    involved, use separate lines for each. If you do not
                    have a current indirect cost rate (s) approved by a
                    Federal Agency indicate "None---will negotiate" and
                    include information for proposed rate. Use the budget
                    justification if additional space is needed.

  Indirect Cost     Indicate the most recent indirect cost rate(s), also
  Rate (%)          known as Facilities and Administrative Costs {F&A}
                    established with a cognizant Federal office or, in
                    the case of for--profit organizations, the rate(s)
                    established with the appropriate agency. If you do
                    not have a cognizant oversight agency and are
                    selected for an award, you must submit your requested
                    indirect cost rate documentation to the awarding
                    department. For HHS this would be the Division of
                    Cost Allocation in DHHS.

  Indirect Cost     Enter amount of the base for each indirect cost type.
  Base (\$)         

  Funds Requested   Enter the total funds requested for each indirect
                    cost type.

  Cognizant Federal Enter the name of the cognizant Federal Agency, name
  Agency            and telephone number of the individual responsible
                    for negotiating your rate. If no cognizant agency is
                    known, enter None.
  ----------------- -----------------------------------------------------

**SECTION I: Total Direct and Indirect Institutional Costs (Section G+
Section H)**

Enter the total funds requested for direct and indirect costs. If
applying electronically this field will be calculated for you.

**SECTION J: Fee**

Generally, a fee is not allowed on a grant or cooperative agreement. Do
not include a fee in your budget, unless the program announcement
specifically allows the inclusion of a fee. If a fee is allowable, enter
the fee requested in this field.

**SECTION K: Budget Justification**

Detailed instructions for information to include in this section will be
provided in the program application guidance. Use the budget
justification to provide the additional information in each budget
category and any other information necessary to support your budget
request. Please use this attachment/section to provide the information
requested/required in the program guidance. Please refer to the guidance
to determine the need for and placement of (ex. in Appendix section) any
other required budget tables stipulated in the guidance.

RESEARCH AND RELATED BUDGET --CUMULATIVE BUDGET

If applying electronically, all of the values on this form will be
calculated based on the amounts that were entered previously under
sections A through K for each of the individual budget periods.
Therefore, if this application is being submitted electronically no data
entry is allowed or required in order to complete this Cumulative Budget
section.

If any amounts displayed on this form appear to be incorrect you may
correct the value by adjusting one or more of the values that
contributed to the total from the previous sections. To make such an
adjustment you will need to revisit the appropriate budget period
form(s) to enter corrected values.

If applying in paper form please ensure that entries in the cumulative
budget are consistent with those entered in Sections A-K.

+-----------------+----------------------------------------------------+
| Field Name      | Instructions                                       |
+-----------------+----------------------------------------------------+
| **Section A:**  | The cumulative total funds requested for all       |
| **Senior/Key    | Senior/Key personnel.                              |
| Person**        |                                                    |
+-----------------+----------------------------------------------------+
| **Section B:**  | The cumulative total funds requested for all other |
|                 | personnel.                                         |
| **Other         |                                                    |
| Personnel**     |                                                    |
+-----------------+----------------------------------------------------+
| Total Number    | The cumulative total number of other personnel.    |
| Other Personnel |                                                    |
+-----------------+----------------------------------------------------+
| Total Salary,   | The cumulative total funds requested for all       |
| Wages, and      | Senior/Key personnel and all other personnel.      |
| Fringe Benefits |                                                    |
| (Section A +    |                                                    |
| Section B)      |                                                    |
+-----------------+----------------------------------------------------+
| **Section C:    | The cumulative total funds requested for all       |
| Equipment**     | equipment.                                         |
+-----------------+----------------------------------------------------+
| **Section D:**  | The cumulative total funds requested for all       |
|                 | travel.                                            |
| **Travel**      |                                                    |
+-----------------+----------------------------------------------------+
| 1\. Domestic    | The cumulative total funds requested for all       |
|                 | domestic travel.                                   |
+-----------------+----------------------------------------------------+
| 2\. Foreign     | The cumulative total funds requested for all       |
|                 | foreign travel.                                    |
+-----------------+----------------------------------------------------+
| **Section E:    | The cumulative total funds requested for all       |
| Part            | participant/trainee costs.                         |
| icipant/Trainee |                                                    |
| Support Costs** |                                                    |
+-----------------+----------------------------------------------------+
| 1\.             | Enter the number of Calendar months devoted to the |
| Tuit            | project in the applicable box for each project     |
| ion/Fees/Health | role category.                                     |
| Insurance       |                                                    |
+-----------------+----------------------------------------------------+
| 2\. Stipends    | Enter the cumulative total funds requested for     |
|                 | participants/trainee stipends.                     |
+-----------------+----------------------------------------------------+
| 3\. Travel      | The cumulative total funds requested for Trainee   |
|                 | /Participant travel.                               |
+-----------------+----------------------------------------------------+
| 4\. Subsistence | The cumulative total funds requested for           |
|                 | Trainee/Participant subsistence.                   |
+-----------------+----------------------------------------------------+
| 5\. Other       | The cumulative total funds requested for any Other |
|                 | participant trainee costs including scholarships.  |
+-----------------+----------------------------------------------------+
| 6\. Number of   | The cumulative total number of proposed            |
| partic          | participants/trainees.                             |
| ipants/trainees |                                                    |
+-----------------+----------------------------------------------------+
| **Section F:    | The cumulative total funds requested for all other |
| Other Direct    | direct costs.                                      |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| 1\. Materials   | The cumulative total funds requested for Materials |
| and Supplies    | and Supplies.                                      |
+-----------------+----------------------------------------------------+
| 2\. Publication | The cumulative total funds requested for           |
| Costs           | Publications.                                      |
+-----------------+----------------------------------------------------+
| 3\. Consultant  | The cumulative total funds requested for           |
| Services        | Consultant Services.                               |
+-----------------+----------------------------------------------------+
| 4\.             | The cumulative total funds requested for           |
| ADP/Computer    | ADP/Computer Services.                             |
| Services        |                                                    |
+-----------------+----------------------------------------------------+
| 5\. Subawards/  | The cumulative total funds requested for 1) all    |
| Consortium/     | subaward/ consortium organization(s) proposed for  |
| Contractual     | the project, and 2) any other contractual costs    |
| Costs           | proposed for the project.                          |
+-----------------+----------------------------------------------------+
| 6\. Equipment   | The cumulative total funds requested for Equipment |
| or Facility     | or Facility Rental/ User Fees.                     |
| Rental/User     |                                                    |
| Fees            |                                                    |
+-----------------+----------------------------------------------------+
| 7\. Alterations | The cumulative total funds requested for           |
| and Renovations | Alterations and Renovations.                       |
+-----------------+----------------------------------------------------+
| 8\. Other 1     | The cumulative total funds requested in line 8 or  |
|                 | the first Other Direct Costs category.             |
+-----------------+----------------------------------------------------+
| 9\. Other 2     | The cumulative total funds requested in line 9or   |
|                 | the second Other Direct Costs category.            |
+-----------------+----------------------------------------------------+
| 10\. Other 3    | The cumulative total funds requested in line 10 or |
|                 | the third Other Direct Costs category.             |
+-----------------+----------------------------------------------------+
| **Section G:    | The cumulative total funds requested for all       |
| Direct Costs    | direct costs.                                      |
| A-F**           |                                                    |
+-----------------+----------------------------------------------------+
| **Section H:    | The cumulative total funds requested for all       |
| Indirect        | indirect costs.                                    |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| **Section I :   | The cumulative total funds requested for direct    |
| Total Direct    | and indirect costs.                                |
| and Indirect    |                                                    |
| Costs**         |                                                    |
+-----------------+----------------------------------------------------+
| **Section J:    | The cumulative funds requested for Fees (if        |
| Fee**           | applicable).                                       |
+-----------------+----------------------------------------------------+

INSTRUCTIONS FOR R&R SUBAWARD BUDGET ATTACHMENT(s) FORM

Subawards are not allowed by HRSA unless legislatively authorized or
requested in the Program Application Guidance. Please click on the
subaward budget attachment to obtain the required budget forms. Attach
all budget information by attaching the files in line items 1-10. Please
do not attach any files to the subaward documents as they will not be
transferred to HRSA. All justification for expenditures should be added
to the budget justification for the project in section K of the project
budget.

SF 424 R&R ASSURANCES

Read the 424 R&R Assurances in the program guidance. Signing of the
application FACE Page and sending the signed face page to the Grants
Application Center (see guidance) indicates acceptance of these
Assurances listed.

SF 424 R&R OTHER PROJECT INFORMATION COMPONENT

**SF 424 R&R Other Project Information:**

**If this is an application for a Research Grant Please Respond to All
of the Questions on this page.**

**If this is an application for a Training Grant Please Respond to Items
1 and Items 6-11.**

+----------------+-----------------------------------------------------+
| Field Name     | Instructions                                        |
+----------------+-----------------------------------------------------+
| 1\. Are Human  | If activities involving human subjects are planned  |
| Subjects       | at any time during proposed project check YES.      |
| Involved       | Check this box even if the proposed project is      |
|                | exempt from Regulations for the protection of Human |
|                | Subjects. Check NO if this is a training grant or   |
|                | if no activities involving human subjects are       |
|                | planned and skip to step 2.                         |
+----------------+-----------------------------------------------------+
| 1.a If YES to  | Skip this section if the answer to the previous     |
| Human Subjects | question was NO. If the answer was YES, indicate if |
| Involved       | the IRB review is pending. If IRB has been approved |
|                | enter the approval date. If exempt from IRB         |
|                | approval enter the exemption numbers corresponding  |
|                | to one or more of the exemption categories. See:    |
|                | http://ohrp                                         |
|                | .osophs.dhhs.gov/humansubjects/guidance/45cfr46.htm |
|                |                                                     |
|                | for a list of the six categories of research that   |
|                | qualify for exemption from coverage by the          |
|                | regulations are defined in the Common Rule for the  |
|                | Protection of Human Subjects.                       |
|                |                                                     |
|                | For Human Subject Assurance Number enter the IRB    |
|                | approval number OR the approved Federal Wide        |
|                | Assurance ( FWA) , multiple project assurance (MPA) |
|                | , Single Project Assurance(SPA) Number or           |
|                | Cooperative Project Assurance Number that the       |
|                | applicant has on file with the Office of Human      |
|                | Research Protections, if available.                 |
+----------------+-----------------------------------------------------+
| 2\. Are        | If activities using vertebrae animals are planned   |
| Vertebrae      | at any time during the proposed project at any      |
| Animals Used   | performance site check the YES box; otherwise check |
|                | NO and proceed to step 3.                           |
+----------------+-----------------------------------------------------+
| 2 a. If YES to | Indicate if the IACUC review is pending by checking |
| Vertebrae      | YES in this field otherwise check NO. Enter the     |
| animals        | IACUC approval Date in the approval date field      |
|                | leave blank if approval is pending.                 |
|                |                                                     |
|                | For Animal Welfare Assurance Number , enter the     |
|                | Federally approved assurance number if available    |
+----------------+-----------------------------------------------------+
| 3\. Is         | Patentable ideas, trade secrets, privileged or      |
| Proprietary    | confidential commercial or financial information,   |
| /Privileged    | disclosure of which may harm the applicant, should  |
| Information    | be included in the application only when such       |
| Included in    | information is necessary to convey an understanding |
| the            | of the proposed project. If the application         |
| Application    | includes such information, check the YES box and    |
|                | clearly mark each line or paragraph of the pages    |
|                | containing proprietary/privileged information with  |
|                | a legend similar to: "the following contains        |
|                | proprietary /privileged information that (name of   |
|                | applicant) requests not be released to persons      |
|                | outside the Government, except for purposes of      |
|                | review and evaluation.                              |
+----------------+-----------------------------------------------------+
| 4a. Does this  | If your project will have an actual or potential    |
| project have   | impact on the environment check the YES box and     |
| an actual or   | explain in the box provided in **4b.** Otherwise    |
| potential      | check NO and proceed to question 5a.                |
| impact on the  |                                                     |
| environment?   |                                                     |
+----------------+-----------------------------------------------------+
| 4.b. If yes,   | If you checked the YES box indicating an actual or  |
| please explain | potential impact on the environment, enter the      |
|                | explanation or the actual or potential impact on    |
|                | the environment here.                               |
+----------------+-----------------------------------------------------+
| 4c. If this    | If an exemption has been authorized or an EA or EIS |
| project has an | has been performed check the YES box in 4d.         |
| actual or      | Otherwise check the NO box.                         |
| potential      |                                                     |
| impact on the  |                                                     |
| environment    |                                                     |
| has an         |                                                     |
| exemption been |                                                     |
| authorized or  |                                                     |
| an             |                                                     |
| Environmental  |                                                     |
| Assessment     |                                                     |
| (EA) or an     |                                                     |
| Environmental  |                                                     |
| Impact         |                                                     |
| Statement      |                                                     |
| (EIS) been     |                                                     |
| performed?     |                                                     |
+----------------+-----------------------------------------------------+
| 4d. If yes     | If you checked the YES box indicating an exemption  |
| please explain | has been authorized or an EA or EIS has been        |
|                | performed, enter the explanation.                   |
+----------------+-----------------------------------------------------+
| 5a. Does the   | If your project involves activities outside of the  |
| project        | U.S. or partnerships with international             |
| involve        | collaborators check the YES box and list the        |
| activities     | countries in the box provided in 5b and an optional |
| outside of the | explanation in box 5c. Otherwise check NO and       |
| U.S. or        | proceed to item 6.                                  |
| partnership    |                                                     |
| with           |                                                     |
| international  |                                                     |
| collaborators? |                                                     |
+----------------+-----------------------------------------------------+
| 5b. If yes     | If the answer to 5a is YES -- identify the          |
| Identify       | countries with which international cooperative      |
| Countries      | activities are involved.                            |
+----------------+-----------------------------------------------------+
| 5c. Optional   | Use this box to provide any supplemental            |
| explanation    | information, if necessary. If necessary you can     |
|                | provide the information as an attachment by         |
|                | clicking "Add Attachment" to the right of Item 11   |
|                | below.                                              |
+----------------+-----------------------------------------------------+
| 6\. Project    | Please refer to the guidance for instructions       |
| Summary/       | regarding the information to include in the project |
| Abstract       | summary/abstract. The project summary must contain  |
|                | a summary of the proposed activity suitable for     |
|                | dissemination to the public. It should be a         |
|                | self-contained description of the project and       |
|                | should contain a statement of the objectives and    |
|                | methods employed. The summary must NOT include any  |
|                | proprietary/confidential information.               |
|                |                                                     |
|                | If applying electronically attach the               |
|                | summary/abstract by clicking on "Add Attachment"    |
|                | and browse to where you saved the file on your      |
|                | computer and attach.                                |
+----------------+-----------------------------------------------------+
| 7\. Project    | Provide the project narrative in accordance with    |
| Narrative      | the program guidance/announcement and/or            |
|                | agency/program specific instructions. If you are    |
|                | applying electronically, to attach project          |
|                | narrative click "Add Attachment," browse to where   |
|                | you saved the file, select the file, and click to   |
|                | attach. .                                           |
+----------------+-----------------------------------------------------+
| 8\.            | Provide a bibliography of any references cited in   |
| Bibliography   | the Project Narrative. Each reference must include  |
| and References | the names of all authors (in the sequence in which  |
| Cited          | they appear in the publication), the article and    |
|                | journal title, book title, volume number, page      |
|                | numbers and year of publication. Include only       |
|                | bibliographic citations. Be especially careful to   |
|                | follow scholarly practices in providing citations   |
|                | for source materials relied upon when preparing any |
|                | section of this application. If applying            |
|                | electronically -- attach the bibliography by        |
|                | clicking "Add Attachment" on line 8.                |
+----------------+-----------------------------------------------------+
| 9\. Facilities | This information is used to assess the capability   |
| and Other      | of the organizational resources available to        |
| Resources      | perform the effort proposed. Identify the           |
|                | facilities to be used (Laboratory, Animal,          |
|                | Computer, Office, Clinical and Other). If           |
|                | appropriate, indicate their pertinent capabilities, |
|                | relative proximity and extent of availability to    |
|                | the project (e.g. machine shop, electronic shop),   |
|                | and the extent to which they would be available to  |
|                | the project.                                        |
|                |                                                     |
|                | To attach a Facilities and Other Resources file,    |
|                | click Add Attachment, browse to where you saved the |
|                | file, select the file and then click open.          |
+----------------+-----------------------------------------------------+
| 10\. Equipment | List major items of equipment already available for |
|                | this project and if appropriate identify location   |
|                | pertinent capabilities. To attach an Equipment file |
|                | click "Add Attachment " and select the file to be   |
|                | attached.                                           |
+----------------+-----------------------------------------------------+
| 11\. Other     | Attach a file to provide any program specific forms |
| Attachments    | or requirements not provided elsewhere in the       |
|                | application in accordance with the agency or        |
|                | program specific guidance. Click "Add Attachment"   |
|                | and select the file for attachment from where you   |
|                | saved the file.                                     |
+----------------+-----------------------------------------------------+

ATTACHENTS 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***

**BIOGRAPHICAL SKETCH**

**Name:** (Last, first, middle initial)

**Title:**

**Education:**

+--------------------------------+-----------+-----------+------------+
| **Institution and Location**   | *         | **Year**  | **Field    |
|                                | *Degree** |           | of**       |
|                                |           | **Co      |            |
|                                |           | nferred** | **Study**  |
+--------------------------------+-----------+-----------+------------+
|                                |           |           |            |
+--------------------------------+-----------+-----------+------------+
| **Professional Experience**    |           |           |            |
+--------------------------------+-----------+-----------+------------+

Instructions:

Provide a biographical sketch for key professional personnel
contributing to the project. Each biographical sketch is limited to two
pages, including publications.

Include all degrees, certificates, certifications and relevant
professional accomplishments. Include national certification(s) for
relevant specialties, as well as honors and awards. For professional
experience, begin with the current position, then, in reverse
chronological order, list relevant previous employment and experience.
List, in reverse chronological order, all relevant publications, or
those most representative, if the two page limit on the sketch presents
a problem.

***Appendix E***

> **Table 1. Project Specific Courses and Number of Participants**

+---------------+------+-----+----------+---------+------------------+
| **Education   | **Ac | *   | **\# of  | **Level | **Total \# of    |
| Courses by    | adem | *CE | Times    | of      | Nursing & Other  |
| Title**       | ic** | by  | the      | Nursing | Health Personnel |
|               |      | C   | Course   | & Other | Projected to     |
|               | **Cr | ont | will be  | Health  | participate in   |
|               | edit | act | Offered  | Pe      | the Course(s)    |
|               | by   | H   | each     | rsonnel | for each year by |
|               | Cr   | our | year**   | in the  | the Level of     |
|               | edit | s** |          | C       | Personnel.**     |
|               | Hou  |     |          | ourse** |                  |
|               | rs** |     |          |         |                  |
+---------------+------+-----+----------+---------+------------------+
| 1\.           |      |     |          |         |                  |
+---------------+------+-----+----------+---------+------------------+
| 2\.           |      |     |          |         | []{.mark}        |
+---------------+------+-----+----------+---------+------------------+
| 3\.           |      |     |          |         | []{.mark}        |
+---------------+------+-----+----------+---------+------------------+

**Instructions**

-   Specify the education course offerings projected to be offered
    during the project. Expand the table to include all course titles.

-   Indicate the number of academic credit hours or continuing education
    contact hours for each course.

-   Enter the number of times the course offerings are projected to be
    offered during the project period.

-   Specify the level of nursing or other health personnel participating
    in the course(s) such as RN, CNS, NP, MD, Administrator, CNA.
    Include all personnel anticipated to participate in the courses.

-   Enter the [Total]{.underline} number of nursing and other health
    personnel projected to participate in courses for the reporting
    period. For example, if the levels of personnel in column 5 are
    Nurse Practitioner, Registered Nurse and Nursing Assistant, then
    enter the numbers projected to participate for the entire reporting
    period in column 6 according to each level of personnel -- Nurse
    Practitioner -- 10; Registered Nurse, 40; Nurse Assistant, 50.

## 

## Table 2. Minority/Disadvantaged Status Data

<table>
<colgroup>
<col style="width: 16%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 10%" />
</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>Hispanic or Latino</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Native Hawaiian or</strong></p>
<p><strong>Other Pacific Islander</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>White: Disadvantaged</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>White: Non-</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>Total</strong></p>
</blockquote></td>
</tr>
<tr class="even">
<td><h2 id="participants-projected">Participants Projected </h2>
<p><strong>(7/1/06-6/30/07)</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>Faculty Projected</strong></p>
<p><strong>(7/1/06- 6/30/07)</strong></p></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 2:**

-   Data for this table should reflect participants in the educational
    program(s) for nursing personnel and other health professionals
    included in this project proposal. Complete a separate table for
    each level of participant and label appropriately, i.e. RN, NP.

-   Use projected headcount as of October 15, 2006 for enrollment data.

-   Enter a number in each cell. Enter zeros in columns as appropriate.

-   Enter data on **project specific** faculty only.

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

> [Low-income populations]{.underline} are defined as individuals who
> come from a family with an annual income below a level based on
> low-income thresholds according to family size, published by the U.S.
> Bureau of the Census, and adjusted annually for changes in the
> Consumer Price Index, and by the Secretary for use in health
> professions and nursing programs. Low income populations are
> considered to be at risk of poor health outcomes. The figures to be
> used to determine low-income eligibility for purposes of this grant
> program for Fiscal Year 2006 are:

Size of Family Unit \* Low-Income Level\*\*

1 \$18,620

2 \$24,980

3 \$31,340

4 \$37,700

5 \$44,060

6 \$50,420

> 7 \$56,780
>
> 8 \$63,140

\* Includes only dependents listed on Federal income tax forms for
calendar year 2003.

\*\* Adjusted gross incomes for calendar year 2003 rounded to \$100.

Low Income levels for this application apply to the family of the
individual participant or to the family of the parents of the individual
participant (in the case of academic students who are dependents).

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.

***Appendix F***

**Assurances, Certifications and other Requirement**

**Checklist (form follows this narrative.)**

The checklist is the last page of the application and should be
appropriately numbered. Carefully review each item on this list and
check the appropriate spaces.

For assurances, certification and other requirements, please see the
following section on **Assurances, Certifications and Other
Requirements** for specific information. If there are any questions
regarding this information, please contact the Division of Grants
Management Operations, HRSA Office at (301) 443-6960. (Assurance of
Compliance Form 690 can be obtained via the Quick Index at
<http://www.hhs.gov/ocr> .

**CHECKLIST**

This is the required **last** page of the application.

Check the appropriate boxes and provide the information requested.

**TYPE OF APPLICATION**

New application (This application is being submitted to DHHS for a
project or program not currently receiving support).

Competing Continuation Application Grant Number (This application is
being submitted to DHHS for the continuation of a project).

**ASSURANCES, CERTIFICATIONS AND OTHER REQUIREMENTS**

Please see the instructions for **Assurances, Certifications and Other
Requirements** following this section. If the necessary forms have been
filed, assurances and certification made, and other requirements met,
please check \"yes\" below. If \"no\" is checked, please explain.

Yes No (If \"No,\" provide an explanation below.)

**Data Universal Numbering System (DUNS)**

DUNS number is delineated on the face page.

***Appendix G***

**ASSURANCES, CERTIFICATIONS AND OTHER REQUIREMENTS**

If the applicant has met the requirements of each of the following
assurances, certifications and other requirements, please check the
"YES" space on the Checklist. If one or more of the following
assurances, certifications and other requirements are not met, check
"NO" and explain. If you need assistance, please call the Grants
Management Office at (301) 443-6960.

A. **Civil Rights:** Before an award is made, the applicant organization
must have submitted, and had accepted by the DHHS Office for Civil
Rights, an Assurance of Compliance Form HHS 441 in accordance with Title
VI of the Civil Rights Act of 1964, P.L. 88-352. Pertinent DHHS
regulations are found in 45 CFR Part 80. This provides that no person in
the United States shall on the ground of race, color, or national
origin, be excluded from participation in, be denied the benefits of, or
be otherwise subjected to discrimination under any program or activity
receiving Federal financial assistance from DHHS.

B. **Handicapped Individuals:** Before an award is made, the applicant
organization must have submitted, and had accepted by the DHHS Office
for Civil Rights, an Assurance of Compliance Form HHS 641, in accordance
with Sec. 504 of the Rehabilitation Act of 1973, P.L. 93-112, as amended
(29 USC 794). This provides that no handicapped individual shall, solely
by reason of the handicap, be excluded from participation in, be denied
the benefits of, or be subject to discrimination under any program or
activity receiving Federal financial assistance. Pertinent DHHS
regulations are found in 45 CFR Part 84.

C. **Age Discrimination:** In accordance with Title III of the Age
Discrimination Act of 1975, as amended, P.L. 94-135, 45 CFR Part 91,
attention is called to the general rule that no person in the United
States shall, on the basis of age, be excluded from participation in, be
denied the benefit of, or be subjected to, discrimination under any
program or activity receiving Federal financial assistance. The required
assurance (Form DHHS-690) must be on file with the Office for Civil
Rights, Office of the Secretary, DHHS, before a grant may be made.

D. **Sex Discrimination:** Before an award is made, the applicant
educational organization must have submitted and had accepted by the
DHHS Office for Civil Rights an Assurance of Compliance Form HHS 639 in
accordance with Sec. 901 of Title IX of the Education Amendments of
1972, (P. L. 92-318), as amended, which provides that no person shall,
on the basis of sex, be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under an education
program or activity receiving Federal financial assistance. Pertinent
DHHS regulations are found in 45 CFR Part 86.

> In accordance with Sections 794 and 810 of the Public Health Service
> (PHS) Act and 45 CFR Part 83, no grant, cooperative agreement, loan
> guarantee, or interest subsidy payment under Titles VII or VIII of the
> PHS Act shall be made to or for the benefit of any entity, and no
> contract under Titles VII or VIII of the PHS Act shall be made with
> any entity, unless the entity furnishes assurances satisfactory to the
> Director, Office for Civil Rights, that the entity will not
> discriminate on the basis of sex in the admission of individuals to
> its training programs.

E. **Other Discrimination:** Attention is called to the requirements of
Sec. 401 of the Health Programs Extension Act of 1973, P.L. 93-45, as
amended (42 USC 300a-7), which provide that no entity which receives any
grant, cooperative agreement, contract, loan, loan guarantee, or
interest subsidy under the PHS Act may deny admission or otherwise
discriminate against any applicant (including applicants for internships
and residencies) for training or study because of the applicant's
reluctance or willingness to counsel, suggest, recommend, assist, or in
any way participate in the performance of abortions or sterilizations
contrary to, or consistent with, the applicant's religious beliefs or
moral convictions.

F. **Drug Free Workplace Act of 1988, Title V, Subtitle D of P.L.
100-690:** The applicant institution must comply with the requirements
of 45 CFR Part 76, Subpart F, which require certification that grantees
will provide and maintain a drug-free workplace.

> G. **Certification Regarding Lobbying and Disclosure of Lobbying
> Activities:** A certification regarding lobbying is required for each
> grant award action in excess of \$100,000 before such action can be
> taken. Government-wide guidance for restrictions on lobbying was
> published by the Office of Management and Budget in the [Federal
> Register]{.underline} (December 20, 1989)

H. **Misconduct in Science:** Each institution which applies for or
receives assistance under a research, research-training, or
research-related grant or cooperative agreement under the PHS Act must
submit an annual assurance (Form PHS 6349) certifying that the
institution has established administrative policies as required by the
Final Rule (42 CFR Part 50, Subpart A), and that it will comply with
those policies and the requirements of the Final Rule as published in
the *Federal Register* at 54 FR 32449, August 8, 1989.

> As of January 1, 1990, Notice of Grant awards for grants and
> cooperative agreements involving research may be issued only to
> institutions that have filed with the Office of
>
> Research Integrity (OR), acceptable assurances for dealing with and
> reporting possible misconduct in science. The respective Grants
> Management Office will determine the status of an institution by
> contacting OR.

I. **Debarment and Suspension:** The applicant organization must
certify, among other things, that neither it nor its principals are
presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any
Federal department or agency. Subawardees, that is, other corporations,
partnerships, or other legal entities (called "lower tier"
participants), must make the same certification to the applicant
organization concerning their covered transactions. Pertinent DHHS
regulations are found in 45 CFR Part 76 and refer to Executive Order
12549 which provides that, to the extent permitted by law, executive
departments and agencies shall participate in a government-wide system
for nonprocurement debarment and suspension.

J. **Statement of Non-Delinquency on Federal Debt:** The question
applies only to the person or institution requesting financial
assistance, and does not apply to the person who signs an application
form as the authorized representative of an institution or on behalf of
another person who actually receives the funds.

> Examples of Federal Debt include delinquent taxes, audit
> disallowances, guaranteed or direct student loans, FHA loans, and
> other miscellaneous administrative debts. For purposes of this
> statement, the following definitions apply:

\- For direct loans, a debt more than 31 days past due on a scheduled
payment.

> \- For agents, recipients of a "Notice of Grants Cost Disallowance"
> who have not repaid
>
> the disallowed amount or who have not resolved the disallowance.
>
> \- For guaranteed and insured loans, recipients of a loan guaranteed
> by the Federal
>
> Government that the Federal Government has repurchased from a lender
> because the

borrower breached the loan agreement and is in default.

K. **Drug-Free Schools and Campuses:** The Drug-Free Schools and
Communities Act Amendments of 1989, P.L. 101-226, require that any
public or private institution of higher education (including independent
hospitals conducting training programs for health care personnel), State
educational agency, or local educational agency receiving Federal
financial assistance must certify to the Secretary of Education, as a
condition for funding, that it has adopted and implemented a drug
prevention program as described in regulations at 34 CFR Part 86, (55 FR
33581), August 16, 1990, as amended at 61 FR 66225, December 17, 1996.
The provisions of the regulations also apply to sub-grantees which
received Federal funds from any Federal grantee regardless of whether or
not the primary grantee is an institution of higher education, State
educational agency, or local educational agency.

L. **Bloodborne Diseases:** Sec. 308 of Title III of P.L. 102-408, the
Health Professions Education Extension Amendments of 1992, requires that
with respect to awards of grants or contracts under Title VII or VIII of
the PHS Act, the Secretary of DHHS may make such an award for the
provision of traineeships only if the applicant for the award provides
assurances satisfactory to the Secretary that all trainees will, as
appropriate, receive instruction in the utilization of universal
precautions and infection control procedures for the prevention of the
transmission of bloodborne diseases.

M. **Smoke-Free Workplace:** The Public Health Service strongly
encourages all grant and cooperative agreement recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
Title X, Part C of P.L. 103-227, the Pro-Children Act of 1994, prohibits
smoking in certain facilities that receive Federal funds in which
education, library, day care, health care, and early childhood
development services are provided to children.

**XII. RELEASE OF INFORMATION**

**A. General Public Information:** DHHS makes available routinely to
interested persons a report listing grants awarded. Information made
available includes the title of the project, grantee institution,
project director, and the amount of the award.

> The Freedom of Information Act (5 USC 552) and the associated Freedom
> of Information Regulations of DHHS (45 CFR Part 5) require the release
> of certain information about grants upon request. Release does not
> depend upon the intended use of the information.
>
> Generally available for release upon request are all funded grant
> applications; progress reports of grantees; and final reports of any
> review or evaluation of grantee performance conducted or caused to be
> conducted by the Department. Release is subject to deletion of
> material that would affect patent or other valuable rights.

**B. Information Available to the Project Director:** The Privacy Act of
1974 (5 USC 552a) and the associated Privacy Act Regulations (45 CFR
part 5b) give individuals the right of access, upon request, to
information in the records concerning themselves. The Act provides a
mechanism for correction or amendment of such information. It also
provides for the protection of information pertaining to an individual,
but it does not prevent disclosure if release of such information is
required under the Freedom of Information Act. If a Privacy Act system
of records applies, the name and number of the system will be
identified.

If applicable, the Privacy Act requires that a Federal agency requesting
information from an individual advise the individual of the agency's
authority to make the request; whether compliance with the request is
voluntary or mandatory; how and why the information will be used both
inside and outside the agency; and what the consequences are for the
individual of failing to provide all or any part of the requested
information.

> The DHHS requests the information described in these instructions
> under authority of the PHS Act as amended (42 USC 289a-1). Although
> provision of the information requested is entirely voluntary, it is
> necessary for making grant award decisions. A lack of sufficient
> information may hinder DHHS's ability to review applications. This
> information will be used with the DHHS and may be disclosed outside
> the Department as permitted by the Privacy Act under the applicable
> system of records.

**C. Government Use of Information:** In addition to being used in
evaluating applications, other routine uses of information can include
disclosures to the public as required by the Freedom of Information Act;
to the Congress; to the National Archives and Records Service; to the
Bureau of the Census; to law enforcement agencies upon their request; to
the General Accounting Office; and under court order. It may also be
disclosed outside of the Department if necessary for the following
purposes:

> \(1\) to the cognizant audit agency for auditing;
>
> \(2\) to the Department of Justice as required for litigation;
>
> \(3\) to respond to an inquiry from a Congressional office about the
> record of an individual made at the request of that individual;
>
> \(4\) to qualified experts not within the definition of Department
> employees as prescribed in Department regulations (45 CFR Part 5b.2,
> Purpose and Scope) for opinion as a part of the application review
> process;
>
> \(5\) to a Federal agency, in response to its request, in connection
> with the letting of a contract, or the issuance of a license, grant or
> other benefit by the requesting agency, to the extent that the record
> is relevant and necessary to the requesting agency's decision on the
> matter;
>
> \(6\) to individuals and organizations deemed qualified by the DHHS to
> carry out specific research related to the review and award process of
> the DHHS;
>
> \(7\) to organizations in the private sector with whom DHHS has
> contracted for the purpose of collating, analyzing, aggregating or
> otherwise refining records in a system. Relevant records will be
> disclosed to such a contractor. The contractor shall be required to
> maintain Privacy Act safeguards with respect to such records; and
>
> \(8\) to the applicant organization in connection with performance or
> administration under the terms and conditions of the award.

***Appendix H***

**DEFINITIONS:**

The following definitions shall apply to the *Comprehensive Geriatric
Education Grant Program* for Fiscal Year 2006.

**"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 identify and autonomy. While
the organization and structure may vary, it must include an accredited
school of nursing.

**"Access"** means to assure health care services to all by improved
health professions distribution.

**"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 nursing personnel educational
program, hospital, school, college or university (or unit thereof) means
a nursing personnel educational program, hospital, school, college or
university (or 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, as defined in section 801(6) of the PHS Act.

**"Associate Degree School of Nursing"** means a department, division,
or other administrative unit in a junior college, community college,
college, or university which provides primarily or exclusively a
two-year program of education in professional nursing and allied
subjects leading to an associate degree in nursing or to an equivalent
degree, but only if such program, unit, college or university is
accredited.

**"Career Mobility and Advancement"** means progressive learning to
improve knowledge and skills in a new or existing nursing role or to
assume a new professional nursing role with improved capacity to perform
the new role.

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

"**Certified Nursing Assistant"** means an individual who works in a
hospital or long-term care facility to provide support services for
convalescents, the elderly and chronically ill patients. State and
federal government regulations govern the training and certification
examination requirements.

**"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 allied 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, or to an equivalent degree, and including
advanced training 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.

**"Continuing Education Program"** means a formal,
post-licensure/certification educational program designed to increase
knowledge and/or skills of nursing personnel. Continuing education
programs may include: workshops, institutes, clinical conferences, staff
development courses, and individual studies. It does not include study
for an academic degree, post-master's certificate or other evidence of
completing such a program.

**"Cultural Competence"** means a set of academic and interpersonal
skills that allow an individual to increase their understanding and
appreciation of cultural differences and similarities within, among and
between groups. This requires a willingness and ability to draw on
community-based values, traditions, and customs and to work with
knowledgeable persons of and from the community in developing targeted
interventions, communications, and other supports.

**"Culturally Competent Programs"** means programs that demonstrate
sensitivity to and an understanding of cultural differences in program
design, implementation and evaluation.

**"Cultural Diversity"** means differences in race, ethnicity, language,
nationality, or religion among various groups within a community, an
organization, or a nation.

**"Diploma School of Nursing"** means a school affiliated with a
hospital or university, or an independent school, which provides
primarily or exclusively a program of education in professional nursing
and allied subjects leading to a diploma or to equivalent indicating
that such program has been satisfactorily completed, but only if such
program, or such affiliated school or such hospital or university or
such independent school is accredited, as defined in section 801(5) of
the PHS Act.

"**Disadvantaged"** means an individual who (1) comes from an
environment that has inhibited the individual from obtaining the
knowledge, skill and abilities required to enroll in and graduate from a
health professions school, or from a program providing education or
training in an allied health profession; or (2) comes from a family with
an annual income below a level based on low income thresholds according
to family size published by the U.S. Bureau of the Census, adjusted
annually for changes in the Consumer Price Index, and adjusted by the
Secretary for use in all health professions programs.

**"Electronic Distance Learning Methodologies"** means electronic media
are used to deliver education content when the learner and teacher are
separated by distance. An electronic medium may be a computer, World
Wide Web technologies, teleconferencing, television, or CD ROM/DVD.

**"Faculty Development"** means activities and/or programs designed to
improve project faculty's ability to teach.

**"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.

**"Health Care Facility (HCF)"** means an Indian Health Service health
center, a Native Hawaiian health center, a hospital, a Federally
qualified health center, a rural health clinic, a nursing home, a home
health agency, a hospice program, a public health clinic, a State or
local department of health, a skilled nursing facility, an ambulatory
surgical center, or any other facility designated by the Secretary.

**"Healthy 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.

**"Home Health Aide"** means an individual who provides routine,
personal health care such as bathing, dressing or grooming, to elderly,
convalescent, or disabled persons in the patient's home or in a
residential care facility.

**"Home Health Agency"** as defined by the Social Security Act, section
1861(o), means a public agency or private organization, or a subdivision
of such an agency or organization, which:

> \(1\) is primarily engaged in providing skilled nursing services and
> other therapeutic services;
>
> \(2\) has policies, established by a group of professional personnel
> (associated with the agency or organization), including one or more
> physicians and one or more registered professional nurses, to govern
> the services by a physician or registered professional nurse;
>
> \(3\) maintains clinical records on all patients;
>
> \(4\) in the case of an agency or organization in any state in which
> state or applicable local law provides for the licensing of agencies
> or organizations of this nature, (a) is licensed pursuant to state law
> or (b) is approved by the agency of such State or locality responsible
> for licensing agencies or organizations of this nature as meeting the
> standards established for such licensing;
>
> \(5\) has in effect an overall plan and budget that meets the
> requirements of subsection (z) of this section;
>
> \(6\) meets the conditions of participation specified in section
> 1819(a) of the Social Security Act and such other conditions of
> participation as the Secretary may find necessary in the interest of
> the health and safety of individuals who are furnished services by
> such agency or organization;
>
> \(7\) provides the Secretary on a continuing basis with a surety bond
> in a form specified by the Secretary and in an amount that is not less
> than \$50,000; and
>
> \(8\) meets such additional requirements (including conditions
> relating to bonding or establishing of escrow accounts as the
> Secretary finds necessary to the financial security of the program) as
> the Secretary finds necessary for the effective and efficient
> operation of the program; except that for purposes of Part A of this
> sub-chapter such term shall not include any agency or organization
> which is primarily for the care and treatment of mental diseases. The
> Secretary may waive the requirement of a surety bond under paragraph
> (7) in the case of an agency or organization that provides a
> comparable surety bond under State law.

**"Informatics"** means nursing informatics and is defined as combining
nursing science, information management science, and computer science to
manage and process nursing data, information, and knowledge to deliver
quality care to the public.

**"Licensed Practical Nurse"** means an individual who holds a current
license to practice as a practical or vocational nurse in at least one
jurisdiction in the United States.

**"Inservice Education"** learning experiences provided in the work
setting for the purpose of assisting staff in performing their assigned
functions in that particular agency.

**"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), a
> community health center (CHC), a grantee relating to homeless
> individuals, or a grantee relating to residents of public housing
> under section 330 of the PHS Act;
>
> \(3\) 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
(HPSA\'s) 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 (HPSA\'s)
>
> State or Local Health Departments (regardless of sponsor - for
> example, local health
>
> departments which are funded by the state would qualify)
>
> Ambulatory practice sites designated by state Governors as serving
> medically underserved communities

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

**[American Indian or Alaska Native]{.underline}** means 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]{.underline}** means 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]{.underline}** means a person having
> origins in any of the black racial groups of Africa.
>
> **[Hispanic or Latino]{.underline}** means 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."
>
> **[Native Hawaiian or Other Pacific Islander]{.underline}** means a
> person having origins in any of the original peoples of Hawaii, Guam,
> Samoa or other Pacific Islands.
>
> **[White]{.underline}** means a person having origins in any of the
> original peoples of Europe, the Middle East, or North Africa.

**"National of the United States"** means a citizen of the United States
or a person who, though not a citizen of the United States, owes
permanent allegiance to the United States, as defined in section
101(a)(22) of the Immigration and Nationality Act (8 U.S.C. 110
(a)(22)).

**"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.

**"Nursing Personnel"** is the collective term used to identify
providers of nursing services and includes both licensed and unlicensed
individuals.

**"Nursing Workforce"** means the nursing personnel workforce.

**"Organized Health Care System"** means a network of organizations that
provides or manages the provision of a coordinated continuum of services
to a defined population and is willing to be held clinically and
fiscally accountable for the healthcare outcomes and health status
indicators of the populations served.

**"Professional Nurse"** means a registered nurse who has received
initial nursing preparation from a diploma, associate degree, or
collegiate school of nursing and who is currently licensed in a State to
practice nursing.

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

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

**"Quality Improvement"** means an organizational philosophy that seeks
to meet client needs and expectations with the minimum of effort or
rework or waste, by using a structured process that selectively
identifies and improves all aspects of care and service on an ongoing
basis.

**"Registered Nurse"** means a person who has graduated from a school of
nursing and is licensed to practice as a registered or professional
nurse in a state.

**"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).

**"Rural Clinical Experience"** means a structured clinical experience
in any appropriate outpatient, home health, public health agency
setting, nursing center or hospital located in a rural area.

**"Rural Health Facility"** means a hospital of less than 100 beds or
other patient care facility located outside Office of Management and
Budget (OMB) designated metropolitan areas. Census tracts in certain
metropolitan areas may also be eligible if they are located at a
significant distance from the major city in the SMA.

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

**"State Government"** means the government of any of the several states
of the United States, the District of Columbia, the Commonwealth of
Puerto Rico, and any territory or possession of the United States, or
any agency or instrumentality of a state exclusive of local governments.
For purposes of PHS grants, federally recognized Indian Tribes are
treated the same way as State governments. State institutions of higher
education and state hospitals are considered non-governmental
organizations for purposes of this program.