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

**Health Resources and Services Administration**

*Bureau of Health Professions*

*Public Health Traineeship Program*

***Public Health Traineeship Program (PHT)***

*Competing Continuations*

*HRSA-06-027*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.964**

**PROGRAM GUIDANCE**

Fiscal Year *2006*

**Application Due Date: *June 15, 2006***

**Release Date: *May 15, 2006***

> Cecelia M. Maryland
>
> Project Officer, Public Health Bureau
>
> Telephone: 301/443/1973

Fax: 301/443/1164

> Authority: Public Health Service Act, Title VII, Sec. 767, 42 U.S.C.
> 294; Health Professions Education Partnerships Act of 1998, P.L.
> 105-392

**EXECUTIVE SUMMARY**

> This program is entitled Public Health Traineeships (PHT). PHT grants
> are awarded to accredited schools of public health, and public or
> nonprofit private institutions to support traineeships to individuals
> pursuing a course of study in a health professions field in which
> there is a severe shortage. Traineeships awarded under this grant
> shall provide for tuition, fees, and such stipends and allowances
> (including travel and subsistence expenses and dependency allowances)
> for eligible trainees. The Bureau of Health Professions (BHPr) seeks
> grant applications from institutions that can demonstrate local
> support for implementing a Public Health Traineeship Grant Program.
>
> **AWARD FORMULA**
>
> The award formula is: the proportion of eligible full-time and
> full-time equivalent graduate students enrolled in targeted severe
> shortage occupations and other eligible students, to the total
> enrollment of eligible students having approved applications.
>
> \(1\) Count students classified by the institution as full-time only
> once even if they are enrolled for more than the number of credit
> hours specified by the institution for full-time classification.
>
> \(2\) Report the number of **credit hours** in which eligible
> part-time students are enrolled.
>
> \(3\) To calculate the number of eligible **full-time equivalent**
> (FTE) students, divide the total for column 2 by nine. If this
> calculation results in a remainder, round up to the next higher
> number. Do not calculate FTEs by discipline.
>
> \(4\) Display the results of these calculations exactly as shown in
> the following example:
>
> No. of full-time students 200
>
> Total credit hours of part-time students
>
> [=1,000 divided by 9 = 111.1 FTE 112]{.underline}
>
> **TOTAL ENROLLMENT IN GRANT ELIGIBLE FIELDS 312**

**Guidance Table of Contents**

[I. Funding Opportunity Description
2](#__RefHeading___Toc47265096)[Purpose](#__RefHeading___Toc47265097) 5

[Background](#__RefHeading___Toc47265098) 5

II\. Award
Information\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....5

Type of Award 5

[Summary of Funding](#__RefHeading___Toc47265102) 5

[III. Eligibility Information 2](#__RefHeading___Toc47265103)

[1. Eligible Applicants](#__RefHeading___Toc47265104) 5

[2. Cost Sharing/Matching](#__RefHeading___Toc47265106) 6

[3. Other](#__RefHeading___Toc47265108) 6

[IV. Application and Submission Information 2](#Eligibility_who)

[1. Address to Request Application Package
2](#__RefHeading___Toc47265113)

[*Application Materials*](#__RefHeading___Toc47265114)

[2. Content and Form of Application
Submission](#__RefHeading___Toc47265115) 7

> [*Application Format Requirements*](#__RefHeading___Toc47265116) *7*
>
> [*Application Format*](#__RefHeading___Toc47265117) *7*

[**i.** ***Application Face Page***](#__RefHeading___Toc47265118) 12

[**ii.** ***Table of Contents***](#__RefHeading___Toc47265119) 12

[**iii.** ***Application Checklist***](#__RefHeading___Toc47265120) 12

[**iv.** ***Budget***](#__RefHeading___Toc47265121) 12

[**v.** ***Budget Justification***](#__RefHeading___Toc47265122) 12

[**vi.** ***Staffing Plan and Personnel
Requirements***](#__RefHeading___Toc47265123) 12

[**vii.** ***Assurances***](#__RefHeading___Toc47265124) 12

[**viii.** ***Certifications***](#__RefHeading___Toc47265125) 12

[**ix.** ***Project Abstract***](#__RefHeading___Toc47265126) 12

[**x.** ***Program Narrative***](#__RefHeading___Toc47265128) 13

[**xi.** ***Program Specific Forms*,**](#__RefHeading___Toc47265129) 14

[**xii.** ***Attachments***](#__RefHeading___Toc47265130) 14

[3. Submission Dates and Times 2](#__RefHeading___Toc47265131)

[4. Intergovernmental Review](#__RefHeading___Toc47265137) 15

[5. Funding Restrictions](#__RefHeading___Toc47265139) 15

[6. Other Submission Requirements](#__RefHeading___Toc47265140) 16

[V. Application Review Information](#Application_materials) 18

[1. Review Criteria](#__RefHeading___Toc47265143) 18

[2. Review and Selection Process](#__RefHeading___Toc47265144) 18

[VI. Award Administration Information 2](#Review_ReviewCriteria)

[1. Award Notices 2](#__RefHeading___Toc47265154)

[2. Administrative and National Policy
Requirements](#__RefHeading___Toc47265156) 19

[3. Reporting](#__RefHeading___Toc47265158) 20

[*VII. Agency Contacts*](#Award_OtherReportingRequirements) ***21***

[*VIII. Other Information*](#__RefHeading___Toc47265164) ***21***

[ix. Tips for Writing a Strong Application](#__RefHeading___Toc47265165)
22

APPENDIX FACE
PAGE.....................................................................................................23

APPENDIX A - ELECTRONIC SUBMISSION
GUIDE.................................................................24

APPENDIX B - REGISTERING AND APPLYING THROUGH
GRANTS.GOV...................................39

APPENDIX C - INSTRUCTIONS FOR COMPLETING THE SF 424
R&R..........................................45

APPENDIX D - TABLE 1 - RECOMMENDED FORMAT PROGRAM
SPECIFIC.................................60

APPENDIX E - TABLE 2 - RECOMMENDED FORMAT PROGRAM SPECIFIC
................................61

APPENDIX F - GUIDELINES AND PROGRAM
REQUIREMENTS..................................................62

[]{#__RefHeading___Toc47265096 .anchor}**Funding Opportunity
Description**

**Purpose**

> Section 767 of the Public Health Service (PHS) Act, 42 U.S.C. 295b
> authorizes the Secretary to make grants to accredited schools of
> public health, and to other public or nonprofit private institutions
> accredited for the provision of graduate or specialized training in
> public health. Traineeships awarded under this grant shall provide for
> tuition, fees, and such stipends and allowances (including travel and
> subsistence expenses and dependency allowances) for eligible trainees.

**Background**

Traineeships are awarded by participating accredited schools of public
health, and/or other public or nonprofit private entity including
faith-based and community-based organizations by the Council on
Education for Public Health (CEPH) to individuals pursuing a course of
study in a health professions field in which there is a severe shortage.
Fields include epidemiology, environmental health, biostatistics,
toxicology, nutrition, and maternal and child health).

**II. Award Information**

**1. Type of Award**

> Funding will be provided in the form of a grant. The distribution of
> funds appropriated for the *Public Health Traineeship Program* is
> based on a formula.
>
> Application support for Public Health Traineeships is limited to one
> year.

[]{.mark}

**2. Summary of Funding**

The PHT Program will provide funding during Federal Fiscal Year 2006.
For Fiscal Year 2006, approximately \$1,483,000 is expected to be
available to fund approximately 34 grant awards.

**III.** []{#__RefHeading___Toc47265103 .anchor}**Eligibility
Information**

> []{#Eligibility_who .anchor}

**1. Eligible Applicants**

> Any school of public health, and/or other public or nonprofit private
> entities, including faith-based and community-based organizations,
> accredited by the Council on Education for Public Health (CEPH), and
> other public or nonprofit private institutions accredited by a body
> recognized for this purpose by the Secretary of the Department of
> Education is eligible to apply for a PHT grant.

**2. Cost Sharing/Matching**

> Cost sharing is not required for the PHT Program.

3.  **Other**

> An applicant may submit only one application under this announcement.

**IV. Application and Submission Information**

1.  []{#__RefHeading___Toc47265113 .anchor}**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 you are seeking
> relief for. 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). These forms contain additional
> general information and instructions for grant applications, proposal
> narratives, and budgets. These forms may be obtained from the
> following sites by:
>
> Applicants must submit proposals using this guidance in conjunction
> with the Standard Form 424 Research and Related (SF-424 R&R) grant
> application included with this application package (Appendix C). 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) which
> will appear in the "Application Format" section below.

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

[]{#__RefHeading___Toc47265116 .anchor}**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 80 pages when printed by HRSA, approximately 10 MB.** **This
> 80-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 10 MB,
> or that exceed 80 pages when printed by HRSA) will be deemed
> non-compliant. All non-compliant applications will be returned to the
> applicant without further consideration.**
>
> **Application Format**
>
> Applications for funding must consist of the following documents in
> the following order:

# SF 424 R&R -- Table of Contents

-   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.  | Not applicable to |
|                  |      | Single document with  | the PHT program.  |
|                  |      | all additional        |                   |
|                  |      | profiles              |                   |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Counted in the    |
| Senior Key       | tach | the Senior/Key Person | page limit. Not   |
| Personnel        | ment | Profile form. Single  | applicable to the |
| Biographical     |      | document with all     | PHT program.      |
| 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       | Not applicable to |
|                  |      |                       | the PHT program.  |
+------------------+------+-----------------------+-------------------+
| Additional       | At   | Can be uploaded in    | Counted in the    |
| Performance Site | tach | SF-424RR Performance  | page limit. Not   |
| Location(s)      | ment | Site Locations form.  | applicable to the |
|                  |      | Single document with  | PHT program.      |
|                  |      | 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 |
|                  |      |                       | to 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 applicable to |
| Period (1-5) -   |      | budget for up to 5    | the PHT program   |
| 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. | Not applicable to |
|                  |      | One for each budget   | the PHT program.  |
|                  |      | period                |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR Budget  | Form | Supports structured   | Not applicable to |
| Period (1-5) -   |      | budget for up to 5    | the PHT program   |
| 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   | Not applicable to |
|                  |      | 11. One for each      | the PHT program.  |
|                  |      | budget period         |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR Budget  | Form | Supports structured   | Not applicable to |
| Period (1-5) -   |      | budget for up to 5    | the PHT program   |
| Section F -- J   |      | periods               |                   |
+------------------+------+-----------------------+-------------------+
| SF-424RR         | Form | Total cumulative      | Not applicable to |
| Cumulative       |      | budget                | the PHT program   |
| Budget           |      |                       |                   |
+------------------+------+-----------------------+-------------------+
| Budget Narrative | At   | Can be uploaded in    | Not applicable to |
|                  | tach | SF-424RR Budget       | the PHT program   |
|                  | ment | Period (1-5) -        | Required          |
|                  |      | Section F - J form,   | attachment.       |
|                  |      | Box K. Only one       | Counted in the    |
|                  |      | consolidated budget   | page limit. Refer |
|                  |      | justification for the | guidance for      |
|                  |      | project period.       | detailed          |
|                  |      |                       | instructions.     |
|                  |      |                       | 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        | Not applicable to |
|                  |      | contains the          | the PHT program.  |
|                  |      | 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. Not   |
|                  |      | Budget **PureEdge**   | applicable to the |
|                  |      | form and use it for   | PHT program.      |
|                  |      | 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 |      |                       | Refer to the      |
| Programs         |      |                       | guidance for      |
|                  |      |                       | detailed          |
|                  |      |                       | instructions.     |
+------------------+------+-----------------------+-------------------+
| Other Project    | Form | Allows additional     | Not counted in    |
| Information      |      | information and       | the page limit.   |
|                  |      | attachments           | See Guidelines    |
|                  |      |                       | and Program       |
|                  |      |                       | Requirement       |
|                  |      |                       | section within    |
|                  |      |                       | guidance.         |
+------------------+------+-----------------------+-------------------+
| Bibliography &   | At   | Can be uploaded in    | Required. Counted |
| References       | tach | Other Project         | in the page limit |
|                  | ment | Information form, Box |                   |
|                  |      | 8.                    |                   |
+------------------+------+-----------------------+-------------------+
| Facilities &     | At   | Can be uploaded in    | Not required;     |
| Other Resources  | tach | Other Project         | Counted in the    |
|                  | ment | Information form, Box | page limit.       |
|                  |      | 9.                    |                   |
+------------------+------+-----------------------+-------------------+
| Equipment        | At   | Can be uploaded in    | Not required.     |
|                  | tach | Other Project         |                   |
|                  | ment | Information form, Box | Counted in the    |
|                  |      | 10.                   | page limit        |
+------------------+------+-----------------------+-------------------+
| Other            | Form | Supports up to 15     | Not counted in    |
| Attachments Form |      | numbered attachments. | the page limit    |
|                  |      | This form only        |                   |
|                  |      | contains the          |                   |
|                  |      | attachment list       |                   |
+------------------+------+-----------------------+-------------------+
| Attachment 1-15  | At   | Can be uploaded in    | Refer to the      |
|                  | tach | Other Attachments     | attachment table  |
|                  | ment | form 1-15             | provided below    |
|                  |      |                       | for **specific**  |
|                  |      |                       | sequence. Counted |
|                  |      |                       | in the page limit |
+------------------+------+-----------------------+-------------------+
| Other            | At   | Can be uploaded in    | Not Applicable to |
| Attachments      | tach | SF-424 RR Other       | HRSA; Do not use  |
|                  | ment | Project Information   |                   |
|                  |      | form, Box 11.         |                   |
|                  |      | Supports multiple     |                   |
+------------------+------+-----------------------+-------------------+

-   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        Tables, Charts, etc. To give further details about
                      the proposal merge similar documents into a single
                      document. Where several pages are expected in the
                      attachment, 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. Keep each to
                      one page in length as much as is possible. Merge
                      similar documents into a single document. Where
                      several pages are expected in the attachment, 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        Biographical Sketches of Key Personnel. Merge
                      similar documents into a single document. Where
                      several pages are expected in the attachment, place
                      a table of content cover page specific to the
                      attachment. Table of content page will not be
                      counted in the page limit.

  Attachment 4        Letters of Agreement and/or Description(s) of
                      Proposed/Existing Contracts (project specific).
                      Merge similar documents into a single document.
                      Where several pages are expected in the attachment,
                      place a table of content cover page specific to the
                      attachment. Table of content page will not be
                      counted in the page limit.

  Attachment 5        Project Organizational Chart

  Attachment 6        Other Relevant Documents not specified for
                      inclusion elsewhere in this Table of Contents.
                      Merge similar documents into a single document.
                      Where several pages are expected in the attachment,
                      place a table of content cover page specific to the
                      attachment. Table of content page will not be
                      counted in the page limit.

  Attachment 7        Table 1: Recommended Format Appendix D Public
                      Health Traineeship Trainees Supported from FY 2005
                      Funds.

  Attachment 8        Table 2: Recommended Format Appendix E Graduates
                      Serving in Medically Underserved Communities
                      Trained in Public Health Disciplines.

  Attachment 9        Student Eligibility For Grant Support document

  Attachment 10       

  Attachment 11       

  Attachment 12       

  Attachment 13       

  Attachment 14       

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

Note the following specific information related to your submission.

**Application Format**

i.  **Application Face Page**

> Use application 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.*964*
>
> **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/duns.htm> or call 1-866-705-5711. Please
> include the DUNS number in (for 424 R&R -- 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/ccr.htm.](http://www.hrsa.gov/grants/ccr.htm)

ii. **Table of Contents**

> Provide a Table of Contents for the remainder of the application
> (including appendices), with page numbers.

iii. **Application Checklist**

> Standard Form 424 Research and Related (SF-424 R&R) provided with the
> application package.

iv. **Budget**

> PHT grants are awarded to accredited schools of public health, and
> public or nonprofit private institutions to support traineeships to
> individuals pursuing a course of study in a health professions field
> in which there is a severe shortage. Traineeships awarded under this
> grant shall provide for tuition, fees, and such stipends and
> allowances (including travel and subsistence expenses and dependency
> allowances) for eligible trainees. The Bureau of Health Professions
> (BHPr) seeks grant applications from institutions that can demonstrate
> local support for implementing a Public health Traineeship Grant
> Program. The PHT program does not require budget submission.

v.  **Budget Justification**

> The PHT program does not require budget justification. This is a
> formula-based grant. Please refer to the Executive Summary (pg. 2) for
> formula explanation.

vi. **Staffing Plan and Personnel Requirements**

> This is not applicable to the PHT program.

vii. **Assurances**

     See the detailed list contained in Standard Form 424 Research and
     Related (SF-424 R&R), provided with the application package.

viii. **Certifications**

      See the detailed list contained in Standard Form 424 Research and
      Related (SF-424 R&R), provided with the application package.

ix. **Project Abstract -- Limited up to three (3) pages**

> This section provides a comprehensive framework and description of all
> aspects of the proposed program.

Please place the following at the top of the abstract:

-   Project Title

-   Applicant Name

-   Address

-   Contact Phone Numbers (Voice, Fax)

-   E-Mail Address

-   Web Site Address, if applicable

The project abstract must be single-spaced and limited to one page in
length.

x.  **Program Narrative**

Use the following section headers for the Narrative:

-   Introduction

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

-   NEEDS ASSESSMENT

> This section outlines the needs of your community and/or organization.
> The target population and its unmet health needs must be described and
> documented in this section. Demographic data should be used and cited
> whenever possible to support the information provided. Please discuss
> any relevant barriers in the service area that the project hopes to
> overcome. This section should help reviewers understand the community
> and/or organization that will be served by the proposed project.

-   Methodology

> Propose methods that will be used to meet each of the
> previously-described program requirements and expectations in this
> grant announcement.

-   Work Plan

> Describe the activities or steps that will be used to achieve each of
> the activities proposed in the methodology section. Use a time line
> that includes each activity and identifies responsible staff.

-   Resolution of Challenges

> 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.

-   Evaluation and Technical Support Capacity

> Describe current experience, skills, and knowledge, including
> individuals on staff, materials published, and previous work of a
> similar nature.

-   Organizational Information

> Provide information 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.
>
> []{.mark}

xi. **Program Specific Forms**

> It is recommended that applicants provide data on the following tables
> for student enrollees, trainees supported and graduates, as
> appropriate for their program/tracks(s) **[for the fiscal year
> specified]{.underline}** on each Table:
>
> Table 1: Appendix D Recommended Format Public Health Traineeship
> Trainees Supported from FY 2005 Funds (7/1/05-6/30/06). (pg. 61)
>
> Table 2: Appendix E Recommended Format Graduates Serving in Medically
> Underserved Communities Trained in Public Health Disciplines. (pg. 62)

xii. ***Attachments***

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

1)  Attachement 1: Tables, Charts, etc.

> To give further details about the proposal.

2)  Attachment 2: Job Descriptions for Key Personnel

> Keep each to one page in length as much as is possible.

3)  Attachment 3: Biographical Sketches of Key Personnel

> Include biographical sketches for persons occupying the key positions
> described in Attachment 2, 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.

4)  Attachment 4: 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.

5)  Attachment 5: Project Organizational Chart

> Provide a one-page figure that depicts the organizational structure of
> the project, including subcontractors and other significant
> collaborators.
>
> 6\) Attachment 6: Other Relevant Documents
>
> Include here any other documents that are relevant to the application,
> including letters of supports. Letters of support must be dated.
>
> Include only letters of support which specifically indicate a
> commitment to the project/program (in-kind services, dollars, staff,
> space, equipment, etc.) Letters of agreements and support must be
> dated. List all other support letters on one page. []{.mark}

[]{#__RefHeading___Toc47265131 .anchor}**3. Submission Dates and Times**

**Application Due Date**

> The due date for applications under this grant announcement is *June
> 15, 2006* *at 8:00 P.M. ET.* 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 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 PHT Program is not subject to the provisions of Executive Order
> 12372, as implemented by 45 CFR 100*.*

**5. Funding Restrictions**

> Grant funds maybe used only to support students enrolled in
> grant-eligible graduate programs for severe shortage public health
> professions. Students pursuing joint degrees such as the MPH/MD,
> MPH/MSN, MPH/MSA, etc., are eligible for traineeship support for
> completion of their public health degree only. Funding may not be
> sought for courses or other expenses related to their non-public
> health degree curriculum. Funding may not be used to support residency
> requirements.
>
> Traineeship expenditures are limited to payment of stipends, tuition
> and fees in accordance with the institution's established rates, and a
> transportation allowance on an individual trainee basis when prior
> approval has been obtained from the Grants Management Officer.
> Grantees may not spend grant funds for sectarian instruction or for
> any religious purpose. Use of traineeship funds for indirect cost
> (overhead) of the training institution is not authorized.
>
> For purposes of this program, a period of field training may be
> supported only when such training is an officially required part of
> the trainee's program of study. It is expected that such field
> training requirements be reflected in the school's official
> publications and the trainee's completion will be prerequisite for
> receiving any degree or certificate granted. Support of periods of
> field training longer than four (4) months requires prior approval.
>
> Stipends: May not exceed the ceilings specified below. Trainees
> receiving support under these grants may not receive concurrent
> support from any other Federal source except educational assistance
> under the Veterans Readjustment Benefits Act. Part-Time trainees are
> not authorized to receive stipends, but may receive tuition and fees.
>
> 1\. Pre-doctoral -- The maximum stipend for each full-time
> pre-doctoral trainee under these grants shall be \$16,500 per year.
>
> 2\. Postdoctoral - Stipend ceilings for each full-time postdoctoral
> trainee appointed under these grants are as follows:
>
> Years or Relevant [Amount]{.underline}
>
> [Experience]{.underline}
>
> 0 \$31,092
>
> 1 32,820
>
> 2 38,712
>
> 3 40,692
>
> 4 42,480
>
> 5 44,616
>
> 6 46,584
>
> 7 or more 48,852

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

[]{.mark}

> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: *Public Health Traineeship Program (PHT)*
>
> Program Announcement No. HRSA-06-027
>
> CFDA No. 93.964
>
> 901 Russell Avenue, Suite 450
>
> Gaithersburg, MD 20879
>
> Telephone: 877-477-2123
>
> Fax: 877-477-2345
>
> 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 Face Sheet is
> received by HRSA no later than five days after the date of submission
> in Grants.gov.
>
> It is incumbent on applicants 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.

[]{#Application_materials .anchor}**V. Application Review Information**

[]{#Review_ReviewCriteria .anchor}

**1. REVIEW CRITERIA**

> This is a formula-based award; please see Executive Summary (pg. 2)
> for more details.

**2. REVIEW AND SELECTION PROCESS**

PHT grants are awarded to accredited schools of public health, and
public or nonprofit private institutions to support traineeships to
individuals pursuing a course of study in a health professions field in
which there is a severe shortage. Traineeships awarded under this grant
shall provide for tuition, fees, and such stipends and allowances
(including travel and subsistence expenses and dependency allowances)
for eligible trainees. The Bureau of Health Professions (BHPr) seeks
grant applications from institutions that can demonstrate local support
for implementing a Public health Traineeship Grant Program. This is a
formula-based award; please see Executive Summary (pg. 2) for more
details.

> **Funding Preferences**

The BHPr, Division of State, Community and Public Health (DSCPH), works
with the academic community to increase the number of qualified,
culturally competent, and diverse health professions graduates. Because
of limited resources, the Bureau focuses its training efforts on the
underserved populations in geographic areas. Training and education is
focused on community-based organizations located in Health Professional
Shortage Areas. Such training provides the future public health
professionals with the knowledge and skills needed to address the needs
of vulnerable, underserved populations, while instilling a commitment to
provide service to this population. The Bureau accomplishes this by:

1\. Offering preferences to applicants demonstrating a good track record
in placing graduates who serve residents in medically underserved
communities;

2\. Increasing the number of health care and public health clinicians
from minority and disadvantaged backgrounds;

3\. Fostering community-based education and training, especially in
underserved areas;

4\. Supporting training and education focusing on underserved
populations who are vulnerable and/or have special needs; and

5\. Enhancing service to underserved communities.

In addressing health care access, the Bureau encourages applicants,
where applicable, to address: improving **distribution** and
**diversity** of the health care and public health workforce; and
providing **geriatric** and **genetic** education and training.

**1.** **Distribution** means the geographic dispersion of health care
professional delivery services. The objective is to improve access and
improve health care in medically underserved communities by encouraging
professionals to establish their practices in those communities.

**2.** **Diversity** means that the racial, gender and socioeconomic
composition of the healthcare workforce is generally representative of
the national population. The objective is to increase diversity.

> **3. Geriatrics** means the provision of quality clinical services to
> the elderly by health are professionals educated and trained in the
> care of older adults. Geriatrics involves knowledge of normal aging
> processes, health promotion and disease prevention activities, and the
> diseases and other special problems of aging individuals, including
> psychosocial aspects of aging. The objectives are to foster faculty
> development, increase the number of trained geriatric health care
> providers, integrate geriatric content into professional curriculum,
> and provide continuing education in geriatrics to all health
> professionals.
>
> **4. Genetics Interpretation** means the inclusion of genetic
> knowledge for the education of all health care and public health
> professionals. Genetic knowledge is the understanding of the genetic
> basis of disease and the role that genetic sciences play in the
> diagnosis, treatment, and prevention of disease. Genetic knowledge
> also includes the social, ethical, legal and economic implications of
> genetic knowledge on health, health care and policy. The objectives
> are to foster faculty development, increase the number of health care
> and public health professionals able to apply genetic knowledge to
> practice, integrate genetic content into health professions
> curriculum, and provide continuing education in genetics to all health
> professionals.

**Kids into Health Careers**

> The Bureau of Health Professions continues its initiative, first
> announced in 2001, to increase diversity and cultural competency of
> the health professions workforce. The Kids Into Health Careers
> Initiative is designed to expand the pool of qualified and interested
> applicants from minority and disadvantaged backgrounds. The Bureau
> encourages applicants to participate in the Kids Into Health Careers
> initiative by working with primary and secondary schools that have a
> high percentage of minority and disadvantaged students. Participation
> would include establishing linkages with one or more elementary,
> middle, or high school to: (1) inform students and parents about
> health careers and financial aid to encourage interest in health
> careers; (2) promote rigorous academic course work in preparation for
> health professions training; and/or (3) provide support services such
> as mentoring, tutoring, counseling, after school programs, summer
> enrichment, and college visits.
>
> Kids Into Health Careers Initiative information may be obtained on the
> Bureau of Health Professions website at:
> <http://www.bhpr.hrsa.gov/kidscareers>.

**VI. Award Administration Information**

[]{#__RefHeading___Toc47265154 .anchor}**1. Award Notices**

> Applicants who are selected for funding may be required to respond in
> a satisfactory manner to Conditions placed o their application before
> funding can proceed. Letters of notification do not provide
> authorizations to begin performance. The Notice of Grant Award, which
> is signed by the Grants Management Officer and is sent to the
> applicant agency's Authorized Representative, is the authorizing
> document. It will be sent prior to the start date of July 1, 2006.

[]{#__RefHeading___Toc47265156 .anchor}**2. Administrative and National
Policy Requirements**

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

**PUBLIC POLICY ISSUANCE**

[]{.mark}

**HEALTHY PEOPLE 2010**

> **Healthy People 2010** a national initiative led by HHS that sets
> priorities for all HRSA programs. The initiative has two major goals:
> (1) 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}/.
>
> []{.mark}
>
> Public Health Traineeships Code of Federal Regulations -- CFDA 93.964
>
> *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.*

[]{#__RefHeading___Toc47265158 .anchor}

**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). Submit a Uniform Progress Report (UPR).
    The UPR is used to describe progress in meeting the objectives
    stated in the application. Reports for grants and cooperative
    agreements receiving funds after October 1, 2003 are submitted
    on-line. BHPr grantees can access and complete their reports on the
    internet using a web-based data entry tool. Information on this
    system is updated regularly on the Bureau's web page. Due dates for
    the reports will be posted on the web page as soon as they are
    available. The Bureau's web page address is
    [www.bhpr.hrsa.gov/grants](http://www.bhpr.hrsa.gov/grants). On the
    web page, click on **Grantee Reports.**

> []{#Award_OtherReportingRequirements .anchor}**VII. Agency Contacts**
>
> Applicants may obtain additional information regarding business,
> administrative, or fiscal issues related to this grant announcement by
> contacting:

Jackie Whitaker,

Division of Grants Management Operation, OFAM

5600 Fishers Lane, Room 11A-16

Rockville, MD 20886

Telephone: 301-443-6960

Fax: 301-443-6343

Additional information related to the overall program issues by
contacting:

Cecelia M. Maryland

Project Officer, PHB

Attn: Public Health Traineeship Program

Bureau of Health Professions, HRSA

5600 Fishers Lane, Room 8A-09

Rockville, MD 20857

Telephone: 301-443-1164

> Fax: 301-443-6853

[]{#__RefHeading___Toc47265164 .anchor}

**VIII. Other Information**

**Resources**

**All applicants should refer to the following websites or contact the
Project Officer to obtain Public Health Traineeship program resources
listed below:**

**HRSA Public Health Traineeship Webpage**

[**http://bhpr.hrsa.gov/publichelath/phtrainee.htm**](http://bhpr.hrsa.gov/publichelath/phtrainee.htm)

**Council on Education for Public Health (CEPH) Webpage**

[**http://www.ceph.org/list.htm**](http://www.ceph.org/list.htm)

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

> **Include DUNS Number.** You must include a DUNS Number to have your
> application reviewed. Applications ***will not*** be reviewed without
> a DUNS number. To obtain a DUNS number, access
> [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
> 1-866-705-5711. Please include the DUNS number 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.

**Face Page**

**Appendices**

> **Appendix A: Electronic Submission
> Guide...........................................page 24**
>
> **Appendix B: Registering and Applying Through
> Grants.Gov...................page 40**
>
> **Appendix C: Instructions for Completing the SF 424 (R&R)
> Applications\...page 45**
>
> **Appendix D: Table 1 Recommended Format Program
> Specific..................page 60**
>
> **Appendix F: Table 2 Recommended Format Program Specific
> ............\...\...page 61**
>
> **Appendix G: Guidelines and Program Requirements
> .............................page 62**
>
> **APPENDIX A: HRSA's Electronic Submission User Guide**

User Guide Table of Contents

> 1\. INTRODUCTION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....27
>
> 1.1. DOCUMENT PURPOSE AND
> SCOPE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....27
>
> 1.2. DOCUMENT ORGANIZATION AND VERSION
> CONTROL\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....27
>
> 2\. NONCOMPETING CONTINUATION
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....27
>
> 2.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....27
>
> 2.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) (IF NOT ALREADY
> REGISTERED)....................................................................................................\...\...\...\...\...28
>
> 2.3. PROJECT DIRECTOR AND AUTHORIZING OFFICIAL NEED TO REGISTER WITH
> HRSA EHBS
>
> (IF NOT ALREADY REGISTERED)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....29
>
> 2.4. APPLY THROUGH [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....29
>
> 2.4.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...29
>
> 2.4.2 Download Application Package
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....30
>
> 2.4.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...30
>
> 2.4.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....30
>
> 2.4.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....31
>
> 2.5. VERIFY IN HRSA ELECTRONIC HANDBOOKS
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....31
>
> 2.5.1 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....31
>
> 2.5.2 Manage Access to Your Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...31
>
> 2.5.3 Check Validation
> Errors\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....31
>
> 2.5.4 Fix Errors and Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...32
>
> 2.5.5 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....32
>
> 2.6. SUBMIT SIGNED FACE
> PAGE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....32
>
> 3\. COMPETING
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....32
>
> 3.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....32
>
> 3.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) NOT ALREADY
> REGISTERED)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....33
>
> 3.3. APPLY THROUGH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....33
>
> 3.3.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...33
>
> 3.3.2 Download Application
> Package\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...33
>
> 3.3.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....34
>
> 3.3.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....34
>
> 3.3.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....34
>
> 3.4. SUBMIT SIGNED FACE PAGE
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....35
>
> 4\. GENERAL INSTRUCTIONS FOR APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....35
>
> 4.1. NARRATIVE ATTACHMENT
> GUIDELINES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....35
>
> 4.1.1
> Font\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...35
>
> 4.1.2 Paper Size and
> Margins\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....35
>
> 4.1.3
> Names\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....35
>
> 4.1.4 Section Headings
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....35
>
> 4.1.5 Page
> Numbering\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....36
>
> 4.1.6 Allowable Attachment or Document
> Types\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....36
>
> 4.2. APPLICATION CONTENT ORDER (TABLE OF
> CONTENTS)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...36
>
> 4.3. PAGE
> LIMIT\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....36
>
> 5.0 CUSTOMER SUPPORT INFORMATION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 5.1.1 Grants.gov Customer
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....37
>
> 5.1.2 HRSA Call
> Center............\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....37
>
> 5.1.3 HRSA Program
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....37
>
> 6.0
> FAQs\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 6.1.
> SOFTWARE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....37
>
> 6.1.1 What are the software requirements for using
> Grants.gov?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...37
>
> 6.1.2 Why can\'t I download PureEdge Viewer onto my
> machine?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....38
>
> 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What
> do I do if I use only a
> Macintosh?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> \...\...\...\...\...\...\...\...\...\...38
>
> 6.1.4 What are the software requirements for HRSA
> EHBs?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...38
>
> 6.1.5 What are the system requirements for using HRSA EHBs on a
> Macintosh computer?\...\...\...\...\...\...\...\...\...\.....38
>
> 6.2. APPLICATION RECEIPT
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....39

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?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...39
>
> 6.2.2 When do I need to submit my application?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....39
>
> 6.2.3 What emails can I expect once I submit my application? Is email
> reliable?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...39
>
> 6.2.4 If a resubmission is required because of Grants.gov system
> problems, will these be
>
> considered
> \"late\"?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...40
>
> 6.3. APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40

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

> objective
> review?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40
>
> 6.4 GRANT.GOV
> HELP\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....40

# 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 .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.

### 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.

### 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

### 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 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 Face Sheet must be printed, signed, and
submitted to the HRSA Grants Application Center. For competitive
applications, the SF-424 must be printed from Grants.gov.

For an online application, the signed SF-424 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 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.

> ***NOTE: For opportunities that use the SF-424 R&R, the Instructions
> to the new forms will be attached as Appendix C.***

**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 instruction 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 page 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: Not applicable to the PHT          |
| \. | Program.**                                                      |
|    |                                                                 |
|    | **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 Name | This is the first (given) 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 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.             |
+------------+---------------------------------------------------------+
| Posi       | Enter the Title for the Individual identified as a key  |
| tion/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.                                                    |
+------------+---------------------------------------------------------+
| Department | This is the name of the primary organizational          |
|            | 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.                               |
+------------+---------------------------------------------------------+
| Or         | This is the name of the organizational for the          |
| ganization | 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 Number | Enter the fax number for the senior/key person. If this |
|            | 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                  |
+------------+---------------------------------------------------------+
| Credential | Leave this field blank                                  |
| 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   |
| Bi         | Key Person identified. For each of these individuals a  |
| ographical | 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 **- Not applicable to PHT Program**.      |
+-------------+--------------------------------------------------------+
| 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 -- **Not applicable to the PHT Program**.

  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 -- **Not applicable to PHT Program**.

  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 -- **Not applicable to the PHT Program**.

  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 -- **Not applicable to the PHT
                        Program**.

  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 -- **Not applicable to PHT Program**.

  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 - **Not applicable to PHT   |
|                           | Program.**                               |
+---------------------------+------------------------------------------+
| 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 **-- Not applicable to PHT Program**.

  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. DO NOT
attach a budget justification file within this form. Any justifications
should be written in the overall project justification attached in
Section K of the Project Budget Form.

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 -- RECOMMENDED FORMAT**

**Table 1 Public Health Traineeship Trainees Supported From FY 2005
Funds**

**(7/1/05 -- 6/30/06)**

+----------+------+-----+-----+------+-----+-----+----------+------+
| Col. 1   | Col. | C   | C   | Col. | C   | C   | Col. 8   | Col. |
|          | 2    | ol. | ol. | 5    | ol. | ol. |          | 9    |
|          |      | 3   | 4   |      | 6   | 7   |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
|          |      |     |     |      | **  |     |          |      |
|          |      |     |     |      | [LE |     |          |      |
|          |      |     |     |      | VEL |     |          |      |
|          |      |     |     |      | OF  |     |          |      |
|          |      |     |     |      | S   |     |          |      |
|          |      |     |     |      | UPP |     |          |      |
|          |      |     |     |      | ORT |     |          |      |
|          |      |     |     |      | ]{. |     |          |      |
|          |      |     |     |      | und |     |          |      |
|          |      |     |     |      | erl |     |          |      |
|          |      |     |     |      | ine |     |          |      |
|          |      |     |     |      | }** |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Area of  | R    | Enr | Tar | Pe   | S   | T   | Transp   | T    |
|          | ace/ | oll | get | riod | tip | uit | ortation | otal |
| Specia   |      |     |     |      | end | ion |          |      |
| lization | E    | Sta | Deg | of   |     |     |          |      |
|          | thni | tus | ree |      |     | &   |          |      |
|          | city |     |     | Sup  |     |     |          |      |
|          |      | FT  |     | port |     | F   |          |      |
|          |      | /PT |     |      |     | ees |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Biost    |      |     |     |      |     |     |          |      |
| atistics |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 1        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 2        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 3        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| **Sub    |      |     |     |      |     |     |          |      |
| -Total** |      |     |     |      |     |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Epid     |      |     |     |      |     |     |          |      |
| emiology |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 1        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 2        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 3        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| **Sub    |      |     |     |      |     |     |          |      |
| -Total** |      |     |     |      |     |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Other    |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| (not     |      |     |     |      |     |     |          |      |
| listed   |      |     |     |      |     |     |          |      |
| above)   |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 1        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 2        |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| 3        |      |     |     |      |     |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Average  |      |     |     |      |     |     |          |      |
| total    |      |     |     |      |     |     |          |      |
| award    |      |     |     |      |     |     |          |      |
| per      |      |     |     |      |     |     |          |      |
| trainee  |      |     |     |      |     |     |          |      |
| \$\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| Number   |      |     |     |      |     |     |          |      |
| of       |      |     |     |      |     |     |          |      |
| P        |      |     |     |      |     |     |          |      |
| art-time |      |     |     |      |     |     |          |      |
| trainees |      |     |     |      |     |     |          |      |
| su       |      |     |     |      |     |     |          |      |
| pported: |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+
| Name of  |      |     |     |      |     |     |          |      |
| person   |      |     |     |      |     |     |          |      |
| co       |      |     |     |      |     |     |          |      |
| mpleting |      |     |     |      |     |     |          |      |
| form:    |      |     |     |      |     |     |          |      |
| \_\_\_   |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| Te       |      |     |     |      |     |     |          |      |
| lephone: |      |     |     |      |     |     |          |      |
| \_\_     |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| e-mail   |      |     |     |      |     |     |          |      |
| address: |      |     |     |      |     |     |          |      |
| \_\_     |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
|          |      |     |     |      |     |     |          |      |
| Date:    |      |     |     |      |     |     |          |      |
| \_\_\_   |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
| \_\_\_\_ |      |     |     |      |     |     |          |      |
+----------+------+-----+-----+------+-----+-----+----------+------+

**APPENDIX E -- RECOMMENDED FORMAT**

**Table 2 Graduates Serving in Medically Underserved Communities Trained
in Public Health Disciplines**

+--------------+--------+-------+-------+-----+-----+-------+---+---+
| **Type of    | **Bio  | *     | **    | **  | *   | **Mat | * | * |
| Setting**    | statis | *Epid | Envir | Tox | *Nu | ernal | * | * |
|              | tics** | emiol | onmen | ico | tri | &     | O | T |
| **/          |        | ogy** | tal** | log | tio | Child | t | o |
| Discipline** |        |       |       | y** | n** | Hea   | h | t |
|              |        |       | **Hea |     |     | lth** | e | a |
|              |        |       | lth** |     |     |       | r | l |
|              |        |       |       |     |     |       | * | * |
|              |        |       |       |     |     |       | * | * |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Community    |        |       |       |     |     |       |   |   |
| Health       |        |       |       |     |     |       |   |   |
| Center       |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Migrant      |        |       |       |     |     |       |   |   |
| Health       |        |       |       |     |     |       |   |   |
| Center       |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Health Care  |        |       |       |     |     |       |   |   |
| for the      |        |       |       |     |     |       |   |   |
| Homeless     |        |       |       |     |     |       |   |   |
| Center       |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Public       |        |       |       |     |     |       |   |   |
| Housing      |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| Primary Care |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| Grantees     |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Rural Health |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| Clinic       |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| NHSC         |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| FQHC         |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| HPSA         |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Health       |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| Departments  |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| Sites        |        |       |       |     |     |       |   |   |
| Designated   |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| By State     |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| Governors    |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| **Total \#** |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| **of Grads   |        |       |       |     |     |       |   |   |
| in**         |        |       |       |     |     |       |   |   |
|              |        |       |       |     |     |       |   |   |
| **settings** |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+
| **Total \#   |        |       |       |     |     |       |   |   |
| of Grads**   |        |       |       |     |     |       |   |   |
+--------------+--------+-------+-------+-----+-----+-------+---+---+

**APPENDIX F**

**Guidelines and Program Requirements**

**DETAILED DESCRIPTION OF PROJECT**

The application should be self-contained and sufficiently complete so it
can be reviewed based on submitted information. The detailed project
description should contain all sections identified below.

A.  **PURPOSE AND OBJECTIVES**

> Provide a clear, concise statement of the purpose and major objectives
> of the proposed grant. Indicate which severe shortage fields you
> propose to target for student support. Indicate the costs per student
> (e.g., in and out-of-state tuition, expenses, and the institutional
> policy regarding stipends and other allowable costs).
>
> Relate the request to secondary effects, if any, of receiving support,
> e.g., ability to increase applicant pool and recruit
> students-especially disadvantaged/minority students; improve
> capability for faculty and agency exchange programs; increase
> breadth/depth of student education in targeted occupations due to
> continuity of study; increase in-field training experiences; improve
> linkages with local and State health departments in severe shortage
> areas or in areas with specific public health problems; increase
> outreach and linkage to other public health occupations' education
> program, etc.

B.  **JUSTIFICATION OF NEED**

> No justification is required for severe shortage fields mandated by
> section 767(b)(3), Vis: epidemiology, bio-statistics, environmental
> health, toxicology, public health nutrition, and maternal child
> health.
>
> Requests for traineeship support in any field not explicitly
> identified in section 767(b)(3) must be documented as described below.
> Quantitative or qualitative evidence of severe shortage may be
> obtained by various means, including, but not limited to; special
> surveys and studies, syntheses of existing studies, and anecdote.
> Follow-up studies of program graduates, interviews with key employers,
> and focus group meetings are suggested.
>
> Briefly summarize the following:

-   The educational field and geographic service area for which "severe
    shortage" designation is sought;

-   The unmet staffing needs of State and local health departments,
    community/migrant health centers, managed care organizations,
    community-based organizations, and other employers as evidenced
    by: (1) vacancies that cannot be filed because of an absence of
    qualified applicants; (2) special salary rates and sign-on bonuses
    in specified occupations; and (3) intensified recruitment efforts by
    employers; and

-   How traineeship support in the designated field would alleviate the
    shortage.

C.  **INSTITUTIONAL PROGRAM DESCRIPTION**

> Provide a brief overview of the institution's educational programs,
> including evidence of school and/or program accreditation by the
> Council on Education for Public Health (CEPH), admission requirements,
> and requirements for graduation and academic/professional degrees
> offered. Provide: (1) evidence of eligibility for this grant program;
> (2) general information about the variety of programs being offered in
> the school; and (3) organization charts.

D.  **SPECIFIC PROGRAM DESCRIPTION**

> Describe briefly the graduate education program for each severe
> shortage field for which you are applying. Provide the following
> information: (1) admission standards including criteria and selection
> process; (2) academic requirements for a graduate degree including
> specific courses with a brief description and credit hours; (list
> courses and summarize course descriptions in a tabular format); (3)
> required practica/field training or other integrative experiences; (4)
> description of current and proposed affiliation agreements with public
> health service agencies and any related "classrooms without walls" or
> geopolitical boundaries; (5) current and planned enrollment for the
> next three years for each non-mandated severe shortage field; and (6)
> other pertinent information related to the graduate academic programs
> in the institution, e.g., which educational tracks CEPH has approved.

E.  **FACULTY**

> Using a tabular format, identify the principal faculty (full-time,
> part-time, adjunct) for each severe shortage field for which grant
> support is sought. Summarize education and work experience. Do not
> include full CVs for faculty

F.  **EVAULATION AND PROGRESS REPORT**

> Describe and provide specific information on methodologies for
> evaluating the use of grant funds, the program, students and faculty.
>
> **Progress Report** -- It is recommended that a status report on
> trainees supported with FY 2005 funds be provided via recommended
> format Table I, Appendix D.

a)  Describe accomplishments, difficulties and problems encountered in
    the administration of the grant.

b)  Complete recommended format **TABLE I**, **Appendix D** according to
    the instructions below.

> **[Column 1]{.underline}** -- List each trainee supported with FY 05
> funds, by area of specialization, with sub-totals for each group.
> Trainees supported should be given a number. Do not provide names,
> social security numbers, or other identifying information.
> [Other]{.underline} -- Specify courses of study, not listed above, for
> which support was approved. Support should only be provided for
> trainees in mandated disciplines and other disciplines justified and
> approved in the original application.
>
> **[Column 2]{.underline}** -- Indicate race/ethnicity using the
> following: B=Black/African American, H=Hispanic, AI=American Indian,
> AN-Alaskan Native, AS-Asian American/Pacific islander, W=non-Hispanic
> Caucasian American.
>
> **[Column 3]{.underline}** - Identify trainees as either full-time
> (FT) or part-time (PT).
>
> **[Column 4]{.underline}** - Enter the degree which the graduate
> trainee is currently pursuing, e.g., MPH, MSPH, DrPH, PhD, DrSc, etc.
>
> **[Column 5]{.underline}** - Enter the specific dates for which the
> trainee has been awarded traineeship support.
>
> **[Column 6-9]{.underline}** -- Under Level of Support (columns 6
> through 8), provide specific amounts awarded to each trainee for
> stipend, tuition/fees, travel/transportation, and enter the total in
> column nine. Provide totals for columns 6, 7, 8 and 9. Part-time
> trainees are not eligible to receive stipends, but may receive tuition
> and fees.
>
> Total amount should not exceed the amount awarded for traineeships.
> The person completing the Trainee Status Report should include the
> date, their name, telephone number and E-Mail address.

G.  **STUDENT RECRUITMENT AND PLACEMENT (EMPLOYMENT)**

> It is recommended that a brief description of recruitment methods,
> strategies, and techniques the institution will use or will develop to
> attract students into shortage categories be provided using
> recommended format **Table II, Appendix E** Include specific
> information on recruiting and retaining students from minority and
> disadvantaged populations by providing the number of applicants and
> students by race and ethnicity. Describe strategies the institution
> employs to place graduating students in State and local health
> departments, community and migrant health centers, and other public
> health organizations. Provide supporting data on recent graduates with
> examples of employment settings (Refer to recommended format Table II,
> Appendix E).

H.  **INSTITUTIONAL AND FINANCIAL RESOURCES**

> Provide summary data on institutional and other financial resources,
> such as faculty, teaching facilities, library resources, and
> laboratories made available to support public health education and
> training programs, especially for severe shortage occupations.

I.  **SELF-SUFFICIENCY**

> Describe institutional commitment to the project including, but not
> limited to, in-kind contribution. Discuss plans for continuance after
> Federal funding terminates.

J.  **BIOGRAPHICAL SKETCH**

> A Program Director must be designated for each grant application
> submitted. The Program Director is the person responsible for the
> direction of the program and approved by DHHS to coordinate and serve
> as the contact person for administration of the grant.
>
> The biographical sketch is **[limited to two pages]{.underline}**,
> including publications. Include all degrees and certificates.
> Beginning with current position, list all professional experiences.
> List in reverse chronological order all relevant publications.
>
> **Please use the following format:**

+-------------------------------+----------+----------+---------------+
| **BIOGRAPHICAL SKETCH**       |          |          |               |
|                               |          |          |               |
| **Name:** (Last, first,       |          |          |               |
| middle initial)               |          |          |               |
|                               |          |          |               |
| **Title:**                    |          |          |               |
|                               |          |          |               |
| **Education:**                |          |          |               |
+-------------------------------+----------+----------+---------------+
| Institution and Location      | Degree   | Year     | Field of      |
|                               |          | C        |               |
|                               |          | onferred | Study         |
+-------------------------------+----------+----------+---------------+
|                               |          |          |               |
+-------------------------------+----------+----------+---------------+
| **Professional Experience:**  |          |          |               |
+-------------------------------+----------+----------+---------------+

**PROGRAM DEFINITIONS**

**(1) Accredited**

When applied to (1) a "School of Public Health" means a school or
program accredited by the Council on Education for Public Health (CEPH),
the body approved for this purpose by the Secretary of Education; (2)
"other public or nonprofit private institution" means a program
accredited by a body or bodies, recognized for this purpose by the
Secretary of Education. A new school or program that, by reason of an
insufficient period of operation, is not at the time of application for
a grant or contract under this title, eligible for accreditation by such
a recognized body, shall be deemed accredited for purposes of this
title, if the Secretary of Education finds, after consultation with the
appropriate accreditation body, that there is reasonable assurance that
the school/program will meet the accreditation standards of such body
prior to the beginning of the academic year following the normal
graduation date of the first entering class in such school or program.
"Act" means the Public Health Service Act, as amended.

**(2) Bio-statistics**

A graduate program which has as its major emphasis the preparation of
graduates for the application of statistical principles, techniques and
methods to the identification and solution of health problems and the
provision of health services, and does not include preparation of
individuals in research bio-statistics (e.g., pharmaceutical areas such
as drugs, medication, dosage determination).

**(3) Budget Period**

The interval of time (usually 12 months) into which the project period
is divided for budgetary and funding purposes.

**(4) Environmental Health**

A graduate program which has as its major emphasis on the preparation of
graduates for practice or policy development roles in the definition and
solution of environmental or occupational health problems and the
management of environmental systems in which human beings live and work.

Except for environmental health practice programs in accredited schools
of public health, such graduate program must meet the following
criteria:

-   appropriate technological curricula

-   appropriate public health curricula

-   appropriate faculty

-   appropriate field experience

> 1\. Technological Curricula
>
> Every student must complete an in depth study of at least one
> environmental health technical area and be exposed to a majority of
> the following areas through at least a general overview. The technical
> areas are:

-   Air Quality Control (indoor/outdoor)

-   Entomology

-   Environmental Chemistry, Engineering, Epidemiology, and Microbiology

-   Environmental Health Planning (Land Use, Transportation, Energy,
    Urban Development and Resource Conservation)

-   Food Protection

-   Global Environmental Health (Greenhouse Effect, Ozone Layer,
    Population Control, and Resource Consumption)

-   Housing

-   Hazardous Materials

-   Hydrogeology

-   Industrial Hygiene

-   Injury Prevention

-   Institutional Health (including infection control and infectious
    waste)

-   Noise Control

-   Occupational Health and Safety

-   Radiation Health (ionizing and non-ionizing)

-   Recreational Environmental Health

-   Risk Management (Risk Analysis, Risk Assessment, Risk Communication)

-   Soils

-   Solid Waste Management

-   Toxicology

-   Vector Control

-   Wastewater

-   Water Quality

-   Water Supply

> 2\. Public Health Curricula
>
> The curriculum must include courses or material within a course on the
> subjects of:
>
> a\. epidemiology
>
> b\. bio-statistics, and
>
> c\. public health
>
> Any curriculum having a course(s) covering the subjects of
> epidemiology and bio-statistics must address the public health
> principle of enhancing human health through organized community effort
> and management of the environment. If only a public health course is
> offered, it must include epidemiological principles.
>
> 3\. Faculty
>
> There must be at least one faculty member who, through formal
> education or experience, is knowledgeable of the following subjects:
>
> a\. epidemiology
>
> b\. biostatistics and
>
> c\. public health
>
> This knowledge of public health must be gained through professional
> studies leading to M.P.H or Dr. P.H. degrees or by demonstrated
> practice or research experience in public health.
>
> 4\. Field Experience
>
> The program must provide individual field practicum or describe how
> field exposure/experiences are provided in courses or through
> projects. Students must be exposed to field equipment, data
> collection, and data interpretation.

**(5) Epidemiology**

A graduate program which emphasizes preparing graduates with the
knowledge and skills necessary to identify factors that influence or
determine the occurrence of community health problems, the methods
essential for their solution, and patterns for the provisions of health
services.

**(6) Fiscal Year**

The period designated by the Federal government for annual fiscal
accounting purposes which begins October 1 and ends September 30.

**(7) Full-time Equivalents**

The number of part-time students converted to full-time students. It is
computed by determining the total number of credit hours of instruction
in which part-time students are enrolled in a course of study leading to
a graduate degree in those public health fields eligible for traineeship
support as of October 15 of the fiscal year in which application is
made, divided by 9.

> **(8) Full-time Student**
>
> A student enrolled full-time in a graduate program in a field eligible
> for traineeship support, or a student for whom an ongoing commitment
> has been made and who is enrolled for sufficient credit hours in a
> semester or other academic term to enable the student to complete the
> course of study within the number of semesters or other academic terms
> normally required to complete that course of study on a full-time
> basis.
>
> **(9) Graduate**

An individual who successfully completed all institutional requirements
in a degree program is eligible for traineeship support.

[]{.mark}

[]{.mark}

> **(10) Graduate Training**
>
> A formal program of education and training leading to a master's or
> higher degree.
>
> **(11) Maternal and Child Health**
>
> A graduate program that emphasizes the preparing graduates with the
> knowledge and skills necessary to improve the health status of mothers
> and children, including adolescents and children with special needs.
>
> **(12) Medically Underserved Communities (MUC)**
>
> An urban or rural area or population that: (1) is eligible for
> designation under section 332 as Health Professional Shortage Area
> (HPSA); (2) is eligible to be served by a Migrant Health Center (MHC)
> under section 330, a Community Health Center under section 330
> (relating to residents of public housing); (3) has a shortage or
> 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. (Public Health Service Act,
> section 799B(6).
>
> In reference to section 332 (HPSA) listed above, the following
> instructions apply: to determine if an applicant fits the standards
> for eligibility when they are not so designated, the applicant must
> demonstrate that an application has been submitted for such
> designation and include proof of acceptance of that application from
> the designating authority. The MUC preference will not be applied
> without proof of approval of the application.
>
> **The list of types of practice sites that can be claimed under the
> medically underserved community preference include the following:**
>
> Community Health Center
>
> Migrant Health Centers
>
> Health Care for the Homeless grantees
>
> Public Housing Primary Care grantees
>
> Rural Health Clinics, federally designated
>
> National Health Service Corps sites, freestanding
>
> Indian Health Services sites
>
> Federally Qualified Health Centers
>
> Primary Medically Care Health Professional Shortage Areas, for Primary
> care Physicians and other health personnel
>
> State or Local Health Departments
>
> Sites designated by a State Governor in consultation with the medical
> community (for example, ambulatory practice sites)
>
> **If graduates are currently practicing in sites designated by a State
> Governor (in consultation with the medical community) as a shortage
> area or medically underserved community, then an official listing,
> official letter, or other convincing evidence of the Governor's
> designation of such sites for State must be attached to the
> application form.**
>
> Information on HPSAs is available on the Internet at:
>
> <http://www.bphc.hrsa.gov/databases/newhpsa/newhpsa/cfm>
>
> Information on CHCs, MHCs and/or Homeless health centers can be found
> at:
>
> <http://www.bphc.hrsa.gov/index_1htm>
>
> Information or Rural Health Clinics can be found at:
>
> [www.nal.usda.gov/ric/richs/infores.htm](http://www.nal.usda.gov/ric/richs/infores.htm)
>
> Information on HIS sites can be found at:
>
> <http://www.ihs.gov/facilitiesServices/AreaOffices/AreaOffices_index.asp>
>
> **(13) Non-Profit**
>
> The status of an entity owned and operated by one or more corporations
> or associations of which no part of the net earnings inures, or may
> lawfully inure to the benefit of any private shareholder or
> individual.
>
> **(14) Program**
>
> A combination of identified courses and other educational or training
> experiences at a specified academic level the sum of which provides
> the required competence to practice.
>
> **(15) Program Director**
>
> An individual designated by the recipient to direct the project or
> program being supported by the grant. He or she is responsible and
> accountable to recipient organization officials for the proper conduct
> of the project or program. The entity (organization) is, in turn,
> legally responsible and accountable to PHS for the performance and
> financial aspects of the grant-supported activity.
>
> **(16) Public Health Nutrition**
>
> A graduate program with its major emphasis on preparing graduates for
> leadership roles in community nutrition, including applying
> specialized knowledge to problems in community nutrition. It does not
> include basic professional training required for entry-level
> employment.
>
> **(17) School of Public Health or Other Public or Non-Profit Private
> Institution**
>
> A school/program that provides education and training leading to a
> graduate degree in public health or an equivalent degree and which has
> been accredited by a body approved for this purpose by the Secretary
> of the Department of Education.
>
> **(18) Secretary**
>
> The Secretary of the Department of Health and Human Services or any
> officer or employee of the Department to whom the authority involved
> has been delegated.
>
> **(19) Trainee**
>
> A student enrolled in an eligible graduate program and who is
> receiving traineeship support from a public health traineeship grant.

(20) **Toxicology**

> Means a graduate program with its major emphasis on the study of
> adverse effects of chemicals on people, specialized training to
> examine the nature of adverse effects and the assessment of the
> probability of their occurrence.

Grant funds may be used only to support students enrolled in
grant-eligible graduate programs for severe shortage public health
professions. Students pursuing joint degrees such as the MPH/MD,
MPH.MSN, MPH/MSA, etc. are eligible for traineeship support for
completion of their public health degree [only]{.underline}. Funding may
not be sought for courses or other expenses related to their non-public
health degree curriculum. Funding may not be used to support residency
requirements.

Traineeship expenditures are limited to payment of
[stipends]{.underline}, [tuition]{.underline} and [fees]{.underline} in
accordance with the institution's established rates, and a
[transportation allowance]{.underline} on an individual trainee basis
when prior approval has been obtained from the Grants Management
Officer. Grantees may not spend grant funds for sectarian instruction or
for any religious purpose. Use of traineeship funds for indirect cost
(overhead) of the training institution is not authorized.

**Appointment of Trainees**

A student may be appointed as a trainee at any time between the
beginning and ending dates of the budget period specified on the Notice
of Award (NOA). Training for which the student receives a traineeship
must begin during the budget period. The training period during which
the student receives support may extend beyond the end of the budget
period, but may not exceed 12 months in duration.

Traineeships must be for a full academic year. An appointment for less
than a full academic year may be made only when the student will
complete the program of study at the termination of the appointment or
when joint degree programs require enrollment at another unit of the
grantee institution for part of the academic year.

A Traineeship begins on the first day or required attendance and
terminates on the last day of required attendance, the date of
graduation, or the date of completion of a required field training,
whichever is applicable. Separate traineeships must be awarded for each
year of training. **No Trainee may be appointed more than once in any
given budget period.** The grantee is responsible for completing and
maintaining a record of appointment on each trainee awarded a
traineeship under this grant.

The grantee must require each trainee to complete a **Statement of
Appointment** by the beginning of the training period, or as soon as
possible if the trainee receives notice after the training period has
begun. The Program Director must sign the statement on behalf of the
grantee, and the original copy of the statement must be retained by the
grantee to be available for program review and financial audit. The
grantee must also send a copy of the statement to the Secretary upon
request. The grantee must require full-time trainees to sign a statement
that they will not undertake employment during their traineeship which
would interfere with their ability to satisfactorily complete the
training program in a timely fashion.

**Support of Field Training/Practicum's**

For purposes of this program, a period of field training may be
supported only when such training is an officially required part of the
trainee's program of study. It is expected that such field training
requirements will be reflected in the school's official publications and
the trainee's completion will be a prerequisite for receiving any degree
or certificate granted. Support of periods of field training longer than
four (4) months requires prior approval.

**Stipends**

Stipends may not exceed the ceilings specified below. Trainees receiving
support under these grants may not receive concurrent support from any
other Federal source except educational assistance under the Veterans
Readjustment Benefits Act. Part-time trainees are not authorized to
receive stipends, but may receive tuition and fees.

1\. Pre-doctoral -The maximum stipend for each full-time pre-doctoral
trainee under these grants shall be \$16,500 per year.

2\. Post-doctoral - The maximum stipend for each full-time postdoctoral
trainee appointed under these grants are as follows:

Years of Relevant

[Experience]{.underline} [Amount]{.underline}

0.  \$31,092

1.  32,820

2.  38,712

3.  40,692

4.  42,480

5.  44,616

6.  46,584

> 7 or more 48,852

**Supplementation**

1.  Supplementation refers to the provision of funds to a trainee in
    addition to the stipend amount provide by PHS training grant and
    fellowship awards.

2.  Institutions may supplement stipends as necessary from institutional
    resources. However, no supplementation may be provided from Federal
    funds unless specifically authorized by the terms of the program
    from which such supplemental funds are received. This policy is not
    intended to discourage in any way the use of Federal loan funds.
    Also, assistance under the Veteran's Readjustment Benefits Act (GI
    Bill) is not considered as a supplementation.

3.  Institutional requirements must be designed to avoid the imposition
    of service requirements, which detract from or prolong the academic
    program.

4.  Institutions will be expected to formalize policies governing the
    use of supplementation. These policies must contain guidelines
    setting forth circumstances under which supplementation will be
    provided and must be supported by procedures designed to ensure the
    guidelines are consistently applied. Institutions will be expected
    to maintain such reasonable documentation as may be required to
    enable government auditors, project managers or others who may be
    reviewing practices at institutions to determine that such practices
    conform to established policies.

**Dependency Allowance**

No dependency allowance will be authorized.

**Tuition and Fees**

The currently published tuition and fees of the institution may be
charged to the grant. (See PHS Grants Policy Statement) No allowance may
be paid for deposits, books, instruments, breakage fees, fee applied to
the retirement of bonds on buildings, or any other expenditure, which
the Secretary may specify.

**Transportation Allowances**

*Travel to the Training Institution*: The cost of a trainee's travel
from his/her residence to the training institution is not allowable
expect in cases of extreme need or hardship, and only when prior written
approval has been received from the Grants Management Officer (GMO). In
such cases, one-way travel allowance, at the lesser of the institution's
formal travel policy or the applicable government mileage rate (0.405
per mile)may be authorized by the GMO after review of the material
submitted by the institution documenting the need for an individual to
receive a travel allowance.

*Travel During the Training Period*: When a period of required field
training is arranged at a site beyond reasonable commuting distance and
it is necessary for the trainee to establish a new residence, a
transportation allowance not to exceed the applicable government mileage
rate per mile may be provided for travel to that site. An allowance also
may be provided for return to the training institution if the trainee is
required to return in order to complete the program of study. It is the
responsibility of the Program Director to select field-training sites as
close as possible to the training institution. In addition to the
regular stipend, allowance may also be provided for necessary travel
within the field training area, but such allowances cannot be provided
for daily commuting from the new place of residence to the field
training headquarters, or for food, lodging, tools, parking fees, etc.

When it is necessary for a trainee to travel to conduct research to meet
dissertation requirements, the GMO, with prior approval, may provide
cents per mile not to exceed the applicable government mileage rate.
Requests for such approval must be made on an individual basis and must
include a statement from the trainee's faculty advisor of the necessity
of the travel, an explanation of its purpose, the name, location, and
approximate one-way mileage of each organization to be visited, the
estimated travel duration, and the total cost.

**Termination of Traineeships**

Traineeships must be terminated by the institution; and the GMO must be
notified at the time of termination if a trainee fails to meet the
institution's scholastic standards, is unable to carry out the purpose
of the traineeship, or withdraws from the institution prior to the
scheduled termination date.

**Employment of Full-Time Trainees**

Full-time trainees are expected to devote their energies to their
education and should not undertake any employment that would interfere
with their ability to carry out the programs for which their
traineeships were awarded. Trainees may not be required to perform any
work that is not an integral part of their training program and required
of all program students. A trainee may not be required, as a condition
of supplementation, to perform services that detract from or prolong the
program for which the traineeship was awarded.

**Vacations and Leave**

Trainees in academic institutions are entitled to the normal student
holidays observed by their training institutions, including the normal
breaks between consecutive school terms. Students not engaged in
required program training between the spring and fall terms are not
eligible to receive support during that period. Trainees engaged in
field placements are entitled to the normal holiday schedule applicable
to all trainees and employees at the placement site.

The awards will only be given to students who are citizens, national, or
a lawful permanent resident of the United Stated or the District of
Columbia, the Commonwealths of Puerto Rico or the Marianas Islands, the
Virgin Islands, Guam, the American Samoa, the Trust Territory of the
Pacific Islands, the Republic of Palau, the Republic of the Marshall
Islands and the Federated State of Micronesia.

**Student Eligibility for Grant Support**

This information follows the Summary of Project section. Include table
illustrating student eligibility for grant support. Eligibility is
limited to students pursuing a graduate degree in: (1) Educational
fields cited in section 767(b)(3) of the PHS Act as having a severe
shortage of health professionals, e.g., epidemiology, environmental
health, toxicology, nutrition, bio-statistic, and maternal and child
health (applicants are encouraged to address one or more of these
fields); and (2) Other educational fields/professions for which the
applicant can: (a) justify a severe shortage in the geographic/service
area to the satisfaction of **technical reviewers**; [and]{.underline}
(b) demonstrate that such shortage would be lessened by supporting a
trainee in the cited field/profession.

**STUDENT ELIGIBILITY FOR GRANT SUPPORT**

+----+------------------+----------------------+----------------------+
|    |                  | Column 1             | Column 2             |
+----+------------------+----------------------+----------------------+
|    | [Graduate        | Full-time Enrollment | Credit Hours of      |
|    | Education        | (10/15/05)           | Part-Time Students   |
|    | Fi               |                      | (10/15/05)           |
|    | eld]{.underline} |                      |                      |
|    |                  |                      |                      |
|    | Epidemiology     |                      |                      |
|    |                  |                      |                      |
|    | Environmental    |                      |                      |
|    | Health           |                      |                      |
|    |                  |                      |                      |
|    | Biostatistics    |                      |                      |
|    |                  |                      |                      |
|    | Toxicology       |                      |                      |
|    |                  |                      |                      |
|    | Nutrition        |                      |                      |
|    |                  |                      |                      |
|    | Maternal and     |                      |                      |
|    | Child Health     |                      |                      |
|    |                  |                      |                      |
|    | Others           |                      |                      |
+----+------------------+----------------------+----------------------+
|    | **TOTAL**        |                      |                      |
+----+------------------+----------------------+----------------------+

> [NOTE:]{.underline} Funds will be distributed based on the following
> formula: the proportion of eligible full-time and full-time equivalent
> graduate students enrolled in targeted severe shortage occupations and
> other eligible students, to the total enrollment of eligible students
> having approved applications.
>
> \(1\) Count students classified by the institution as full-time only
> once even if they are enrolled fro more than the number of credit
> hours specified by the institution for full-time classification.
>
> \(2\) Report the number of **credit hours** in which eligible
> part-time students are enrolled.
>
> \(3\) To calculate the number of eligible **full-time equivalent**
> (FTE) students, divide the total for column 2 by nine. If this
> calculation results in a remainder, round up to the next higher
> number. Do not calculate FTEs by discipline.
>
> \(4\) Display the results of these calculations exactly as shown in
> the following example:
>
> No. of full-time students 200
>
> Total credit hours of part-time students
>
> [=1,000 divided by 9 = 111.1 FTE 112]{.underline}
>
> **TOTAL ENROLLMENT IN GRANT ELIGIBLE FIELDS 312**