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

**Health Resources and Services Administration**

*HIV/AIDS Bureau*

*Division of Community Based Programs*

***Ryan White HIV/AIDS Treatment Modernization Act of 2006***

***Grants for Coordinated HIV Services and Access to Research for Women,
Infants, Children and Youth (CSWICY)***

*One-time Expansion Funds for Current Title IV Grantees*

*Announcement \# HRSA-07-055*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.153**

**PROGRAM GUIDANCE**

Fiscal Year *2007*

**Application Due Date: April 23*, 2007***

**Date of Issuance*: March 22, 2007***

> *Maria C. Ríos, MD, MPH*
>
> *Branch Chief, Northeastern Region*
>
> *Division of Community Based Programs*
>
> *HRSA, HIV/AIDS Bureau*
>
> *5600 Fishers Lane, Room 7A-30*
>
> *Rockville, MD 20857*
>
> *Telephone: 301/443-0493*

*Fax: 301/443-1839*

Authority: Public Health Service Act, Section 2671, 42 USC § 300ff -71

**Guidance Table of Contents**

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

[Background 2](#__RefHeading___Toc47265098)

[II. Award Information 2](#__RefHeading___Toc47265100)

1\. Type of Award 8

2\. [Summary of Funding 2](#__RefHeading___Toc47265102)

[III. Eligibility Information 2](#__RefHeading___Toc47265103)

[1. Eligible Applicants 2](#__RefHeading___Toc47265104)

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

[3. Other 2](#__RefHeading___Toc47265108)

[IV. Application and Submission Information
2](#__RefHeading___Toc47265110)

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

[*Application Materials 2*](#__RefHeading___Toc47265114)

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

> [*Application Format Requirements 2*](#Application_formatrequirements)
>
> [*Application Format 2*](#__RefHeading___Toc47265117)

[**i.** ***Application Face Page*** 2](#__RefHeading___Toc47265118)

[**ii.** ***Table of Contents*** 2](#__RefHeading___Toc47265119)

[**iii.** ***Application Checklist*** 2](#__RefHeading___Toc47265120)

[**iv.** ***Budget*** 2](#__RefHeading___Toc47265121)

[**v.** ***Budget Justification*** 2](#__RefHeading___Toc47265122)

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

[**vii.** ***Assurances*** 2](#__RefHeading___Toc47265124)

[**viii.** ***Certifications*** 2](#__RefHeading___Toc47265125)

[**ix.** ***Project Abstract*** 2](#__RefHeading___Toc47265126)

[**x.** ***Program Narrative*** 2](#__RefHeading___Toc47265128)

[**xi. *ATTACHMENTS*** 26](#__RefHeading___Toc47265130)

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

[4. Intergovernmental Review 2](#Application_materials)

[5. Funding Restrictions 2](#__RefHeading___Toc47265139)

[6. Other Submission Requirements 2](#__RefHeading___Toc47265140)

[V. Application Review Information 2](#__RefHeading___Toc47265142)

[1. Review Criteria 2](#__RefHeading___Toc47265143)

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

[3. Anticipated Announcement and Award Dates
2](#__RefHeading___Toc47265150)

[VI. Award Administration Information 2](#__RefHeading___Toc47265153)

[1. Award Notices 2](#__RefHeading___Toc47265154)

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

[3. Reporting 2](#__RefHeading___Toc47265158)

[VII. Agency Contacts 2](#__RefHeading___Toc47265160)

[Viii. Tips for Writing a Strong Application
2](#__RefHeading___Toc47265165)

**APPENDIX A -- ELECTRONIC SUBMISSION
GUIDE........................................................... 40**

**APPENDIX B -- REGISTERING AND APPLYING THROUGH
GRANTS.GOV............................ 56**

**APPENDIX C- TITLE IV AGREEMENT
.............................................................................
61**

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

[]{#__RefHeading___Toc47265097 .anchor}**Purpose**

## Purpose

> Section 2671 of the Public Health Service Act, as amended, 42 U.S.C. §
> 300ff-71, establishes Grants for Coordinated Services and Access to
> Research for Women, Infants, Children, and Youth. The purpose of this
> funding is to improve access to primary medical care and support
> services for HIV-infected women, infants, children, and youth through
> the provision of coordinated, comprehensive, culturally and
> linguistically competent, family-centered services.
>
> Funds will be used for the purpose of providing family-centered care
> involving outpatient or ambulatory care for women, infants, children,
> and youth with HIV/AIDS.
>
> Additional Support Services for Patients and Families: Funds awarded
> under this section may be used for the following support services:

(1) Family-centered care including case management.

(2) Referrals for additional services, including- -

    A.  Referrals for inpatient hospital services, treatment for
        substance abuse, and mental health services, and

    B.  Referrals for other social and support services, as appropriate.

(3) Additional services necessary to enable the patient and the family
    to participate in the program established by the applicant including
    services designed to recruit and retain youth with HIV.

(4) The provision of information and education on opportunities to
    participate in HIV/AIDS-related clinical research.

    This announcement is inviting applications for a one-time expansion
    funding for a maximum of \$75,000. Awards, on a competitive basis,
    will be for an one‑year period from September 1, 2007 to August 31,
    2008.

    []{#__RefHeading___Toc47265098 .anchor}**Background**

> The Title IV programs started in 1988 as the Pediatric AIDS
> Demonstration Projects. The projects originally served infected
> infants and children, infected pregnant women and their families. They
> provided supportive care to families to help infected children receive
> medical care. Beginning in 1994, Congress funded these projects under
> Title IV of the Ryan White Comprehensive AIDS Resource Emergency
> (CARE) Act. In 1999, in response to the alarming growth of HIV
> infected youth being identified, the HIV/AIDS Bureau (HAB) funded a
> Youth Initiative, which currently supports 17 youth specific programs
> across the nation. In 2006, Congress funded the Title IV programs
> under the Ryan White HIV/AIDS Treatment Modernization Act.
>
> Title IV projects focus on providing coordinated, comprehensive,
> culturally competent, family-centered medical care, as well as
> supportive services that help people obtain the care they need. The
> projects are expected to do case finding in order to bring infected
> people into care. Once in care, specific efforts must be made to
> retain individuals in care. Grantees are expected to provide care,
> treatment, and support services or create a network of medical and
> social service providers, who collaborate to supply services.
> Currently, there are a total of 91 Title IV programs, including the 17
> in the Youth Initiative.
>
> The Department of Health and Human Services (DHHS), Health Resources
> and Services Administration (HRSA), and the HIV/AIDS Bureau (HAB) are
> committed to meeting the national goals and principles described
> below. As you complete your competing application, consider how your
> program supports and helps to implement these goals and principles.

[National Goal]{.underline}

Healthy People 2010 is a DHHS-led national activity for setting health
priorities. Grants funded under this guidance will meet Healthy People
2010 objectives by expanding

counseling and testing and increasing the number of primary care
programs that provide comprehensive HIV services. Information on Healthy
People 2010 can be found at the following website:
<http://www.health.gov/healthypeople/document/>.

[]{.mark}

[HRSA Goal]{.underline}

The goal for all HRSA programs is to assure access to high quality
health care and reduce disparities in health outcomes for recipients of
services in HRSA funded programs. The result is that all persons who
need care have equal access to high quality health care, regardless of
the payment source.

[HAB Guiding Principles]{.underline}

HAB has identified four factors that have significant implications for
HIV/AIDS care, services and treatment, which should be considered as the
application and program are developed and refined:

-   The HIV/AIDS epidemic is growing among traditionally underserved and
    hard-to-reach populations;

-   The quality of emerging HIV/AIDS therapies can make a difference in
    the lives of people living with HIV disease;

-   Changes in the economics of health care are affecting the HIV/AIDS
    care network; and

-   Outcomes are a critical component of program performance.

**Program Reviews**

HRSA evaluates its programs through use of the Government Performance
and Results Act (GPRA), the Performance Assessment Rating Tool (PART)
and through the Office of Performance Review (OPR), Performance Review
Protocol. HAB has identified specific measures under GPRA and PART to
evaluate the performance of grantees.

The GPRA measure relevant to Title IV programs is:

**Strategy II.  Improve Health Outcomes**

***Performance Goal: Expand the Availability of Health Care,
Particularly to Underserved, Vulnerable, and Special Needs
Populations***

>  1.  Increase the number of female clients provided comprehensive
> services, including appropriate services before or during pregnancy,
> to reduce perinatal transmission.

PART measures look at performance of RWMA grantees across all programs.
The overarching Ryan White HIV/AIDS Treatment Modernization Act PART
measures are:

**Strategy I. Improve Access to Health Care** 

> 1\. Increase by 2 percent every second year the number of persons
> provided services through the Ryan White HIV/AIDS Treatment
> Modernization Act Programs.

 

> 2\. Increase by 2 percent annually the number of persons who learn
> their serostatus from Ryan White HIV/AIDS Treatment Modernization Act
> Programs.

 

**Strategy II. Improve Health Outcomes** 

> 1\. Serve a proportion of racial/ethnic minorities in RWMA funded
> programs that exceeds their representation in national AIDS prevalence
> data, as reported by the CDC, by a minimum of 5 percentage points
> annually (e.g., if 15 percent of overall AIDS cases are among
> racial/ethnic minorities, 20 percent of RWMA funded clients will be
> racial/ethnic minorities).

 

> 2\. Serve a proportion of women in RWMA funded programs that exceeds
> their representation in national AIDS prevalence data reported by the
> CDC, by a minimum of 5 percentage points (e.g., if 15 percent of
> overall AIDS cases are among women, 20 percent of RWMA-funded clients
> will be women).

**Strategy III. Improve the Quality of Health Care** 

> 1\. Increase by 5 percentage points annually the number of RWMA-funded
> primary medical care providers that will have implemented a quality
> management program.

 

2.  Increase the proportion of new RWMA HIV-infected clients who are
    tested for CD4 count and viral load.

OPR\'s Performance Review Protocol is used to conduct objective grantee
performance reviews, State-level reviews, and community-level reviews
HRSA-wide. Through systematic pre-site and on-site analysis using the
Performance Review Protocol, OPR works collaboratively with grantees and
HRSA/HAB to measure program performance, analyze the factors impacting
performance, and identify effective strategies and partnerships to
improve program performance, with a particular focus on outcomes.
Performance reviews begin with a pre-site visit review of established
program performance measures (i.e., GPRA and PART measures can be
included as performance measures that are used to determine grantee
performance). The protocol for performance reviews is available on
HRSA's web site at <http://www.hrsa.gov/performancereview/>. Performance
reviews are coordinated through HRSA's ten Regional Divisions located in
Boston, New York, Philadelphia, Atlanta, Chicago, Kansas City, Dallas,
Denver, San Francisco, Seattle as well as a sub-regional office in
Puerto Rico.

**Division of Community Based Programs (DCBP) Program Related Site
Visits**

The purpose of a program related site visit is to assess the progress of
each grantee and provide guidance and technical assistance to address
areas of deficiency or areas in need of improvement. There are two
primary types of DCBP program related site visits: the Initial site
visit, and the Diagnostic site visit.

The Initial site visit is routinely conducted for newly funded Title IV
programs within the first year of funding. An assessment tool is used to
evaluate overall clinical, administrative, fiscal, MIS, support
services, consumer involvement, and implementation of the proposed work
plan. The focus is on clarifying program expectations and evaluating
compliance with program requirements. The site visit team typically
consists of clinical, administrative, and fiscal consultant reviewers,
selected by DCBP staff. The team may or may not be accompanied by the
Project Officer (PO).

A Diagnostic site visit is designed to follow-up on specific concerns
identified by an objective review committee during a competitive review
cycle, the grantee, the PO, or a previous site visit team. This site
visit is primarily conducted to inform grantees about their status in
meeting legislative mandates, program requirements and/or expectations.
The site visit provides an opportunity to reassess program objectives,
changes in the fiscal environment (such as addition or loss of other
funds), and changes in clinical treatment for HIV.

If a grantee has received a Diagnostic site visit, it should list the
findings and actions taken to address these findings in this
application. Grantees who have not received a site visit should
specifically state so. Omission or misrepresentation of critical
information will be grounds for disqualification of your application.

**Quality Improvement**

> Quality has been part of the Ryan White Treatment Modernization Act
> legislation since its reauthorization in 2000. The CARE Act Amendments
> of 2000 require all RWMA programs to establish quality management
> programs to:

-   Assess the extent to which HIV health services are consistent with
    the most recent Public Health Service guidelines for the treatment
    of HIV disease and related opportunistic infections, and

-   Develop strategies for ensuring that such services are consistent
    with the guidelines for improvement in the access to and quality of
    HIV health services.

> The 2000 reauthorization of the RWCA also mandated a study by the
> Institute of Medicine (IOM) about Allocation, Planning and Quality
> Assessment for the CARE Act. The findings were released in "Measuring
> What Matters" in 2003. The report recognized HRSA/HAB\'s efforts in
> the area of quality management (QM), which had been underway for
> several years at the time of the report\'s release. However, it went
> on to state that more needed to be done to measure and improve the
> quality of care provided by RWCA grantees.
>
> (For additional information, go to
> <http://hab.hrsa.gov/special/aboutquality.htm>
>
> and <http://hab.hrsa.gov/reports/report_08_04.htm>)
>
> HRSA/HAB has developed a definition of quality consistent with the
> definitions of the IOM report that fulfills the quality goals of the
> legislation. For HAB, "Quality is the degree to which a health or
> social service meets or exceeds established professional standards and
> user expectations." Evaluations of the quality of care must consider
> (1) the quality of inputs, (2) the quality of the service delivery
> process, and (3) the quality of outcomes, in order to continuously
> improve systems of care for individuals and populations.
>
> Every grantee is required to have or establish a quality management
> program to assess and improve the quality of the services delivered
> under the Ryan White HIV/AIDS Treatment Modernization Act. It should
> systematically measure achievement of program objectives and impact of
> the program and track work plan activities and accomplishments.
> Current QM practices note improved outcomes where a senior leader is
> involved in QM. HRSA/HAB expects grantees to demonstrate real
> involvement from senior leadership.
>
> For all subcontractors and vendors a mechanism must be in place to
> ensure care and services meet PHS guidelines, standards of care or
> best practices, as applicable, based on services funded.
>
> As part of an internal quality management program, a Continuous
> Quality Improvement (CQI) Program could also be established that
> incorporates continuous review of internally selected performance
> indicators of administrative and training related processes and
> activities.
>
> Any effective QM program will be able to document five key
> characteristics:

1.  **Use a systematic process.** The process should include clearly
    identified leadership and accountability, and allocate sufficient
    dedicated resources to support the activities.

2.  **Establish benchmarks.** Data and measurable outcomes should be
    used to determine progress toward relevant, evidence-based
    benchmarks.

3.  **Be focused.** Linkages, efficiencies, and provider and client
    expectations should be a primary focus for addressing outcome
    improvement.

4.  **Be adaptable**. The process should be continuous, adaptive to
    change and able to fit within the framework of other programmatic
    quality assurance and quality improvement activities, (i.e. JCAHO,
    Medicaid and other HRSA programs).

5.  **Result in improved outcomes.** Data collected should be fed back
    into the quality management process to assure that goals are
    accomplished and improved outcomes are realized.

> Applicants may wish to expand their knowledge of QM and CQI programs.
> The following sites can provide entry points:
>
> **HRSA/HAB Quality Manual:**
>
> <http://hab.hrsa.gov/tools/QM/index.htm>
>
> **HRSA/HAB Quality Tools:**
>
> <http://hab.hrsa.gov/special/qualitycare.htm>
>
> **The National Quality Center:**
> <http://www.ihi.org/IHI/Topics/HIVAIDS/TheNationalQualityCenterNQC.htm>
>
> **HIVQUAL Project:**
>
> [[http://www.hivguidelines.org]{.underline}](http://www.hivguidelines.org/)

[]{#__RefHeading___Toc47265100 .anchor}**II. Award Information**

**1. Type of Award**

> Funding will be provided in the form of one-time expansion grant.

[]{.mark}

[]{#__RefHeading___Toc47265102 .anchor}**2. Summary of Funding**

[]{.mark}

> This is a one-time funding opportunity in order to support Coordinated
> Services and Access to Research for Women, Infants, Children and
> Youth, under Title IV of the Ryan White HIV/AIDS Modernization Act of
> 2006. Funding available under this announcement is only for current
> Title IV and Title IV Youth grantees. Special consideration will be
> given to grantees who propose to improve or establish (1) dental
> services (i.e. direct dental services, major dental equipment items,
> and supplies), (2) an Electronic Medical Records System (EMR), or (3)
> data collection systems, including client level data, through funding
> for their Management Information System (MIS). Grantees may apply for
> a maximum of \$75,000 that will be granted for a one-year period from
> September 1, 2007 to August 31, 2008. A maximum of 20 applications
> will be funded.

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

[]{#__RefHeading___Toc47265104 .anchor}**1. Eligible Applicants**

> Only current Title IV grantees, [including Youth Initiative
> grantees]{.underline}, are eligible to apply for these funds.

[]{#__RefHeading___Toc47265106 .anchor}

**2. Cost Sharing/Matching**

No cost sharing or matching funds are required.

[]{#__RefHeading___Toc47265108 .anchor}**3. Other**

> Applications that exceed the ceiling amount of \$75,000 will be
> considered non-responsive and will not be considered for funding under
> this announcement.
>
> Any application that fails to satisfy the deadline requirements
> referenced in *Section IV.3* will be considered non-responsive and
> will not be considered for funding under this announcement
>
> *Medicaid*
>
> All applicants should document Medicaid provider status and clinic
> licensure status for all primary care providers and case management
> agencies **[who will be involved]{.underline}** in this one-time
> expansion project. Applicants may provide this information in the form
> of a table that identifies all providers' Medicaid number and clinic
> licensure status, if applicable as **Attachment 1**.
>
> *Maintenance of Effort*
>
> Title IV one-time expansion funds shall not be used to take the place
> of current funding for activities described in the application.

[]{#__RefHeading___Toc47265110 .anchor}**IV. Application and Submission
Information**

1.  []{#__RefHeading___Toc47265113 .anchor}**Address to Request
    Application Package**

    []{#__RefHeading___Toc47265114 .anchor}**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 Public Health
> Service (PHS) Application Form 5161-1. 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:
>
> []{.mark}

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

> Or

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

> The Legin Group, Inc.
>
> 910 Clopper Road
>
> Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 877-477-2123
>
> <HRSAGAC@hrsa.gov>
>
> Instructions for preparing portions of the application that must
> accompany Application Form 5161-1 appear in the "Application Format"
> section below.

[]{#__RefHeading___Toc47265115 .anchor}**2. Content and Form of
Application Submission**

[]{#Application_formatrequirements .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, 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 Non Construction -- 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       **Form       **Instruction**          **HRSA/Program
  Section**           Type**                                Guidelines**
  ------------------- ------------ ------------------------ --------------------
  Application for     Form         Pages 1, 2 & 3 of the    Not counted in the
  Federal Assistance               SF-424 face page.        page limit
  (SF-424)                                                  

  Project             Attachment   Can be uploaded on page  Required attachment.
  Summary/Abstract                 2 of SF-424 - Box 15     Counted in the page
                                                            limit. Refer
                                                            guidance for
                                                            detailed
                                                            instructions.
                                                            Provide table of
                                                            contents specific to
                                                            this document only
                                                            as the first page

  Additional          Attachment   Can be uploaded on page  As applicable to
  Congressional                    2 of SF 424 - Box 16     HRSA; not counted in
  District                                                  the page limit

  HHS Checklist Form  Form         Pages 1 & 2 of the HHS   Not counted in the
  PHS-5161                         checklist.               page limit

  Project Narrative   Form         Supports the upload of   Not counted in the
  Attachment Form                  Project Narrative        page limit
                                   document                 

  Project Narrative   Attachment   Can be uploaded in       Required attachment.
                                   Project Narrative        Counted in the page
                                   Attachment form.         limit. Refer
                                                            guidance for
                                                            detailed
                                                            instructions.
                                                            Provide table of
                                                            contents specific to
                                                            this document only
                                                            as the first page

  SF-424A Budget      Form         Page 1 & 2 to supports   Not counted in the
  Information -                    structured budget for    page limit
  Non-Construction                 the request of Non       
  Programs                         construction related     
                                   funds                    

  SF-424B             Form         Supports assurances for  Not counted in the
  Assurances -                     non construction         page limit
  Non-Construction                 programs                 
  Programs                                                  

  Disclosure of       Form         Supports structured data Not counted in the
  Lobbying Activities              for lobbying activities. page limit
  (SF-LLL)                                                  

  Other Attachments   Form         Supports up to 15        Not counted in the
  Form                             numbered attachments.    page limit
                                   This form only contains  
                                   the attachment list      

  Attachment 1-15     Attachment   Can be uploaded in Other Refer to the
                                   Attachments form 1-15    attachment table
                                                            provided below for
                                                            **specific**
                                                            sequence. Counted in
                                                            the page limit
  ------------------------------------------------------------------------------

-   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.

-   Evidence of Non Profit status and invention related documents, if
    applicable, must be provided in the other attachment form.

-   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.

-   Merge similar documents into a single document. Where several pages
    are expected in the attachment, ensure that you place a table of
    content cover page specific to the attachment. Table of content page
    will not be counted in the page limit.

  -----------------------------------------------------------------------
  **Attachment        **Attachment Description (Program Guidelines)**
  Number**            
  ------------------- ---------------------------------------------------
  Attachment 1        Documentation of Medicaid provider status and
                      Licensure

  Attachment 2        Biographical Sketches of Key Personnel

  Attachment 3        Letters of Agreement

  Attachment 4        Work-Plan

  Attachment 5        Title IV Agreement
  -----------------------------------------------------------------------

> Note the following specific information related to your submission.

[]{#__RefHeading___Toc47265117 .anchor}**Application Format**

i.  []{#__RefHeading___Toc47265118 .anchor}***Application Face Page***

> Use Public Health Service (PHS) Application Form 5161-1, 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.*153*
>
> **DUNS Number**
>
> All applicant organizations are required to have a Data Universal
> Numbering System (DUNS) number in order to apply for a grant from the
> Federal Government. The DUNS number is a unique nine-character
> identification number provided by the commercial company, Dun and
> Bradstreet. There is no charge to obtain a DUNS number. Information
> about obtaining a DUNS number can be found at
> <http://www.hrsa.gov/grants/dunsccr.htm> or call 1-866-705-5711.
> Please include the DUNS number in item 8c on the application face
> page. Applications ***will not*** be reviewed without a DUNS number.
>
> Additionally, the applicant organization is required to register with
> the Federal Government's Central Contractor Registry (CCR) in order to
> do electronic business with the Federal Government. Information about
> registering with the CCR can be found at
> [http://www.hrsa.gov/grants/dunsccr.htm](http://www.hrsa.gov/grants/ccr.htm).

ii. []{#__RefHeading___Toc47265119 .anchor}***Table of Contents***

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

iii. []{#__RefHeading___Toc47265120 .anchor}***Application Checklist***

> Use Form 5161-1, provided with the application package.

iv. []{#__RefHeading___Toc47265121 .anchor}***Budget***

    The Title IV one-time expansion budget is composed of the
    following: (1) Standard Form 424A for Non-Construction Programs,
    provided with the application package; (2) the Line-Item Budget;
    and (3) the Budget Justification. The budget justification is
    reviewed separately (see below). Include only your request for
    Federal Title IV one-time expansion funds related to the proposed
    activities for this project in these items. You may describe other
    funding sources for your HIV program (such as private donations,
    other grant funds, etc.) in the section titled "Organizational
    Capabilities and Experience".

> **1. Standard Form 424A**
>
> The Standard Form 424A asks for financial information about your
> budget. This form is used for Non-Construction Programs only. Please
> provide only the Title IV one-time expansion Federal dollars you are
> requesting for this one-year project period. The SF424A must reflect
> the budget totals listed in the line-item and budget justification.
> The CFDA Number should read 93.153. Columns C and D should be left
> blank. Please pay special attention to these items:

-   SF 424A, Section A, Budget Summary, Column A, Line 1: title Line 1
    "Title IV Expansion Program" and present the Title IV project costs
    for the proposed expansion activities.

-   SF 424A, Section A, Budget Summary, Column B, Line 1, should read
    93.153.

-   SF 424A, Section A Budget Summary, Column E, Line 1, insert Federal
    funds requested in this cell.

-   SF 424A, Section B, Budget Categories, Column 5, Line k: present the
    total Title IV costs of the project. The total amount, Cell 5k,
    should equal that listed in Section A, Cell 5g.

-   SF 424A, Section B, Budget Categories, Line 7: for the purposes of
    this budget, **leave this section blank.**

-   SF 424A, Section C, Non-Federal Resources: **leave blank**.

-   SF 424A, Section D, Forecasted Cash Needs: **leave blank.**

-   SF 424A, Section E, Budget Estimates of Federal Funds Needed for
    Balance of the Project, Line 16 & 20: **Leave this section blank.**

-   SF 424A, Section F, Other Budget Information, Line 21: This does not
    need to be completed since a separate line item budget is required,
    therefore, **Line 21 does not need to be completed.**

-   SF 424A, Section F, Other Budget Information, Line 22: Enter the
    total amount of indirect costs requested and show how the amount is
    calculated. HAB allows indirect costs only if your organization has
    negotiated an Indirect Cost Rate that has been approved to cover the
    budget period. (See Indirect Cost under Budget Justification).

> **2. Line-Item Budget**
>
> Your **[budget period is for one year]{.underline},** from 9/1/2007 --
> 8/31/2008. You must **provide a** **consolidated budget that reflects
> all costs for proposed activities.** The line-item budget should list
> costs separately for each line item category. It is recommended that
> you present your line item budget in table format, listing the
> categories that apply to your proposed activities (Personnel,
> Supplies, etc) in a column down the left hand side and the amount
> requested in the right hand column. Your budget must be well justified
> and relate to the needs identified throughout your application.
>
> **You must also provide an itemized budget and a narrative
> justification for each subcontract who will participate in proposed
> activities.**
>
> **Administrative Expenses-**

1.  [Limitation]{.underline}-A grantee may not use more than 10 percent
    of amounts received under a grant award under Title IV for
    administrative expenses.

2.  [Clinical Quality Management Program]{.underline}- A grantee under
    Title IV shall implement a clinical quality management program to
    assess the extent to which HIV health services provided to patients
    under the grant are consistent with the most recent Public Health
    Service guidelines for the treatment of HIV/AIDS and related
    opportunistic infection, and as applicable, to develop strategies
    for ensuring that such services are consistent with the guidelines
    for improvement in the access to and quality of HIV health services.

> The term 'administrative expenses' means funds that are to be used by
> grantees for grant management and monitoring activities, including
> costs related to any staff or activity unrelated to services and
> indirect costs.
>
> **Subcontracts**-You must also provide an itemized budget and a
> narrative justification for each subcontract. Separate program budgets
> must be established with the network subcontractor and care must be
> taken to ensure there is no duplication of effort. Provide a separate
> line-item budget for each network subcontractor using the same format
> as that of the consolidated line-item budget for the grantee of
> record. The line-item budget for each subcontractor should list costs
> separately for each line item, utilize the same object class
> categories (Personnel, Fringe Benefits, etc) in a column down the left
> hand side. The total amount listed in each network subcontractor
> budget should match the total amount listed for that agency on the
> grantee of record consolidated line-item budget.

v.  []{#__RefHeading___Toc47265122 .anchor}***Budget Justification***

> Provide a narrative that explains the amounts requested for each
> category in the line-item budget. The budget period is for ONE year.
> Line item information must be provided to explain the costs entered in
> appropriate form, Application Form 5161-1. **The budget justification
> must clearly describe each cost element, the calculation for the cost
> and explain how each cost contributes to meeting the project's
> objectives/goals.** Be very careful about showing how each item in the
> "other" category is justified. The budget justification MUST be
> concise. Do NOT use the justification to expand the project narrative.
>
> Include the following in the Budget Justification narrative:
>
> [Personnel Costs]{.underline}: Explain personnel costs by listing each
> staff member who will be supported from funds, name, position title,
> percent full time equivalency, annual salary, and the exact amount
> requested for the project year. *One-time expansion funding should not
> be used to support personnel funds unless they [are time-limited to a
> one year period]{.underline} and directly linked with the proposed
> activities.*
>
> [Fringe Benefits]{.underline}: If you have staff listed you must list
> the components that comprise the fringe benefit rate, for example
> health insurance, taxes, unemployment insurance, life insurance,
> retirement plan, tuition reimbursement. The fringe benefits must be
> directly proportional to that portion of personnel costs that are
> allocated for the project.
>
> [Travel]{.underline}: List travel costs according to local and long
> distance travel. Specify the mileage rate, number of miles, reason for
> travel and staff member/consumers completing the travel for local
> travel. Also include the travel expenses associated with participating
> in meetings and other proposed trainings or workshops.
>
> [Equipment]{.underline}: Equipment is defined as an item of property
> that has an acquisition cost of \$5,000 or more per unit and an
> expected service life of at least one (1) year. List items that meet
> this requirement and justify each item's cost in the budget
> justification section. Please provide additional justification for the
> purchase of furniture items. The items listed under this category must
> be necessary to carry out the project's goals and objectives.
>
> Please note, most computer devices and digital accessories do not meet
> the Federal equipment definition (\$5,000 or more per unit), therefore
> those costs should be allocated to the supplies category.
>
> [Supplies]{.underline}: List the items that the project will use. In
> this category, list office, medical, and educational purchases
> separately. Office supplies could include paper; pencils, etc.;
> medical supplies such as syringes, blood tubes, examination gloves,
> etc., and educational supplies may be pamphlets and educational
> videotapes. Explain how the amounts were developed.  For example,
> "Medical supplies are based on 3,600 encounters at \$2.50 per
> encounter for a total of \$9,000". 
>
> [Contractual]{.underline}: To the best extent possible, all
> subcontract budgets and justifications should be standardized, and
> contract budgets should be presented by using the same object class
> categories contained in the Standard Form 424A. Categorize all
> contract costs according to type. If the contract is for a full time
> professional, provide justification for contracting instead of using
> an employee of the grantee institution. Provide name of contractor,
> time to be spent working with the project, and rate of pay.
>
> [Other]{.underline}: Put all costs that do not fit into any other
> category into this category and provide an explanation of each cost in
> this category. Do not list "other" or "miscellaneous expenses" as a
> cost item. Identify and justify all costs. In some cases, grantee
> rent, utilities, and insurance fall under this category if they are
> not included in an approved indirect cost rate.
>
> [Indirect Costs]{.underline}: Please be advised that for this one-time
> expansion application indirect costs will **[not]{.underline}** be
> awarded regardless of if you have an Indirect Cost Rate Agreement in
> place. Therefore, you may not request indirect costs as part of this
> one-tine expansion application.
>
> **Please Note:** Administrative expenses are funds that are to be used
> by grantees for grant management and monitoring activities, including
> costs related to any staff or activity unrelated to service or
> indirect costs. Applicants must identify administrative expenses in
> their proposed budgets. **A grantee may not use more than 10 percent
> of amounts received under Title IV for administrative expenses**.

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

> Applicants must present a staffing plan and provide a justification
> for the plan if they are requesting funds for personnel. The plan
> should include education and experience qualifications and rationale
> for the amount of time being requested for each staff position.
> Provide this information in the form of biographical sketches for
> those staff presented in the budget as **Attachment 2**. Biographical
> sketches typically are a few brief paragraphs. Note that the
> biographical sketches take the place of the Curriculum Vitae (CV). You
> are not required to submit CVs. Also, remember that funding under this
> announcement is limited to one year.
>
> [If this section does not apply to your proposed activities please
> specifically state so. If you are not requesting funds for personnel,
> include biographical sketches for those staff that will provide
> oversight to the expansion project. Make sure to describe their role
> in the proposed activities.]{.underline}

vii. []{#__RefHeading___Toc47265124 .anchor}***Assurances***

> Please include all assurances required in Application Form 5161-1,
> provided with the application package.
>
> Applicants applying through grants.gov should read and understand the
> Assurances and additional Agreement specific to the Title IV program
> (see **Appendix C**). On item 21 of the SF 424 you will be agreeing to
> comply with them. If you have received prior written approval to
> submit a paper application, you will need to sign the Assurances and
> include it in your application. It will not count toward the page
> limit. Include the Title IV Agreement as **Attachment 5.**

viii. []{#__RefHeading___Toc47265125 .anchor}***Certifications***

> Please include all assurances required in Application Form 5161-1,
> provided with the application package.

ix. []{#__RefHeading___Toc47265126 .anchor}***Project Abstract***

> Provide a summary of the application. Because the abstract is often
> distributed to provide information to the public and Congress, please
> prepare this so that it is clear, accurate, concise, and without
> reference to other parts of the application. It must include a brief
> description of the proposed grant project including the needs to be
> addressed, the proposed services, and the population group(s) to be
> served.
>
> Remember to write the abstract after you have written your
> application. This section provides a description of your project and
> your organization. **The project abstract must be single-spaced and
> limited to one page in length.**
>
> **Place the following information at the top of the abstract:**

-   Project Title (FY 2007 Title IV One-Time Expansion)

-   Applicant Name

-   City, State

-   Contact Telephone Number

-   Contact E-mail Address

> Describe in the abstract four major areas as follows:

1.  **Organizational Description**

> Provide a description of your agency or institution. Include the type
> of organization (hospital, community health center, or AIDS Service
> Organization), how long it has been in the community, and how long it
> has served persons living with HIV/AIDS. Describe the funding sources
> of your agency and the amount of funding requested for this grant.

2.  **Profile of Services and Client Base**

> Provide an overview of your program, services you provide, scope of
> current HIV-related activities specific to the target population, the
> geographic service area served, and the needs to be addressed by
> expansion funds.
>
> Provide the number of HIV/AIDS women, infants, children, and youth,
> and their affected families you have served. Describe the demographics
> of the target population, including the percentage of racial/ethnic
> minority populations you serve. Discuss how many persons you expect to
> serve by the end of the first year of this project period.

3.  **Challenges**

> Discuss any challenges you face or expect to face in order to
> implement the proposed project and how you propose to deal with some
> of these challenges.

4.  **Network Coordination**

> Describe the continuum of services available in your area. Describe
> the number of providers in your network, services provided by your
> network, and the challenges you meet in coordinating those services.
> Describe how providers participate in the planning and coordination of
> services.

x.  []{#__RefHeading___Toc47265128 .anchor}***Program Narrative***

> This section provides a comprehensive framework and description of all
> aspects of the proposed project. It must be succinct, self-explanatory
> and well organized so that reviewers can understand the proposed
> project. Please follow the instructions here closely. The Program
> Narrative contains seven (7) sections: Introduction, Needs Assessment,
> Methodology, Work Plan, Resolution of Challenges, Evaluation and
> Technical Support Capacity, and Organizational Information.
>
> Use the following section headers for the Narrative:

#### 1. Introduction

> Briefly describe the proposed expansion project. You should also
> provide a [brief description to justify the need for one-time
> expansion Title IV funds]{.underline} to improve or establish dental
> services, an Electronic Medical Record (EMR), or data collection
> systems thorough Management Information Systems (MIS) and why you are
> the appropriate entity to receive the funds.

#### 2. Needs Assessment

> In this section you will describe the targeted populations served,
> services available to these populations and gaps in services. All
> Title IV projects must serve four groups of infected people and their
> families. The target populations are: HIV infected women, HIV infected
> and exposed infants, HIV infected children, and HIV infected youth.
>
> []{.mark}
>
> Provide a description of the targeted population you serve including
> age, racial/ethnic composition, and other socio-demographic
> information. Describe the services available to these target
> populations in your proposed service area. You should also include a
> description of other relevant characteristics of the target
> populations that affect their access to primary care.
>
> Your description of significant barriers that impact access to care
> for the targeted population may be focused on the fact that available
> services may be inaccessible due to distance, culture, eligibility
> requirements, etc. These factors may also include citizenship status,
> education, and access to transportation.
>
> Describe the gaps in HIV primary care services within the targeted
> service area, the services that are not available, and the impact of
> their absence on your clients. Also include the following information:

-   Discuss the populations that are not currently being served.

-   Provide a brief description of the impact the gaps in services have
    on your clients.

    **If you are requesting funds for dental services**

    -   focus your description of gaps in services to those for dental
        services

    -   describe how the proposed activities would have an impact on
        these gaps and enhance the delivery of HIV primary care
        services. Describe how the proposed activities will reduce unmet
        oral health needs. Also, include the number of clients projected
        to be served.

        **If you are requesting funds for MIS or EMR** you should
        describe how the

        proposed activities would enhance the delivery of HIV primary
        care services.

> For all data used, you must note the source of the data provided
> (State Department of Health, CDC, etc.). The statistics that you
> include must be specific to the area from which the majority of the
> proposed clients will be drawn.

#### 3. Methodology

> Use this section to describe the proposed methods your organization
> will use to meet the purpose of this expansion application and
> proposed project activities. The minimal information you should
> provide in each of the three (3) sections is described below. You may
> provide additional information that will help reviewers to understand
> how your services are delivered and the policies and procedures that
> ensure your program will be able to meet the goals of the proposed
> project.
>
> **a. Project Purpose**
>
> Provide a brief description of how the proposed project will be
> consistent with the purpose of this one-time expansion funding as
> stated in Section I of this application guidance. Include the
> following information:

-   The major objectives to be accomplished by the end of the one-year
    period.

-   How this project will help enhance or improve the quality of HIV
    primary care delivered by the Title IV program (or enhance oral
    health services for those applicants proposing dental activities).

> **b. Provider Network Partner Descriptions**
>
> If your proposed activities will be performed in conjunction with
> subcontractors and/or network partners, describe the agencies to be
> involved in this project.
>
> In your description include the following information:

-   The name of the partner provider(s), location, and HIV services
    provided to the targeted population.

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-   The work to be done by each agency within this project and who will
    be responsible for each aspect of the proposed project.

-   The expertise of the partner provider(s) and staff in relation to
    proposed area of expansion.

-   The processes used for communication and collaboration, such as case
    conferences, routine meetings, or other methods, the frequency and
    purpose of your meetings, and how these are documented.

-   How decision-making will be shared among the various partners.

> Also, explain why the project partners are the appropriate entities to
> share these grant funds and the particular capabilities of the
> organizations that will be used to support the proposed project.
>
> Include copies of letters of agreement for [only]{.underline} the
> proposed partner providers who will be working on this project as
> **Attachment 3**. It is not necessary to provide a complete copy of
> the entire contract for each partner. However, the statement of work
> or the cover page that states the duties of each partner and the
> signature pages should be provided. The letter of agreement must
> include the duties each partner will have for this project, be dated,
> and be signed by the authorizing official of the agency. If all
> partners will be carrying out the same duties for the project, you may
> include a combined letter of support with signatures from all
> participating partners.

##### c. Sustainability 

> Explain how your agency will maintain or continue the efforts set
> forth in this project beyond the project period. For example, describe
> how the agency will support maintenance of systems, staff, or
> activities at the conclusion of the grant. Also, explain how the
> proposed activities will ensure that oral health services or an EMR or
> data collection systems will remain available and accessible after the
> one-year project period.
>
> If applicable, describe your plan for the dissemination of information
> and/or products developed as a result of these expansion activities to
> collaborators of this project. The focus here is to describe how your
> agency will use what you developed and/or learned to enhance your
> community, specifically the HIV community and providers.

#### 4. Work Plan

> Your work plan should include the problem/need, goal, objectives, key
> action steps, evaluation/outcome methods, person responsible, and date
> anticipated to achieve each objective. [You may want to use a table
> format to present this information as **Attachment 4**]{.underline}.
> Goals and work plan objectives should be written for one year.
>
> **All objectives should be related to the proposed activities and
> should ultimately enhance or facilitate the provision of comprehensive
> coordinated HIV services and access to research for HIV-infected
> women, infants, children, youth and their affected family members.**
> Objectives and key action steps should be written in time-framed and
> measurable terms providing numbers for targeted outcomes where
> applicable, not just percentages.

Describe the activities or steps that will be used to achieve each of
the objectives proposed in the methodology section. Use a timeline that
includes each activity and identifies responsible staff. The activities
you propose should address the needs identified in the Introduction and
Needs Assessment sections above. Your work plan should be a tool that
will help you actively manage your program by measuring progress,
identifying necessary changes, and quantifying your accomplishments.

> When indicating person responsible, be sure to include the name of
> network providers involved in the accomplishment of the objective and
> associated key action steps.
>
> **The proposed activities outlined in your work plan must specifically
> address the areas outlined in Section I for these expansion funds.**

#### 5. 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.
>
> Discuss any objectives you did not reach in your previous project
> period [only]{.underline} if they are related to the proposed
> activities. Explain why you did not reach them and how the proposed
> activities will help address these deficiencies.
>
> If you have previously received expansion or Capacity Development
> funds for activities related to the proposed activities explain the
> purpose of the funds, when you received them, and why they did not
> fulfill the need to develop or expand oral health services, EMR or
> MIS.

#### 6. Evaluation and Technical Support Capacity 

***a.*** ***Evaluation***

The purpose of evaluation is to measure the results of your program.
Evaluation is also a tool that provides information and feedback so that
you can make appropriate adjustments to your program during the project
period. Effective evaluation methods will help your organization
determine the extent to which your objectives have been accomplished, as
well as, the extent to which this is attributable to your program or
intervention.

[]{.mark}

Explain the methods to be used to ensure that all components of the
proposed project are carried out effectively and within the one-year
time period. At a minimum, include information on the monitoring process
to be used, staff responsible for monitoring and evaluating progress
made.

***b. HAB Quality Expectations***

HAB has defined quality as follows:

> "Quality is the degree to which a health or social service meets or
> exceeds established professional standards and user expectations.
> Evaluations of the quality of care must consider (1) the quality of
> inputs, (2) the quality of the service delivery process, and (3) the
> quality of outcomes, in order to continuously improve systems of care
> for individuals and populations."

**Continuous Quality Improvement**

The purpose of your evaluative or Continuous Quality Improvement (CQI)
program is to ensure that you have a system in place for evaluating how
your system works and making changes where necessary. If others in your
network provide primary care for your clients via subcontract, you must
make sure that they have CQI systems in place as well. Include
monitoring, CQI, and regular reporting in your subcontracts.

> The three-fold purpose of CQI is to ensure that:

1.  Funded services adhere to established HIV clinical practice
    standards and Public Health Service (PHS) guidelines

2.  Strategies for improvements to quality medical care include vital
    health-related supportive services in achieving appropriate access
    and adherence with HIV medical care

3.  Available demographic, clinical, and health care utilization
    information is used when developing and adapting programs to address
    changing trends in the epidemic.

    In addition to clinical outcomes, your CQI program also must have:

-   Designated leaders and accountability

-   Routine data collection and analyses of data on measurable outcomes

-   A system for ensuring that data are fed back into your
    organization's quality improvement process to assure that goals are
    accomplished

-   Consistency, to the extent possible, with other programmatic CQI
    activities such as the Joint Commission on the Accreditation of
    Healthcare Organizations (JCAHO) and other Ryan White HIV/AIDS
    Treatment Modernization Act funded programs

> HAB also encourages grantees to conduct CQI for the administrative and
> fiscal components of their organizations. We can provide technical
> assistance in this area to your project. Indicate your technical
> assistance needs in this area.
>
> **[Continuous Quality Improvement Program Requirements]{.underline}**
>
> Describe your Continuous Quality Improvement program. Your description
> should at a minimum include:

-   The composition of the staff who participate in CQI

-   The formalized mechanisms used by your program to implement CQI
    (e.g., CQI committee, how often they meet)

-   The indicators established or to be established in measuring your
    program

-   The process used to provide feedback, implement changes within your
    program or receive new funding

-   The role of network providers in the CQI program

-   The role of consumers in the CQI program, if applicable

-   The impact of your program (i.e. populations served, community)

> You may want to refer to the evaluation section of the HAB website for
> information: <http://hab.hrsa.gov/report_studies.htm>.
>
> []{.mark}
>
> [**Oral Health Services**:]{.underline}
>
> If you are proposing to develop or expand oral health services
> describe the CQI processes that will be used to ensure services are
> provided in accordance with existing HIV oral health guidelines. At a
> minimum include the following information:

-   The composition of the staff who will participate in CQI for oral
    health services

-   The formalized mechanisms used by your program to implement CQI for
    oral health services

-   The process used to provide feedback and implement changes within
    the proposed services

-   The role of the network partner providers working on this project

-   The impact new or expanded oral health services will have on your
    program (i.e. populations served, community, etc.)

> **[Management Information Systems (MIS) and EMR]{.underline}**: If you
> are proposing to develop or expand your MIS or EMR systems, describe
> the current MIS or EMR and its capacity to track the data needed to
> measure attainment of goals and objectives within your Title IV
> program. If you do not have an MIS, describe the system you propose to
> develop and how it will be implemented.
>
> Your MIS should capture the following variables:

-   The number of individuals provided services

-   Epidemiological and demographic data on the population receiving
    services

-   Exposure and diagnostic categories

-   The clinical status summary on the population receiving services

-   Service utilization data

-   Prevention and case finding activities summary

-   Billing data

-   Laboratory data, if applicable

> Describe the CQI processes that will be used to ensure that the system
> will be capable of providing required data, be able to grow, and will
> fulfill the needs previously described.

#### 7. Organizational Information

> Provide information on the applicant agency's current mission and
> structure, type of agency, scope of current activities, and describe
> how these all contribute to the ability of the organization to conduct
> the proposed activities under this one-time expansion funding
> application. Discuss the structure of your organization. Explain why
> your organization and your network are the right group to lead the
> proposed expansion project. Describe other local, state, federal, and
> private funding sources received to support your HIV program.
>
> Describe the in-service training you will provide for staff in
> relation to the proposed project. Discuss the accounting system you
> use, and the internal controls in place to protect your finances.
>
> Provide the number of clients your program is capable of serving, and
> describe your experience in providing care to the targeted
> populations, your community leadership, and other strengths that show
> that you can lead a Title IV expansion project.
>
> []{.mark}

xi. []{#__RefHeading___Toc47265130 .anchor}***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)  **Attachment 1: Documentation of Medicaid provider status and Clinic
    Licensure**

> Include documentation of Medicaid Provider status and
> [current]{.underline} licensure to provide clinical services, if
> applicable. Documentation for this application should be in the form
> of a table that identifies all providers' Medicaid number and clinic
> licensure status, if applicable.

2)  **Attachment 2: Biographical Sketches of Key Personnel**

> If applicable, include biographical sketches for persons who are
> included in the budget and/or those providing oversight to the
> proposed activities, not to exceed two pages in length. More than one
> biographical sketch can be included on one page. 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.

3)  **Attachment 3: Letters of Agreement**

> If applicable, include copies of letters of agreement with the
> proposed partner providers who will be working on this project. The
> letter of agreement must include the duties each partner will have for
> this project, be dated, and be signed by the authorizing official of
> the agency. If all partners will be carrying out the same duties for
> the project, you may include a combined letter of support with
> signatures from all participating partners.

4)  **Attachment 4: Work-plan**

> Your work plan should include the problem/need, goal, objectives, key
> action steps, evaluation/outcome methods, person responsible, and date
> anticipated to achieve each objective. You may want to use a table
> format to present this information.
>
> **5) Attachment 5: Title IV Agreement**

[]{#__RefHeading___Toc47265131 .anchor}

**3. Submission Dates and Times**

**Application Due Date**

The due date for applications under this grant announcement is *April
23, 2007 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.

[]{#Application_materials .anchor}**4. Intergovernmental Review**

> Title IV programs are subject to the provisions of Executive Order
> 12372, as implemented by 45 CFR 100. Executive Order 12372 allows
> States the option of setting up a system for reviewing applications
> from within their States for assistance under certain Federal
> programs. Application packages made available under this guidance will
> contain a listing of States which have chosen to set up such a review
> system, and will provide a State Single Point of Contact (SPOC) for
> the review. Information on states affected by this program and State
> Points of Contact may also be obtained from the Grants Management
> Officer listed in the AGENCY Contact(s) section, as well as from the
> following Web site: <http://www.whitehouse.gov/omb/grants/spoc.html>.
>
> All applicants other than federally recognized Native American Tribal
> Groups should contact their SPOC as early as possible to alert them to
> the prospective applications and receive any necessary instructions on
> the State process used under this Executive Order.
>
> Letters from the State Single Point of Contact (SPOC) in response to
> Executive Order 12372 are due sixty days after the application due
> date.

[]{#__RefHeading___Toc47265139 .anchor}**5. Funding Restrictions**

> Applicants responding to this announcement may request funding for a
> period of one year at no more than 75,000 per year. Funds under this
> announcement may not be used for the following purposes:

-   Construction is not allowable, unless it is minor alterations to an
    existing facility, to make it more suitable for the purposes of the
    grant program. In such cases previous authorization must be sought.

-   Entertainment costs are not allowable. This includes the cost of
    amusements, social activities, and related incidental costs.

-   Fundraising expenses are not allowable.

-   Lobbying expenses are not allowable.

-   Hiring of a consultant to write the application and other pre-award
    costs are not allowable.

-   Foreign travel is not allowable.

-   Other non-allowable costs can be found in the Cost Principles
    located at <http://www.hhs.gov/grantsnet/lawsregs/index.htm>.

    []{#__RefHeading___Toc47265140 .anchor}**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
> through Grants.gov. However, to complete the submission requirements,
> a hard-copy of the SF-424/5161 Face Sheet must be printed, signed, and
> submitted to the HRSA Grants Application Center. The SF-424/5161 must
> be printed from Grants.gov.
>
> For an online application, the signed SF-424/5161 must be sent to the
> HRSA GRANTS APPLICATION CENTER at the following address and received
> by HRSA by no later than five days after the date of submission in
> Grants.gov.
>
> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: Ryan White Title IV-CSWICY
>
> Program Announcement No. HRSA-07-055
>
> CFDA No. 93.*153*
>
> 910 Clopper Road, Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 877-477-2123
>
> Applications will be considered as having met the deadline if: (1) the
> application has been successfully transmitted electronically by your
> organization's Authorizing Official through Grants.gov on or before
> the deadline date and time, and (2) the signed SF-424/5161 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**.

[]{#__RefHeading___Toc47265142 .anchor}**V. Application Review
Information**

**1.** []{#__RefHeading___Toc47265143 .anchor}**Review Criteria**

> Procedures for assessing the technical merit of grant applications
> have been instituted to provide for an objective review of
> applications and to assist the applicant in understanding the
> standards against which each application will be judged. Critical
> indicators have been developed for each review criterion to assist the
> applicant in presenting pertinent information related to that
> criterion and to provide the reviewer with a standard for evaluation.
> Omission or misrepresentation of critical information will be grounds
> for disqualification of your application. Review Criteria are outlined
> below with specific detail and scoring points.
>
> Review Criteria are used to review and rank applications.
> []{#__RefHeading___Toc47265144 .anchor}Points will be allocated based
> on the extent to which the proposal addresses each of the criteria
> listed below. An application that completely omits the Project
> Narrative or Budget sections will receive zero points for that missing
> section. An application that receives zero in any one of these two
> sections will not be approved for funding. See Section 2, *Review and
> Selection Process*, below for further information.

The Title IV One-time Expansion Funding applications *will* have 6
Review Criteria.

> **Criterion 1: Need (20 Points Total)**
>
> This section relates to the extent to which the application describes
> the problem and associated contributing factors to the problem.
>
> This corresponds to both the **Introduction** and **Needs Assessment**
> sections of the Narrative.

**Introduction (5 Points)**

-   Does the application clearly describe the proposed project?

-   Does the application explain why their agency is in need of one-time
    expansion Title IV funds?

-   Does the application explain why they are the appropriate agency to
    receive the funds?

**Needs Assessment (15 Points)**

-   Are data sources documented and provided from reliable sources?

```{=html}
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```
-   Is the target population(s) clearly identified?

-   Are populations that are not being served clearly described?

-   Are services available to the targeted population clearly described?

-   Are barriers to care for the target population clearly described?

-   Does the application clearly describe gaps in services and the
    impact these gaps have on clients?

-   [For applicants requesting funds for dental services,]{.underline}
    does the application clearly describe the impact proposed activities
    would have on gaps in services or unmet oral health needs and how
    they would enhance the delivery of HIV primary care services.

-   [For applicants proposing to improve or establish dental
    services]{.underline} - Are data provided on the number of clients
    projected to be served by the proposed activities?

-   [For applicants requesting funds for MIS or EMR]{.underline} does
    the application clearly describe how proposed activities would
    enhance the delivery of HIV primary care services.

> **Criterion 2: Response (35 Points Total)**
>
> This section relates to the extent to which the proposed project
> responds to the "Purpose" included in the program description, the
> clarity of the proposed goals and objectives, and their relationship
> to the identified project. It also relates to the extent to which the
> activities described in the application are capable of addressing the
> problem and attaining the project objectives.
>
> This corresponds to the **Methodology, Work Plan** and **Resolution of
> Challenges** sections of the **Narrative**.
>
> **Methodology (13 Points)**
>
> ***a. Project Purpose***

-   Does the applicant state the major objectives to be accomplished by
    the end of the year?

-   Does the application describe how the proposed project is consistent
    with purpose of expansion funds?

```{=html}
<!-- -->
```
-   [For applicants proposing dental services]{.underline} - Does the
    application describe how the proposed activities will help develop
    or expand oral health services?

-   [For applicants proposing MIS or EMR activities]{.underline} -- Does
    the application describe how the proposed activities will help
    enhance the quality of HIV primary care provided?

> ***b. Provider Network Description* [If Applicable]{.underline}**

-   Does the applicant clearly describe how multiple providers will work
    together to coordinate proposed activities?

-   Does the grantee provide letters of agreements for those who will be
    working on the proposed activities?

-   Do the agreements clearly describe what is expected of each network
    provider?

> ***c. Sustainability***

-   Does the application describe how the proposed activities will
    continue after the one-year project period?

```{=html}
<!-- -->
```
-   Does the application describe how the proposed activities will be
    available and functioning after the one-year project period?

    -   Does the applicant describe their plan for dissemination of
        information or products developed as a result of expansion
        activities with their collaborators?

> **Work Plan** **(20 Points)**

-   Do the objectives of the proposed program address one of the funding
    special considerations of the grant as described in section I and
    section V.2 of this application guidance?

-   Does the work plan include clearly written Problem Statements,
    Goals, Objectives and Key Action Steps?

-   Do the objectives relate directly to each of the goals?

-   Do the Key Action Steps contribute directly to meeting each of the
    objectives?

-   Are the objectives and Key Action Steps specific and measurable?

-   Do the objectives and Key Action Steps have target dates or specific
    milestones?

-   Are evaluation methods included for each objective?

> **Resolution of challenges (2 Points)**

-   Does the applicant clearly describe challenges they expect to face
    in implementing the activities described in the work plan?

-   Does the applicant clearly describe how they propose to resolve the
    challenges described?

-   If applicable, does the applicant describe objectives not reached in
    previous project period, why they did not reach them and how the
    proposed activities will help address these?

-   If applicant received expansion or Capacity Development funds for
    the same activities as proposed, does the applicant explain why
    those funds did not fulfill their needs?

> **Criterion 3: Evaluative Measures (10 Points Total)**
>
> This section relates to the effectiveness of the method proposed to
> monitor and evaluate the project results. Evaluative measures must be
> able to assess 1) to what extent the program objectives have been met
> and 2) the impact of the project on the target populations.
>
> This corresponds to the **HAB Quality Expectations (CQI)** section of
> the Narrative.
>
> **Continuous Quality Improvement Plan**

-   Does the application indicate a systematic quality management
    process with identified leadership, accountability and dedicated
    resources?

-   Does the applicant clearly define the quality indicators to assess
    the proposed activities?

-   Does the applicant describe the process used to provide feedback and
    implement changes within the proposed services?

> [For applicants proposing dental services]{.underline} --

-   Does the application describe a formalized mechanism to be used to
    implement CQI for oral health services?

> [For applicants proposing activities related to EMR or
> MIS]{.underline} --

-   Does the applicant clearly describe their current management
    information system, if applicable or the proposed system if they do
    not have one, and its capacity to track needed data?

-   Does the application describe a CQI process that will be used to
    ensure the system will be capable of growing and providing required
    data, therefore fulfilling the needs identified.

> **Criterion 4: Impact (5 Points Total)**
>
> This section relates to the extent and effectiveness of plans for
> evaluation of the proposed activities.
>
> This corresponds to the **Evaluation** section of the Narrative.

-   Does the applicant clearly describe their evaluation plan, including
    staff and process?

-   Does the plan effectively measure how the project meets its goals
    and objectives?

-   Does the applicant clearly describe how they will measure the impact
    of their project?

> **Criterion 5: Resources/Capabilities (10 Points Total)**
>
> This section relates to the extent to which project personnel are
> qualified by training and/or experience to implement and carry out the
> projects. Also relates to the capabilities of the applicant
> organization, and quality and availability of facilities and personnel
> to fulfill the needs and requirements of the proposed project.
>
> This corresponds to the **Organizational Information** section of the
> Narrative and the **Staffing Plan**.
>
> **Organizational Information**

-   Does the applicant demonstrate that they have the capability and
    experience to implement successful Title IV expansion activities?

-   Does the application describe the in-service training provided to
    staff?

-   [For applicant requesting fund for MIS only]{.underline} - Does the
    applicant include information on their fiscal and accounting
    systems?

-   Does the applicant provide information on the Federal, State, and
    local funding they receive for their HIV program?

> **Staffing Plan and Personnel Requirements [If
> Applicable]{.underline}**

-   Does the application provide position descriptions for staff
    directly involved with the proposed activities in the Appendices?

-   Does the application describe the staff involved in the proposed
    activities, their skills and experience?

-   Does the application include biographical sketches for staff listed
    within the budget [or]{.underline} staff providing oversight to the
    project but not in the budget?

> **Criterion 6: Support Requested (20 Points Total)**
>
> This criterion relates to how reasonable the proposed budget is in
> relation to the objectives, the complexity of the proposed activities,
> number of patients, and the anticipated results.
>
> This corresponds to both the **Budget** and **Budget Justification**
> sections.

-   Does the application include an SF 424A form?

-   Does the application include a line item budget and a budget
    justification?

-   Does the budget list items that are adequate and appropriate for the
    proposed activities?

-   Does the budget clearly list staff with names where appropriate?

-   Does the budget justification clearly provide calculations for all
    categories?

-   Does the application include subcontractor budgets, where
    appropriate?

-   Do the amounts on the SF 424A match those provided on the line-item
    budget?

-   Does the applicant adhere to the 10 percent cap for administrative
    expenses?

> **2. Review and Selection Process**
>
> The Division of Independent Review is responsible for managing
> objective reviews within HRSA. Applications competing for federal
> funds receive an objective and independent review performed by a
> committee of experts qualified by training and experience in
> particular fields or disciplines related to the program being
> reviewed. In selecting review committee members, other factors in
> addition to training and experience may be considered to improve the
> balance of the committee, e.g., geographic distribution. Each reviewer
> is screened to avoid conflicts of interest and is responsible for
> providing an objective, unbiased evaluation based on the review
> criteria noted above. The committee provides expert advice on the
> merits of each application to program officials responsible for final
> selections for award.
>
> Applications that pass the initial HRSA eligibility screening will be
> reviewed and rated by a panel based on the program elements and review
> criteria presented in relevant sections of this program announcement.
> The review criteria are designed to enable the review panel to assess
> the quality of a proposed project and determine the likelihood of its
> success.  The criteria are closely related to each other and are
> considered as a whole in judging the overall quality of an
> application.

**Funding Factors**

**Funding Special Considerations**

Special considerations are factors considered in making funding
decisions that are neither review criteria, preferences, nor priorities,
e.g., ensuring that there is an equitable geographic distribution of
grant recipients, or meeting requirements for urban and rural
proportions.

> Special Consideration under this funding opportunity will be given to
> current grantees that propose to improve or establish (1) dental
> services (i.e. direct dental services, major dental equipment items,
> and supplies), (2) an Electronic Medical Records System (EMR), or (3)
> data collection systems, including client level data, through funding
> for their Management Information System (MIS).

[]{#__RefHeading___Toc47265150 .anchor}**3. Anticipated Announcement and
Award Dates**

> []{#__RefHeading___Toc47265153 .anchor}Awards are expected to be
> announced by September 1, 2007.

**VI. Award Administration Information**

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

> Each applicant will receive written notification of the outcome of the
> objective review process, including a summary of the expert
> committee's assessment of the application's merits and weaknesses, and
> whether the application was selected for funding. Applicants who are
> selected for funding may be required to respond in a satisfactory
> manner to Conditions placed on their application before funding can
> proceed. Letters of notification do not provide authorization to begin
> performance.
>
> The Notice of Grant Award sets forth the amount of funds granted, the
> terms and conditions of the grant, the effective date of the grant,
> the budget period for which initial support will be given, the
> non-Federal share to be provided (if applicable), and the total
> project period for which support is contemplated. Signed by the Grants
> Management Officer, it is sent to the applicant agency's Authorized
> Representative, and reflects the only authorizing document. It will be
> sent prior to the start date of September 1, 2007.

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

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

> Beginning October 1, 2006, HRSA grant awards will be subject to the
> requirements of the HHS Grants Policy Statement (HHS GPS) that are
> applicable to the grant based on recipient type and purpose of award.
> This includes, as applicable, any requirements in Parts I and II of
> the HHS GPS that apply to the award, as well as any requirements of
> Part IV. The HHS GPS is available at <http://www.hrsa.gov/grants/>.
> The general terms and conditions in the HHS GPS will apply as
> indicated unless there are statutory, regulatory, or award-specific
> requirements to the contrary (as specified in the Notice of Award).

**PUBLIC POLICY ISSUANCE**

[]{.mark}

**HEALTHY PEOPLE 2010**

> **Healthy People 2010** is a national initiative led by HHS that sets
> priorities for all HRSA programs. The initiative has two major goals:
> (1) Increase the quality and years of a healthy life; and (2)
> Eliminate our country's health disparities. The program consists of 28
> focus areas and 467 objectives. HRSA has actively participated in the
> work groups of all the focus areas, and is committed to the
> achievement of the Healthy People 2010 goals.
>
> Applicants must summarize the relationship of their projects and
> identify which of their programs objectives and/or sub-objectives
> relate to the goals of the Healthy People 2010 initiative.
>
> Copies of the Healthy People 2010 may be obtained from the
> Superintendent of Documents or downloaded at the Healthy People 2010
> website: [http://www.health.gov/healthypeople/document]{.underline}/.
>
> The Public Health Service strongly encourages all award recipients to
> provide a smoke-free workplace and to promote the non-use of all
> tobacco products. Further, Public Law 103-227, the Pro-Children Act of
> 1994, prohibits smoking in certain facilities (or in some cases, any
> portion of a facility) in which regular or routine education, library,
> day care, health care or early childhood development services are
> provided to children.

[[]{#__RefHeading___Toc47265158 .anchor}]{.mark}

**3. Reporting**

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

a.  **Audit Requirements**

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

b.  **Payment Management Requirements**

> Submit a quarterly electronic PSC-272 via the Payment Management
> System. The report identifies cash expenditures against the authorized
> funds for the grant. Failure to submit the report may result in the
> inability to access grant funds. The PSC-272 Certification page should
> be faxed to the PMS contact at the fax number listed on the 272 form,
> or it may be submitted to the:
>
> Division of Payment Management
>
> HHS/ASAM/PSC/FMS/DPM
>
> PO Box 6021
>
> Rockville, MD 20852
>
> Telephone: (877) 614-5533;

c.  **Status Reports**

> 1\. Submit a **Financial Status Report**. A financial status report is
> required within 90 days of the end of each grant year. The report is
> an accounting of expenditures under the project that year. More
> specific information will be included in the award notice;
>
> 2\. Submit a **Progress Report** (s). Further information will be
> provided in the notice of grant award.
>
> d\. **Performance Review**
>
> HRSA's Office of Performance Review (OPR) serves as the agency's focal
> point for reviewing and enhancing the performance of HRSA funded
> programs within communities and States. As part of this agency-wide
> effort, HRSA grantees will be required to participate, where
> appropriate, in an on-site performance review of their HRSA funded
> program(s) by a review team from one of the ten OPR regional
> divisions. Grantees should expect to participate in a performance
> review at some point during their project period. When a grantee
> receives more than one HRSA grant, each of the grantee's HRSA funded
> programs will be reviewed during the same performance review.
>
> The purpose of performance review is to improve the performance of
> HRSA funded programs. Through systematic pre-site and on-site
> analysis, OPR works collaboratively with grantees and HRSA
> Bureaus/Offices to measure program performance, analyze the factors
> impacting performance, and identify effective strategies and
> partnerships to improve program performance, with a particular focus
> on outcomes. Upon completion of the performance review, grantees will
> be expected to prepare an Action Plan that identifies key actions to
> improve program performance as well as addresses any identified
> program requirement issues. In addition, performance reviews also
> provide an opportunity for grantees to offer direct feedback to the
> agency about the impact of HRSA policies on program implementation and
> performance within communities and States.
>
> For additional information on performance reviews, please visit:
> <http://www.hrsa.gov/performancereview>.

[]{#__RefHeading___Toc47265160 .anchor}**VII. Agency Contacts**

> Applicants may obtain additional information regarding business,
> administrative, or fiscal issues related to this grant announcement by
> contacting:
>
> Donna Marx
>
> Grants Management Specialist
>
> Health Services Branch
>
> HRSA, Division of Grants Management Operations
>
> Parklawn Building, Room 11A-16
>
> 5600 Fishers Lane
>
> Rockville, Maryland 20857
>
> Telephone: (301) 443-4245
>
> Fax: 301-594-4073
>
> dmarx@hrsa.gov
>
> Additional information related to the overall program issues may be
> obtained by contacting:
>
> Janet Hawkins, MSW
>
> Project Officer
>
> Division of Community Based Programs
>
> HRSA, HIV/AIDS Bureau
>
> 5600 Fishers Lane, Room 7A-08
>
> Rockville, MD 20857

Telephone: 301-443-1947

Fax: 301-594-1839

Email: []{#__RefHeading___Toc47265165 .anchor}jhawkins@hrsa.gov

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

[]{.mark}

> **Include DUNS Number.** You must include a DUNS Number to have your
> application reviewed. Applications ***will not*** be reviewed without
> a DUNS number. To obtain a DUNS number, access
> [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
> 1-866-705-5711. Please include the DUNS number in item 8c 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 attachments.** Do not use the attachments
> for information that is required in the body of the application. Be
> sure to cross-reference all tables and attachments to the appropriate
> text in the application.
>
> **Carefully proofread the application.** Misspellings and grammatical
> errors will impede reviewers in understanding the application. Be sure
> that page limits are followed. Limit the use of abbreviations and
> acronyms, and define each one at its first use and periodically
> throughout application. Make sure you submit your application in final
> form, without markups.
>
> **Print out and carefully review and electronic application to ensure
> accuracy and completion.** When submitting electronically, print out
> the application before submitting it to ensure appropriate formatting
> and adherence to page limit requirement. **Check to ensure that all
> attachments are included in your electronic submission before sending
> the application forward.**
>
> **Ensure that all information is submitted at the same time.** We will
> not consider additional **information and/or materials submitted after
> your initial submission, nor will we accept e-mailed applications or
> supplemental materials once your application has been received.**

APPENDIX A: HRSA's Electronic Submission User Guide

User Guide Table of Contents

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

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

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

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

# 

# 1. Introduction

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

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

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

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

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

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

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

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

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

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

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

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

# 2. Noncompeting Continuation Application

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

-   Register the organization with Central Contractor Registry (CCR)

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

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

-   Register an Authorized Organization Representative (AOR)

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

-   Register the username and password with Grants.gov

-   Get authorized as an AOR by your organization

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

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

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

##  {#section-1 .unnumbered}

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

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

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

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

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

-   Authorizing Official (AO),

-   Business Official (BO), and

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

## 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\>*

910 Clopper Road, Suite 155 South

Gaithersburg, MD 20878

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,
excluding Federal holidays.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

In case of any errors, you must correct the application and resubmit it
to Grants.gov. If you are unable to resubmit because the opportunity has
since closed, **contact the Director of the Division of Grants Policy**
via email at <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 Entity Identifier field (box 5a 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\>*

910 Clopper Road, Suite 155 South

Gaithersburg, MD 20878

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

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

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

HRSA uses two standard packages from Grants.gov.

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

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

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

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

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

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

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

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

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

# 5. Customer Support Information

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

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

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

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

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

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

Please visit HRSA EHBs for online help. Go to:

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

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

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

# 6. FAQs

## 6.1 Software {#software .unnumbered}

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

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

**System Requirements:**

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

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

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

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

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

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

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

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

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

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

Grants.gov website states:

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

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

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

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

IE 6.0 and above is the recommended browser.

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

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

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

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

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

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

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

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

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

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

**Competing Submissions:**

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

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

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

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 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
1-800-518-4726. Grants.gov also provides a variety of support options
through online Help including Context-Sensitive Help, Online Tutorials,
FAQs, Training Demonstration, User Guide, and Quick Reference Guides.

Follow this checklist to complete your registration---

1\. Register Your Organization

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

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

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

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

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

\- Obtain your username and password

\- Register your username and password with Grants.gov

3\. Get Yourself Authorized as an AOR

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

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

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

**REGISTER YOUR ORGANIZATION**

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

**Obtain your organization's DUNS number**

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

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

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

**Register your organization with CCR**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**2. Register with Grants.gov**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The HRSA Grants Application Center

The Legin Group, Inc.

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

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

910 Clopper Road, Suite 155 South

Gaithersburg, MD 20878

Telephone: 877-477-2123

**Formal Submission of the Electronic Application**

Applications completed online are considered formally submitted when the
Authorizing Official electronically submits the application to HRSA
through Grants.gov. However, to complete the submission requirements, a
hard-copy of the SF-424/5161 Face Sheet must be printed, signed, and
submitted to the HRSA Grants Application Center. For competitive
applications, the SF-424/5161 must be printed from Grants.gov.

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

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

**Performance Measures for Competitive Applications**

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

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

For applications which require submittal of performance measures
electronically through the completion of program specific data forms,
instructions will be provided both in the program guidance and through
an e-mail, notifying grantees of their responsibility to provide this
information, and providing instructions on how to do so.

# Appendix C- Title IV Agreement

**Ryan White HIV/AIDS Treatment Modernization Act of 2006 Title IV**

The authorized representative of the applicant must include a copy of
this agreement form with the grant application. This agreement lists the
program assurances which must be satisfied in order to qualify for a
Part D grant, as required by section 2671.

I, the authorized representative of
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ in
applying for a grant under Part D of Title XXVI, Public Health Service
Act, as amended by the Ryan White HIV/AIDS Treatment Modernization Act
of 2006, P.L. 109-415, 42 U.S.C. 300ff-71, hereby agree that:

As required in section 2671 subsection (c) - Coordination With Other
Entities:

(1) The applicant will coordinate activities under the grant with other
    providers of health care services under this Act, and under Title V
    of the Social Security Act, including programs promoting the
    reduction and elimination of the risk of HIV/AIDS for youth;

(2) The applicant will participate in the statewide coordinated
    statement of need under part B (where it has been initiated by the
    public health agency responsible for administering grants under
    part B) and in revisions of such statements; and

(3) The applicant will every 2 years submit to the lead State agency
    audits regarding funds expended in accordance with this Title and
    shall include necessary client-level data to complete unmet need
    calculations and Statewide coordinated statements of need process.

I understand I can obtain a copy of the Title XXVI, PHS Act Part D at
([**http://www.thomas.loc.gov**)]{.underline} to gain full knowledge of
its contents.

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Title:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_