# Instructions for Preparing

# AoA Continuation Grant Applications 

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# Administration on Aging

**2007**

# [Contents]{.underline}

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+-----------------------------------------------------------------+----+
| # I. Standard Forms                                             | #  |
+-----------------------------------------------------------------+----+
| #                                                               | #  |
+-----------------------------------------------------------------+----+
| #  1. SF 424                                                    | #  |
+-----------------------------------------------------------------+----+
| #  - Match Requirement                                          | #  |
+-----------------------------------------------------------------+----+
| #  2. SF 424A                                                   | #  |
+-----------------------------------------------------------------+----+
| #  - Separate Budget Narrative/Justification Requirement        | #  |
+-----------------------------------------------------------------+----+
| #  3. SF 424B                                                   | #  |
+-----------------------------------------------------------------+----+
| #                                                               | #  |
+-----------------------------------------------------------------+----+
| #                                                               | #  |
+-----------------------------------------------------------------+----+
| **II. Project Narrative**                                       | #  |
+-----------------------------------------------------------------+----+
|                                                                 | #  |
+-----------------------------------------------------------------+----+
| **1. Progress-to-Date**                                         | #  |
+-----------------------------------------------------------------+----+
| **2. Proposal for Coming Grant Period**                         | #  |
+-----------------------------------------------------------------+----+
| **A. Summary/Abstract**                                         | #  |
+-----------------------------------------------------------------+----+
| **B. Goals, Objectives and Outcomes**                           | #  |
+-----------------------------------------------------------------+----+
| **C. Intervention / Overall Approach**                          | #  |
+-----------------------------------------------------------------+----+
| **D. Evaluation**                                               | #  |
+-----------------------------------------------------------------+----+
| **E. Dissemination**                                            | #  |
+-----------------------------------------------------------------+----+
| **F. Project Management**                                       | #  |
+-----------------------------------------------------------------+----+
| **G. Work Plan**                                                | #  |
+-----------------------------------------------------------------+----+
|                                                                 | #  |
+-----------------------------------------------------------------+----+
| **III. Application Review Process**                             | #  |
+-----------------------------------------------------------------+----+
|                                                                 | #  |
+-----------------------------------------------------------------+----+
| **IV. Components & Order of An Application**                    | #  |
+-----------------------------------------------------------------+----+
|                                                                 | #  |
+-----------------------------------------------------------------+----+
| ######## V. Application Submission Instructions                 | #  |
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|                                                                 | #  |
+-----------------------------------------------------------------+----+
| **ATTACHMENTS**                                                 | #  |
+-----------------------------------------------------------------+----+
|                                                                 | #  |
+-----------------------------------------------------------------+----+
| **Budget Narrative -- Sample Format with Examples**             | #  |
+-----------------------------------------------------------------+----+
| **Budget Narrative -- Sample Format**                           | #  |
+-----------------------------------------------------------------+----+
| **Work Plan -- Sample Format**                                  | #  |
+-----------------------------------------------------------------+----+
| **Instructions for Completing the Project Summary/Abstract**    | #  |
+-----------------------------------------------------------------+----+

#  Instructions for Preparing 

# AoA Continuation Grant Applications

# 

###### I. Standard Forms

  -----------------------------------------------------------------------
  This document provides step-by-step instructions for completing all
  necessary forms, documents and information required by the U.S.
  Administration on Aging for continuation grant applications authorized
  under the Older Americans Act, including special instructions for
  completing Standard Forms 424 and 424A. Standard Forms 424 and 424A are
  used for a wide variety of federal grant programs, and federal agencies
  have the discretion to require some or all of the information on these
  forms. AoA does not require all the information on the SF 424 and 424A
  Forms. Accordingly, please use the instructions below in lieu of the
  standard instructions attached to SF 424 and 424A to complete these
  forms. Please note that single-sided copies of all required forms must
  be used in submitting your application.

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

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###### 1. Standard Form 424

1\. **Type of Submission:** (Required): Select one type of submission in
accordance with agency instructions.• Preapplication • Application •
Changed/Corrected Application -- If AoA requests, check if this
submission is to change or correct a previously submitted application.

2\. **Type of Application**: (Required) Select one type of application
in accordance with agency instructions. • New . • Continuation •
Revision

3\. **Date Received:** Leave this field blank.

4\. **Applicant Identifier**: Leave this field blank

5a **Federal Entity Identifier**: Leave this field blank

5b. **Federal Award Identifier**: For new applications leave blank. For
a continuation or revision to an existing award, enter the previously
assigned Federal award (grant) number.

6\. **Date Received by State:** Leave this field blank.

7\. **State Application Identifier:** Leave this field blank.

8\. **Applicant Information**: Enter the following in accordance with
agency instructions:

**a. Legal Name**: (Required): Enter the name that the organization has
registered with the Central Contractor Registry. Information on
registering with CCR may be obtained by visiting the Grants.gov website.

**b. Employer/Taxpayer Number (EIN/TIN):** (Required): Enter the
Employer or Taxpayer Identification Number (EIN or TIN) as assigned by
the Internal Revenue Service.

**c. Organizational DUNS**: (Required) Enter the organization's DUNS or
DUNS+4 number received from Dun and Bradstreet. Information on obtaining
a DUNS number may be obtained by visiting the Grants.gov website.

**d. Address**: (Required) Enter the complete address including the
county.

**e. Organizational Unit:** Enter the name of the primary organizational
unit (and department or division, if applicable**)** that will undertake
the project.

**f. Name and contact information of person to be contacted on matters
involving this application**: Enter the name (First and last name
required), organizational affiliation (if affiliated with an
organization other than the applicant organization), telephone number
(Required), fax number, and email address (Required) of the person to
contact on

matters related to this application.

9\. **Type of Applicant:** (Required) Select the applicant organization
"type" from the following drop down list. A. State Government B. County
Government C. City or Township Government D. Special District Government
E. Regional Organization F. U.S. Territory or Possession G. Independent
School District H. Public/State Controlled Institution of Higher
Education I. Indian/Native American Tribal Government (Federally
Recognized) J. Indian/Native American Tribal Government (Other than
Federally Recognized) K. Indian/Native American Tribally Designated
Organization L. Public/Indian Housing Authority M. Nonprofit with 501C3
IRS Status (Other than Institution of Higher Education) N. Nonprofit
without 501C3 IRS Status (Other than Institution of Higher Education) O.
Private Institution of Higher Education P. Individual Q. For-Profit
Organization (Other than Small Business) R. Small Business S.
Hispanic-serving Institution T. Historically Black Colleges and
Universities (HBCUs) U. Tribally Controlled Colleges and Universities
(TCCUs) V. Alaska Native and Native Hawaiian Serving Institutions W.
Non-domestic (non-US) Entity X. Other (specify)

10\. **Name Of Federal Agency**: (Required) Enter U.S. Administration on
Aging

11\. **Catalog Of Federal Domestic Assistance Number/Title:** The CFDA
number can be found on page one of the Program Announcement.

12\. **Funding Opportunity Number/Title:** (Required) The Funding
Opportunity Number and title of the opportunity can be found on page one
of the program announcement.

13\. **Competition Identification Number/Title:** Leave this field
blank.

14\. **Areas Affected By Project:** List the largest political entity
affected (cities, counties, state etc).

15\. **Descriptive Title of Applicant's Project:** (Required) Enter a
brief descriptive title of the project.

16\. **Congressional Districts Of**: (Required) 16a. Enter the
applicant's Congressional District, and 16b. Enter all district(s)
affected by the program or project. Enter in the format: 2 characters
State Abbreviation -- 3 characters District Number, e.g., CA-005 for
California 5th district, CA-012 for California 12^th^ district, NC-103
for North Carolina's 103rd district. • If all congressional districts in
a state are affected, enter "all" for the district number, e.g., MD-all
for all congressional districts in Maryland. • If nationwide, i.e. all
districts within all states are affected, enter US-all.

17\. **Proposed Project Start and End Dates**: (Required) Enter the
proposed start date and end date of the project.

18\. **Estimated Funding:** (Required) Enter the amount requested or to
be contributed during the first funding/budget period by each
contributor. Value of in-kind contributions should be included on
appropriate lines, as applicable. If the action will result in a dollar
change to an existing award, indicate only the amount of the change. For
decreases, enclose the amounts in parentheses.

**NOTE:** Applicants should review cost sharing or matching principles
contained in Subpart C of 45 CFR Part 74 or 45 CFR Part 92 before
completing Item 18 and the Budget Information Sections A, B and C noted
below.

All budget information entered under item 18 should cover the upcoming
budget period. For sub-item 18a, enter the federal funds being
requested. Sub-items 18b-18e is considered matching funds. The dollar
amounts entered in sub-items 18b-18f must total at least 1/3^rd^ of the
amount of federal funds being requested (the amount in 18a). For a full
explanation of AoA's match requirements, see the information in the box
below. For sub-item 18f, enter only the amount, if any, that is going to
be used as part of the required match.

There are three types of match: 1.) non-federal cash; 2.) non-federal
non-cash (i.e., in-kind); and 3.) program income. In general, costs
borne by the applicant and cash contributions of any and all third
parties involved in the project, including sub-grantees, contractors and
consultants, are considered [cash matching funds]{.underline}.
Generally, most contributions from third parties will be non-cash (i.e.,
in-kind) matching funds. Examples of [non-cash (in-kind)
match]{.underline} include: volunteered time and use of facilities to
hold meetings or conduct project activities. A third form of non-federal
match is projected [program income]{.underline} derived from activities
of the project such as participant fees and sale of publications. [Only
program income that is to be used as part of the required match should
be shown on Line 15.]{.underline}

NOTE: **Indirect charges** may only be requested if: (1) the applicant
has a current indirect cost rate agreement approved by the Department of
Health and Human Services or another federal agency; or (2) the
applicant is a state or local government agency. State governments
should enter the amount of indirect costs determined in accordance with
DHHS requirements. **If indirect costs are to be included in the
application, a copy of the approved indirect cost agreement must be
included with the application.**

19\. **Is Application Subject to Review by State Under Executive Order
12372 Process?** Check c. Program is not covered by E.O. 12372

20\. **Is the Applicant Delinquent on any Federal Debt?** (Required)
This question applies to the applicant organization, not the person who
signs as the authorized representative. If yes, include an explanation
on the continuation sheet.

21\. **Authorized Representative**: (Required) To be signed and dated by
the authorized representative of the applicant organization. Enter the
name (First and last name required) title (Required), telephone number
(Required), fax number, and email address (Required) of the person
authorized to sign for the applicant. A copy of the governing body's
authorization for you to sign this application as the official
representative must be on file in the applicant's office. (Certain
Federal agencies may require that this authorization be submitted as
part of the application.)

**[2. Standard Form 424A]{.underline}**

  -----------------------------------------------------------------------
  NOTE: Standard Form 424A is designed to accommodate applications for
  multiple grant programs; thus, for purposes of this AoA program, many
  of the budget item columns and rows are not applicable. For your
  convenience, these non-applicable columns and rows have been shaded-out
  on the form. You should only consider and respond to the budget items
  for which guidance is provided below.

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

##### 

##### Section A ‑ Budget Summary

[Line 5]{.underline}: Enter TOTAL federal costs in column (e) and total
non‑federal costs (including

> third party in‑kind contributions and any program income to be used as
> part of the grantee match) in column (f). Enter the sum of columns (e)
> and (f) in column (g).

##### 

> For continuation projects, if you anticipate having unobligated funds
> from the grant(s) you previously received for this project, on Line 5
> enter in columns (c ) and (d) the estimated amount of federal and
> non-federal funds that will remain unobligated at the end of the
> current grant period. [You must submit an interim SF-269 with your
> budget justification to support and explain these costs.]{.underline}
> If you do not anticipate having unobligated funds, leave these columns
> blank.

##### Section B ‑ Budget Categories

Column 3: Enter the break down of how you plan to use the federal funds
being

> requested by object class category (see instructions for each object
> class category below).

Column 4: Enter the break down of how you plan to use the non-federal
share by object class category.

Column 5: Enter the total funds required (the sum of Columns 3 and 4) by
object class category.

+-----------------------------------------------------------------------+
| ###### Separate Budget Narrative/Justification Requirement            |
|                                                                       |
| You must submit a separate budget narrative as part of your           |
| application. **A sample format has been included in the Attachments   |
| for your use in presenting a justification of your budget.** In your  |
| budget justification, you should include a breakdown of the budget    |
| which shows the costs for all of the object class categories noted in |
| Section B, across three columns: federal; non-federal cash; and       |
| non-federal in-kind. The justification should fully explain and       |
| justify the costs in each of the major budget items for each of the   |
| object class categories, as described below. Third party in-kind      |
| contributions and program income designated as non-federal match      |
| contributions should be clearly identified and justified separately   |
| from the justification for the budget line items. The full budget     |
| justification should be included in the application immediately       |
| following the SF 424 forms.                                           |
+-----------------------------------------------------------------------+

[Line 6a]{.underline}: [Personnel]{.underline}: Enter total costs of
salaries and wages of applicant/grantee staff. Do

> not include the costs of consultants, which should be included under
> 6h ‑ Other.
>
> [In the Justification]{.underline}: Identify the project director, if
> known. Specify the key staff, their titles, brief summary of project
> related duties, and time commitments in the budget justification.

[Line 6b]{.underline}: [Fringe Benefits]{.underline}: Enter the total
costs of fringe benefits unless treated as part of

> an approved indirect cost rate.
>
> [In the Justification]{.underline}: Provide a break‑down of amounts
> and percentages that comprise fringe benefit costs, such as health
> insurance, FICA, retirement insurance, etc.

[Line 6c]{.underline}: [Travel]{.underline}: Enter total costs of
[out‑of‑town travel]{.underline} (travel requiring per diem) for

> staff of the project. Do not enter costs for consultant\'s travel -
> this should be included in line 6h.
>
> [In the Justification]{.underline}: Include the total number of trips,
> destinations, purpose, length of stay, subsistence allowances and
> transportation costs (including mileage rates).

[Line 6d]{.underline}: [Equipment]{.underline}: Enter the total costs of
all equipment to be acquired by the project. For all grantees,
\"equipment\" is non‑expendable tangible personal property having a
useful life of more than two years and an acquisition cost of \$5,000 or
more per unit. If the item does not meet the \$5,000 threshold, include
it in your budget under Supplies, line 6e.

> [In the Justification]{.underline}: Equipment to be purchased with
> federal funds must be justified as necessary for the conduct of the
> project. The equipment must be used for project-related functions.
> Further, the purchase of specific items of equipment should not be
> included in the submitted budget if those items of equipment, or a
> reasonable facsimile, are otherwise available to the applicant or its
> sub‑grantees. The justification also must contain plans for the use or
> disposal of the equipment after the project ends.

[Line 6e]{.underline}: [Supplies:]{.underline} Enter the total costs of
all tangible expendable personal property

> (supplies) other than those included on line 6d.
>
> [In the Justification:]{.underline} Provide general description of
> types of items included.

[Line 6f]{.underline}: [Contractual]{.underline}: Enter the total costs
of all contracts, including (1) procurement

> contracts (except those which belong on other lines such as equipment,
> supplies, etc.). Also include any contracts with organizations for the
> provision of technical assistance. Do not include payments to
> individuals on this line. [In the Justification]{.underline}: Attach a
> list of contractors indicating the name of the organization, the
> purpose of the contract, and the estimated dollar amount. If the name
> of the contractor, scope of work, and estimated costs are not
> available or have not been negotiated, indicate when this information
> will be available. **Whenever the applicant/grantee intends to
> delegate a substantial part (one-third, or more) of the project work
> to another agency, the applicant/grantee must provide a completed copy
> of Section B, Budget Categories for each contractor, along with
> supporting information and justifications.**

[Line 6g]{.underline}: [Construction]{.underline}: Leave blank since
construction is not an allowable costs for this program.

[Line 6h]{.underline}: [Other]{.underline}: Enter the total of all other
costs. Such costs, where applicable, may

> include, but are not limited to: insurance, medical and dental costs
> (i.e. for project volunteers this is different from personnel fringe
> benefits),non-contractual fees and travel paid directly to
> *individual* consultants, [local]{.underline} transportation (all
> travel which does not require per diem is considered local travel),
> postage, space and equipment rentals/lease, printing and publication,
> computer use, training and staff development costs (i.e. registration
> fees). If a cost does not clearly fit under another category, and it
> qualifies as an allowable cost, then rest assured this is where it
> belongs.
>
> [In the Justification:]{.underline} Provide a reasonable explanation
> for items in this category. For individual consultants, explain the
> nature of services provided and the relation to activities in the work
> plan. Describe the types of activities for staff development costs.

[Line 6i]{.underline}: [Total Direct Charges]{.underline}: Show the
totals of Lines 6a through 6h.

[Line 6j]{.underline}: [Indirect Charges]{.underline}: Enter the total
amount of indirect charges (costs), if any. If

> no indirect costs are requested, enter \"none.\" Indirect charges may
> be requested if: (1) the applicant has a current indirect cost rate
> agreement approved by the Department of Health and Human Services or
> another federal agency; or (2) the applicant is a state or local
> government agency. [State governments should enter the amount of
> indirect costs determined in accordance with DHHS
> requirements]{.underline}

[Line 6k]{.underline}: [Total]{.underline}: Enter the total amounts of
Lines 6i and 6j.

[Line 7]{.underline}: [Program Income]{.underline}: As appropriate,
include the estimated amount of income, if any, you expect to be
generated from this project that you wish to designate as match (equal
to the amount shown for Item 15(f) on Form 424). **[Note]{.underline}:**
Any program income indicated at the bottom of Section B and for item
15(f) on the face sheet of Form 424 will be included as part of
non-Federal match and will be subject to the rules for documenting
completion of this pledge. If program income is expected, but is not
needed to achieve matching funds, **do** **not** include that portion
here or on Item 15(f) of the Form 424 face sheet. Any anticipated
program income that will not be applied as grantee match should be
described in the Level of Effort section of the Program Narrative.

##### Section C ‑ Non‑Federal Resources

[Line 12]{.underline}: Enter the amounts of non‑federal resources that
will be used in carrying out the proposed project, by source (Applicant;
State; Other) and enter the total amount in Column (e). Do not include
program income unless it is used to meet the match requirement. Keep in
mind that if program income used to meet the match requirement and the
projected level of program income is not met, thereby decreasing the
level of match, the amount of federal funds available to the grantee may
be reduced if the match falls below required levels.

[Section D ‑ Forecasted Cash Needs]{.underline} - Not applicable.

[Section E ‑ Budget Estimate of Federal Funds Needed for Balance of the
Project]{.underline}

[Line 20]{.underline}: NOTE: Section E is relevant only for NEW
multi-year grant applications. It does not apply to continuation
applications, so you should leave this section blank.

###### Section F ‑ Other Budget Information

[Line 22]{.underline}: [Indirect Charges]{.underline}: Enter the type of
indirect rate (provisional, predetermined,

> final or fixed) to be in effect during the funding period, the base to
> which the rate is applied, and the total indirect costs. **Include a
> copy of your current Indirect Cost Rate Agreement.**

[Line 23]{.underline}: [Remarks]{.underline}: Provide any other comments
deemed necessary.

###### 3. Standard Form 424B -- Assurances for Non-Construction Programs

This form contains assurances required of applicants under the
discretionary funds programs administered by the Administration on
Aging. Please note that a duly authorized representative of the
applicant organization must certify that the organization is in
compliance with these assurances.

**II**. **Project Narrative**

The Project Narrative for the continuation grant period is the most
important part of the application because it a summary of the progress
to date and the details of what will be accomplished during the coming
grant period. The Project Narrative be **clear and concise** and include
the following components:

1.  Progress-to-Date

2.  Proposal for the Coming Grant Period

    A.  Summary/Abstract

    B.  Goals, Objectives and Outcomes

    C.  Intervention / Overall Approach

    D.  Evaluation (if you have an evaluation as part of your project)

    E.  Dissemination

    F.  Project Management

    G.  Work Plan

The narrative must be double-spaced, on single-sided 8 ½" x 11" plain
white paper with 1" margins on both sides, and a font size of not less
than 11. You can use smaller font sizes to fill in the Standard Forms
and Sample Formats. **The suggested length for the Project Narrative is
four to five pages; ten pages is the maximum length allowed**. **[AoA
will not accept continuation grant applications with a Project Narrative
that exceeds 10 pages.]{.underline}** The Work Plan (i.e. grid or matrix
format) is not counted as part of the Project Narrative.

The contents and preferred format for each component of the Project
Narrative are as follows:

##### **1. Progress-to-Date**

This section should include a brief summary of your progress-to-date on
the major objectives contained in the work plan in the previous year's
grant application. [Any measurable outcomes that have been achieved
should be clearly identified.]{.underline} If progress has not been in
line with the previous year's work plan, please briefly explain why. Do
not repeat details already provided in semi-annual reports; instead,
highlight major outcomes and accomplishments and note any new
achievements since the last semi-annual report.

###### 2. Proposal for the Coming Grant Period 

NOTE: Unless prior approval has been received to make changes, the scope
of the project, including the goals, objectives, and outcomes of this
continuation project must remain consistent with the original project
that was funded.

A.  **Summary/Abstract.** This section should include a brief
    description of the proposed project activities for the coming budget
    period. (See Attachments -- Instructions for Completing the Project
    Summary/Abstract)

B.  **Goals, Objectives and Outcomes.** Your project's major goals,
    objectives and outcomes were approved in your original application.
    For this continuation application, please note any *significant
    approved changes, and reflect those changes in revised actions steps
    in your work plan.*

C.  **Intervention / Overall Approach.** The intervention / overall
    approach you proposed to use to achieve your goals and objectives
    were approved in your original application. For this continuation
    application, please note any *significant changes* to your
    intervention and/or overall approach. Again, if using the work plan
    grid format, you may incorporate such changes into your action
    steps. Be sure to highlight, bold, capitalize or otherwise offset
    the changes when using the grid format.

D.  **Evaluation**. If your project includes an approved evaluation
    component, please note any significant approved changes to your
    plan.

E.  **Dissemination.** Your dissemination plan was approved in your
    original application. For this continuation application, please note
    any dissemination that has already occurred, significant changes to
    your dissemination plan, and dissemination activities to be
    undertaken during the next grant period. You may use the work plan
    grid format for describing dissemination activities.

F.  **Project Management.** Your project management plan, including the
    roles and responsibilities of project staff, consultants and major
    partner organizations, was approved in your original application.
    For this continuation application, please note any approved
    significant changes to your original management plan.

G.  **Work Plan.** Your project work plan, including those items
    discussed in Part II above, as well as project timelines, were
    approved in your original application; however, it is unlikely that
    you were able to identify all activities and appropriate timelines
    for subsequent years of your project. For this continuation
    application, please provide specific activities and timelines for
    the upcoming grant period, organized by your project's major
    objectives. You should provide this information in a work plan grid
    format (see sample grid format in the Attachments) and provide any
    needed additional detail in the narrative.

## III. Application Review Process

All continuation grant applications will be reviewed by at least two AoA
staff, including, at a minimum, the project officer and grant management
specialist assigned to the current grant. Information previously
provided in semi-annual reports, as well as information in this
continuation application will be considered to determine satisfactory
progress of your project and ensure that proposed activities are within
the approved scope and budget of your grant.

## IV. Components and Order of the Application

To expedite the processing of applications, we request that you arrange
the components of your application in the following order:

1\. SF 424. [Note]{.underline}: The original copy of the application
[must]{.underline} have an original signature in item 18d on the SF 424.

2.  SF 424A.

3.  Separate Budget Justification. (See Attachments for Sample Format.)

4\. SF 424B. Note: Be sure to complete this form according to
instructions and have it signed and dated by the authorized
representative (see item 18d on the SF 424).

5\. Copy of the applicant's most recent indirect cost agreement, as
necessary

6\. Project Narrative, including summary/abstract.

7\. Work Plan. (See Attachments for Sample Format.)

######## V. Application Submission Instructions

Application materials can be obtained from
[http://www.grants.gov](http://www.grants.gov/) using the Funding
Opportunity Number for the appropriate grant opportunity. Grantees
applying for continuation funding receive a letter including the Funding
Opportunity Number for their grant program.

Please note, AoA is requiring applications for this announcement to be
submitted electronically through
[www.grants.gov](http://www.grants.gov/). **For assistance with
[www.grants.gov](http://www.grants.gov/), please contact AoA's
Grants.gov helpdesk at 202-357-3438.** At
[www.grants.gov](http://www.grants.gov/), you will be able to download a
copy of the application packet, complete it off-line, and then upload
and submit the application via the Grants.gov website. The Grants.gov
registration process can take several days. If you are not currently
registered with [www.grants.gov](http://www.grants.gov/), please begin
this process immediately. Applicants that are unable to submit an
application electronically, may contact their AoA Program Officer or the
AoA Grants Management Office (Steve Daniels -- 202-357-3464; Sonya Dimas
-- 202-357-3450) to request permission to submit a hard-copy
application.

Applications submitted via [www.grants.gov](http://www.grants.gov/) :

-   You may access the electronic application for this program on
    [www.Grants.gov](http://www.Grants.gov/). You must search the
    downloadable application page by the Funding Opportunity Number.

-   At the www.grants.gov website, you will find information about
    submitting an application electronically through the site, including
    the hours of operation. AoA strongly recommends that you do not wait
    until the application due date to begin the application process
    through [www.grants.gov](http://www.grants.gov/) because of the time
    delay.

-   All applicants must have a Dun and Bradstreet (D&B) Data Universal
    Numbering System number and register in the Central Contractor
    Registry (CCR). You should allow a minimum of **five days** to
    complete the CCR registration.

-   You may submit all documents electronically, including all
    information 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 www.grants.gov that contains a
    Grants.gov tracking number. The Administration on Aging will
    retrieve your application form from Grants.gov.

-   We may request that you provide original signatures on forms at a
    later date.

**ATTACHMENTS**

**Sample Budget Narrative Format with Examples**

**Sample Budget Narrative Format**

**Sample Work Plan Format**

######### Instructions for Completing the Summary/Abstract

**Budget Narrative/Justification, Page 1 -- Sample Format with
EXAMPLES**

+------+------+------+------+------+----------------------------------+
| >    | *    | **N  | **N  | # T  | ### Justification                |
| **Ob | *Fed | on-F | on-F | OTAL |                                  |
| ject | eral | eder | eder |      |                                  |
| > C  | Fun  | al** | al** |      |                                  |
| lass | ds** |      |      |      |                                  |
| > Ca |      | **Ca | **I  |      |                                  |
| tego |      | sh** | n-Ki |      |                                  |
| ry** |      |      | nd** |      |                                  |
+------+------+------+------+------+----------------------------------+
| *    | \$40 |      | \$5  | \$45 | Project Supervisor (name) =      |
| *Per | ,000 |      | ,000 | ,000 | .3FTE @ \$50,000/yr = \$15,000   |
| sonn |      |      |      |      |                                  |
| el** |      |      |      |      | Project Director (name) = 1FTE @ |
|      |      |      |      |      | \$30,000 = \$30,000              |
+------+------+------+------+------+----------------------------------+
| **Fr | \$12 | 0    | 0    | \$12 | Fringes on Supervisor and        |
| inge | ,600 |      |      | ,600 | Director @ 28% of salary.        |
| Be   |      |      |      |      |                                  |
| nefi |      |      |      |      | FICA (7.65%) = \$3,442           |
| ts** |      |      |      |      |                                  |
|      |      |      |      |      | Health (12%) = \$5,400           |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Dental (5% ) = \$2,250           |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Life (2%) = \$ 900               |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Workers Comp Insurance (.75%) =  |
|      |      |      |      |      | \$ 338                           |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Unemployment Insurance (.6%) =   |
|      |      |      |      |      | \$ 270                           |
+------+------+------+------+------+----------------------------------+
| **   | \$3  | 0    | \$   | \$3  | Travel to Annual Grantee         |
| Trav | ,000 |      | 967  | ,967 | Meeting:                         |
| el** |      |      |      |      |                                  |
|      |      |      |      |      | Airfare: 1 RT x 2 people x       |
|      |      |      |      |      | \$750/RT = \$1,500               |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Lodging: 3 nights x 2 people x   |
|      |      |      |      |      | \$100/night = \$ 600             |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Per Diem: 4 days x 2 people x    |
|      |      |      |      |      | \$40/day = \$ 320                |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Out-of-Town Project Site Visits  |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Car mileage: 3 trips x 2 people  |
|      |      |      |      |      | x 350 miles /trip                |
|      |      |      |      |      |                                  |
|      |      |      |      |      | x \$ .365/mile = \$ 767          |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Lodging: 3 trips x 2 people x 1  |
|      |      |      |      |      | night/ trip x \$50/night = \$300 |
|      |      |      |      |      |                                  |
|      |      |      |      |      | Per Diem: 3 trips x 2 people x   |
|      |      |      |      |      | 2days/trip x \$40/day = \$480    |
+------+------+------+------+------+----------------------------------+

Budget Narrative/Justification, Page 2 Sample Format with EXAMPLES

###### 

+-----+-----+------+------+------+-----------------------------------+
| **  | **  | ###  | *    | ##   | ### Justification                 |
| Obj | Fed | ## * | *Non | ## * |                                   |
| ect | era | Non- | -Fed | [TOT |                                   |
| C   | l** | Fede | eral | AL]{ |                                   |
| las |     | ral* | I    | .und |                                   |
| s** | #   |      | n-Ki | erli |                                   |
|     |  Fu | #### | nd** | ne}* |                                   |
| **C | nds | # *C |      |      |                                   |
| ate |     | ash* |      |      |                                   |
| gor |     |      |      |      |                                   |
| y** |     |      |      |      |                                   |
+-----+-----+------+------+------+-----------------------------------+
| *   | 0   | 0    | 0    | 0    | No equipment requested            |
| *Eq |     |      |      |      |                                   |
| uip |     |      |      |      |                                   |
| men |     |      |      |      |                                   |
| t** |     |      |      |      |                                   |
+-----+-----+------+------+------+-----------------------------------+
| **S | \   |      | \$2  | \$3  | Laptop computer for use in client |
| upp | $1, |      | ,000 | ,500 | intakes = \$1,340                 |
| lie | 500 |      |      |      |                                   |
| s** |     |      |      |      | Consumable supplies (paper, pens, |
|     |     |      |      |      | etc.)                             |
|     |     |      |      |      |                                   |
|     |     |      |      |      | \$100/mo x 12 months = \$1,200    |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Copying \$80/mo x 12 months = \$, |
|     |     |      |      |      | 960                               |
+-----+-----+------+------+------+-----------------------------------+
| **C | \$2 | \$50 | 0    | \    | Contracts to A,B,C direct service |
| ont | 00, | ,000 |      | $250 | providers (name providers)        |
| rac | 000 |      |      | ,000 |                                   |
| tua |     |      |      |      | adult day care contractor =       |
| l** |     |      |      |      | \$75,000                          |
|     |     |      |      |      |                                   |
|     |     |      |      |      | respite care contractor in home=  |
|     |     |      |      |      | \$75,000                          |
|     |     |      |      |      |                                   |
|     |     |      |      |      | respite care contractor-NF =      |
|     |     |      |      |      | \$50,000                          |
|     |     |      |      |      |                                   |
|     |     |      |      |      | personal care/companion provider  |
|     |     |      |      |      | = \$50,000                        |
|     |     |      |      |      |                                   |
|     |     |      |      |      | See detailed budget justification |
|     |     |      |      |      | for each provider (and then       |
|     |     |      |      |      | provide it!)                      |
+-----+-----+------+------+------+-----------------------------------+
| Bud |     |      |      |      |                                   |
| get |     |      |      |      |                                   |
| Nar |     |      |      |      |                                   |
| rat |     |      |      |      |                                   |
| ive |     |      |      |      |                                   |
| /Ju |     |      |      |      |                                   |
| sti |     |      |      |      |                                   |
| fic |     |      |      |      |                                   |
| ati |     |      |      |      |                                   |
| on, |     |      |      |      |                                   |
| P   |     |      |      |      |                                   |
| age |     |      |      |      |                                   |
| 3   |     |      |      |      |                                   |
| --  |     |      |      |      |                                   |
| Sam |     |      |      |      |                                   |
| ple |     |      |      |      |                                   |
| For |     |      |      |      |                                   |
| mat |     |      |      |      |                                   |
| w   |     |      |      |      |                                   |
| ith |     |      |      |      |                                   |
| EX  |     |      |      |      |                                   |
| AMP |     |      |      |      |                                   |
| LES |     |      |      |      |                                   |
+-----+-----+------+------+------+-----------------------------------+
| **O | \$  | \$8  | \$19 | \$37 | Local conference registration fee |
| the | 10, | ,000 | ,800 | ,800 | (name conference) = \$ 200        |
| r** | 000 |      |      |      |                                   |
|     |     |      |      |      | Printing brochures (50,000 @ \$   |
|     |     |      |      |      | .05 ea) = \$ 2,500                |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Video production = \$19,800       |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Video Reproduction = \$ 3,500     |
|     |     |      |      |      |                                   |
|     |     |      |      |      | NF Respite Training Manual        |
|     |     |      |      |      | reproduction                      |
|     |     |      |      |      |                                   |
|     |     |      |      |      | \$3/manual x \$2000 manuals = \$  |
|     |     |      |      |      | 6,000                             |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Postage \$150/mo x 12 months = \$ |
|     |     |      |      |      | 1,800                             |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Caregiver Forum meeting room      |
|     |     |      |      |      | rentals                           |
|     |     |      |      |      |                                   |
|     |     |      |      |      | \$200/day x 12 forums = \$ 2,400  |
|     |     |      |      |      |                                   |
|     |     |      |      |      | Respite Training Scholarships =   |
|     |     |      |      |      | \$1,600                           |
+-----+-----+------+------+------+-----------------------------------+
| *   | 0   | 0    | 0    | 0    | None                              |
| *In |     |      |      |      |                                   |
| dir |     |      |      |      |                                   |
| ect |     |      |      |      |                                   |
| Cha |     |      |      |      |                                   |
| rge |     |      |      |      |                                   |
| s** |     |      |      |      |                                   |
+-----+-----+------+------+------+-----------------------------------+
| ##  | \$2 | \$60 | \$27 | \    |                                   |
| ### | 65, | ,800 | ,767 | $354 |                                   |
|  TO | 700 |      |      | ,267 |                                   |
| TAL |     |      |      |      |                                   |
+-----+-----+------+------+------+-----------------------------------+

Budget Narrative/Justification -- Page 1 -- Sample Format

+-----+------+------+------+------+-----------------------------------+
| >   | *    | **N  | **N  | # T  | ### Justification                 |
|  ** | *Fed | on-F | on-F | OTAL |                                   |
| Obj | eral | eder | eder |      |                                   |
| ect | Fun  | al** | al** |      |                                   |
| >   | ds** |      |      |      |                                   |
|  Cl |      | **Ca | **I  |      |                                   |
| ass |      | sh** | n-Ki |      |                                   |
| > C |      |      | nd** |      |                                   |
| ate |      |      |      |      |                                   |
| gor |      |      |      |      |                                   |
| y** |      |      |      |      |                                   |
+-----+------+------+------+------+-----------------------------------+
| *   |      |      |      |      |                                   |
| *Pe |      |      |      |      |                                   |
| rso |      |      |      |      |                                   |
| nne |      |      |      |      |                                   |
| l** |      |      |      |      |                                   |
+-----+------+------+------+------+-----------------------------------+
| **  |      |      |      |      |                                   |
| Fri |      |      |      |      |                                   |
| nge |      |      |      |      |                                   |
| B   |      |      |      |      |                                   |
| ene |      |      |      |      |                                   |
| fit |      |      |      |      |                                   |
| s** |      |      |      |      |                                   |
+-----+------+------+------+------+-----------------------------------+
| *   |      |      |      |      |                                   |
| *Tr |      |      |      |      |                                   |
| ave |      |      |      |      |                                   |
| l** |      |      |      |      |                                   |
+-----+------+------+------+------+-----------------------------------+
| *   |      |      |      |      |                                   |
| *Eq |      |      |      |      |                                   |
| uip |      |      |      |      |                                   |
| men |      |      |      |      |                                   |
| t** |      |      |      |      |                                   |
+-----+------+------+------+------+-----------------------------------+

**Budget Narrative/Justification -- Page 2 -- Sample Format**

+------+------+------+----+------+-----------------------------------+
| >    | *    | **N  | *  | # T  | ### Justification                 |
| **Ob | *Fed | on-F | *N | OTAL |                                   |
| ject | eral | eder | on |      |                                   |
| > C  | Fun  | al** | -F |      |                                   |
| lass | ds** |      | ed |      |                                   |
| > Ca |      | **Ca | er |      |                                   |
| tego |      | sh** | al |      |                                   |
| ry** |      |      | ** |      |                                   |
|      |      |      |    |      |                                   |
|      |      |      | *  |      |                                   |
|      |      |      | *I |      |                                   |
|      |      |      | n- |      |                                   |
|      |      |      | Ki |      |                                   |
|      |      |      | nd |      |                                   |
|      |      |      | ** |      |                                   |
+------+------+------+----+------+-----------------------------------+
| **Su |      |      |    |      |                                   |
| ppli |      |      |    |      |                                   |
| es** |      |      |    |      |                                   |
+------+------+------+----+------+-----------------------------------+
| **C  |      |      |    |      |                                   |
| ontr |      |      |    |      |                                   |
| actu |      |      |    |      |                                   |
| al** |      |      |    |      |                                   |
+------+------+------+----+------+-----------------------------------+
| *    |      |      |    |      |                                   |
| *Oth |      |      |    |      |                                   |
| er** |      |      |    |      |                                   |
+------+------+------+----+------+-----------------------------------+
| **   |      |      |    |      |                                   |
| Indi |      |      |    |      |                                   |
| rect |      |      |    |      |                                   |
| C    |      |      |    |      |                                   |
| harg |      |      |    |      |                                   |
| es** |      |      |    |      |                                   |
+------+------+------+----+------+-----------------------------------+
| #    |      |      |    |      |                                   |
| #### |      |      |    |      |                                   |
|  *TO |      |      |    |      |                                   |
| TAL* |      |      |    |      |                                   |
+------+------+------+----+------+-----------------------------------+

Project Work Plan, Page 1 -- Sample Format

  --------------- ------------------------------- ---------- ------------- ------- ------- ------- ------- ------- ------- ------- ------- -------- -------- --------
  **Goal:**                                                                                                                                                  

  **Measurable                                                                                                                                               
  Outcome(s):**                                                                                                                                              

  **Major         **Key Tasks**                   **Lead     **Timeframe                                                                                     
  Objectives**                                    Person**   (Start and                                                                                      
                                                             End Date by                                                                                     
                                                             Month)**                                                                                        

                                                             **1**         **2**   **3**   **4**   **5**   **6**   **7**   **8**   **9**   **10**   **11**   **12**

  1\.                                                                                                                                                        

                                                                                                                                                             

                                                                                                                                                             

                                                                                                                                                             

  2\.                                                                                                                                                        

                                                                                                                                                             

                                                                                                                                                             

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

Project Work Plan, Page 2 -- Sample Format

  -------------- ------------------------------- ---------- ------------- ------- ------- ------- ------- ------- ------- ------- ------- -------- -------- --------
  **Major        **Key Tasks**                   **Lead     **Timeframe                                                                                     
  Objectives**                                   Person**   (Start and                                                                                      
                                                            End Date by                                                                                     
                                                            Month)**                                                                                        

                                                            **1**         **2**   **3**   **4**   **5**   **6**   **7**   **8**   **9**   **10**   **11**   **12**

  3\.                                                                                                                                                       

                                                                                                                                                            

                                                                                                                                                            

                                                                                                                                                            

  4\.                                                                                                                                                       

                                                                                                                                                            

                                                                                                                                                            

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

Project Work Plan, Page 3 -- Sample Format

  -------------- ------------------------------- ---------- ------------- ------- ------- ------- ------- ------- ------- ------- ------- -------- -------- --------
  **Major        **Key Tasks**                   **Lead     **Timeframe                                                                                     
  Objectives**                                   Person**   (Start and                                                                                      
                                                            End Date by                                                                                     
                                                            Month)**                                                                                        

                                                            **1**         **2**   **3**   **4**   **5**   **6**   **7**   **8**   **9**   **10**   **11**   **12**

  5\.                                                                                                                                                       

                                                                                                                                                            

                                                                                                                                                            

                                                                                                                                                            

  6\.                                                                                                                                                       

                                                                                                                                                            

                                                                                                                                                            

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

NOTE: Please do note infer from this sample format that your work plan
must have only one goal or 6 major objectives. If you need more pages,
simply repeat this format on additional pages.

Instructions for Completing the Project Summary/Abstract

-   All applications for grant funding must include a Summary/Abstract
    that concisely describes the proposed project. It should be written
    for the general public.

```{=html}
<!-- -->
```
-   To ensure uniformity, please limit the length to no more than 300
    words on a single page with a font size of not less than 11,
    doubled-spaced.

-   The abstract must include the project's goal(s), objectives, overall
    approach (including target population and significant partnerships),
    anticipated outcomes, products, and duration. The following are very
    simple descriptions of these terms, and a sample Compendium
    abstract.

> **Goal(s)** -- broad, overall purpose, usually in a mission statement,
> i.e. what you want to do, where you want to be
>
> **Objective(s)** -- narrow, more specific, identifiable or measurable
> steps toward a goal. Part of the planning process or sequence (the
> "how"). Specific performances which will result in the attainment of a
> goal.
>
> **Outcomes -** measurable results of a project. Positive benefits or
> negative changes, or measurable characteristics that occur as a result
> of an organization's or program's activities. (outcomes are the
> end-point)

**Products --** materials, deliverables.

-   A model abstract/summary is provided below:

The grantee, Okoboji University, supports this three year Dementia
Disease demonstration (DD) project in collaboration with the local
Alzheimer's Association

and related Dementias groups. The [goal]{.underline} of the project is
to provide comprehensive, coordinated care to individuals with memory
concerns and to their caregivers. The approach is to expand the services
and to integrate the bio-psycho-social aspects of care. The
[objectives]{.underline} are: 1) to provide dementia specific care,
i.e., care management fully integrated into the services provided; 2) to
train staff, students and volunteers; 3) to establish a system
infrastructure to support services to individuals with early stage
dementia and to their caregivers; 4) to develop linkages with community
agencies; 5) to expand the assessment and intervention services; 6) to
evaluate the impact of the added services; 7) to disseminate project
information. The expected [outcomes]{.underline} of this DD project are:
patients will maintain as high a level of mental function and physical
functions (thru Yoga) as possible; caregivers will increase ability to
cope with changes; and pre and post -- project patient evaluation will
reflect positive results from expanded and integrated services. The
[products]{.underline} from this project are: a final report, including
evaluation results; a website; articles for publication; data on driver
assessment and in-home cognitive retraining; abstracts for national
conferences.