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

**Health Resources and Services Administration**

*HIV/AIDS Bureau*

*Special Projects of National Significance*

**Enhancing Linkages to HIV Primary Care and Services in Jail Settings**

**Demonstration Models**

*Announcement Type: New Competition*

*Announcement Number: HRSA-07-031*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.928**

**PROGRAM GUIDANCE**

Fiscal Year *2007*

Letter of Intent Due Date: *February 16, 2007*

**Application Due Date in Grants.gov: *March 30, 2007***

**Release Date: *December 15, 2006***

**Date of Issuance*: December 15, 2006***

*Adan Cajina, MS, Acting Chief, Demonstration and Evaluation Branch*

*Division of Science and Policy*

*Telephone: 301/443-3180*

*Fax: 301/594-2511*

*E-mail: <Adan.Cajina@hhs.hrsa.gov>*

Authority: Section 2691 of the Public Health Service Act, 42 U.S.C. §
300ff-101.

**Guidance Table of Contents**

[I. Funding Opportunity Description
3](#__RefHeading___Toc47265096)[Purpose 3](#__RefHeading___Toc47265097)

[Background 3](#__RefHeading___Toc47265098)

[II. Award Information 11](#refheading___toc47265100)

1\. Type of Award 11

2\. [Summary of Funding 11](#__RefHeading___Toc47265102)

[III. Eligibility Information 11](#__RefHeading___Toc47265103)

[1. Eligible Applicants 11](#__RefHeading___Toc47265104)

[2. Cost Sharing/Matching 11](#__RefHeading___Toc47265106)

[3. Other 11](#__RefHeading___Toc47265108)

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

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

[*Application Materials 12*](#__RefHeading___Toc47265114)

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

> [*Application Format Requirements
> 13*](#Application_formatrequirements)
>
> [*Application Format 16*](#__RefHeading___Toc47265117)

[**i.** ***Application Face Page*** 16](#__RefHeading___Toc47265118)

[**ii.** ***Table of Contents*** 16](#__RefHeading___Toc47265119)

[**iii.** ***Application Checklist*** 16](#__RefHeading___Toc47265120)

[**iv.** ***Budget*** 16](#__RefHeading___Toc47265121)

[**v.** ***Budget Justification*** 16](#__RefHeading___Toc47265122)

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

[**vii.** ***Assurances*** 18](#__RefHeading___Toc47265124)

[**viii.** ***Certifications*** 18](#__RefHeading___Toc47265125)

[**ix.** ***Project Abstract*** 18](#__RefHeading___Toc47265126)

[**x.** ***Program Narrative*** 19](#__RefHeading___Toc47265128)

[**xii.** ***Appendices*** 23](#__RefHeading___Toc47265130)

[3. Submission Dates and Times 23](#__RefHeading___Toc47265131)

[4. Intergovernmental Review 24](#Application_materials)

[5. Funding Restrictions 25](#__RefHeading___Toc47265139)

[6. Other Submission Requirements 25](#__RefHeading___Toc47265140)

[V. Application Review Information 27](#__RefHeading___Toc47265142)

[1. Review Criteria 27](#__RefHeading___Toc47265143)

[2. Review and Selection Process 27](#__RefHeading___Toc47265144)

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

[VI. Award Administration Information 31](#__RefHeading___Toc47265153)

[1. Award Notices 31](#__RefHeading___Toc47265154)

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

[3. Reporting 32](#refheading___toc47265158)

[VII. Agency Contacts 34](#__RefHeading___Toc47265160)

[VIII. Other Information 34](#__RefHeading___Toc47265164)

[ix. Tips for Writing a Strong Application
35](#__RefHeading___Toc47265164)

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

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

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

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

The Special Projects of National Significance (SPNS) Program is
authorized by Section 2691 of the Public Health Service Act (The Ryan
White Comprehensive AIDS Resources Emergency \[CARE\] Act of 1990, as
amended by the Ryan White CARE Act amendments of 1996 \[PL 104-146\] and
amendments of 2000 \[PL 106-345\]). The program is authorized to award
direct grants to public and nonprofit private entities, including
faith-based and community-based organizations, to carry out the
objectives of the law. This SPNS Program Competitive Application
Guidance is provided to assist applicants in preparing a request for
funding to implement the fiscal year (FY) 2007 SPNS Enhancing Linkages
to HIV Primary Care and Services in Jail Settings Initiative. This
funding initiative will support demonstration projects that identify
HIV-infected individuals in jails and assist them in securing HIV
primary care and social support services when transitioning back to the
community.

[]{.mark}

This Guidance contains instructions for completing a comprehensive
application response. It provides background on the SPNS Enhancing
Linkages to HIV Primary Care in Jail Settings Initiative. It also
provides information on completing the application form, preparing the
budget, and developing the narrative sections of the application.
Applicants must use the enclosed Public Health Service (PHS) Application
Form 5161-1 to prepare the application. Additional copies of the form
may be downloaded from the Internet at
<http://www.hrsa.gov/grants/forms.htm>.

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

The human immunodeficiency virus (HIV) epidemic continues to pose
enormous challenges in the United States, both for the communities most
affected and for health care professionals who serve these communities.
At the end of 2003, an estimated 1.1 million persons in the United
States were living with HIV/AIDS, with 24-27% undiagnosed and unaware of
their HIV infection.[^1] HIV disproportionately affects people in
poverty, racial/ethnic minority populations and others who are
underserved by healthcare and prevention systems. At the end of 2004,
African-Americans and Hispanics made up approximately 50% and 20% of all
HIV/AIDS cases, respectively.[^2] These two minority populations are
also over represented in prison and jail populations. African-Americans
were two times more likely than Hispanics and five times more likely
than whites to be in jail.[^3] At mid-year 2003, African-Americans and
Hispanics made up 39% and 15 % of the U.S. prison population.[^4] In
2004, nearly 7 million people were on probation, in jail or prison, or
on parole \-- 3.2% of all U.S. adult residents. Of those, State and
Federal prison authorities had in custody approximately 1.4 million
inmates in 2004. Local jails held 713,990 persons awaiting trial or
serving a sentence in the first six months of 2004.[^5]

There are common misconceptions about the nature of jails and prisons.
Often the terms are used interchangeably even though they are distinct
entities in the criminal justice system.   Non-federal prisons are
generally funded and operated by the State's Department of Corrections
(DOC). On average, the length of stay for a prison inmate is between
three and five years; therefore, the population is less transitional
than in jails. Jails are operated and funded by local county
governments. The average length of stay is approximately 23 - 46
days.[^6] Additionally, an individual being held in jail may not have
been convicted of a crime, but may be held while awaiting trial or
sentencing. Jails also receive individuals who may be readmitted because
of probation, parole, or bail bond violations.[^7] Most jails are
provided with guidelines for health care but are not necessarily
mandated to provide a specified level of care as in prisons.[^8]
Finally, most jails are not required to test inmates for HIV or other
STDs, unless they have been convicted of a sex-related crime.

Supreme Court case law mandates that correctional facilities cannot have
a deliberate indifference to health care related issues. In *Estelle v.
Gamble,* 429 U.S. 97, 102 (1976), the Supreme Court interpreted the 8th
Amendment, which provides the freedom from cruel and unusual punishment,
to include medical treatment; the Court reasoned that denying medical
care would result in unnecessary suffering that could serve no penal
purpose.[^9] Prisons not in the Federal system are generally funded and
operated by State departments of corrections or their contractors.
Jails, however, are operated and funded by local governments, and their
distinctive population characteristics and procedures have significant
implications for the continuity of HIV care.

Individuals who are disproportionately affected by high rates of
infectious diseases and adverse social conditions often cycle through
jail and prison systems for various offenses, including drug related and
sex offenses. Both behaviors place individuals at risk for contracting
HIV disease. It is estimated that over one-quarter of all HIV-infected
individuals in the U.S. pass through the correctional system each year.
The rates of HIV and AIDS in correctional facilities are estimated to be
three to five times higher than in the general population, so many of
these programs also have testing, not only for HIV, but also for STDs
(syphilis, gonorrhea, and chlamydia) and infectious hepatitis to
identify newly infected people. Although HIV testing is common in state
and federal prisons, there is a dearth of HIV seroprevalence data in
jails as most are not conducting routine HIV testing. A review of
testing activities in jails in 2003 showed that only 4% of jails test
inmates, 17% have no official testing policy, 2% offer routine testing
upon intake, and none use mandatory protocols.[^10]

Among jail inmates who are HIV-infected, the number of males is greater
than females (19,297 vs. 2,053), but the seroprevalence is greater among
female inmates as compared to male inmates (3.0% vs. 1.9%). These
proportions reflect the rising prevalence of HIV in women in U.S.
society. With regard to ethnicity, among jail inmates in 2002 who had
ever been tested for HIV, Hispanics were more than three times as likely
as whites and twice as likely as blacks to report being HIV
positive.[^11]

About 80% of inmates have a history of substance use or abuse.
Two-thirds of jail inmates in 2002 said they were regular drug users;
over half of the convicted inmates reported using drugs during the month
before their current offense.[^12] Among those reporting past drug use,
1.5% were HIV positive. The seropositive rates are far higher among
those who had used a needle to inject drugs, 3.2%; and those who had
shared a needle with others, 7.5%.[^13] Most facilities lack
comprehensive discharge planning to link released individuals with
community-based providers for healthcare, substance abuse treatment, and
other services.[^14] Co-infections in people at risk for HIV present
complex prevention and treatment challenges as people cycle between
jails and communities.

Jail or prison is often the first opportunity for screening high risk
populations, including substance abusers and sex offenders for medical
conditions, and HIV testing is a key link in gaining access to the
continuum of HIV prevention and treatment services. However, there are
"several unresolved issues about HIV testing policies in jail that
revolve around the often-chaotic nature of the setting, the various
states of intoxication and addiction withdrawal of the inmates,
availability of staff, the provision of confidential settings for
testing and the likelihood of being able to provide confirmatory testing
for preliminary positive tests."[^15]

HIV-infected patients with a usual source of HIV care risk disconnecting
from that care when incarcerated. Medical staff in jail settings is in a
key position to provide HIV/AIDS care and treatment to such individuals,
as well as to facilitate the receipt of care to individuals upon release
from jail.

**The SPNS Enhancing Linkages to HIV Primary Care and Services in Jail
Settings Initiative**

Correctional systems have an opportunity to provide coordinated
prevention and treatment interventions for infectious diseases in
concert with local public health officials. Many people released from
jails have serious, unmanaged infectious diseases and mental illnesses.
Public health and safety could be improved through greater collaboration
among correctional facilities, public health agencies, and
community-based organizations. Ideally, proven interventions would be
initiated with inmates and coordinated upon their release.

The SPNS Enhancing Linkages to HIV Primary Care and Services in Jail
Settings Initiative is a multisite demonstration and evaluation of HIV
service delivery interventions coordinated by a national evaluation and
support center. This funding initiative will award 10 grants with
project periods of up to 4 years to demonstration sites that will
design, implement and evaluate innovative methods for linking persons
living with HIV/AIDS (PLWHA) who are in jail settings or have been
recently released from local jail facilities to primary medical care and
ancillary services. Successful applicants must implement and evaluate
innovative models of care that provide linkages to HIV primary care for
recently released HIV-infected jail populations. Applicants must include
plans for disseminating their models and findings locally to CARE Act
Planning Councils and nationally to CARE Act and other audiences working
with PLWHA. Applications must incorporate a local program evaluation
plan and agree to participate in significant multisite evaluation
activities.

**Program Requirements and Expectations**

Demonstration sites are expected to design, implement, evaluate and
disseminate findings on an innovative and potentially replicable
intervention that provides linkages to primary HIV care, treatment and
support services to PLWHA who are in jail settings and who are returning
to their communities from jail. An evaluation will assess the
effectiveness of the selected model(s) in providing appropriate health
services to the target population, in integrating those services within
the community's HIV continuum of care, and in maximizing reimbursement
for health care services, when available.

Interventions may include HIV counseling and testing, but such services
must be funded through existing sources, such as the local jail, public
health departments, CDC or other local funding streams. Sites are
encouraged to take advantage of new technology, such as rapid testing,
available to diagnose HIV on site, within about 20 minutes. Rapid
testing has been shown to be feasible in jail settings.[^16] Services
should be comprehensive and should include linkage to ongoing care for
HIV and opportunistic infections as well as routine monitoring of
treatment outcome indicators, such as CD4 count and viral load.
Interventions should include flexible and suitable case management
strategies that promote durable linkages and follow up as the person
moves between jail and the community. The study design will assess the
effectiveness of the selected model(s) in the following areas:

• Providing linkages to HIV primary care services for jail releasees

• Integrating services for releasees within the community's HIV
continuum of care

Awardees will be expected to work collaboratively with SPNS staff and
the SPNS-funded Evaluation and Support Center to conduct local and
national evaluation and dissemination of findings. Grantees will be
expected to attend at least two grantee meetings each year and host at
least one site visit conducted by the Center in each year of the
initiative. The grantee meetings will take place in the Washington, DC,
metropolitan area, and the grantee should allocate funds for the Project
Director, local evaluator, and one other key staff person to attend
these 2- to 3-day meetings.

**Demonstration Site Service Expectations**

1\. Sites must demonstrate, through the execution of contracts,
memoranda of understanding, or other agreements, that partnerships have
been established with jails; with local community health centers; and
with mental health, substance abuse treatment, dental, and ophthalmology
vendors to deliver services for inmates at the jail and in the community
upon release. The application should include evidence of prior effective
work relationships. Demonstration site models should maximize
reimbursement of care from all potential payment sources, especially
Medicaid and ADAP, and effectively utilize existing resources.
Sustaining services established by this initiative should be another
goal of demonstration sites. Applicants should develop strategies for
increasing community support and resources for sustaining access to HIV
care and treatment for the target population beyond the term of Federal
funds. Agreements with partners should include referral and data sharing
protocols, as appropriate, to document and report data for local and
multisite evaluation.

[]{.mark}

> Applicants that are currently providing HIV counseling and testing and
> linkage to HIV primary care for recently released jail inmates must
> propose to provide SPNS-funded services to a target population or a
> geographic area (e.g., urban, rural, section of CARE Act Title I
> service area) that is an enhancement of existing services. A
> SPNS-supported initiative should not be a continuation of services
> currently existing within or affiliated with the site.

2\. All medical services should be provided in accordance with Public
Health Service (PHS) HIV clinical guidelines (www.hivatis.org/).
Moreover, demonstration sites must ensure that clinical staff have the
appropriate training, expertise and certifications to provide quality
clinical care and treatment to HIV-positive patients. Clinical and
support staff should have access to ongoing training and clinical
education in HIV care management. Sites must indicate how health
education fits into their programming. Models might include HIV and
hepatitis peer education, STI prevention, and substance abuse treatment
for all inmates and disease management and self-care for HIV-infected
inmates.

3\. For each participating inmate, sites must ensure discharge planning
that takes into consideration the relatively short stay of people in
jail settings. At a minimum, this process should include clinical and
social assessments, a discharge plan, and scheduling and preparation for
initial health care appointments post-release. The discharge planning
process may include other support services that promote
self-sufficiency, such as employment; housing; and financial assistance
needs, including applications for government support programs (e.g.,
Medicaid, Social Security disability). Timelines, staff roles and
responsibilities, and expected outcomes should be explicitly stated in
each inmate's plan.

> The HRSA HIV/AIDS Bureau is committed to ensuring access to quality
> HIV primary care and related supportive services for PLWHA and their
> families. Quality care means access to HIV services, information, and
> materials delivered by competent providers in a manner that responds
> to the language needs, cultural richness, and diversity of populations
> served. Data collection instruments developed by the Evaluation and
> Support Center and demonstration sites should adhere to culturally
> competent and linguistically appropriate principles. For additional
> information and guidance, refer to the *National Standards for
> Culturally and Linguistically Appropriate Services in Health Care*
> published by the U.S. Department of Health and Human Services (HHS).
> This document is available online at <http://www.omhrc.gov/CLAS>.

4\. Sites must conduct a local evaluation of services and disseminate
findings to local, State, and national audiences.

5\. SPNS regards the privacy and confidentiality of inmates' medical
records and their health-seeking efforts as essential components of HIV
primary care service delivery. Sites must:

> • have a plan in place to safeguard inmates' privacy and
> confidentiality,
>
> • ensure that all appropriate staff have training on its contents and
> privacy practice, and
>
> • demonstrate the capacity to guard against any and all breaches of
> privacy and confidentiality on an ongoing basis, including procedures
> for the storage and physical protection of information, data, and
> materials related to the participants.
>
> The Health Insurance Portability and Accountability Act of 1996
> (HIPAA), Public
>
> Law 104-191, was enacted on August 21, 1996. HIPAA called upon HHS to
> publish new rules that will ensure:
>
> • Standardization of electronic patient health, administrative, and
> financial data;
>
> • Unique health identifiers for individuals, employers, health plans
> and health care providers; and
>
> • Security standards protecting the confidentiality and integrity of
> "individually identifiable health information" for the past, present,
> and future.
>
> For additional information on HIPAA requirements and National
> Standards to Protect the Privacy of Personal Health Information visit
> the following Web site: <http://www.hhs.gov/ocr/hipaa/>. Successful
> applicants will be responsible for ensuring HIPAA compliance.

6\. Sites are encouraged to establish a goal for increasing community
support for resources for linkages to HIV primary health care for jail
releasees in their work plans. Work plans should include specific
methods for accomplishing that goal. The goal should be closely related
to sustaining SPNS-funded services beyond the term of the initiative.

**Demonstration Sites' Evaluation Expectations**

In fiscal year (FY) 2006, the SPNS program funded an Evaluation and
Support Center (hereinafter "Evaluation Center" or "Center") to assist
demonstration sites (hereinafter "sites," "grantees," or "applicants")
with evaluating their models and to conduct a multisite study of the
program. Applicants are encouraged to carefully read the requirements
for the Center, which are included on the following sub-section, to
better understand the importance of the local and national evaluation
requirements.

[]{.mark}

1\. Demonstration sites must participate in the multisite evaluation of
the SPNS initiative led by the Center. Demonstration sites are expected
to track, collect and submit core data elements on the target population
to which they provide services and report, on an ongoing basis, client
and provider data, organizational setting and intervention
characteristics, and core service and quality measures. Data will be
collected at baseline and throughout the initiative. All data must be
electronically maintained and electronically transferable to the
Center's web-based data collection system. Data must be coded without
patient identifiers and must be provided in a standardized format
defined by the Center. Demonstration sites must implement or have in
place a comprehensive client-level tracking system for such data
collection. Demonstration sites must ensure that all project staff have
the appropriate experience in collecting data to complete the
above-named activities, including the storage and physical protection of
research information, data, and materials related to the participants.

2\. Demonstrations sites must obtain local Institutional Review Board
(IRB) approval on all evaluation and data collection activities, both
local and multisite. Demonstration sites must submit documentation that
the proposed study has been reviewed and approved by their local IRB.

3\. Demonstration sites' staffing plan should include, at a minimum, a
0.25 FTE local evaluator to design and oversee the implementation of the
local evaluation plan and the multisite evaluation plan as developed by
the Center.

4\. Demonstration sites must provide requested materials for inclusion
on the initiative's Web site, which is to be maintained by the Center.

5\. Demonstration sites must participate in formative research conducted
by the Evaluation Center to assess technical assistance needs and
capacity at each site. Demonstration sites must conduct their own local
formative evaluation during the first project year to describe the
development and first-stage implementation of the program model.

6\. Demonstration sites, as part of their noncompeting continuation
application, must develop and annually update a program chronology to
provide a contextual reference for the implementation and evaluation of
the model. This chronology will include local program events and
milestones, such as policy development, implementation, staff training
and turnover, collaborations, financing, development or adaptation of
site-specific practice guidelines, clinical challenges, organizational
structure, system influences, and other contextual factors. The annual
chronology must be an appendix in the noncompeting continuation
application.

7\. Demonstration sites must collaborate with the Center and SPNS to
propose applicability of findings to other Ryan White CARE Act and other
HIV primary care settings.

### Evaluation and Support Center

In September 2006, the SPNS program awarded a cooperative agreement to
Emory University-Rollins School of Public Health in partnership with Abt
Associates Inc. to serve as the Evaluation and Support Center (Center)
for this initiative. The Center's first task was to convene in October
2006 a consultation meeting of experts in the field of jail health and
management to discuss and synthesize current trends and best practices
in HIV counseling and testing in jails and linkages to services for
recently released inmates. The proceedings of this meeting were
summarized in a report to HRSA on potential interventions, research
design and data elements. A copy of that report can be found on the
website:
[www.CHIP.sph.emory.edu/JailESC](http://www.CHIP.sph.emory.edu/JailESC).

The Center will serve as a source for scientific, jail and public health
program policy, program implementation, and clinical technical
assistance for sites. The Center will lead and facilitate the work of
successful demonstration sites in developing and refining their
interventions and local evaluations. The Center will provide technical
assessments, support and training, communication, and dissemination
activities to successful applicants. The Center must follow its local
Institutional Review Board requirements for conducting a multisite
evaluation.

Implementing the multisite evaluation plan, providing technical
assistance to demonstration sites, and data collection will be the major
activities of the Center. The Center will be expected to continue with
data collection activities, conduct a preliminary multisite evaluation,
conduct special evaluation studies, and continue dissemination and
technical assistance activities. The Center will work with SPNS and the
demonstration sites to produce peer reviewed papers, reports, and
presentations, including a report of the applicability of findings to
other Ryan White CARE Act settings and the identification and
description of successful models for the provision of primary HIV care
and treatment to PLWHA in jail settings.

In addition to providing technical assistance on evaluation-related
issues, the Center will have the capacity to provide assistance to
demonstration sites on a range of clinical and programmatic issues,
including (but not limited to) the development of clinical protocols,
patient education, operational policies and procedures, integration and
collaboration with primary care and other providers, third-party
reimbursement and other financing-related issues, public--private
partnerships, and the development of coalitions and networks to provide
for HIV care and treatment in the target population. The Center's staff
will include a health care professional with clinical expertise in the
provision of care to PLWHA. This clinician or other qualified Center
staff will be available to provide consultation to demonstration sites.

The Center will be responsible for conducting focused evaluation
studies, which are different from the multisite evaluation. The studies
will address topics that are generated by the Center and will not
necessarily involve all the demonstration sites. Such studies may
include case studies, cost-effectiveness studies, qualitative studies or
mixed-methods that focus on issues relating to the clinical,
administrative, financing, or public policy aspects of the provision of
care services to PLWHA in jail settings.

The Center will receive multisite data collected by the demonstration
sites. Sites will be required to collect data that will include the
roles and characteristics of the clients, providers, and other variables
to be determined during the planning phase of the evaluation. The Center
also will describe the process of implementation of the grantees'
interventions; its focus will be on clinical, programmatic, and
structural issues addressed by the demonstration sites. Additionally,
the Center will conduct focused evaluation studies involving subgroups
of demonstration sites. The topic of these studies will be initiated by
the Center in collaboration with the demonstration sites and SPNS. The
Center will develop a Web-based data reporting system for the collection
of core client-level output and outcome data elements developed in
collaboration with the demonstration sites. The Center must ensure the
security and confidentiality of all data. The Center will establish a
secure Web site to be used by the demonstration sites and a separate Web
site for the general public.

The planning of grantee meetings, site visits, and conference calls will
be the responsibility of the Center. At a minimum, the Center will
conduct one site visit per year with each demonstration site and convene
two grantee meetings per year involving all the demonstration sites.
Grantee meetings will take place in the Washington, DC, metropolitan
area.

[]{#refheading___toc47265100 .anchor}**II. Award Information**

**1. Type of Award**

> Funding will be provided in the form of a grant.

[]{.mark}

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

[]{.mark}

> This program will provide funding during Federal fiscal years
> 2007--2010. Approximately \$4,000,000 is expected to be available
> annually to fund up to ten (10) grantees. The maximum award for each
> grant will be \$400,000 per year.
>
> Funding beyond the first year is dependent on the availability of
> appropriated funds for the SPNS Program's Enhancing Linkages to HIV
> Primary Care and Services in Jail Settings Initiative in subsequent
> fiscal years, grantee satisfactory performance, and a decision that
> funding is in the best interest of the Federal government.

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

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

> Public and nonprofit private entities including faith-based and
> community-based organizations with experience in delivering primary
> HIV care and treatment services to PLWHA are eligible to apply.

[]{#__RefHeading___Toc47265106 .anchor}**2. Cost Sharing/Matching**

> There are no cost-sharing or matching requirements.

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

> Applications that exceed the ceiling amount 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 nonresponsive and will
> not be considered for funding under this announcement.

[]{#__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. Applicants 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>
>
> []{.mark}
>
> 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        Tables, Charts, etc. that provide any additional
                      details about the proposal

  Attachment 2        Job Descriptions for Key Personnel

  Attachment 3        Biographical Sketches of Key Personnel

  Attachment 4        Letters of Agreement and/or Description(s) of
                      Proposed/Existing Contracts

  Attachment 5        Project Organizational Chart

  Attachment 6        Other Relevant Documents

  Attachment 7        Healthy People 2010 Summary

  Attachment 8        

  Attachment 9        
  -----------------------------------------------------------------------

> Note the following specific information related to your submission.
>
> []{#__RefHeading___Toc47265117 .anchor}**Application Format**

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

> 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 93.928.
>
> **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).

[]{#__RefHeading___Toc47265119 .anchor}***ii. 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).

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

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

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

> Application Form 5161-1, provided with the application package.
> Complete Sections A, B, E, and F, and then provide a line-item budget
> for each grant year using the budget categories in the SF 424A.

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

> Provide a narrative that explains the amounts requested for each line
> in the budget. The budget period is for ONE year. However, the
> applicant must submit one-year budgets for each of the subsequent
> project period years (usually one to three years or more) at the time
> of application. Line item information must be provided to explain the
> costs entered in appropriate form, Application Form 5161-1. **The
> budget justification must clearly describe each cost element and
> explain how each cost contributes to meeting the project's objectives
> and goals.** Be very careful about showing how each item in the
> "other" category is justified. The budget justification MUST be
> concise. Do NOT use the justification to expand the project narrative.
>
> ***Budget for Multi-Year Grant Award***
>
> []{.mark}
>
> This announcement is inviting applications for project periods up to 4
> years. Awards, on a competitive basis, will be for a 1‑year budget
> period, although project periods may be for 4 years. Applications for
> continuation grants funded under these awards beyond the one-year
> budget period but within the 4-year project period will be entertained
> in subsequent years on a noncompetitive basis, subject to availability
> of funds, satisfactory progress of the grantee and a determination
> that continued funding would be in the best interest of the
> Government. You must submit a line-item budget for each budget year
> within the 4-year project period.
>
> Include the following in the Budget Justification narrative:
>
> *Personnel Costs: Personnel costs should be explained by listing each
> staff member who will be supported from funds, name (if possible),
> position title, percent full time equivalency, and annual salary.*
>
> *Indirect Costs: Indirect costs are those costs incurred for common or
> joint objectives which cannot be readily identified but are necessary
> to the operations of the organization, e.g., the cost of operating and
> maintaining facilities, depreciation, and administrative salaries. For
> institutions subject to OMB Circular A-21, the term "facilities and
> administration" is used to denote indirect costs. If an organization
> applying for an assistance award does not have an indirect cost rate,
> the applicant may wish to obtain one through HHS's Division of Cost
> Allocation (DCA). Visit DCA's website at: <http://rates.psc.gov/> to
> learn more about rate agreements, the process for applying for them,
> and the regional offices which negotiate them.*
>
> *Fringe Benefits: List the components that comprise the fringe benefit
> rate, for example health insurance, taxes, unemployment insurance,
> life insurance, retirement plan, tuition reimbursement. The fringe
> benefits should be directly proportional to that portion of personnel
> costs that are allocated for the project.*
>
> *Travel: List travel costs according to local and long distance
> travel. For local travel, the mileage rate, number of miles, reason
> for travel and staff member consumers completing the travel should be
> outlined. The budget should also reflect the travel expenses
> associated with participating in meetings and other proposed trainings
> or workshops.*
>
> *Equipment: List equipment costs and provide justification for the
> need of the equipment to carry out the program's goals. Extensive
> justification and a detailed status of current equipment must be
> provided when requesting funds for the purchase of computers and
> furniture items that meet the definition of equipment.*
>
> *Supplies: List the items that the project will use. In this category,
> separate office supplies from medical and educational purchases.
> Office supplies could include paper, pencils, and the like; medical
> supplies are syringes, blood tubes, plastic gloves, etc.; and
> educational supplies may be pamphlets and educational videotapes.
> Remember, they must be listed separately.*
>
> *Subcontracts: To the extent possible, all subcontract budgets and
> justifications should be standardized, and contract budgets should be
> presented by using the same object class categories contained in the
> Standard Form 424A. Provide a clear explanation as to the purpose of
> each contract, how the costs were estimated, and the specific contract
> deliverables.*
>
> []{.mark}
>
> *Other: Put all costs that do not fit into any other category into
> this category and provide and explanation of each cost in this
> category. In some cases, grantee rent, utilities and insurance fall
> under this category if they are not included in an approved indirect
> cost rate.)*

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

> Applicants must present a staffing plan and provide a justification
> for the plan that includes education and experience qualifications and
> rationale for the amount of time being requested for each staff
> position. Position descriptions that include the roles,
> responsibilities, and qualifications of proposed project staff must be
> included in **Attachment 2**. Copies of biographical sketches for any
> key employed personnel that will be assigned to work on the proposed
> project must be included in **Attachment 3**. The staffing plan should
> include a local evaluator at 0.25 FTE, at the minimum and provisions
> for data collection and entry. The staffing plan must be consistent
> with the proposed project description. Applicants should ensure that
> the time allocated for proposed staff is consistent with their
> expected workload and the goals and objectives of the project.

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

> []{.mark}
>
> (SF 424B, PHS 5161-1) Complete this page according to instructions
> provided with the application package. Application Form 5161-1
> provided with the application package.

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

> (PHS 5161-1 pages 17-19) Complete these pages according to
> instructions provided with the application package.

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

> Provide a summary of the application. Because the abstract often is
> distributed to provide information to the public and Congress, please
> prepare it 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.
>
> *Please place the following information at the top of the abstract:*

-   *Project Title*

-   *Applicant Name*

-   *Address*

-   *Contact Phone Numbers (Voice, Fax)*

-   *E-Mail Address*

-   *Web Site Address, if applicable*

> 1\. Summary of Intervention: Provide a brief overview of the proposed
> intervention describing the proposed services, specific sites where
> they will be provided, and collaborators, if any. Provide the
> anticipated time frame for beginning of service delivery. If
> applicable, include a summary of start-up activities that may be
> required prior to the beginning of service delivery.
>
> 2\. Target Population(s): Provide a brief description of the
> geographic area(s) and the demographic characteristics of the target
> population to be served by the proposed project. Provide a brief
> description of the current health care resources available to the
> target population and how the proposed project will address the
> population's unmet health care needs.
>
> 3\. Goals and Objectives: Present the goals and objectives for the
> project as described in the Work Plan.
>
> The project abstract must be single-spaced and limited to one page in
> length.
>
> []{#__RefHeading___Toc47265128 .anchor}***x. Program Narrative***
>
> This section provides a comprehensive framework and description of all
> aspects of the proposed program. It should be succinct,
> self-explanatory, and well organized so that reviewers can understand
> the proposed project.
>
> Use the following section headers for the Narrative:
>
> *• INTRODUCTION*
>
> Provide the reviewers with a brief description of the demonstration
> project and outline the innovative methods chosen to provide services.
> Describe the target population and the problem of unmet HIV primary
> care needs in the target population. Describe what methods the
> proposed project will use to meet the HIV primary care needs of the
> target population. Briefly describe the applicant organization and any
> collaborators.
>
> *• NEEDS ASSESSMENT*
>
> Outline the needs of the target community and applicant organization.
> Describe and document the target population and its unmet health
> needs. Use demographic and epidemiologic data and cite sources to
> support the information provided. Please discuss any relevant barriers
> in the service area that the project hopes to overcome. This section
> should help reviewers understand the population and community that
> will be served by the proposed project in terms of needs (i.e.,
> current HIV care and treatment services available in jail settings
> compared with barriers to care and needs that are not being addressed)
> and characteristics of the target population. Additionally, the
> authorizing legislation indicates that the Secretary may not make a
> grant unless the applicant submits evidence that the proposed program
> is consistent with the statewide coordinated statement of need (SCSN),
> and agrees to participate in the ongoing revision process of such
> statement of need. While completing the needs assessment, please
> indicate how the proposed program is consistent with your State's
> SCSN.
>
> Clearly identify the jail population and the geographic community that
> the project will serve and provide the rationale for selecting this
> population and community. To the extent possible, the presentation of
> the target population(s) should include the distribution by
> race/ethnicity, gender, age, estimated HIV prevalence in the
> population, mode of transmission and risk factors, and insurance
> coverage (or source of payment for care, if any). Applicants should
> include the average daily population, the annual number of admissions
> of the jail(s) to be served in the proposal and the average length of
> stay for detainees. Statistics should be specific to the area and jail
> from which the proposed clients will be drawn. Statistics from the
> larger service area or community may be cited for purposes of
> comparison or contrast. Include a description of other relevant
> characteristics of the target population that affect its access to HIV
> care and other medical services, both within and outside of
> correctional settings. Data on the estimated HIV seroprevalence of the
> intake population, if available, should be included. References should
> be cited to support the data provided.
>
> Clearly describe the HIV care and treatment services that are and are
> not available to the target population. Include a description of the
> existing programs to identify HIV infected persons in the jail. What
> primary medical care services and social and support services are
> available to PLWHA in the target community? What are the funding
> sources? Describe the public and the private entities that provide
> primary health care services to PLWHA, including other Ryan White CARE
> Act--supported services. Describe the role of State and local
> professional medical organizations; public health organizations; State
> and local health departments; and local, State, and regional health
> training programs and institutions in the provision of primary HIV
> care and education relating to health care services. Include in your
> discussion the role of community based organizations. Describe other
> barriers to the provision of primary care to PLWHA and barriers to
> accessing available services by the target population.

[]{.mark}

> *• METHODOLOGY*
>
> Fully describe and provide a rationale, including the theoretical
> framework for the proposed methods that will be used to meet the
> program and evaluation requirements stated under this guidance.
> Applicants must provide a detailed description of the proposed
> demonstration project that addresses the previously described program
> requirements and expectations in this grant announcement. Include the
> methods that will be used to meet each of the program requirements.
> Clearly describe how the proposed intervention addresses the barriers
> to care and unmet needs of the target population and geography
> identified in the needs assessment section. Clearly describe the types
> of services that will be provided, including (but not limited to)
> patient education, plans for providing transition and referral
> services to link patients to HIV medical care and management and
> ancillary services to ensure a continuum of community-based care.
> Applicants must include a plan for maintaining and following clients
> in care after release.
>
> Include in this section a plan for conducting a local evaluation of
> the proposed demonstration project and a quality management plan.
> Clearly describe issues of financing of services, creation of new
> administrative structures, creation of networks of care and referral
> mechanisms. Outline how the achievement of program objectives and
> outcomes will be measured as part of the local evaluation.
>
> All SPNS demonstration sites must participate in the multisite
> evaluation as lead by the Evaluation and Support Center. An
> understanding of this requirement must be clearly expressed in the
> application. This includes providing an agreement that multisite
> evaluation tools and protocols will be incorporated into the proposed
> demonstration project's work plan and evaluation activities.
>
> *• WORK PLAN*
>
> Describe the activities or steps that will be used to achieve each of
> the activities proposed in the methodology section. The work plan
> should include: (1) goals; (2) objectives that are specific,
> time-framed, and measurable; (3) action steps; and (4) staff
> responsible for each action step and by what date. The work plan
> should clearly indicate the anticipated start date of the provision of
> services to the target population and should clearly outline the key
> action steps to be taken during the planning or start-up period prior
> to the delivery of services.
>
> Goals are to be written for the entire proposed 4-year project period.
> Work plan objectives should be written for the first year of the
> project. Objectives and key action steps should describe activities
> that will be undertaken to implement the proposed intervention, define
> local data elements and variables, data collection requirements and
> quality control, data submission requirements and procedures,
> publication and dissemination planning, Institutional Review Board
> (IRB) submissions and HIPAA requirements. Objectives and key action
> steps should be written in time-framed and measurable terms and
> provide numbers for targeted outcomes, not just percentages, where
> applicable.
>
> The work plan is to be used as a tool to actively manage the program
> by measuring progress, identifying necessary changes, and quantifying
> your accomplishments. For example, include estimates of numbers of
> patients to be served, procedures to be provided, referrals to be
> made, collaborative relationships to be established, etc.
>
> Applicants may want to present this information in a table format.
>
> []{.mark}
>
> *• RESOLUTION OF CHALLENGES*
>
> Discuss challenges that are likely to be encountered in designing and
> implementing the activities described in the work plan. Describe
> approaches that could be used to resolve such challenges and how those
> challenges and responses will be documented as part of the evaluation
> process.
>
> []{.mark}
>
> *• EVALUATION CAPACITY*
>
> Describe applicant's experience, skills, and knowledge related to
> conducting program evaluation and quality management. Include, as
> appropriate, a discussion of individuals currently on staff at the
> applicant organization, materials published, and previous work of a
> similar nature conducted by key staff. If subcontractors will be used
> to provide evaluation and quality management services, then provide
> similar information for those entities.
>
> Specifically, include a discussion of applicant's capacity and ability
> to:

-   Collect client-level data, including patient demographics and
    services provided and systems-level data and other process
    indicators;

-   Measure outcomes of the intervention;

-   Measure duration and intensity of the intervention;

-   Assess the cost of the intervention with assistance from the
    Evaluation Center;

-   Identify and provide the training required to implement and sustain
    the intervention; and

-   Produce and disseminate project results.

> Describe the applicant's ability to work collaboratively with the
> Evaluation and Support Center and participate in the evaluation
> activities outlined in the guidance. Each site must have an evaluator
> on staff who will work closely with the Evaluation and Support Center
> to collect, analyze and report on pertinent data.
>
> Applicants should describe their cultural competency capabilities.
> **Cultural competence** means having a set of congruent behaviors,
> attitudes, and policies that come together in a system or agency or
> among professionals that enables effective work in cross-cultural
> situations.[^17] It includes an understanding of integrated patterns
> of human behavior, including language, beliefs, norms, and values, as
> well as of socioeconomic and political factors that may have a
> significant impact on psychological well-being, and incorporating
> those variables into assessment and treatment.

[]{.mark}

> *• IMPACT*
>
> Outline the methods for disseminating information about the project
> and its findings to local, State, and national audiences. The
> dissemination plan should identify appropriate venues and target
> audiences, including (but not limited to) HIV primary care providers,
> providers of medical care in jail settings, and national and local
> conferences. The methods described in the dissemination plan should be
> appropriate to facilitate replication of the project or its components
> by other providers.

[]{.mark}

> *• ORGANIZATIONAL INFORMATION*
>
> Describe your current mission, organizational structure and scope of
> activities and how they contribute to your ability to carry out the
> planned project and meet the program requirements and expectations.
> Include an organizational chart. If subcontractors will be used to
> provide services, then provide similar information for those entities.
>
> Provide evidence of effective working relationships with current and
> proposed collaborators by including as attachments memoranda of
> understanding, letters of agreement, proposed or existing contracts,
> or any other relevant documentation.
>
> Describe your Management Information System (MIS) capacity and its
> adequacy to electronically manage information and data submission
> required for the local and multisite evaluation.
>
> Applicants must demonstrate significant experience with providing care
> and/or services to incarcerated or recently released populations or
> similar groups (e.g., populations returning to the community from
> other institutions). Applicants should be part of a coalition of
> interested governmental and community organizations.

[]{#__RefHeading___Toc47265130 .anchor}

***xi. Attachments***

> Provide the following items to complete the content of the
> application. Please note that these items are supplementary in nature
> and are not intended to be a continuation of the project narrative. Be
> sure each attachment is clearly labeled.
>
> []{.mark}
>
> Attachment 1: Tables, Charts, etc.
>
> To give further details about the proposal.
>
> Attachment 2: Job Descriptions for Key Personnel
>
> Keep each to one page in length as much as possible. Item 6 in the
> Program Narrative section of the PHS 5161-1 form provides some
> guidance on items to include in a job description.
>
> Attachment 3: Biographical Sketches of Key Personnel
>
> Include biographical sketches for persons occupying the key positions
> described in Attachment 2, not to exceed two pages in length. If a
> biographical sketch is included for someone who is not yet hired,
> please include a letter of commitment from that person with the
> biographical sketch.
>
> Attachment 4: Letters of Agreement and Description(s) of Proposed or
> Existing Contracts (project specific)
>
> Provide any documents that describe working relationships between the
> applicant agency and other agencies and programs cited in the
> proposal. Documents that confirm actual or pending contractual
> agreements should clearly describe the roles of the subcontractors and
> any deliverable. Letters of agreements must be dated.
>
> Attachment 5: Project Organizational Chart
>
> Provide a one-page figure that depicts the organizational structure of
> the project, including subcontractors and other significant
> collaborators.
>
> Attachment 6: Other Relevant Documents
>
> Include here any other documents that are relevant to the application,
> including letters of support. Letters of support must be dated.
> **Include only letters of support that specifically indicate a
> commitment to the project or program (e.g., in-kind services, dollars,
> staff, space, equipment, etc.). Letters of agreement and support must
> be dated. List all other support letters on one page.**

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

**Notification of Intent to Apply**

> An applicant is eligible to apply even if no letter of intent is
> submitted. Receipt of Letters of Intent will not be acknowledged.
>
> The letter should identify the applicant organization and its intent
> to apply, and briefly describe the proposal to be submitted.
>
> This letter should be sent by *February 16, 2007*, by mail or fax to:
>
> Director, Division of Independent Review
>
> HRSA Grants Application Center (GAC)
>
> HRSA-07-031
>
> The Legin Group, Inc.
>
> 910 Clopper Road, Suite 155 South
>
> Gaithersburg, MD 20878
>
> Fax: 877/477-2345

**Application Due Date**

> The due date for applications under this grant announcement is
> ***March 30, 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 that 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**

> The Special Projects of National Significance (SPNS) Program is
> 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 60 days after the application due date.

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

> Applicants responding to this announcement may request funding for a
> project period of up to four (4) years, at no more than \$400,000 per
> year. Awards to support projects beyond the first budget year will be
> contingent on Congressional appropriation, satisfactory progress in
> meeting the project's objectives, and a determination that continued
> funding would be in the best interest of the government.
>
> Funds under this announcement may not be used for the following
> purposes:

-   Charges that are billable to third-party payers (e.g., private
    health insurance; prepaid health plans; Medicaid; Medicare; other
    CARE Act funding, including ADAP)

-   Construction of new facilities or capital improvements to existing
    facilities

-   Purchase of or improvement to land

-   Cash payments to intended service recipients, as opposed to various
    non-cash incentives to encourage participation in evaluation
    activities

-   Fundraising expenses

-   Lobbying activities and expenses

-   Pre-award costs

-   Foreign travel

-   Counseling and testing services that are provided through existing
    Centers for Disease Control and Prevention (CDC) grants or contracts
    in the jails.

[]{#__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 plans 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-424/5161-1 Face Sheet must be printed, signed,
> and submitted to the HRSA Grants Application Center. The SF-424/5161-1
> must be printed from Grants.gov.
>
> For an online application, the signed SF-424/5161-1 must be sent to
> the HRSA GRANTS APPLICATION CENTER at the following address and
> received by HRSA no later than five days after the date of submission
> in Grants.gov.
>
> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: Special Projects of National Significance Program
>
> Program Announcement No. HRSA-07-031
>
> CFDA No. 93.928
>
> 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-424/5161-1 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.
> Review criteria are outlined below with specific detail and scoring
> points.
>
> Review Criteria are used to review and rank applications. The *SPNS
> Program* has 6 review criteria:
>
> []{#__RefHeading___Toc47265144 .anchor}
>
> **Criterion 1: NEED (10 Points)**
>
> The extent to which the application describes the problem and
> associated factors contributing to the problem.
>
> This corresponds to the Introduction and Needs Assessment sections of
> the Narrative.
>
> **i. Introduction (3 Points)**
>
> a\. Does the application provide a clear, succinct description of the
> proposed demonstration project?
>
> b\. Does the application clearly identify the target population to be
> served as well as provide a clear description of the population's
> social and demographic characteristics?
>
> c\. Does the applicant briefly describe what methods the proposed
> project will use to meet the HIV primary care needs of the target
> population?
>
> **ii. Needs Assessment (7 Points)**
>
> a\. Does the application clearly outline the needs of the target
> community and applicant organization?
>
> c\. Does the application clearly describe the primary medical and
> social support services that are available to the target population?
>
> d\. Does the application indicate how the proposed program is
> consistent with its State's SCSN?
>
> e\. Does the application clearly identify the jail population and the
> geographic community that the project will serve and provide the
> rationale for that selection?
>
> f\. Does the application clear describe the unmet HIV care and
> treatment needs of the target population and geographic area to be
> served by the project?
>
> **Criterion 2: RESPONSE (35 Points)**
>
> The extent to which the proposed project responds to the "Purpose"
> included in the program description (Section I. Funding Opportunity
> Description). The clarity of the proposed goals and objectives and
> their relationship to the identified project. 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.
>
> **i. Methodology (15 Points)**

a.  Does the application present an innovative and replicable approach
    to providing continued HIV care and treatment to PLWHA in jail
    settings who are returning to their communities?

b.  Is the proposed intervention a reasonable evidence-based approach
    for addressing the unmet needs and other difficulties with the
    delivery and availability of HIV care and treatment identified in
    the needs assessment section of the application?

c.  Does the application clearly describe the types of HIV care and
    treatment to which it will provide linkage, to whom they will be
    provided, the organization and people who will provide the services?

d.  If the applicant currently provides HIV care and treatment, does the
    application clearly describe how the proposed SPNS initiative
    differs---in terms of target population and/or geography---from its
    current services?

e.  Does the application contain an appropriate local evaluation plan
    that will measure the achievement of the project's objectives and
    outcomes?

f.  Does the application demonstrate an understanding of the requirement
    to participate in the multisite evaluation and to collaborate with
    the Evaluation and Support Center?

> **ii. Work Plan (17 Points)**

a.  Does the work plan contain specific, measurable, and time-framed
    goals and objectives?

b.  Does the work plan contain goals and objectives that address each of
    the program expectations and timelines?

c.  Do the objectives relate directly to goals?

d.  Do the key action steps contribute directly to meeting their
    corresponding objectives?

e.  Do the objectives and key action steps have target dates or specific
    milestones?

f.  Does the work plan clearly identify the start date for HIV care and
    treatment services and clearly identify the start-up activities? Are
    the start date and start-up activities reasonable and realistic?

> **iii. Resolution of Challenges (3 points)**
>
> a\. Does the applicant clearly describe challenges it may face in
> implementing the activities described in the work plan?
>
> b\. Does the applicant identify appropriate responses to these
> challenges?
>
> **Criterion 3: EVALUATIVE MEASURES (20 Points)**
>
> Application must demonstrate the effectiveness of the method proposed
> to monitor and evaluate the project results. Evaluative measures must
> be able to assess (1) the extent to which the program objectives have
> been met and (2) the extent to which these can be attributed to the
> project. Application must also demonstrate the ability to participate
> in a multisite evaluation of national significance.
>
> This corresponds to the Evaluation Capacity section of the Narrative.
>
> a\. Does the application describe the applicant's capacity/capability
> to:
>
> • Collect client-level data, including patient demographics and
> services provided and systems-level data and other process indicators
>
> • Measure outcomes of the intervention
>
> • Measure duration and intensity of the intervention
>
> • Assess the cost of the intervention with assistance from the
> Evaluation Center
>
> • Identify and provide the training required to implement and sustain
> the intervention
>
> • Describe appropriate and effective methods for ensuring data
> security and quality
>
> b\. Does the applicant demonstrate the capacity (including the
> identification of and allocation of new resources) and expertise to
> carry out evaluation activities?
>
> c\. Does the project director or other key staff have experience in
> conducting evaluation projects as well as the ability to collect data
> and disseminate project results?
>
> d\. Does the application clearly describe the cultural competency
> capabilities of the organization?
>
> **Criterion 4: IMPACT (10 Points)**
>
> The extent and effectiveness of plans for dissemination of project
> results; the extent to which project results may be national in scope;
> the degree to which the project activities are replicable; the
> sustainability of the program beyond the Federal Funding.
>
> This corresponds to the Evaluation and Technical Support Capacity
> section of the Narrative.

a.  Does the application clearly outline methods for the dissemination
    of information about the project and its findings to locals, state
    and national audiences?

b.  Are the methods described in the dissemination plan appropriate to
    facilitate replication of the project or its components by other HIV
    care and treatment providers?

c.  Do the principal investigator, project director and other key staff
    have a demonstrated ability to produce and disseminate project
    results?

d.  Does the dissemination plan identify appropriate venues and key
    target audience including, but not limited to other HIV primary care
    providers, jail based health care providers, and other ancillary
    services?

> **Criterion 5: RESOURCES/CAPABILITIES (15 Points)**
>
> The extent to which project personnel are qualified by training or
> experience to implement and carry out the goals and objectives of the
> project. 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.
>
> a\. Does the application describe and demonstrate that the principal
> investigator and other key staff have the capacity to manage,
> implement and evaluate the proposed intervention, to collect data as
> part of a multisite evaluation, and to disseminate project results?
>
> b\. Does the identified staff have adequate experience in the
> provision of proposed services (E.g. HIV care and treatment services,
> direct linkages to HIV care and treatment and ancillary services)?
>
> c\. Does the applicant describe its Management Information System
> (MIS) capacity and its adequacy to electronically manage information
> and data submission required for the local and multisite evaluation?
>
> d\. Are the roles and responsibilities of any subcontractors clearly
> described?
>
> e\. Does the application include required documentation that
> partnerships have been established with jails, with local community
> health centers to deliver services for inmates at the jail and in the
> community upon release?
>
> f\. Does the application include evidence of prior effective work
> relationships?
>
> **Criterion 6: SUPPORT REQUESTED (10 Points)**
>
> The reasonableness of the proposed budget in relation to the
> objectives, the complexity of the activities, and the anticipated
> results.
>
> This corresponds to the Budget, Budget Justification and Staffing Plan
> sections.

[]{.mark}

> **i. Budget and Budget Justification (6 Points)**

a.  Does the application present a budget that is appropriate to the
    proposed program plan?

b.  Does the application provide a clearly presented budget
    justification that fully supports each line item?

c.  Does the budget allocate adequate funding to attend the twice-yearly
    grantee meetings?

d.  Does the application clearly relate the budget to the work plan?

e.  Are budgets for project Years 2 through 4 included, and are
    significant changes to subsequent years' budgets identified and a
    rationale for these changes provided?

f.  Are contracts for subcontractors and consultants clearly identified
    and described, in terms of contract purposes, how costs were
    derived, payment mechanisms, and deliverables?

> **ii. Staffing Plan (4 Points)**

a.  Does the application clearly describe the staffing plan for the
    proposed project?

b.  Does the proposal describe a staffing plan that is consistent with
    the project description?

c.  Is the time allocated for staff consistent with their expected
    workload and goals and objectives of the project?

d.  Does the staffing plan include at a minimum a 0.25 FTE evaluator? Is
    staffing for data entry clearly identified?

e.  Does the application provide job descriptions for key staff as
    Attachment 2?

f.  Does the application provide biographical sketches for key staff as
    Attachment 3?

**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.

[[]{#__RefHeading___Toc47265150 .anchor}]{.mark}

**3. Anticipated Announcement and Award Dates**

[]{.mark}

Awards are expected to be made on or before September 1, 2007.

[]{#__RefHeading___Toc47265153 .anchor}

**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 you based on your recipient type and the purpose of this
> 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 HRSA 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) to increase the quality and years of a healthy life and (2)
> eliminate our country's health disparities. The program consists of 28
> focus areas and 467 objectives. HRSA has actively participated in the
> work groups of all the focus areas and is committed to the achievement
> of the Healthy People 2010 goals.
>
> Applicants must summarize the relationship of their projects and
> identify which of their programs objectives and/or subobjectives
> relate to the goals of the Healthy People 2010 initiative. Include
> this summary as Attachment 7.
>
> Copies of the Healthy People 2010 may be obtained from the
> Superintendent of Documents or downloaded at the Healthy People 2010
> website: [http://www.health.gov/healthypeople/document]{.underline}/.

[]{.mark}

> 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.

> **Human Subjects Protections**
>
> Successful applicants will be required to submit their proposed
> studies to their respective Institutional Review Boards for review and
> approval within 6 months of award. Proposals should address the
> capacity of the applicant to undertake the core required evaluation
> activities. In addition, applicants are encouraged to propose
> additional activities specific to their local sites and interests. The
> Evaluation and Support Center will provide technical assistance over
> the course of the project years and will serve as a resource for
> demonstration sites for all aspects of evaluation design and delivery.
> The principal investigator and all key personnel should take the NIH
> IRB online training.

[]{#refheading___toc47265158 .anchor}**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 award notice.
>
> 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 required 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:

> Tammy Ponton Jeffs
>
> Lead Grants Management Specialist
>
> Government & Special Focus Branch
>
> Division of Grants Management Operations/HRSA
>
> 5600 Fishers Lane, Room 11A-16
>
> Rockville, Maryland 20857
>
> Telephone: (301) 443-5419
>
> Fax: (301) 594-6686
>
> E-mail: TJeffs@hrsa.gov

Additional information related to the overall program issues may be
obtained by contacting:

> Adan Cajina, MS, Acting Chief, Demonstration and Evaluation Branch
>
> Division of Science and Policy
>
> Attn: Enhancing Linkages to HIV Primary Care and Services to Jail
> Populations
>
> HIV/AIDS Bureau, HRSA
>
> Parklawn Building, Room 7C-07
>
> 5600 Fishers Lane
>
> Rockville, MD 20857
>
> Telephone: 301/443-3180
>
> Fax: 301/594-2511
>
> Email: ACajina@hrsa.gov

Technical assistance regarding this funding announcement may be obtained
by contacting:

> Melinda J. Tinsley, MA
>
> Public Health Analyst
>
> Demonstration and Evaluation Branch
>
> HIV/AIDS Bureau, HRSA
>
> Parklawn Building, Room 7C-07
>
> 5600 Fishers Lane
>
> Rockville, MD 20857
>
> Telephone: 301/443-3496
>
> Fax: 301/594-2511
>
> Email:mtinsley1@hrsa.gov

[]{#__RefHeading___Toc47265164 .anchor}

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

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

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.

###  {#section-2 .unnumbered}

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

**Competing Submissions:**

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

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

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

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

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

**Noncompeting Submissions:**

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

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

Subsequently, it is processed by HRSA to ensure that the application is
submitted for the correct funding announcement, with the correct grant
number and grantee organization. This may take up to 3 business days. At
this point you will receive an email from HRSA confirming the successful
receipt of your application and asking the PD and AO to review and
resubmit the application in HRSA EHBs.

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

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

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

### 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 section4.2 to ensure that your
application is presented in the right order and is compliant with all
the requirements.

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

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

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

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

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

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

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

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

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

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

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

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

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

Step 1: Register your organization

Step 2: Register yourself as an Authorized Organization Representative

Step 3: Get authorized by your organization to submit grants

These instructions will walk you through the three basic registration
steps. Additional assistance is available at Grants.gov at
[www.grants.gov](../www.grants.gov). Individual assistance is available
at [http://www.grants.gov/Support](http://www.grants.gov/Support  ) or
1-800-518-4726. 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.

[^1]: Glynn M, Rhodes P. Estimated HIV prevalence in the United States
    at the end of 2003. National HIV Prevention Conference; June 2005;
    Atlanta. Abstract 595.

[^2]: Centers for Disease Control and Prevention *HIV/AIDS Surveillance
    Report* http://www.cdc.gov/hiv/stats

[^3]: Bureau of Justice Statistics. Downloaded Feb 2006 from
    <http://www.ojp.usdoj.gov/bjs/jails.htm>.

[^4]: Harrison, P and Karbert, J. Prison and Jail Inmates at Mid-Year
    2003. Downloaded March 2006 from
    <http://www.ojp.usdoj.gov/bjs/pub/pdf/pjim03.pdf>.

[^5]: Maruschak, LM. U.S. Department of Justice Bureau of Justice
    Statistics; *Adult Corrections Population 1980 -- 2004*, Downloaded
    January 2005 from
    <http://www.ojp.usdoj.gov/bjs/correct.htm#findings>.

[^6]: Florida Corrections Programs Downloaded January 2005 from
    [http://www.doh.state.fl.us/Disease_ctrl/tb
    /Corrections/GeneralOverview/FloridasCorrectionsProgramOverview5-05.doc](http://www.doh.state.fl.us/Disease_ctrl/tb /Corrections/GeneralOverview/FloridasCorrectionsProgramOverview5-05.doc)

[^7]: James, D. Profile of Jail Inmates, 2002. Downloaded February 7,
    2006 from http://www.ojp.usdoj.gov/bjs/jails.htm

[^8]: Ibid

[^9]: Dees A, Thomas D. HIV treatment and the 8th amendment. *HEPP
    News.* 2002; November. Accessed September 19, 2006, at
    http://www.idcronline.com/archives/nov02/

[^10]: HIV testing in correctional settings.(2003). *HIV Inside,* 5(1),
    1-11.

[^11]: Maruschak, L. HIV in Prisons and Jails, 2002. Downloaded February
    7, 2006 from <http://www.ojp.usdoj.gov/bjs/pub/pdf/hivpj02.pdf>.

[^12]: James, D. Profile of Jail Inmates, 2002. Downloaded February 7,
    2006 from http://www.ojp.usdoj.gov/bjs/jails.htm

[^13]: Ibid.

[^14]: Centers for Disease Control & Prevention (2004). CDC Programs in
    Brief. "Correctional Health," p. 90. U.S. Department of Health and
    Human Services. Downloaded from
    http://www.cdc.gov/programs/2004/CDCPIB04.pdf, 06/08/2005

[^15]: Basu S, Smith-Rohrberg D, Hanck S and Altice FL. HIV testing in
    correctional institutions: evaluating existing strategies, setting
    new standards. *AIDS & Public Policy Journal* 20 no. 1/2 (2005):
    1-22.

[^16]: CDC Jail Demonstration Projects,
    <http://www.cdc.gov/hiv/topics/prev_prog/AHP/resources/factsheets/print/Correctional_Facilities.htm>.

[^17]: U.S. Department of Health and Human Services. *National standards
    for culturally and linguistically appropriate services in health
    care.* Available at: www.omhrc.gov/CLAS