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

**Health Resources and Services Administration**

**Bureau of Health Professions**

[]{.mark}

[]{.mark}

***Geriatric Education Centers (GEC) Grant Program***

New Announcement

*HRSA- 07-108*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.969**

**PROGRAM GUIDANCE**

Fiscal Year *2007*

**Application Due Date: *May 14, 2007***

**Date of Issuance*: April 9, 2007 ***

> Joan Weiss, PhD, RN, CRNP

Deputy Director, Division of Nursing

Health Resources and Services Administration

5600 Fishers Lane Room 9-35

Rockville, Maryland  20857

Phone:  (301) 443-0430

Fax:      (301) 443-8586

E-mail:  <jweiss@hrsa.gov>

John R. Kress, MHA

Director, Public Health Training Center Program

Public Health Branch, HRSA, DHHS

5600 Fishers Lane    Room 9A-08

Rockville, MD 20857

301 443 6864  Fx: 301 443 1164

E-mail: <jkress@hrsa.gov>

Authority: *Public Health Service Act, Title VII, Section 753(a), 42
USC, 294c*

**Guidance Table of Contents**

[I. Funding Opportunity Description 4](#__RefHeading___Toc47265096)

[Purpose 4](#Funding_purpose)

[Background 4](#__RefHeading___Toc47265098)

II\. AWARD
INFORMATION.....................................................................................5

1\. Type of Award 5

2\. [Summary of Funding 5](#__RefHeading___Toc47265102)

[III. Eligibility Information 5](#__RefHeading___Toc47265103)

[1. Eligible Applicants 5](#__RefHeading___Toc47265104)

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

[3. Other 6](#__RefHeading___Toc47265108)

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

[1. Application Materials 8](#__RefHeading___Toc47265113)

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

> [Application Format Requirements 8](#Application_formatrequirements)
>
> [Application Format 14](#__RefHeading___Toc47265117)

[i. Application Face Page 14](#__RefHeading___Toc47265118)

[ii. Table of Contents 14](#__RefHeading___Toc47265119)

[iii. Application Checklist 14](#__RefHeading___Toc47265120)

[iv. Budget 14](#__RefHeading___Toc47265121)

[v. Budget Justification 15](#__RefHeading___Toc47265122)

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

[vii. Assurances 17](#__RefHeading___Toc47265124)

[viii. Certifications 1](#__RefHeading___Toc47265125)7

[ix. Project Abstract 17](#__RefHeading___Toc47265126)

[x. Program Narrative 1](#__RefHeading___Toc47265128)8

[xi. Program Specific Forms 22](#__RefHeading___Toc47265129)

[xii. ATTACHMENT](#__RefHeading___Toc47265130)S 23

[3. Submission Dates and Times 2](#__RefHeading___Toc47265131)4

[4. Intergovernmental Review 24](#__RefHeading___Toc47265137)

[5. Funding Restrictions 24](#__RefHeading___Toc47265139)

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

[V. Application Review
Information](#__RefHeading___Toc47265142)....................................................26

[1. Review Criteria](#__RefHeading___Toc47265143) 26

[2. Review and Selection Process 2](#__RefHeading___Toc47265144)7

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

[1. Award Notices 31](#__RefHeading___Toc47265154)

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

[3. Reporting 3](#__RefHeading___Toc47265158)7

[VII. Agency Contacts 39](#__RefHeading___Toc47265160)

[VIII. Other Information 39](#__RefHeading___Toc47265164)

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

**APPENDIX A -- ELECTRONIC SUBMISSION
GUIDE.......................................51**

**APPENDIX B -- REGISTERING AND APPLYING THROUGH GRANTS.GOV...\.....68**

**APPENDIX C -- Instruction for SF 424 R&R
........................................\...\...\...\...\....73**

**APPENDIX D -- PROGRAM SPECIFIC FORMS
..............................................90**

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

[]{#Funding_purpose .anchor}

**Purpose**

Section 753(a) of the Public Health Service Act, as amended (42, U.S.C.
294c). This announcement solicits applications for the Geriatric
Education Centers Program.

Section 753(a) of the Public Health Service Act, as amended, authorizes
the Secretary of the U.S. Department of Health and Human Services to
award grants for the establishment or operation of geriatric education
centers. Grants are awarded to support the development of collaborative
arrangements involving several health professions schools and health
care facilities. These arrangements, called Geriatric Education Centers
(GECS), provide training of health professional faculty, students and
practitioners in the diagnosis, treatment, prevention of disease,
disability, and other health problems of the elderly. Projects supported
under these grants must offer interdisciplinary training involving
**four or more health professions, one of which must be allopathic or
osteopathic medicine.** **Please Note: Allopathic and Osteopathic
Medicine count as one profession.** Health professions include
allopathic physicians, osteopathic physicians, dentists, optometrists,
podiatrists, pharmacists, nurses, nurse practitioners, physician
assistants, chiropractors, clinical psychologists, health
administrators, and allied health professionals, including professional
counselor and social workers. These projects **[must]{.underline}**
address all of the following statutory purposes:

\(1\) improve the training of health professionals in geriatrics;

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

\(3\) support the training and retraining of faculty to provide
instruction in geriatrics;

\(4\) support continuing education of health professionals who provide
geriatric care;

**and**

\(5\) provide students with clinical training in geriatrics in nursing
homes, chronic and acute disease hospitals, ambulatory care centers, and
senior centers.

[]{.mark}

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

Today, 13 percent of the population, nearly 40 million Americans, is
over 65. Beginning in 2012, nearly 10,000 Americans will turn 65 every
day. Although the growing number of Americans age 65 and older will put
pressure on the health care system, coping with the rapidly increasing
frail elderly population will present some of the greatest challenges.
The number of persons age 85 and over is expected to expand nearly
fivefold by 2050 from about 4 million today to 19 million. Additionally,
elders from groups classified as ethnic minorities will comprise
one-fourth (¼) of all older Americans, up from four percent (4%) in
1990.

Many elderly, especially the fail elderly, have multiple complex health
problems that are best addressed by an interdisciplinary team. However,
the vast majority of physicians and health care practitioners will not
have been trained in geriatrics and the special needs of the elderly.

**II. Award Information**

**1. Type of Award**

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

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

> The Bureau of Health Professions (BHPr), through a competitive process
> will award new GEC grants to entities that meet all eligibility
> requirements.  An academic institution **[CANNOT]{.underline}** have
> more than one Geriatric Education Center.  HRSA will provide funding
> during Federal fiscal years 2007 -- 2009. In FY 2007, approximately
> \$17,000,000 is expected to be available for approximately fifty (50)
> awards.  The average award size is \$200,000 for single applicants and
> \$400,000 for consortia applicants.  Funding beyond the first year is
> dependent on the availability of appropriated funds for the GEC
> program, satisfactory performance of the grantee, and a determination
> that continued funding is in the best interest of the government.
>
> An academic institution **[CANNOT]{.underline}** have more than one
> Geriatric Education Center.
>
> In making awards, geographic distribution will be a consideration.

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

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

> Eligible applicants are accredited health professions schools and
> programs.  The following entities are eligible applicants:
>
> Schools of Allopathic Medicine\
> Schools of Veterinary Medicine\
> Schools of Dentistry\
> Schools of Public Health\
> Schools of Osteopathic Medicine\
> Schools of Chiropractic\
> Schools of Pharmacy\
> Physician Assistant Programs\
> Schools of Optometry\
> Schools of Allied Health\
> Schools of Podiatric Medicine\
> Schools of Nursing
>
> The following accredited graduate programs are also eligible
> applicants:
>
> Clinical Psychology\
> Clinical Social Work\
> Health Administration\
> Behavioral Health and Mental Health Practice
>
> Applicants must be located in the United States, the District of
> Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the
> Northern Mariana Islands, the Virgin Islands, Guam, American Samoa,
> the Republic of Palau, the Republic of the Marshall Islands, or the
> Federated States of Micronesia.  

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

> Cost Sharing is not required for this program.  However, applicants
> are encouraged to consider in-kind contributions.

[]{#__RefHeading___Toc47265108 .anchor}

**3. Other**

**Program Guidelines**

> **All Applicants**

1.  All applicants must address all five of the statutory purposes.

2.  All education and training activities must be interdisciplinary and
    must include four or

    more health professions, one of which must be allopathic or
    osteopathic medicine. **Please Note: Allopathic and Osteopathic
    Medicine count as one profession.** For Allied Health, please
    specify discipline, e.g., physical therapy, occupational therapy,
    nuclear medicine technology)..

3.  The project director is expected to have a minimum of five years of
    experience in the education and training of health professionals in
    geriatrics and preferably a history of funded research in
    geriatrics.

4.  The project director must dedicate a minimum of 10% of his/her time
    to the Geriatric Education Center program grants activities.

> **A New GEC** (For purposes of this solicitation, all applicants are
> considered "New GECs").
>
> a.  A new applicant must list planned activities and provide a
> timeline for accomplishing these activities.
>
> b.  New GEC applicants are permitted to use Year 1 funds for planning,
> development, and implementation activities.
>
> c.  At the start of Year 2, a new GEC **must be** fully operational
> and address all five statutory purposes.

**Guidance for Consortia**

Applications shall follow the guidance below for developing a consortial
project.

The accredited health professions school eligible to submit the grant
application should be designated as the lead institution. The lead
institution serves as the legal recipient of the grant and is
responsible for the performance of the cooperating institutions. The
purpose of the cooperating institution is to conduct an
interdisciplinary geriatric-related educational project that the
eligible institution could not effectively perform alone.

To qualify as a consortium, a grant application, at the minimum must
contain the following:

1\. **Justification** of the need for the applicant institution to
collaborate consortially with the proposed consortium members in the
conduct of the proposed project, e.g. how the specific expertise and
resources of the cooperating institutions complement those of the lead
institution in addressing the need for the project.

2**. Evidence** that the institutions jointly have planned and jointly
will conduct the proposed consortium's activities, e.g., dates and
outcomes of the planning meetings of the key staff, traditional letters
of support that specifically relate to the project's proposal, and
designated membership of the governing body.

3\. A **scope of work** for each consortium member that states the
specific activities to be performed, identifies individual(s)
responsible for overseeing, conducting and reporting results of the
project, percent of time and effort for each individual, and the sum of
funds to be received.

4\. A separate **detailed budget** for each consortium member showing
the personnel cost by individual salaries and fringe benefits, supplies,
consultants, travel, and any other costs.

5\. A separate **form/letter of agreement** signed by the authorized
representatives, (i.e., the project director, consortium member site
director, and fiscal representatives), of the lead and each of the
collaborating institution that outlines the member(s) scope of work and
attests to their good faith in carrying out the proposed scope of work
if the application is approved and funded.

6\. Consortial applicants cannot share consortium members with other
consortial applicants in the same region.

+-----------------------------------------------------------------------+
| **Non- Federal Expenditures**                                         |
+-----------------------------------------------------------------------+
| **FY 2007 (estimated)**                                               |
|                                                                       |
| Estimated non-Federal funds, including in-kind, for proposed grant    |
| activities.                                                           |
|                                                                       |
| Amount: \$                                                            |
+-----------------------------------------------------------------------+

> **Length of Support**
>
> Applications may be submitted for three (3) years of support.

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

[]{#__RefHeading___Toc47265113 .anchor}

1.  **Application Package**

    **Application Materials**

> The application and submission process has changed significantly. HRSA
> is ***requiring*** applicants for this funding opportunity to apply
> electronically through Grants.gov. All applicants ***must*** submit in
> this manner unless the applicant is granted a written exemption from
> this requirement in advance by the Director of HRSA's Division of
> Grants Policy. Grantees must request an exemption in writing from
> <DGPClearances@hrsa.gov>, and provide details as to why they are
> technologically unable to submit electronically though the Grants.gov
> portal. Make sure you specify the announcement number for which you
> are seeking relief. As indicated in this guidance, HRSA and its Grants
> Application Center (GAC) will only accept paper applications from
> applicants that received prior written approval.
>
> Refer to Appendix A for detailed application and submission
> instructions. Pay particular attention to Section 3, which provides
> detailed information on the competitive application and submission
> process.
>
> Applicants must submit proposals according to the instructions in
> Appendix A, using this guidance in conjunction with Standard Form 424
> Research and Related (SF-424 R&R). 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 Standard Form 424 Research and Related (SF-424 R&R) 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 approximately 10
> MB and may not exceed 60 pages for single applicants or 80 pages for
> consortia when printed by HRSA. **This page limit includes the
> abstract, project and budget narratives, attachments, appendices and
> letters of commitment and support.** Standard forms are NOT included
> in the page limit.
>
> **Please identify the type of applicant (single or consortium) in the
> address and on the Applicant Detail form in the Attachments.**
>
> **Applications that exceed the specified limits will be deemed
> non-compliant. All non-compliant applications will be returned to the
> applicant without further consideration.**

# SF 424 R&R -- Table of Contents

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

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

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

-   For electronic submissions no table of contents is required for the
    entire application. HRSA will construct an electronic table of
    contents in the order specified.

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

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

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

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

-   To ensure that attachments are organized and printed in a consistent
    manner, follow the order provided below. Note that these
    instructions may vary across programs.

-   Additional supporting documents, if applicable, can be provided
    using the available rows. Do not use the rows assigned to a specific
    purpose in the program guidance.

  -----------------------------------------------------------------------
  **Attachment        **Attachment Description (Program Guidelines)**
  Number**            
  ------------------- ---------------------------------------------------
  Attachment 1        Tables, Charts, etc. not included elsewhere in the
                      Table of Contents. These should provide further
                      details about the proposal

  Attachment 2        Job Descriptions for Key Personnel. Keep each
                      description to one page or less in length

  Attachment 3        Biographical Sketches of Key Personnel. Not to
                      exceed two pages in length.

  Attachment 4        Letters of Agreement and/or Description(s) of
                      Proposed/Existing Contracts (project specific).
                      Provide any documents that describe working
                      relationships between the applicant agency and
                      other agencies and programs cited in the proposal.
                      Documents that confirm actual or pending
                      contractual agreements should clearly describe the
                      roles of the subcontractors and any deliverable.
                      Letters of agreements must be dated.

  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 not included elsewhere in
                      the Table of Contents. Include here any other
                      documents that are relevant to the application,
                      including letters of support. Include only letters
                      of support which specifically indicate a commitment
                      to the project/program (in-kind services, dollars,
                      staff, space, equipment, etc.). List all other
                      support letters on one page.
  -----------------------------------------------------------------------

> **Application Format**
>
> Applications for funding must consist of the following documents in
> the following order:

Note the following specific information related to your submission.

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

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

> Use Standard Form 424 Research and Related (SF-424 R&R), provided with
> the application package. Prepare this page according to instructions
> provided in the form itself. For information pertaining to the Catalog
> of Federal Domestic Assistance, the Catalog of Federal Domestic
> Assistance Number is 93.*969*.
>
> **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](http://www.hrsa.gov/grants/ dunsccr.htm) or call
> 1-866-705-5711. Please include the DUNS number in item 5 on the
> application face page. Applications ***will not*** be reviewed without
> a DUNS number.
>
> Additionally, the applicant organization is required to register with
> the Federal Government's Central Contractor Registry (CCR) in order to
> do electronic business with the Federal Government. Information about
> registering with the CCR can be found at [http://www.hrsa.gov/grants/
> dunsccr.htm](http://www.hrsa.gov/grants/ccr.htm).

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

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

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

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

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

> Use Standard Form 424 Research and Related (SF-424 R&R), provided with
> the application package.
>
> **[Detailed Budget]{.underline}** : **A detailed budget is required
> for the first year of requested funding.** The applicant should
> include an itemized, cost-effective budget compatible with stated
> objectives. The requested budget and financial plan should reflect
> institutional commitment to the project detailing and tabulating
> in-kind contributions. When computing the budget, applicants should
> consider what is a reasonable cost for their institution, regardless
> of the funding source.
>
> Consortia applicants should submit a separate "Detailed Budget" for
> each consortium member showing the personnel costs by individual
> salaries and fringe benefits, supplies, consultants, travel, and any
> other costs.
>
> **[Consolidated Budget]{.underline}**: A consolidated budget is
> required for all years of requested funding. Summarize budget data for
> all of the years of support requested. Figures in this section should
> be consistent with the figures from the Detailed Budget section.
> Include totals for the entire project period in the last column.
> Please complete the Consolidation Budget section for the additional
> two years of support requested.
>
> []{.mark}
>
> Please 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.

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

> Provide a narrative that explains the amounts requested for each line
> in the budget. The budget justification should specifically describe
> how each item will support the achievement of proposed objectives. The
> budget period is for ONE year. However, the applicant must submit
> one-year budgets for each of the subsequent project period years
> (usually one to three years or more) at the time of application. Line
> item information must be provided to explain the costs entered in
> appropriate form, Standard Form 424 Research and Related (SF-424 R&R).
> **The budget justification must clearly describe each cost element and
> explain how each cost contributes to meeting the project's
> objectives/goals.** Be very careful about showing how each item in the
> "other" category is justified. The budget justification MUST be
> concise. Do NOT use the justification to expand the project narrative.
>
> **For consortium applicants**, please submit a consolidated budget
> justification for the lead applicant and all consortium partners. Do
> not submit a separate budget justification for each consortium
> partner.
>
> **Budget for Multi-Year Grant Award-Required, if applicable**
>
> This announcement is inviting applications for project periods up to
> three (3) years. Awards, on a competitive basis, will be for an
> one‑year budget period, although project periods may be for three (3)
> years. Applications for continuation grants funded under these awards
> beyond the one-year budget period but within the three (3) year
> project period will be entertained in subsequent years on a
> noncompetitive basis, subject to availability of funds, satisfactory
> progress of the grantee and a determination that continued funding
> would be in the best interest of the Government.

For single applications, applicants may apply for direct costs of no
more than \$200,000 for each year. For consortia applications,
applicants may apply for direct costs of no more than \$400,000 for each
year. If an application exceeds the funding limits, the budget will
reduced to comply with the stated funding levels for single or consortia
applicants.

> Include the following in the Budget Justification narrative:
>
> [Personnel Costs]{.underline}: 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, annual
> salary, and the exact amount requested for each project year which
> mainly covers indirect cost. **The Project Director must dedicate a
> minimum of 10% of his/her time to Geriatric Education Centers Program
> grant activities.**
>
> [Indirect Costs]{.underline}: 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 the 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 application 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.
>
> Indirect costs under training grants to organizations other than
> State, local or Indian tribal governments will be budgeted and
> reimbursed at 8 percent of modified total direct costs rather than on
> the basis of a negotiated rate agreement, and are not subject to
> upward or downward adjustment. Direct cost amounts for equipment
> (capital expenditures), tuition and fees, and subgrants and
> subcontracts in excess of \$25,000 are excluded from the actual direct
> cost base for purposes of this calculation.
>
> [Consultant Costs]{.underline}: Give name and institutional
> affiliation, qualifications of each consultant, if known, and indicate
> the nature and extent of the consultant service to be performed.
> Include expected rate of compensation and total fees, travel, per
> diem, or other related costs for each consultant.
>
> [Travel]{.underline}: 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. Project Directors will be required to attend an annual
> meeting in the Washington, DC area to report and share experiences
> with other grantees.
>
> [Data Collection Activities]{.underline}: Grant funds may be requested
> to support appropriate and justifiable costs directly related to
> meeting data reporting requirements. Identify and justify how these
> funds will be used under the appropriate budget category.

[Trainee Expenses]{.underline} -- NOT APPLICABLE TO THIS PROGRAM

[Trainee Travel]{.underline} -- NOT APPLICABLE TO THIS PROGRAM

> [Fringe Benefits]{.underline}: 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.
>
> [Equipment]{.underline}: List equipment costs and provide
> justification for the need of the equipment to carry out the program's
> goals. Extensive justification and a detailed status of current
> equipment must be provided when requesting funds for the purchase of
> computers and furniture items.
>
> [Supplies]{.underline}: 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]{.underline}: 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]{.underline}: 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.)

vi. []{#__RefHeading___Toc47265123 .anchor}**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.

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

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

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

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

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

> Provide a summary of the application. Because the abstract is often
> distributed to provide information to the public and Congress, please
> prepare this so that it is clear, accurate, concise, and without
> reference to other parts of the application. It must include a brief
> description of the proposed grant project including the needs to be
> addressed, the proposed services, and the population group(s) to be
> served.
>
> Please place the following at the top of the abstract:

-   Project Title

-   Applicant Name

-   Address

-   Contact Phone Numbers (Voice, Fax)

-   E-Mail Address

-   Web Site Address, if applicable

-   Project Period

-   Consortium Members, if Applicable

-   Disciplines (If Allied Health is one of the targeted health
    professions, please specify discipline(s), e.g., physical therapy,
    occupational therapy, nuclear medicine technology, etc.)

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

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

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

-   NEEDS ASSESSMENT

> This section outlines the needs of your community and/or organization.
> The target population and its unmet health needs must be described and
> documented in this section. Demographic data should be used and cited
> whenever possible to support the information provided. Please discuss
> any relevant barriers in the service area that the project hopes to
> overcome. This section should help reviewers understand the community
> and/or organization that will be served by the proposed project.
>
> As appropriate, this section should include but not be limited to a
> discussion of:

-   national, regional, and local health status indicators of the
    elderly including morbidity and mortality statistics;

-   a documented needs assessment, **conducted within the past three
    years,** of the status of geriatrics training in the institutions to
    be assisted and/or the geographic area to be served;

-   current training activities (for existing programs) or current
    planning activities (for developing programs);

-   the differences between current and proposed activities;

-   gaps the project is intended to fill;

-   other geriatric activity in the area, including programs supported
    by the Administration on Aging, the National Institute on Aging, the
    National Institute of Mental Health, the Department of Veterans
    Affairs, and other Health Resources and Services Administration
    programs; and

```{=html}
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```
-   Methodology

> Propose methods that will be used to meet each of the previously
> described program
>
> requirements and expectations in this grant announcement including
> statutory purposes*.* The applicant should clearly explain how the
> proposed objectives and sub-objectives will be implemented.
>
> []{.mark}

\-**Objectives**

Address objectives and sub-objectives which will be accomplished through
support of the proposed project.  State objectives and sub-objectives in
measurable terms with specific outcomes identified.  The objectives and
sub-objectives should:

-   relate to the project purpose(s) and identified needs and problems;

-   relate to patient-centered clinical practice and address the direct
    impact on patient health status outcomes;

-   describe the relationship to the recommendations directed toward
    GECs in the HRSA's publication entitled *A National Agenda for
    Geriatric Education: White Papers* published in 1995 as part of its
    Geriatric Education Futures Project. Copies of the *White Papers*
    and the GEC excerpts from it are available on the Internet at
    <http://bhpr.hrsa.gov/interdisciplinary/gec.html>.

-   address the BHPr National Goals I and/ II, Healthy People 2010, and
    Linkages (see section on "Administrative and National Policy
    Requirements" for description);

-   address HRSA's Cultural and Linguistic Competence Related
    Objectives. (see section on "Administrative and National Policy
    Requirements" for description);

**- Self Sufficiency**

> Provide specific information that describes the extent and means by
> which your program plans to become self-sufficient.  This should
> include other sources of income and the nature of income, future
> funding initiatives and strategies, decremental Federal funding plans
> by year for the remaining project period, and a timetable for becoming
> self-sufficient. 
>
> **- Dissemination of Outcomes**
>
> Develop a plan for dissemination of all products, such as conferences,
> presentations, publications, videotapes, CDs, web-based publishing,
> etc.  Include in the plan a methodology for providing copies of
> materials to the Bureau of Health Professions (BHPr) Program Officer.
>
> If a grant award is made, copies of any materials disseminated should
> include the following acknowledgement and disclaimer:
>
> "This project is/was supported by funds from the Bureau of Health
> Professions (BHPr), Health Resources and Services Administration
> (HRSA), Department of Health and Human Services (DHHS) under grant
> number and title for \$ (specify grant number, title, and total award
> amount).  This information or content and conclusions are those of the
> author and should not be construed as the official position or policy
> of, nor should any endorsements be inferred by the BHPr, HRSA, DHHS or
> the U.S. Government."

-   Work Plan

> Describe the activities or steps that will be used to achieve each of
> the activities proposed in the methodology section to accomplish each
> project objective, sub-objective and outcome.  Use a timeline by
> months or quarters for each project year that includes each activity,
> identifies responsible staff, and time period for implementation of
> activities that support project outcomes.  It is recommended that
> applicants provide any charts or tables that would assist in
> clarifying this section's narrative.

-   Resolution of Challenges

> Discuss challenges that are likely to be encountered in designing and
> implementing the activities described in the Work Plan, and approaches
> that will be used to resolve such challenges.

-   Evaluation and Technical Support Capacity

> \- **Project and Program Evaluation**
>
> The evaluation strategy must be directly tied to the project outcomes
> based on the project objectives.  Specify the qualitative and
> quantitative methods you will use to evaluate each project objective,
> as well as the overall project.  Explain the manner in which data will
> be collected, analyzed and reported to measure the outcomes.  Describe
> the evaluation mechanism to measure the education performance outcomes
> of each objective at primary (aggregated outcome data), secondary
> (results that can be attributed to the program's efforts), and
> tertiary (the direct impact of program efforts on patient health
> status outcomes) levels.  Describe the processes used to assure the
> quality and integrity of the project and the product, including theory
> and practice components.  Explain how this project will be
> incorporated into the existing evaluation plan in the institution.  If
> a new program evaluation plan is anticipated, explain it.  When the
> infrastructure for data collection is not in place, the applicant must
> include a plan with milestones and target dates to implement a
> systematic method for collecting, analyzing, and reporting performance
> information.  Funded applicants will be required to submit an annual
> Uniform Progress Report (UPR) to describe achievements in meeting the
> objectives stated in this grant application.  They will also be
> required to submit a yearly financial status report before
> continuation support is awarded for the next budget period.
>
> **- Technical Support Capacity**
>
> Describe current experience, skills, and knowledge, including
> individuals on staff, materials published, and previous work of a
> similar nature.
>
> Applicants should provide information including, but not limited to:

-   Institutional environment of the training program;

-   Description of consortia partnerships;

-   Core faculty for the project (the number, their positions, and their
    roles in the proposed project);

-   Current/proposed clinical training sites (describe) and patient
    population;

-   Existing research activities in geriatrics education and training
    done by faculty or trainees;

-   Program resources (financial, personnel, facilities, equipment, and
    etc.) identifying resources that currently exist and those that will
    be made available by the institution

-   Describe existing or proposed linkages with relevant educational and
    health care entities, including other Bureau of Health Professions
    sponsored programs, and other interdisciplinary training programs
    for health professionals at the state and local levels; and

-   Identify consultant(s), including vacant consultant position(s) by
    area of expertise for at least the first project year, and provide a
    rationale for this need.  Summarize the qualifications and nature of
    work of the selected consultant(s).  Provide assurances that the
    consultant(s) have agreed to serve on the project.

[]{.mark}

-   Organizational Information

> Provide information on the applicant agency's (and consortium partners
> where applicable) current mission and structure, scope of current
> activities, and an organizational chart, and describe how these all
> contribute to the ability of the organization to conduct the program
> requirements and meet program expectations.

+-----------------------------------+-----------------------------------+
| **This box provides a             |                                   |
| "cross-walk" between the sample   |                                   |
| narrative text language and the   |                                   |
| generic review criteria.**        |                                   |
+-----------------------------------+-----------------------------------+
| **[Narrative Section (page        | **[Review Criteria (page          |
| 18)]{.underline}**                | 30)]{.underline}**                |
+-----------------------------------+-----------------------------------+
| Introduction                      | \(1\) Need                        |
+-----------------------------------+-----------------------------------+
| Needs Assessment                  | \(1\) Need                        |
+-----------------------------------+-----------------------------------+
| Methodology                       | \(2\) Response                    |
|                                   |                                   |
|                                   | \(7\) Interdisciplinary           |
|                                   | collaboration, Education and      |
|                                   | Training                          |
+-----------------------------------+-----------------------------------+
| Work Plan                         | \(2\) Response                    |
|                                   |                                   |
|                                   | \(4\) Impact                      |
+-----------------------------------+-----------------------------------+
| Resolution of Challenges          | \(2\) Response                    |
+-----------------------------------+-----------------------------------+
| Evaluation and Technical Support  | \(3\) Evaluative Measures         |
| Capacity                          |                                   |
|                                   | \(5\) Resources/Capabilities      |
+-----------------------------------+-----------------------------------+
| Organizational Information        | \(5\) Resources/Capabilities      |
+-----------------------------------+-----------------------------------+
| Budget and Budget Justification   | \(6\) Support Requested -- the    |
|                                   | budget section should be          |
|                                   | sufficient to allow reviewers to  |
|                                   | determine the reasonableness of   |
|                                   | the requested support             |
+-----------------------------------+-----------------------------------+
| Attachment 1- Tables, Charts,     | \(5\) Response                    |
| etc. not included elsewhere in    |                                   |
| the Table of Contents.            | \(4\) Impact                      |
|                                   |                                   |
|                                   | \(3\) Evaluative Measures         |
+-----------------------------------+-----------------------------------+
| Attachment 2- Job Descriptions    | \(5\) Resources/Capabilities      |
| for Key Personnel.                |                                   |
+-----------------------------------+-----------------------------------+
| Attachment 3- Biographical        | \(5\) Resources/Capabilities      |
| Sketches of Key Personnel         |                                   |
+-----------------------------------+-----------------------------------+
| Attachment 4- Letters of          | \(5\) Resources/Capabilities      |
| Agreement and/or Description(s)   |                                   |
| of Proposed/Existing Contracts    |                                   |
| (project specific)                |                                   |
+-----------------------------------+-----------------------------------+
| Attachment 5- Project             | \(5\) Resources/Capabilities      |
| Organizational Chart              |                                   |
+-----------------------------------+-----------------------------------+
| Attachment 6- Other Relevant      | Corresponding review criteria     |
| Documents                         |                                   |
+-----------------------------------+-----------------------------------+

xi. []{#__RefHeading___Toc47265129 .anchor}***Program Specific Forms***

-   ***Statutory Funding Preference Request for Medically Underserved
    Communities Form*** Funding preference is defined as the funding of
    a specific category or group of approved applications ahead of other
    categories or groups of approved applications. **All applicants who
    wish to be considered for the Statutory Funding Preference
    [must]{.underline} complete the "Statutory Funding Preference
    Request for Medically Underserved Communities" form.** Please refer
    to Section V. "Application Review Information", Part 2. "Review and
    Selection Process, Funding Preferences" for further details
    regarding the statutory funding preference. (See page 74)

-   ***New Program Funding Preference Request Form***

> New program is defined as the program that graduated less than three
> classes. To qualify for new program funding preference, the applicant
> must fill out the Geriatric Training for Physicians, Dentists, and
> Behavioral and Mental Health Professionals Grant New Program Funding
> Preference Request Form and satisfactorily address at **least four**
> of seven criteria mentioned in the funding factor section.
> Furthermore, requests for consideration as a new program must be
> identified as such and be accompanied by supportive documentation.
> (See page 75)

-   **Faculty Development Data Table** (See Page 76)

-   **Application Detail Form** (See Page 73)

> []{.mark}

xii. ***Attachments***

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

1)  Attachment 1: Tables, Charts, etc.

> To give further details about the proposal.

2)  Attachment 2: Job Descriptions for Key Personnel

> Keep each to one page in length or less.

3)  Attachment 3: Biographical Sketches of Key Personnel

> Include biographical sketches for persons occupying the key positions
> described in Attachment 2, not to exceed two pages in length. In the
> event that a biographical sketch is included for an identified
> individual who is not yet hired, please include a letter of commitment
> from that person with the biographical sketch.

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

> Provide any documents that describe working relationships between the
> applicant agency and other agencies and programs cited in the
> proposal. Documents that confirm actual or pending contractual
> agreements should clearly describe the roles of the subcontractors and
> any deliverable.

5)  Attachment 5: Project Organizational Chart

> Provide a one-page figure that depicts the organizational structure of
> the project, including subcontractors and other significant
> collaborators.

6)  Attachment 6: Other Relevant Documents

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

[]{#__RefHeading___Toc47265131 .anchor}

**3. Submission Dates and Times**

**Application Due Date**

> The due date for applications under this grant announcement is **May
> 14, 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 or a higher level designee may
> authorize an extension of published deadlines when justified by
> circumstances such as acts of God (e.g. floods or hurricanes),
> widespread disruptions of mail service, or other disruptions of
> services, such as a prolonged blackout. The authorizing official will
> determine the affected geographical area(s).
>
> Applications must be submitted by 8:00 P.M. ET. **To ensure that you
> have adequate time to follow procedures and successfully submit the
> application, we recommend you register immediately in Grants.gov (see
> Appendix B) and complete the forms as soon as possible, as this is a
> new process and may take some time.**
>
> **Please refer to Appendix B for important specific information on
> registering, and Appendix A, Section 3 for important information on
> applying through Grants.gov.**
>
> **Late applications:**
>
> Applications which do not meet the criteria above are considered late
> applications. Health Resources and Services Administration (HRSA)
> shall notify each late applicant that its application will not be
> considered in the current competition.

[]{#__RefHeading___Toc47265137 .anchor}**4. Intergovernmental Review**

> Executive Order 12372, Intergovernmental Review of Federal Programs,
> is not applicable to this grant program.

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

> Applicants responding to this announcement may request funding for a
> project period of up to three (3) years.  For single applications,
> applicants may apply for direct costs of no more than \$200,000 per
> year.  For consortia applications, applicants may apply for direct
> costs of no more than \$400,000 per year.  Awards to support projects
> beyond the first budget year will be contingent upon Congressional
> appropriation, satisfactory progress in meeting the project's
> objectives, and a determination that continued funding would be in the
> best interest of the government.
>
> An academic institution **[CANNOT]{.underline}** have more than one
> Geriatric Education Center.
>
> Funds under this announcement may not be used for the following
> purposes: trainee expenses or trainee travel.

[]{#__RefHeading___Toc47265140 .anchor}**6. Other Submission
Requirements**

> As stated in Section IV.1, except in rare cases HRSA will no longer
> accept applications for grant opportunities in paper form. Applicants
> submitting for this funding opportunity are ***required*** to submit
> ***electronically*** through Grants.gov. To submit an application
> electronically, please use the
> [http://www.Grants.gov](http://www.Grants.gov/) apply site. When using
> Grants.gov you will be able to download a copy of the application
> package, complete it off-line, and then upload and submit the
> application via the Grants.gov site.
>
> As soon as you read this, whether you plan on applying for a HRSA
> grant later this month or later this year, it is incumbent that your
> organization ***immediately register*** in Grants.gov and become
> familiar with the Grants.gov site application process. If you do not
> complete the registration process you will be unable to submit an
> application. The registration process can take up to one month, so you
> need to begin immediately.
>
> To be able to successfully register in Grants.gov, it is necessary
> that you complete all of the following required actions:
>
> • Obtain an organizational Data Universal Number System (DUNS) number
>
> • Register the organization with Central Contractor Registry (CCR)
>
> • Identify the organization's E-Business POC (Point of Contact)
>
> • Confirm the organization's CCR "Marketing Partner ID Number (M-PIN)"
> password
>
> • Register an Authorized Organization Representative (AOR)
>
> • Obtain a username and password from the Grants.gov Credential
> Provider
>
> Instructions on how to register, tutorials and FAQs are available on
> the Grants.gov web site at [www.grants.gov](http://www.grants.gov/).
> Assistance is also available from the Grants.gov help desk at
> <support@grants.gov> or by phone at 1-800-518-4726.
>
> More specific information, including step-by-step instructions on
> registering and applying, can be found in Appendix B of this guidance.
>
> **Formal submission of the electronic application:** Applications
> completed online are considered formally submitted when the
> Authorizing Official electronically submits the application to HRSA
> through Grants.gov. However, to complete the submission requirements,
> a hard-copy of the SF-424/5161 Face Sheet must be printed, signed, and
> submitted to the HRSA Grants Application Center. The SF-424/5161 must
> be printed from Grants.gov.
>
> For an online application, the signed SF-424/5161 must be sent to the
> HRSA GRANTS APPLICATION CENTER at the following address and received
> by HRSA by no later than five days after the date of submission in
> Grants.gov:
>
> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: Geriatric Education Centers
>
> Program Announcement No. HRSA-07-*108*
>
> CFDA No. 93.*969*
>
> 910 Clopper Road, Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 877-477-2123
>
> Applications will be considered as having met the deadline if: (1) the
> application has been successfully transmitted electronically by your
> organization's Authorizing Official through Grants.gov on or before
> the deadline date and time, and (2) the signed SF-424/5161 Face Sheet
> is received by HRSA no later than five days after the date of
> submission in Grants.gov.
>
> It is incumbent on applicants to ensure that the AO is available to
> submit the application to HRSA by the application due date. We will
> [not]{.underline} accept submission or re-submission of incomplete,
> rejected, or otherwise delayed applications after the deadline.
>
> Again, please understand that we will not consider additional
> information and/or materials submitted after your initial application.
> You must therefore ensure that all materials are submitted together.

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

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

> Procedures for assessing the technical merit of grant applications
> have been instituted to provide for an objective review of
> applications and to assist the applicant in understanding the
> standards against which each application will be judged. Critical
> indicators have been developed for each review criterion to assist the
> applicant in presenting pertinent information related to that
> criterion and to provide the reviewer with a standard for evaluation.
> Review criteria are outlined below with specific detail and scoring
> points.
>
> Review Criteria are used to review and rank applications. The
> Geriatric Education Centers Program has seven (*7)* review
> criteria:[]{#__RefHeading___Toc47265144 .anchor}

[Criterion 1]{.underline}: NEED **(10 points)**

-   The extent to which the application describes the problem and
    associated contributing factors to the problem.

> [Criterion 2]{.underline}: RESPONSE **(35 points)**

-   The extent to which the proposed project responds to the "Purpose"
    included in the program description 

-   The clarity of the proposed goals and objectives and their
    relationship to the identified project 

-   The extent to which the activities (scientific or other) described
    in the application is capable of addressing the problem and
    attaining the project objectives 

-   The extent to which activities described in the application relate
    to patient-centered clinical practice and impact patient health
    status outcomes 

-   The extent to which the proposed project support HRSA's Cultural and
    Linguistic Competence Related Objectives and BHPr's National Goals
    (see section on "Administrative and National Policy Requirements"
    for description).

> [Criterion 3]{.underline}: EVALUATIVE MEASURES **(15 points)**

-   The effectiveness of the method proposed to monitor and evaluate the
    project results.  Evaluative measures must be able to assess 1) to
    what extent the program objectives have been met and 2) to what
    extent these can be attributed to the project.

> [Criterion 4]{.underline}: IMPACT **(10 points)**

-   The extent and effectiveness of plans for dissemination of project
    results, and/or

-   The extent to which project results may be national in scope, and/or

-   Degree to which the project activities are replicable, and/or

-   The sustainability of the program beyond the Federal Funding.

> [Criterion 5]{.underline}: RESOURCES/CAPABILITIES **(10 points)**

-   The extent to which project personnel are qualified by training
    and/or experience to implement and carry out the projects 

-   The plan for project management describes a well qualified project
    director with a minimum of five years of experience in the education
    and training of health professionals in geriatrics, preferably a
    history of funded research in geriatrics, and a dedicated  a minimum
    of 10% of his/her time to the Geriatric Education Centers Program
    grant activities 

-   The capabilities of the applicant organization, and quality and
    availability of facilities and personnel to fulfill the needs and
    requirements of the proposed project

> [Criterion 6]{.underline}: SUPPORT REQUESTED **(5 points)**

-   The reasonableness of the proposed budget in relation to the
    objectives, the complexity of the activities, and the anticipated
    results

> [Criterion 7]{.underline}: INTERDISCIPLINARY COLLABORATION, EDUCATION
> AND
>
> TRAINING (**15 points)**
>
> The extent to which the application addresses: 1) the
> interdisciplinary collaboration, education, and training of four or
> more health professions, one of which must be allopathic or
> osteopathic medicine; 2) interdisciplinary collaboration, education,
> and training and its effect on patient-centered clinical practice; 3)
> the direct impact of interdisciplinary collaboration, education and
> training on patient health status outcomes; and 4) the improvement of
> the geriatric workforce as it relates to interdisciplinary practice
> and its effect on the target population(s).
>
> **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.
>
> **Funding Priorities-** A funding priority is defined as the favorable
> adjustment of combined review scores of individually approved
> applications when applications meet specified criteria. An adjustment
> is made by a set, pre-determined number of points.  The Geriatric
> Education Center Program has one (1) funding priority:
>
> **Administrative Funding Priority:   Training and Retraining of
> Faculty in Health Literacy as It Applies to Geriatrics**
>
> An administrative funding priority of ten (10) points is available to
> qualified applicants. Four or more health professions must be
> involved, one of which must be allopathic or osteopathic medicine.
> **Please Note: Allopathic and Osteopathic Medicine count as one
> profession.** In order to be considered for the funding priority, the
> applicant must request the administrative funding priority. Note that
> **this priority will be applied to only those applications that rank
> above the 20^th^ percentile of applications recommended for
> approval.**
>
> In order to meet the funding priority, the applicant must address all
> of the following guidelines to support the Training and Retraining of
> Faculty in Health Literacy as It Applies to Geriatrics:
>
> **Guidelines to Support the Training and Retraining of Faculty in
> Health Literacy as It Applies to Geriatrics**
>
> 1.  development of an interdisciplinary faculty training/retraining
> program in health literacy as it applies to geriatrics that is a
> **minimum** of **24 hours** and completed by faculty within one year;
>
> 2.  identify the faculty who will teach in the educational
> offering(s);
>
> 3.  provide an overview of the curriculum/curricula and how the
> project relates to it; 
>
> 4.  provide a topical outline of the program including brief
> descriptions of the lectures/modules that will be developed;
>
> 5.  list the expected functional competencies of the program
> completers;
>
> 6.  identify the total number of clock hours; and
>
> 7.  complete the Faculty Development Data Table found on pages 76-77. 
>
> **Funding Preference** - The authorizing legislation provides a
> funding preference for some applicants.  Applicants receiving the
> preference will be placed in a more competitive position among
> applications that can be funded.  Applications that do not receive a
> funding preference will be given full and equitable consideration
> during the review process.  The law provides that a funding preference
> be granted to any qualified applicant that specifically requests the
> preference and meets the criteria for the preference as follows:
>
> **Statutory Funding Preference**
>
> A statutory funding preference is available to applicants in the
> Geriatrics Education Centers Program.  A funding preference is defined
> as the funding of a specific category or group of approved
> applications ahead of other categories or groups of approved
> applications that do not carry a preference.  Note that **this
> preference will be applied to only those applications that rank above
> the 20^th^ percentile of applications recommended for approval.**
>
> To be considered for the funding preference an applicant
> **[must]{.underline}** request it by completing this section of the
> application, the "Statutory Funding Preference Request Form for
> Medically Underserved Communities (MUCs)".  If requesting the
> preference as "high rate" or "significant increase," the applicant
> should complete the table and provide a brief narrative.  If
> documentation of the acceptance of a HPSA application, or an official
> letter from a State Governor is required, please include it in this
> section of your application. 
>
> So that new applicants may compete equitably, a preference will be
> given to those new programs that meet at least four of the criteria
> described in this document.  If requesting the preference as "new
> program," the applicant must provide the requested narrative
> justification.
>
> All applicants who wish to be considered for the **Statutory Funding
> Preference** [must]{.underline} complete the "Statutory Funding
> Preference for Medically Underserved Communities Request Form" found
> on page 74.  Please refer to information regarding "medically
> underserved community" in the "Definitions" section of this document
> found on page 41. 
>
> [Qualification 1]{.underline}: High Rate
>
> An applicant can request funding preference based upon High Rate if:
> it has a **high rate** for placing graduates/program completers in
> practice settings having the principal focus of serving residents of
> medically underserved communities (MUCs). **High rate** means that a
> minimum of 20 percent (20%) of the graduates in academic year
> 2004-2005 or academic year 2005-2006, whichever is greater, spend at
> least 50 percent (50%) of their worktime in clinical practice in the
> specified settings. Graduates/program completers, who are providing
> care in a medically underserved community as a part of a fellowship or
> other educational experience **can** be counted

Compute as follows: [All 2004 or 2005 graduates and/or program
completers in MUCs]{.underline} [\>]{.underline} 20%

All 2004 or 2005 graduates and/or program completers

> [Qualification 2]{.underline}: Significant Increase
>
> An applicant can request funding preference based upon Significant
> Increase if: during the two-year period preceding the fiscal year for
> which such an award is sought, has achieved a **significant increase
> in the rate** of placing graduates and/or program completers in such
> settings. **Significant increase in the rate** means that between
> academic years 2004-2005 and 2005-2006, the rate of placing graduates
> in the specified settings has increased by a minimum of 50 percent
> (50%) and that not less than fifteen percent (15%) of graduates from
> the most recent year are working in these settings.
>
> **Please Note:** **"Graduate/Program Completer"** means, for the
> purposes of the funding preference, an individual who has 40 or more
> hours of didactic and/or clinical training.
>
> [Qualification 3]{.underline}: New Program
>
> An applicant can request funding preference as a New Program if: it is
> a New Program (i.e., program that has graduated less than three
> classes) and if **four or more** of the following criteria are met:

1.  The mission statement of the program identifies a specific purpose
    of preparing health professionals to serve underserved populations.

2.  The curriculum includes content that will help to prepare
    practitioners to serve underserved populations.

3.  Substantial clinical training experience is required in medically
    underserved communities.

4.  A minimum of 20 percent of the faculty spends at least 50 percent of
    their time providing/supervising care in medically underserved
    communities.

5.  The entire program or a substantial portion of the program (i.e.,
    the primary, ambulatory education training sites) is physically
    located in a medically underserved community.

6.  Student assistance, which is linked to service in medically
    underserved communities following graduation, is available to the
    students in the program.

7.  The program provides a placement mechanism for deploying graduates
    to medically underserved communities.

> The Objective Review Committee shall evaluate information to determine
> if the applicant has met the **statutory funding preference. This
> preference will be applied to only those applications that rank above
> the 20^th^ percentile** of the applicants recommended for approval by
> the objective review committee. 
>
> In reference to Health Professions Shortage Areas (HPSAs), the
> following instructions apply:
>
> To determine if a site that a trainee is practicing in fits the
> standards for eligibility as a HPSA when the site is not so
> designated, the applicant must demonstrate that an application has
> been submitted for such designation and include proof of acceptance of
> that application from the designating authority, such as a letter. 
> The statutory funding preference will not be applied without proof of
> approval of that application. 
>
> For sites designated by a State Governor (in consultation with a
> medical community) as a shortage area or medically underserved
> community, an **official letter** from the Governor's office or from
> the State agency involved in the Governor's designation of such sites
> for the State should be included in the application.  An **official
> listing or other convincing evidence** may be substituted provided
> that it [clearly]{.underline} indicates that designation of sites is
> by the State Governor or State agency acting for the Governor in this
> capacity.  Without such documentation the preference [will
> not]{.underline} be awarded.
>
> **[Access to the Lists of Medically Underserved
> Communities]{.underline}**

-   Please refer to page 42 for links to relevant websites.

[]{.mark}

[]{#__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 estimated start date of September 1, 2007.

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

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

> **Beginning October 1, 2006, HRSA grant awards will be subject to the
> requirements of the HHS Grants Policy Statement (HHS GPS) that are
> applicable to the grant based on recipient type and purpose of award.
> This includes, as applicable, any requirements in Parts I and II of
> the HHS GPS that apply to the award, as well as any requirements of
> Part IV. The HHS GPS is available at <http://www.hrsa.gov/grants/>.
> The general terms and conditions in the HHS GPS will apply as
> indicated unless there are statutory, regulatory, or award-specific
> requirements to the contrary (as specified in the Notice of Award).**
>
> **PUBLIC POLICY ISSUANCE**
>
> **Federal, State, or Regional Plans or Priorities**
>
> Projects must be consistent, to the extent practicable, with related
> Federal, State, or regional workforce program plans or priorities. 
> Cite the appropriate plan or priority in the application.

**HEALTHY PEOPLE 2010**

> **Healthy People 2010** is a national initiative led by HHS that sets
> priorities for all HRSA programs. The initiative has two major goals:
> (1) To increase the quality and years of a healthy life; and (2)
> Eliminate our country's health disparities. The program consists of 28
> focus areas and 467 objectives. HRSA has actively participated in the
> work groups of all the focus areas, and is committed to the
> achievement of the Healthy People 2010 goals.
>
> Applicants must summarize the relationship of their projects and
> identify which of their programs objectives and/or sub-objectives
> relate to the goals of the Healthy People 2010 initiative.
>
> Copies of the Healthy People 2010 may be obtained from the
> Superintendent of Documents or downloaded at the Healthy People 2010
> website: [http://www.health.gov/healthypeople/document]{.underline}/.

[]{.mark}

> **National Goals and Data Reporting**
>
> The Government Performance and Results Act of 1993 (GPRA) requires
> Federal agencies to develop strategic plans, prepare annual plans
> setting performance goals, and report annually to Congress on actual
> performance compared to goals. 
>
> In preparation for meeting the requirements of GPRA, the Bureau of
> Health Professions (BHPr) has developed the Comprehensive Performance
> Management System (CPMS) to measure outcomes of the Bureau's Title VII
> and VIII health professions and nursing education programs.  The
> monitoring and measuring function that is the core of the CPMS
> provides for the collection of detailed data from the Bureau's
> grantees describing the effect of BHPr supported activities. 
>
> To provide the basis for this function, the Bureau has developed a set
> of cross-cutting goals, outcomes and indicators that apply to Titles
> VII and VIII programs.  At the center of CPMS are two goals, which
> address workforce quality, supply, diversity and distribution.
>
> **National Goal I:  Improve access to quality health care through
> appropriate preparation, composition and distribution of the health
> professions workforce.**
>
> **National Goal II:  Improve access to a diverse and culturally
> competent and sensitive health professions workforce.**
>
> In addition to providing CPMS data, the Bureau requires its grantees
> to report annually on their progress in carrying out the approved
> objectives of their grants.  This data collection is known as the
> Uniform Progress Report (UPR).  To reduce the burden on its grantees,
> the Bureau has elected to collect both CPMS and UPR data
> concurrently. 
>
> [What This Means]{.underline}
>
> All applicants seeking a grant under this program must address at
> least one of the outcome objectives identified under the established
> national goals.  Approved and funded applicants will be required to
> provide baseline and yearly data on the chosen goal(s) and
> corresponding outcome objective(s) and performance indicator(s)
> identified below. 
>
> **National Goal 1. Improve access to quality health care through
> appropriate preparation, composition and distribution of the health
> profession workforce.**
>
> [Outcome 1]{.underline}: Prepare an appropriate number of health
> professionals necessary to provide quality primary care.
>
> *Indicator:*   *Number of graduates and/or program completers of
> primary care tracks by discipline.*
>
> [Outcome 2]{.underline}:** ** Prepare an appropriate number of health
> professionals necessary to support quality primary care.
>
> *Indicator:   Number of graduates and/or program completers of health
> professions programs that support primary care by discipline.*
>
> [Outcome 3]{.underline}: ** ** Increase the number of graduates and/or
> program completers practicing in underserved areas.
>
> *Indicator: Number of graduates and/or program completers entering
> residencies serving underserved areas.*
>
> *Indicator: Number of graduates and/or program completers by
> discipline who enter practice settings serving underserved areas.*
>
> National Goal II.  Improve access to a diverse and culturally
> competent and sensitive health professions workforce.
>
> [Outcome 1]{.underline}:** ** Increase the number of minority faculty.
>
> *Indicator:   Number of under-represented minorities serving as
> faculty.*
>
> [Outcome 2]{.underline}:** ** Increase the number of
> minority/disadvantaged graduates and/or program completers.
>
> *Indicator:   Number of minority/disadvantaged graduates and/or
> program completers.*
>
> [Outcome 3]{.underline}: Increase the number of minority/disadvantaged
> enrollees.
>
> *Indicator:   Number of minority/disadvantaged enrollees.*
>
> Identify project specific objectives and sub-objectives relevant to
> National Goal I and/or National Goal II.  Indicate the objective(s) or
> sub-objective(s) relevant to National Goal I and/or National Goal II
> by using bold and parenthesis, e.g., **(National Goal I)** or
> **(National Goal II)**, next to the objective(s) or sub-objective(s).
>
> **Please Note:**  The terms "graduates" and "program completers" have
> specific meaning for BHPr data reporting purposes.  A program
> completer is an individual who has met the didactic and/or clinical
> requirements of a structured educational program which does not confer
> a degree (e.g., continuing education, residency, fellowship) designed
> to improve their knowledge or skills.  Program completers are further
> grouped by the length of the program completed:  Programs
> [\<]{.underline} 39 hours; Programs 40 - 160 hours; Programs
> [\>]{.underline} 161 hours including fellowships and residencies of 1
> year or more. A graduate is an individual who has successfully
> completed all educational requirements for a specified academic
> program of study or has met all the eligibility requirements for full
> certification/degree in a designated health profession.  For instance,
> a person receiving a degree in nursing at the associate, bachelor,
> masters or doctorate level should be classified as a graduate.  A
> doctor who completes a residency program should be classified as a
> program completer.  A health care provider who completes a continuing
> education course for credit, or a high school student who completes a
> 20 hour or 40 hour health careers summer program, should be classified
> as program completer.
>
> **Community Based Linkages**
>
> **[General]{.underline}**:  The Health Professions Education
> Partnerships Act of 1998 seeks to assure maximum effort to leverage
> available funds by requiring applicants to describe programmatic
> linkages with education, health care facilities and other community
> entities.  To the extent possible, grantees are required to establish
> working relationships with providers of health care services to
> underserved communities and populations.
>
> **[Linkages to Community]{.underline}**:  The applicant must describe
> the current and/or anticipated relationship with entities, which
> provide health care or education of health care providers. 
>
> A listing of the most common entity types is presented below.
>
> AIDS Education Training Centers, Area Health Education Centers,
> Community Health Centers, colleges and universities, community
> hospitals, elderly/low income housing sites, elementary schools, free
> clinics, Health Care for the Homeless sites, health department sites
> (state/local government), , high schools, Indian Health Service sites,
> jails and prisons, JOBCORPS sites, junior high schools, junior and
> community colleges, long-term care settings, Medicare/Medicaid
> facilities, middle schools, Migrant Health Centers, National Health
> Service Corps sites, nursery schools, nurse-managed care
> centers/clinics, nurse-midwife birthing centers, practice sites in
> Primary Care Health Professional Shortage Areas (HPSAs), Public
> Housing Primary Care Clinics, Rural Health Clinics, Ryan White
> Centers, urban homeless health care sites, Public Health Training
> Centers, and other HRSA grantees.
>
> The description should focus on: (1) use of shared facilities,
> personnel, services, funding or other resources; (2) coordination of
> activities; and (3) coordination of strategic planning to achieve
> common objectives for effective and efficient program operation.
>
> **[Linkages to Improve Health of Underserved]{.underline}**:  When it
> is feasible to establish linkages with organizations, which deliver
> health care to underserved communities and populations, grantees are
> required to establish such linkages.  Applicants should describe the
> underserved community or population as well as any current linkages to
> organizations providing care.  Where such linkages are feasible but
> have not yet been established, the applicant should identify the
> entities and what will be done to develop a relationship.
>
> If project objective(s) or sub-objective(s) include information
> relevant to project linkages, indicate by using bold and parenthesis,
> e.g., **(Linkages)**, next to the objective or sub-objective.
>
> **Cultural and Linguistic Competence**
>
> HRSA is committed to ensuring access to quality health care for all.
> Quality care means access to services, information, materials
> delivered by competent providers in a manner that factor in the
> language needs, cultural richness, and diversity of populations
> served. Quality also means that, where appropriate, data collection
> instruments used should adhere to culturally competent and
> linguistically appropriate norms. 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. This document is
> available online at <http://www.omhrc.gov/CLAS>.
>
> Wherever appropriate, identify programs, training and technical
> assistance implemented to improve health communications to foster
> healing relationships across culturally diverse populations.
>
> Wherever appropriate, describe the program's or institution's
> strategic plan, policies, and initiatives that demonstrate a
> commitment to providing culturally and linguistically competent health
> care and developing culturally and linguistically competent health
> care providers, faculty, staff, and program participants. This
> includes participation in, and, support of programs that focus on
> cross-cultural health communication approaches as strategies to
> educate health care providers serving diverse patients, families, and
> communities.
>
> Whenever appropriate identify programs that work to (1) improve
> medication compliance of patients, and (2) improve patient
> understanding regarding health conditions and (3) improve the ability
> of the patient to manage their condition.
>
> Wherever appropriate, describe a plan to recruit and retain key staff
> with demonstrated experience serving the specific target population
> and familiarity with the culture and language of the particular
> communities served:

-   Wherever appropriate, summarize specific training, and/or learning
    experiences to foster knowledge and appreciation of how culture and
    language influences health literacy, patient safety, and access to
    high quality, effective and predictably safe healthcare services. 

-   Wherever appropriate, provide a plan for using training to increase
    self-awareness of multicultural and health literacy issues and
    engage individuals, families, and communities from diverse social,
    cultural, and language backgrounds in self-managing their health
    care.

>  

-   Wherever appropriate, describe the program or institution's
    strategic plan, policies, and initiatives that demonstrate a
    commitment to serving the specific target population and familiarity
    with the culture and literacy level of the particular target group.

-   Wherever appropriate, describe the program's or institution's past
    performance in recruiting and retaining health care providers,
    faculty, staff  and students with demonstrated experience serving
    the specific target population and familiarity with the culture of
    the particular target group.

-   Wherever appropriate, describe a plan to recruit and retain staff,
    health care providers, faculty, and students with demonstrated
    experience serving the specific target population and familiarity
    with the culture and literacy level of the particular target group.

-   Wherever appropriate, describe the institution's strategic plan,
    policies, and initiatives that demonstrate a commitment to
    developing culturally and linguistically competent health care
    providers, faculty, and students.

-   Wherever appropriate, present a summary of specific training, and
    /or learning experiences to develop knowledge and appreciation of
    how culture and language influences health literacy improvement and
    the delivery of high quality, effective and predictably safe
    healthcare services.

-   Wherever appropriate, describe how training and/or learning
    experiences will increase staff awareness in serving the specific
    target population and familiarity with the culture and language of
    the particular target group.

The Public Health Service strongly encourages all award recipients to
provide a smoke-free workplace and to promote the non-use of all tobacco
products. Further, Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any portion
of a facility) in which regular or routine education, library, day care,
health care or early childhood development services are provided to
children.

[]{#__RefHeading___Toc47265158 .anchor}**3. Reporting**

The successful applicant under this guidance must 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). All Bureau of Health Professions
grantees are required to submit reports to HRSA on an annual basis. 
These reports take the form of Uniform Progress Reports, Final Reports
and Comprehensive Performance Management System (CPMS) Reports.  Reports
for grants and cooperative agreements will be submitted online.  BHPr
grantees will be able to access and complete their reports on the
Internet using a web-based data entry tool.  Information on this new
system will be updated regularly on the Bureau's web page.  Due dates
for the reports will be posted on the web page as soon as they are
available.  The Bureau's web page address is
<http://www.bhpr.hrsa.gov/grants>.  On the web page, click on the link
for **Grantee Reports**. 

> **3. 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
> process, 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:

Shirley Defibaugh

Attn: Geriatric Education Centers

HRSA Division of Grants Policy, OFAM

Parklawn Building, Room 11 A-16

5600 Fishers Lane

Rockville, MD 20857

Telephone: 301 443-5046

Fax: 301 443-6343

Email: <SDefibaugh@hrsa.gov>

> Additional information related to the overall program issues and
> technical assistance may be obtained by contacting:
>
> Joan Weiss, PhD, RN, CRNP

Deputy Director, Division of Nursing

Health Resources and Services Administration

5600 Fishers Lane Room 9-35

Rockville, Maryland  20857

Phone:  (301) 443-0430

Fax:      (301) 443-8586

E-mail:  <jweiss@hrsa.gov>

John R. Kress, MHA

Director, Public Health Training Center Program

Public Health Branch, HRSA, DHHS

5600 Fishers Lane    Room 9A-08

Rockville, MD 20857

301 443 6864  Fx: 301 443 1164

E-mail: <jkress@hrsa.gov>

[]{#__RefHeading___Toc47265164 .anchor}

**VIII. OTHER INFORMATION**

**1. Definitions**

To assist applicants in the development of an application, the following
definitions are provided. Please refer back to these definitions as
needed when reviewing the application information.

**Academic Health Center:** means an institution that includes a school
of medicine, a teaching hospital, and at least one additional health
education school (e.g., nursing) and which is owned and/or affiliated
with clinical agencies providing for the delivery of patient services.
Each entity generally maintains a separate identity and autonomy.

**Accredited:** means a program accredited by a recognized body or
bodies, or by a State agency, approved for such purpose by the Secretary
of Education and when applied to a hospital, school, college or
university (or unit thereof) means a hospital, school, college or
university (or unit thereof) which is accredited by a recognized body or
bodies, or by a State agency, approved for such purpose by the Secretary
of Education, as defined in section 801(6) of the PHS Act.

**Consortium:** means a grouping of three or more institutions defined
as a college or university component, clinical health facility, or any
health-related agency or organizational entity where health professions
students, faculty, or other practitioners receive instruction regarding
patient care and/or health-related services for older people. Note:
College or university components located on the same campus do not
qualify as separate entities for the purpose of this definition. College
or university components that are a part of a college or university
system qualify as separate entities. In a consortium, only one of the
participating institutions receives the Federal award and is responsible
for the performance of all participating institutions.

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

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

**Culturally Competent Program:** means a program that demonstrates
sensitivity to and an understanding of cultural differences in program
design, implementation and evaluation.

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

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

-   **Educationally Disadvantaged**: an individual who comes from an
    environment that has hindered the individual from obtaining the
    knowledge, skill and abilities required to enroll in and graduate
    from a health professions school. The following are provided as
    examples of "Educationally Disadvantaged" for guidance only and are
    not intended to be all-inclusive. Applicants should seek guidance
    from their educational institution as to how "Educationally
    Disadvantaged" is defined by the applicant institution.

> **Examples:**

a.  Person from high school with low average SAT scores or below the
    average State test results.

b.  Person from a school district where 50% or less of graduates go to
    college.

c.  Person who has a diagnosed physical or mental impairment that
    substantially limits participation in educational experiences.

d.  Person for whom English is not their primary language and for whom
    language is still a barrier to their academic performance.

e.  Person who is first generation to attend college and who is from a
    rural or urban area or receiving public assistance.

f.  Person from a high school where at least 30% of enrolled students
    are eligible for free or reduced price lunches.

-   **Economically Disadvantaged:** An individual who comes from a
    family with an annual income below a level based on low-income
    thresholds according to family size published by the U.S. Bureau of
    Census, adjusted annually for changes in the Consumer Price Index,
    and adjusted by the Secretary for use in all health professions
    programs. The Secretary will annually publish these income levels in
    the Federal Register. The table below provides a breakdown of family
    income levels used to determine economic disadvantaged status.
    Family income is defined as the income of the trainee\'s parents
    regardless of the age of the trainee.

**\*\*Adjusted gross income for calendar year 2007**

+----------------------------------+-----------------------------------+
| [Size of Family                  | [Income Level]{.underline}\*\*    |
| Unit]{.underline}\*              |                                   |
|                                  | \$20,420                          |
| 1                                |                                   |
|                                  | \$27,380                          |
| 2                                |                                   |
|                                  | \$34,340                          |
| 3                                |                                   |
|                                  | \$41,300                          |
| 4                                |                                   |
|                                  | \$48,260                          |
| 5                                |                                   |
|                                  | \$55,220                          |
| 6                                |                                   |
|                                  | \$62,180                          |
| 7                                |                                   |
|                                  | \$69,140                          |
| 8                                |                                   |
|                                  | \*\* Adjusted gross income for    |
| \* Includes only dependents      | calendar year 2006.               |
| listed on                        |                                   |
|                                  |                                   |
| Federal income tax forms.        |                                   |
+----------------------------------+-----------------------------------+

**Electronic Distance Learning Methodologies:** mean electronic medial
are used to deliver educational content when the learner and teacher are
separated by distance. Examples of electronic media may be a computer,
World Wide Web technologies, teleconferencing, television or CD ROM/DVD.

**Enrollee:** means an individual who is receiving training in a program
but has not finished the program during a given grant year. Enrollees do
not include graduates or program completers for the purposes of this
grant program.

**Faculty:** means members of the instructional staff employed full-time
or part-time or who volunteer and who provide the curriculum to develop
the cognitive, psychomotor, and affective skills inherent in practice to
a level of professional competency and, in graduate education, the
development of research capability. This includes all faculty of Title
VII and Title VIII projects, even those who participate on an "as
needed" basis.

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

**Fellowship:** means a 1 or 2-year organized training effort designed
to meet a specific training purpose.

**Full-Time Student:** means a student who is enrolled on a full-time
basis as defined by the institution.

**Graduate:** means an individual who has successfully completed all
educational requirements for a specified academic program of study or
has met the eligibility requirements for full certification/degree in a
designated health profession.

**Graduate Education Program or Training:** means a program administered
by an institution of higher learning, leading to a master's or higher
degree.

**Health Professional:** means an individual who has received a
certificate, an associate degree, a bachelor's degree, a master's
degree, a doctoral degree, or post-baccalaureate training in a field
relating to health care, and who shares in the responsibility for the
delivery of health care services or related service.

**Interdisciplinary Training:** means the collaborative process by which
health care professionals, faculty, clinical preceptors and community
health providers plan and coordinate a program of education or training
aimed at the preparation and functioning of interdisciplinary health
teams who will create solutions to health care problems that transcend
conventional, discipline-specific methods and will work together in
service of patient care needs. For the purpose of the GEC program,
interdisciplinary education and training programs must consist of teams
from four or more different health disciplines, one of which must be
allopathic or osteopathic medicine.

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

**Local Government:** means a local unit of government, including
specifically a county, municipality, city, town, township, local public
authority, school district, special district, intra-State district,
council of governments (whether or not incorporated as a nonprofit
corporation under State law), any other regional or interstate entity,
or any agency or instrumentality of local government.

**Medically Underserved Community (MUC)** as defined in section 799B(6)
of the PHS Act, means an urban or rural area or population that:

> a\. is eligible for designation under section 332 of the PHS Act as a
> Health Professional Shortage Area (HPSA);
>
> b\. is eligible to be served by a Migrant Health Center (MHC), a
> Community Health Center (CHC), a grantee relating to homeless
> individuals, or a grantee relating to residents of public housing
> under section 330 of the PHS Act;
>
> c\. has a shortage of personal health services, as determined under
> criteria issued by the Secretary under section 1861(aa)(2) of the
> Social Security Act (relating to rural health clinics); or
>
> d\. is designated by a State Governor (in consultation with the
> medical community) as a shortage area or medically underserved
> community.
>
> In keeping with the Congressional intent that eligible entities should
> not be limited to formally designated Health Professional Shortage
> Areas (HPSAs) and populations served by CHCs, MHCs, or homeless health
> centers, the list of types of practice sites that can be claimed under
> this provision has been expanded to include the following:

Community Health Centers (CHCs)

Migrant Health Centers (MHCs)

Health Care for the Homeless Grantees

Public Housing Primary Care Grantees

Rural Health Clinics, federally designated

National Health Service Corps (NHSC) Sites

> Indian Health Services (IHS) Sites
>
> Federally Qualified Health Centers (FQHCs)
>
> Practice sites in Primary Medical Care Health Professional Shortage
> Areas (HPSAs)

Practice sites in Dental HPSAs (facilities and geographic) for dentist
only

> State or Local Health Departments (regardless of sponsor - for
> example, local health departments, which are funded by the State,
> would qualify)
>
> Ambulatory practice sites designated by State Governors as serving
> medically underserved communities
>
> Information on:

-   HPSAs is available on HRSA\'s Web Site under the **Bureau of Primary
    Health**

> **Care's (BPHC) HPSA Database** at
> <http://bphc.hrsa.gov/databases/newmua/default.cfm>. (Applicants may
> [not]{.underline} use the BPHC MUA/MUP database as MUA/MUP sites are
> not sites that can be claimed for the MUC preference.)

-   Community Health Centers (CHCs), Migrant Health Centers (MHCs),
    Health

> Care for Homeless grantees, and Public Housing Primary Care grantees
> can also be found on BPHC's website through links at
> <http://bphc.hrsa.gov/bphc/index_1.htm>.

-   Indian Health Service (IHS) sites can be found at

> <http://www.ihs.gov/FacilitiesServices/AreaOffices/AreaOffices_index.asp>.

-   National Health Service Corps Sites can be found at
    <http://nhsc.bhpr.hrsa.gov/>.

-   Rural Health Clinics can be found at

> [http://ric.nal.usda.gov](http://ric.nal.usda.gov/)

-   Applicants may also access maps of some of these sites by going to

> [www.hrsa.gov](http://www.hrsa.gov/) and clicking on "HRSA Pilot
> Mapping Tool."

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

**New Program:** means any GEC that has been in operation for less than
three years. After a GEC has been in existence for three (3) years, that
program will be able to provide the information necessary for the
general funding preference as defined in the law and will no longer be
considered a new program.

**Nonprofit:** means any school, agency, organization or institution
which is a corporation or association, or is owned and operated by one
or more corporations or associations, no part of the net earnings of
which inures, or may lawfully inure to the benefit of any private
shareholder or individual, as defined in Section 801(7) of the PHS Act.

**Participant:** means an individual who has completed fewer than 40
hours of GEC educational activities of any kind.

**Primary Care:** means the provision of integrated, accessible health
care services by clinicians who are accountable for addressing a large
majority of personal health care needs, developing a sustained
partnership with patients, and practicing in the context of family and
community.

**Primary Health Care:** means care, which may be initiated by the
client or provider in a variety of settings and which consists of a
broad range of personal health care services including:

\(1\) promotion and maintenance of health;

\(2\) prevention of illness and disability;

\(3\) basic care during acute and chronic phases of illness;

\(4\) guidance and counseling of individuals and families;

\(5\) referral to other health care providers and community resources
when appropriate; and

\(6\) nurse midwifery services when appropriate.

In providing such services:

\(1\) physical, emotional, social, and economic status, as well as
cultural and

environmental backgrounds of individuals, families and communities
(where

applicable) are considered;

\(2\) the client is provided access to the health care system; and

\(3\) a single provider or team of providers, along with the client, is
responsible for the

continuing coordination and management of all aspects of basic health
services

needed for individual and family care.

**Principal Focus:** means, when used in describing student rotations or
preceptorships and resident clinical training, that the majority of the
patients in the health care settings selected for these experiences are
individuals who reside in or comprise a medically underserved community.

**Program Completer:** means an individual who has met the didactic
and/or clinical requirements of a structured educational program that
does not confer a degree (e.g., summer enrichment programs, continuing
education, fellowship, and etc.) and is designed to improve their
knowledge or skills.

Program completers are grouped by the length of the program completed:

> programs ≤ 39 hours;
>
> programs 40-160 hours;
>
> programs ≥161 hours including fellowships and residencies of 1 year or
> more.

For data reporting purposes, the Geriatric Education Centers program
will be reporting on program completers (not graduates).

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

**Race and Ethnicity:** The racial and ethnic categories for Federal
statistics and program administrative reporting are defined as follows:

-   **American Indian or Alaska Native:** A person having origins in any
    of the original Peoples of North and South America (including
    Central America), and who maintains Tribal affiliation or community
    attachment.

-   **Asian:** A person having origin in any of the original peoples of
    the Far East, Southeast Asia, or the Indian subcontinent including,
    for example, Cambodia, China, India, Japan, Korea, Malaysia,
    Pakistan, the Philippine Islands, Thailand and Vietnam.

-   **Asian Subpopulation** means any Asian population **other than**
    Chinese, Filipino, Japanese, Korean, Asian Indian, or Thai.

-   **Black or African American** means a person having origins in any
    of the black racial groups of Africa.

-   **Hispanic or Latino:** A person of Cuban, Mexican Puerto Rican,
    South or Central American or other Spanish culture or origin
    regardless of race. The term "Spanish origin," can be used in
    addition to "Hispanic or Latino."

-   **Native Hawaiian or Other Pacific Islander:** A person having
    origins in any of the original peoples of Hawaii, Guam, Samoa or
    other Pacific Islands.

-   **White:** A person having origins in any of the original peoples of
    Europe, the Middle East, or North Africa.

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

**Telehealth:** means the use of electronic information and
telecommunications technologies to support long-distance clinical health
care, patient and professional related health education, public health
and health administration.

**Trainees**: means individuals who are enrollees and/or
graduates/program completers. In a given training program, the total
number of trainees will equal the total number of enrollees plus the
total number of graduates or program completers. The trainees are all
individuals receiving education in a given program during a given grant
year.

**Underrepresented Minority:** with respect to a health profession,
racial and ethnic populations that are underrepresented in the health
profession relative to their proportion of the population involved, to
include Blacks or African Americans, American Indians or Alaska Natives,
Hispanics or Latinos, Native Hawaiians or Other Pacific Islanders, and
certain Asian subpopulations other than Chinese, Filipino, Japanese,
Korean, Asian Indian or Thai.

**2. Assurances**

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

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

**Age Discrimination:** In accordance with 45 CFR Part 91, as amended,
P.L. 94-135, 45 CFR Part 91, attention is called to the general rule
that no person in the United States shall, on the basis of age, be
excluded from participation in, be denied the benefits of, or be
subjected to, discrimination under any program or activity receiving
Federal financial assistance. The required assurance (Form HHS-441) must
be on file with the Office for Civil Rights, Office of the Secretary,
DHHS, before a grant may be made.

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

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

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

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

**Misconduct in Science:** Each institution which applies for or
receives assistance under a research, research-training, or
research-related grant or cooperative agreement under the PHS Act must
submit an annual assurance (Form PHS 6315) certifying that the
institution has established administrative policies as required by the
Final Rule (42 CFR Part 50, Subpart A), and that it will comply with
those policies and the requirements of the Final Rule as published in
the *Federal Register* at 54 FR 32449, August 8, 1989.

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

**3. Certifications**

**Drug Free Workplace Act of 1988, Title V, Subtitle D of P.L.
100-690:** The applicant institution must comply with the requirements
of 45 CFR Part 82, which require certification that grantees will
provide and maintain a drug-free workplace.

**Certification Regarding Lobbying and Disclosure of Lobbying
Activities:** A certification regarding lobbying is required for each
grant award action in excess of \$100,000 before such action can be
taken. Restrictions on lobbying are found at 45 CFR Part 93. In
addition, government-wide guidance for restrictions on lobbying was
published by the Office of Management and Budget in the *Federal
Register (*54 FR 52306, December 20, 1989).

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

**Statement of Non-Delinquency on Federal Debt**: The question applies
only to the person or institution requesting financial assistance, and
does not apply to the person who signs an

application form as the authorized representative of an institution or
on behalf of another

person who actually receives the funds.

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

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

-   For agents, recipients of a Notice of Grants Cost Disallowance who
    have not

> repaid the disallowed amount or who have not resolved the
> disallowance.

-   For guaranteed and insured loans, recipients of a loan guaranteed by
    the Federal

> Government that the Federal Government has repurchased from a lender
> because the borrower breached the loan agreement and is in default.

**Drug-Free Schools and Campuses**: The Drug-Free Schools and
Communities Act

Amendments of 1989, P.L. 101-226, Sec. 22, which added Sec. 1213 to the
Higher Education

Act, require that any public or private institution of higher education
(including independent

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

**Smoke-Free Workplace:** The Public Health Service strongly encourages
all grant and

cooperative agreement recipients to provide a smoke-free workplace and
promote the non-use

of all tobacco products. Title X, Part C of P.L. 103-227, the
Pro-Children Act of 1994, prohibits smoking in certain facilities that
receive Federal funds in which education, library, day care, health
care, and early childhood development services are provided to children.

[]{#__RefHeading___Toc47265165 .anchor}

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

[]{.mark}

> **Include DUNS Number.** You must include a DUNS Number to have your
> application reviewed. Applications ***will not*** be reviewed without
> a DUNS number. To obtain a DUNS number, access
> [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
> 1-866-705-5711. Please include the DUNS number in item 5 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. **Check to ensure that all
> attachments are included in your electronic submission before sending
> the application forward.**
>
> **Ensure that all information is submitted at the same time.** We will
> not consider additional information and/or materials submitted after
> your initial submission, nor will we accept e-mailed applications or
> supplemental materials once your application has been received.

APPENDIX A: HRSA's Electronic Submission User Guide

User Guide Table of Contents

> 1\. INTRODUCTION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 52
>
> 1.1. DOCUMENT PURPOSE AND
> SCOPE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...52
>
> 1.2. DOCUMENT ORGANIZATION AND VERSION
> CONTROL\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....52
>
> 2\. NONCOMPETING CONTINUATION
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...52
>
> 2.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...52
>
> 2.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) (IF NOT ALREADY
> REGISTERED)...................................................................................................\...\...\...\...\...53
>
> 2.3. PROJECT DIRECTOR AND AUTHORIZING OFFICIAL NEED TO REGISTER WITH
> HRSA EHBS
>
> (IF NOT ALREADY REGISTERED)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....54
>
> 2.4. APPLY THROUGH [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....54
>
> 2.4.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....55
>
> 2.4.2 Download Application Package
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...55
>
> 2.4.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....55
>
> 2.4.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....55
>
> 2.4.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> .55
>
> 2.5. VERIFY IN HRSA ELECTRONIC HANDBOOKS
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....56
>
> 2.5.1 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....56
>
> 2.5.2 Manage Access to Your Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....56
>
> 2.5.3 Check Validation
> Errors\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....57
>
> 2.5.4 Fix Errors and Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....57
>
> 2.5.5 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....57
>
> 2.6. SUBMIT SIGNED FACE
> PAGE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...57
>
> 3\. COMPETING
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...57
>
> 3.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....57
>
> 3.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) NOT ALREADY
> REGISTERED)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....58
>
> 3.3. APPLY THROUGH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...59
>
> 3.3.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....59
>
> 3.3.2 Download Application
> Package\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....59
>
> 3.3.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....59
>
> 3.3.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....59
>
> 3.3.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....60
>
> 3.4. SUBMIT SIGNED FACE PAGE
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....60
>
> 4\. GENERAL INSTRUCTIONS FOR APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....61
>
> 4.1. NARRATIVE ATTACHMENT
> GUIDELINES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....61
>
> 4.1.1
> Font\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....61
>
> 4.1.2 Paper Size and
> Margins\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....61
>
> 4.1.3
> Names\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....61
>
> 4.1.4 Section Headings
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....61
>
> 4.1.5 Page
> Numbering\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...61
>
> 4.1.6 Allowable Attachment or Document
> Types\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...61
>
> 4.2. APPLICATION CONTENT ORDER (TABLE OF
> CONTENTS)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....62
>
> 4.3. PAGE
> LIMIT\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...62
>
> 5.0 CUSTOMER SUPPORT INFORMATION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....63
>
> 5.1.1 Grants.gov Customer
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...63
>
> 5.1.2 HRSA Call
> Center\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...63
>
> 5.1.3 HRSA Program
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...63
>
> 6.0
> FAQs\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....63
>
> 6.1.
> SOFTWARE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....63
>
> 6.1.1 What are the software requirements for using
> Grants.gov?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....63
>
> 6.1.2 Why can\'t I download PureEdge Viewer onto my
> machine?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....63
>
> 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What
> do I do if I use only a
> Macintosh?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\...\...\...\.....64
>
> 6.1.4 What are the software requirements for HRSA
> EHBs?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....64
>
> 6.1.5 What are the system requirements for using HRSA EHBs on a
> Macintosh computer?\...\...\...\...\...\...\...\...64
>
> 6.2. APPLICATION RECEIPT
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...65

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?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....65
>
> 6.2.2 When do I need to submit my application?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...65
>
> 6.2.3 What emails can I expect once I submit my application? Is email
> reliable? \...\...\...\...\...\...\...\...\...\...\...\...\....65
>
> 6.2.4 If a resubmission is required because of Grants.gov system
> problems, will these be
>
> considered
> \"late\"?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....66
>
> 6.3. APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....66

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

> objective
> review?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....66
>
> 6.4 GRANT.GOV
> HELP\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....66
>
> APPENDIX B -- Registering and Applying Through
> Grants.gov..................................................67

# 

# 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.

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.

###  {#section-2 .unnumbered}

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

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

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

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

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

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

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

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

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

HRSA Grants Application Center

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

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

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.

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. 

###  {#section-3 .unnumbered}

### 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-5 .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 section to ensure that your
application is presented in the right order and is compliant with all
the requirements.

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

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

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

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

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

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

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

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

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

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

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

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

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

Step 1: Register your organization

Step 2: Register yourself as an Authorized Organization Representative

Step 3: Get authorized by your organization to submit grants

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

Follow this checklist to complete your registration---

1\. Register Your Organization

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

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

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

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

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

\- Obtain your username and password

\- Register your username and password with Grants.gov

3\. Get Yourself Authorized as an AOR

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

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

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

**REGISTER YOUR ORGANIZATION**

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

**Obtain your organization's DUNS number**

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

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

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

**Register your organization with CCR**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**2. Register with Grants.gov**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The HRSA Grants Application Center

The Legin Group, Inc.

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

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

910 Clopper Road, Suite 155 South

Gaithersburg, MD 20878

Telephone: 877-477-2123

**Formal Submission of the Electronic Application**

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

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

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

**Performance Measures for Competitive Applications**

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

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

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

**Appendix C: [Instructions for the SF424 R&R (Research and
Related)]{.underline}**

This application form has replaced the 6025 training application form
and the 398 application form. The 424 R&R is now used for all HRSA
training and research programs.

**INSTRUCTIONS FOR THE APPLICATION FACE PAGES**

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

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

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

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

INSTRUCTIONS FOR R&R SENIOR/KEY PERSON PROFILE

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

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

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

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

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

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

  Organization   Enter the Name of the Performance Site/Organization
  Name           

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

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

  City           Enter the city of the performance site.

  County         Enter the county where the performance site is located.

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

  Zip Code       Enter the zip code of the performance sit location

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

> INSTRUCTIONS FOR R&R BUDGET

**Section A & B**

**SECTION** A

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

**SECTION B. Other Personnel**

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

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

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

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

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

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

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

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

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

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

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

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

**Section C, D & E**

**SECTION C: Equipment Description**

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

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

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

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of Budget Period

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

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

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

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

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

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

**SECTION D. Travel**

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

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

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

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

RESEARCH AND RELATED BUDGET

SECTION C, D, E,

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

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

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

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

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

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

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

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

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

RESEARCH AND RELATED BUDGET - SECTION F-K Budget Period

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

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

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

  Enter Name of    Enter the name of your organization
  Organization     

  Start Date       Enter the requested Start Date of the Budget Period

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

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

**SECTION F. Other Direct Cost**

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

**SECTION G: Direct Costs**

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

**SECTION H: Indirect Costs**

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

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

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

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

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

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

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

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

**SECTION J: Fee**

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

**SECTION K: Budget Justification**

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

RESEARCH AND RELATED BUDGET --CUMULATIVE BUDGET

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

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

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

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

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

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

SF 424 R&R ASSURANCES

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

SF 424 R&R OTHER PROJECT INFORMATION COMPONENT

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

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

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

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

ATTACHMENTS FORM

Use this form to add files/attachments required in the program guidance
whose location has not been specified elsewhere in the application
package. Use the first line item to attach the file with information on
your organization's Business Official. Name this file BUSINESS OFFICIAL
INFORMATION. Attach other files as required in the program guidance.

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**APPENDIX D**

**APPLICATION DETAIL**

Please complete the sections below as they pertain to the application.

**TYPE OF APPLICANT**

\_\_\_\_\_ Single \_\_\_\_\_ Consortium

**TYPE OF APPLICATION**

[x]{.underline} New application (This application is being submitted to
DHHS for a project or

program not currently receiving support.)

[N/A]{.underline} Competing Continuation of grant number:

> (This application is to extend for one or more additional budget
> periods, a project period that would otherwise expire.)

**GENERAL STATUTORY FUNDING PREFERENCE**

Requested at high rate -- Table included. Page

Requested with significant increase -- Table included. Page

Requested as a New Program -- Supporting documentation provided. Page

Funding preference not requested.

**ADMINISTRATIVE FUNDING PRIORITY**

Requested -- Table Included. Page

Not requested

**Statutory Funding Preference for Medically Underserved Communities
Request Form**

Name of Applicant Institution:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

To qualify for preference based on "high rate," complete **EITHER**
Column A or B.

To qualify for preference based on "significant increase in the rate,"
complete **BOTH** Columns A **and** B.

**To qualify for this preference based on a "new program," check this
box \[ \] and complete the "New Program Funding Preference Request" form
found on page 48.**

+----------------------------------------+-------------+---------------+
|                                        | Column A    | Column B      |
|                                        |             |               |
|                                        | Academic    | Academic Year |
|                                        | Year        | 2005-2006     |
|                                        | 2004-2005   |               |
+----------------------------------------+-------------+---------------+
| Community Health Centers               |             |               |
+----------------------------------------+-------------+---------------+
| Migrant Health Centers                 |             |               |
+----------------------------------------+-------------+---------------+
| Health Care for the Homeless Grantees  |             |               |
+----------------------------------------+-------------+---------------+
| Public Housing Primary Care Grantees   |             |               |
+----------------------------------------+-------------+---------------+
| Rural Health Clinics                   |             |               |
+----------------------------------------+-------------+---------------+
| National Health Service Corps Sites    |             |               |
+----------------------------------------+-------------+---------------+
| Indian Health Service Sites            |             |               |
+----------------------------------------+-------------+---------------+
| Federally Qualified Health Centers     |             |               |
+----------------------------------------+-------------+---------------+
| Practice sites in Primary Medical Care |             |               |
| Health Professional Shortage Areas     |             |               |
| (HPSAs)                                |             |               |
+----------------------------------------+-------------+---------------+
| Practice sites in Dental HPSAs         |             |               |
+----------------------------------------+-------------+---------------+
| State or Local Health Departments      |             |               |
+----------------------------------------+-------------+---------------+
| Ambulatory Practice Sites Designated   |             |               |
| by State Governors                     |             |               |
+----------------------------------------+-------------+---------------+
| **Total \# of Graduates in these       |             |               |
| settings**                             |             |               |
+----------------------------------------+-------------+---------------+
| **Total \# of Graduates**              |             |               |
+----------------------------------------+-------------+---------------+
| **Percentage of Graduates in these     |             |               |
| settings**                             |             |               |
+----------------------------------------+-------------+---------------+

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[]{.mark}

**Statutory Funding Preference for Medically Underserved Communities**

**[New Program]{.underline} Funding Preference Request Form**

Name of Applicant Institution:

If the applicant institution is applying for the Funding Preference as a
New Program, please provide documentation supporting four (4) or more of
the seven criteria (listed on page 30) in the space provided below. (If
more space is needed, please attach additional pages.)

**II. Funding Priority**

**[Faculty Development Data Table]{.mark}**

+------------------+---------------+----------------+----------------+
| Discipline       | Number of     |                |                |
|                  | Faculty       |                |                |
|                  | Trained       |                |                |
+------------------+---------------+----------------+----------------+
|                  | # P           | #              | # P            |
|                  | rojected Data | Projected Data | rojected Data  |
|                  |               |                |                |
|                  | # Year 1      | # Year 2       | # Year 3       |
+------------------+---------------+----------------+----------------+
| Art Therapy      |               |                |                |
+------------------+---------------+----------------+----------------+
| Allopathic       |               |                |                |
| Medicine         |               |                |                |
+------------------+---------------+----------------+----------------+
| Audiology        |               |                |                |
+------------------+---------------+----------------+----------------+
| Chiropractic     |               |                |                |
+------------------+---------------+----------------+----------------+
| Counseling       |               |                |                |
+------------------+---------------+----------------+----------------+
| Dental Hygiene   |               |                |                |
+------------------+---------------+----------------+----------------+
| Dentistry        |               |                |                |
+------------------+---------------+----------------+----------------+
| Dietetic/        |               |                |                |
| Nutrition        |               |                |                |
+------------------+---------------+----------------+----------------+
| Gerontology      |               |                |                |
+------------------+---------------+----------------+----------------+
| Health Care      |               |                |                |
| Administration   |               |                |                |
+------------------+---------------+----------------+----------------+
| Health Education |               |                |                |
+------------------+---------------+----------------+----------------+
| Home Economics   |               |                |                |
+------------------+---------------+----------------+----------------+
| Nursing          |               |                |                |
+------------------+---------------+----------------+----------------+
| Occupational     |               |                |                |
| Therapy          |               |                |                |
+------------------+---------------+----------------+----------------+
| Optometry        |               |                |                |
+------------------+---------------+----------------+----------------+
| Osteopathic      |               |                |                |
| Medicine         |               |                |                |
+------------------+---------------+----------------+----------------+
| Pharmacy         |               |                |                |
+------------------+---------------+----------------+----------------+
| Physical Therapy |               |                |                |
+------------------+---------------+----------------+----------------+
| Physician        |               |                |                |
| Assistants       |               |                |                |
+------------------+---------------+----------------+----------------+

**Faculty Development Data Table (continued)**

[]{.mark}

+------------------+-----------------+---------------+----------------+
| Discipline       | Number of       |               |                |
|                  | Faculty Trained |               |                |
+------------------+-----------------+---------------+----------------+
|                  | #               | # Pr          | #              |
|                  |  Projected Data | ojected Data  | Projected Data |
|                  |                 |               |                |
|                  | # Year 1        | # Year 2      | # Year 3       |
+------------------+-----------------+---------------+----------------+
| Podiatry         |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Psychology       |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Public Health    |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Recreational     |                 |               |                |
| Therapy          |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Respiratory      |                 |               |                |
| Therapy          |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Social Work      |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Sociology        |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Speech Pathology |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Other            |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Other            |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Other            |                 |               |                |
+------------------+-----------------+---------------+----------------+
| Other            |                 |               |                |
+------------------+-----------------+---------------+----------------+

[]{.mark}