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

**Health Resources and Services Administration**

Bureau of Health Professions

Division of Nursing

> **Title VIII**
>
> **Nursing Workforce Diversity (NWD) Program**
>
> **New and Competing Continuation Competition**
>
> **Announcement Number HRSA-07-092**
>
> **Catalog of Federal Domestic Assistance (CFDA) No. 93.178**

**PROGRAM GUIDANCE**

Fiscal Year 2007

**Application Due Date in Grants.gov: November 30, 2006**

**Release Date: September 27, 2006**

**Date of Issuance: September 27, 2006**

Janice B. Young, Ph.D., MPH, RN

Lead Nurse Consultant, BHPr, Division of Nursing

Telephone: (301) 443-6193

Fax: (301) 443-0791

Authority: Public Health Service Act, Title VIII, Section 821, as
amended; Nurse Education and Practice Improvement Act of 1998, Public
Law 107-205;42 U.S.C. 296m

**EXECUTIVE SUMMARY**

The purpose of the **Nursing Workforce Diversity (NWD)** program is to
provide Federal funding for projects to increase nursing education
opportunities for individuals from disadvantaged backgrounds (including
racial and ethnic minorities underrepresented among registered nurses).
The Nursing Workforce Diversity program supports projects that provide
education opportunities for students to become Registered Nurses and/or
opportunities for practicing Registered Nurses to pursue a baccalaureate
degree in Nursing. **Applications for projects preparing participants at
an educational or professional level other than Registered Nurse will
not be eligible for funding.**

The program has three major purposes that applicants must address: **1)
retention programs, 2) pre-entry preparation programs, and 3) student
scholarships and/or stipends program.**

Expected outcomes include increasing nursing education opportunities for
individuals from disadvantaged backgrounds in order to increase nursing
workforce diversity. Eligible entities are: schools of nursing, nursing
centers, academic health centers, State or local governments, Indian
Tribe or Tribal organizations, other public or private non-profit
entities including faith-based and community organizations, and
for-profit entities capable of carrying out the legislative purpose.

Nursing educational entities must be accredited by a recognized body or
bodies or State agency, approved for the purpose of nursing education by
the Secretary of Education. **[All proposals must provide assurance that
projects will be operational by the second quarter following receipt of
notice of grant award]{.underline}.** Failure to provide explicit
assurance that the project will have active program participants by
January 31, 2008 will render the application non-responsive and the
application will not be considered for funding under this announcement.
Final review criteria can be seen in the corresponding section of this
application guidance. It is estimated that for FY 2007, 25 competitive
awards will be funded at approximately \$ 300,000 per grant. This number
reflects the average award amount for the first year of a three-year
award. The application due date is November 30, 2006. The project period
is July 1, 2007 through June 30, 2010.

**Application Guidance Table of Contents**

[I. Funding Opportunity Description 5](#__RefHeading___Toc146691091)

[Purpose 5](#__RefHeading___Toc146691092)

[Background 5](#__RefHeading___Toc146691093)

[II. Award Information 5](#__RefHeading___Toc146691094)

[Type of Award 5](#__RefHeading___Toc146691095)

[Summary of Funding 6](#__RefHeading___Toc146691096)

[III. ELIGIBILITY INFORMATION 6](#__RefHeading___Toc146691097)

[1. Eligible Applicants 6](#__RefHeading___Toc146691098)

[2. Cost Sharing/Matching 7](#__RefHeading___Toc146691099)

[3. Other Eligibility Information 7](#__RefHeading___Toc146691100)

[IV. Application and Submission Information
7](#__RefHeading___Toc146691101)

[1. Address to Request Application Package
7](#__RefHeading___Toc146691102)

[**Application Materials** 7](#__RefHeading___Toc146691103)

[2. Content and Form of Application Submission
8](#__RefHeading___Toc146691104)

[**Application Format Requirements** 8](#__RefHeading___Toc146691105)

[**SF 424 R&R Application Format** 8](#__RefHeading___Toc146691106)

[**i.** **Application Face Page** 15](#__RefHeading___Toc146691107)

[**ii.** **Table of Contents** 15](#__RefHeading___Toc146691108)

[**iii.** **Application Checklist** 15](#__RefHeading___Toc146691109)

[**iv.** **Budget** 15](#__RefHeading___Toc146691110)

[**vi.** **Staffing Plan and Personnel Requirements**
18](#__RefHeading___Toc146691111)

[**vii.** **Assurances** 18](#__RefHeading___Toc146691112)

[**viii.** **Certifications** 18](#__RefHeading___Toc146691113)

[**ix. Project Abstract** 19](#Format_Assurances)

[**x. Program Narrative** 19](#__RefHeading___Toc146691115)

[**xi. Program Specific Forms** 28](#__RefHeading___Toc146691116)

[**xii.** **Attachments** 29](#__RefHeading___Toc146691117)

[3. Submission Dates and Times 29](#__RefHeading___Toc146691118)

[4. Intergovernmental Review 30](#__RefHeading___Toc146691119)

[5. Funding Restrictions 30](#__RefHeading___Toc146691120)

[6. Other Submission Requirements 30](#__RefHeading___Toc146691121)

[V. Application Review Information 32](#__RefHeading___Toc146691122)

[1. Review Criteria 32](#Review_ReviewCriteria)

[2. Review and Selection Process 36](#Review_ReviewCriteria)

[3. Anticipated Announcement and Award Dates
37](#__RefHeading___Toc146691125)

[VI. Award Administration Information 37](#__RefHeading___Toc146691126)

[1. Award Notices 37](#__RefHeading___Toc146691127)

[2. Administrative and National Policy Requirements
38](#__RefHeading___Toc146691128)

[3. Reporting 38](#Award_OtherReportingRequirements)

[4. Performance Review 39](#__RefHeading___Toc146691130)

[VII. Agency Contacts 40](#__RefHeading___Toc146691131)

[VIII. Tips for Writing a Strong Application
41](#__RefHeading___Toc146691132)

[APPENDIX A: HRSA's Electronic Submission User Guide
42](#__RefHeading___Toc146691133)

[Appendix B -- Registering and Applying Through Grants.gov
59](#__RefHeading___Toc146691134)

[Appendix C: Instructions for the SF424 R&R (Research and Related)
66](#__RefHeading___Toc146691135)

[Appendix D: Nursing Workforce Diversity Program Project Synopsis
88](#__RefHeading___Toc146691136)

[Appendix E: Recommended Program Table 89](#__RefHeading___Toc146691137)

[Appendix F: PROGRAM DEFINITIONS: 90](#__RefHeading___Toc146691138)

I.  []{#__RefHeading___Toc146691091 .anchor}**Funding Opportunity
    Description**

    []{#__RefHeading___Toc146691092 .anchor}**Purpose**

This program is authorized under Title VIII, Section 821 of Public
Health Service Act, as amended by the Nurse Education and Practice
Improvement Act of 1998, Public Law 107-205;42 U.S.C. 296m. This
announcement solicits grant applications for the Nursing Workforce
Diversity (NWD) Program. Grants are awarded to eligible institutions to
increase nursing education opportunities for individuals from
disadvantaged backgrounds, including racial and ethnic minorities
underrepresented among registered nurses, through projects that
incorporate retention programs, pre-entry preparation programs, and
student scholarships and/or stipends programs. Applicants are
**required** to address all three programs (retention, pre-entry
preparation, student stipends/scholarships). The project must support
participants in becoming Registered Nurses and/or obtaining a
baccalaureate degree in Nursing, if already licensed as Registered
Nurses. [Applications for projects supporting a terminal professional
level other than Registered Nurse or educational level other than BSN
for licensed Registered Nurses will not be eligible for
funding.]{.underline}

[]{#__RefHeading___Toc146691093 .anchor}**Background**

The mission of the Health Resources and Services Administration's
(HRSA's) Bureau of Health Professions (BHPr) is to improve the health
status of the population by providing national leadership and resources
to develop, distribute, and retain a diverse, culturally competent
health workforce that provides the highest quality health care for all,
especially the underserved. To accomplish this mission, BHPr's programs
assist with connecting the right people, with the right skills, in the
right places, to achieve the right health outcomes. In support of this
mission, BHPr goals provide the overall framework for all Bureau
programs. The goals are:

> **Goal 1**: Eliminate Health Barriers: Assure the appropriate supply,
> diversity, composition and distribution of the health professions
> workforce.
>
> **Goal 2**: Eliminate Health Disparities: Assure the availability of a
> full range of healthcare skills and services to populations bearing a
> disproportionate share of disease and disability.
>
> **Goal 3**: Assure Quality of Care: Improve the knowledge, skills,
> competencies and outcomes of health professions workforce.
>
> **Goal 4**: Improve Public Health and Health Care Systems: Assure the
> infrastructure to support an efficient and effective health
> professions workforce.

Under the Nursing Workforce Diversity Program, the applicant will be
required to provide baseline and yearly data on BHPr goals and their
corresponding outcome(s). Specific guidance on these requirements is
included under the instructions for the "Objectives" and "Evaluation"
sections included in the application guidance.

II. []{#__RefHeading___Toc146691094 .anchor}**Award Information**

    []{#__RefHeading___Toc146691095 .anchor}**Type of Award**

Funding will be provided in the form of a grant.

**Competing Continuation Awards**

Competing continuation applications may be submitted for continuance of
a grant beyond the initial project period. A competing continuation
application shall be submitted during the beginning of the third year of
the initial project period. The submission date is the same for new
applications and competing continuation applications. These applications
are reviewed in the same manner and at the same time as new competing
applications.

[]{#__RefHeading___Toc146691096 .anchor}**Summary of Funding**

Applications may be submitted for three (3) years of support. The period
of support for funded projects begins July 1, 2007, and ends June 30,
2010. For fiscal year 2007, approximately \$7.5 million is expected to
be available to fund 25 awards. The average award for the first year is
\$300,000. **Funding beyond the first year is dependent on the
availability of appropriated funds for NWD in FY 2008, satisfactory
grantee performance, [and]{.underline} a decision that funding is in the
best interest of the Federal government.**

III. []{#__RefHeading___Toc146691097 .anchor}**ELIGIBILITY INFORMATION**

     []{#__RefHeading___Toc146691098 .anchor}**1. Eligible Applicants**

> Eligible applicants are schools of nursing, nursing centers, academic
> health centers, State or local governments, Indian Tribes or Tribal
> organizations, other public or private non-profit entities including
> faith-based and community organizations, and for-profit organizations
> capable of carrying out the legislative purpose.
>
> **Accreditation**
>
> Eligible applicants are collegiate schools of nursing, academic health
> centers, and other private or public nonprofit entities accredited by
> a recognized body or bodies or State agency, approved for the purpose
> of nursing education by the Secretary of Education.
>
> **New Program of Nursing**
>
> A new program of nursing that, by reason of an insufficient period of
> operation, is not, at the time of the submission of an application for
> a grant under this title, eligible for accreditation by such a
> recognized body or bodies or State agency, shall be deemed accredited
> for the purposes of this title if the Secretary of Education finds,
> after consultation with the appropriate accrediting body or bodies,
> that there is reasonable assurance that the program will meet the
> accreditation standards of such body or bodies prior to the beginning
> of the academic year following the normal graduation date of students
> of the first entering class in such a program.
>
> Applicants that are "new programs" just beginning the accreditation
> process and wish to establish eligibility based on the provisions
> above should contact the Department of Education, Accreditation and
> State Liaison Unit at 202/219-7011 for further guidance on securing
> the required determination from the Secretary of Education.
>
> **Eligible Project Participants**
>
> Students who meet the definition of having an educationally or
> economically disadvantaged background (including students who are
> racial/ethnic minorities underrepresented among nurses) and who
> express an interest in becoming a registered nurse are eligible for
> participation in the NWD program. Program participants must be U.S.
> Citizens, non-citizen nationals, or foreign nationals who possess
> visas permitting permanent residence in the United States.
> **Individuals on temporary student visas are not eligible project
> participants**. Definitions for educationally and economically
> disadvantaged students may be located in **Appendix F** of this
> application guidance.

[]{#__RefHeading___Toc146691099 .anchor}**2. Cost Sharing/Matching**

> Cost sharing is not required for the NWD program.

[]{#__RefHeading___Toc146691100 .anchor}**3. Other Eligibility
Information**

Applicants may submit **only one application** under this announcement.

**Maintenance of Effort:**

**Grant funds shall not be used to take place of current funding for
activities described in the application**. The applicant organization
must agree to maintain non-Federal funding for grant activities at a
level which is not less than expenditures for such activities during the
fiscal year prior to receiving the grant. Applicants must complete and
submit the Maintenance of Effort Table located below.

**Maintenance of Effort Table**

NON-FEDERAL EXPENDITURES

+-----------------------------------+-----------------------------------+
| **FY 2006 (Actual)**              | **FY 2007 (Estimated)**           |
|                                   |                                   |
| Actual FY 2006 non-Federal funds, | Estimated FY 2007 non-Federal     |
| including in-kind, expended for   | funds, including in-kind,         |
| activities proposed in this       | designated for activities         |
| application. If proposed          | proposed in this application.     |
| activities are not currently      |                                   |
| funded by the institution, enter  | **Amount**:                       |
| \$0.                              | [\$\_\_\_\_                       |
|                                   | \_\_\_\_\_\_\_\_\_\_]{.underline} |
| **Amount**:                       |                                   |
| [\$\_\_\_                         |                                   |
| \_\_\_\_\_\_\_\_\_\_]{.underline} |                                   |
+-----------------------------------+-----------------------------------+

**Other Limitations: none**

IV. []{#__RefHeading___Toc146691101 .anchor}**Application and Submission
    Information**

    []{#__RefHeading___Toc146691102 .anchor}**1. Address to Request
    Application Package**

    []{#__RefHeading___Toc146691103 .anchor}**Application Materials**

> The application and submission process has changed significantly. HRSA
> is ***requiring*** applicants for this funding opportunity to apply
> electronically through Grants.gov. All applicants ***must*** submit in
> this manner unless the applicant is granted a written exemption from
> this requirement in advance by the Director of HRSA's Division of
> Grants Policy. Grantees must request an exemption in writing from
> <DGPClearances@hrsa.gov>, and provide details as to why they are
> technologically unable to submit electronically through the Grants.gov
> portal. Applicants shall make sure to specify the announcement number
> for which they 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). This form contains additional
> general information and instructions for grant applications, proposal
> narratives, and budgets. These forms may be obtained from the
> following sites by:

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

(2) Contacting the HRSA Grants Application Center at:

> HRSA Grants Application Center
>
> Attention: Nursing Workforce Diversity Program
>
> Program Announcement Number: \[HRSA-07-092\]
>
> 910 Clopper Road
>
> Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 1-877-477-2123
>
> <HRSAGAC@hrsa.gov>
>
> Instructions for preparing portions of the application that must
> accompany SF 424 R&R appear in the "Application Format" section below.

[]{#__RefHeading___Toc146691104 .anchor}**2. Content and Form of
Application Submission**

[]{#__RefHeading___Toc146691105 .anchor}**Application Format
Requirements**

> See Appendix A, Section 4 for detailed application submission
> instructions. These instructions must be followed.
>
> The total size of all uploaded files **may not exceed the equivalent
> of 80 pages when printed by HRSA, approximately 10 MB.** **This
> 80-page limit includes the abstract, project and budget narratives,
> attachments, and letters of commitment and support.** Standard forms
> are NOT included in the page limit.
>
> **Applications that exceed the specified limits (approximately 10 MB,
> or that exceed 80 pages when printed by HRSA) will be deemed
> non-compliant. All non-compliant applications will be returned to the
> applicant without further consideration.**

[]{#__RefHeading___Toc146691106 .anchor}**SF 424 R&R Application
Format**

> This application form has replaced the 6025 training application form.
> The SF 424 R&R is now used for all HRSA training and research
> programs. Detailed instructions for the completion of the SF 424 R&R
> form can be found in Appendix C of this application guidance.
> ***Applications for funding [must]{.underline} consist of the
> following documents in the following order:***
>
> **SF 424 R&R -- Table of Contents**

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

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

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

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

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

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

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

+-------------+-------+------------------------------+----------------+
| **          | *     | **Instruction**              | **HRSA/Program |
| Application | *Form |                              | Guidelines**   |
| Section**   | T     |                              |                |
|             | ype** |                              |                |
+=============+=======+==============================+================+
| SF 424 R&R  | Form  | Pages 1 & 2 of the SF 424    | Not counted in |
| Cover Page  |       | R&R face page                | the page limit |
+-------------+-------+------------------------------+----------------+
| Pre-        | Attac | Can be uploaded on page 2 of | Not Applicable |
| application | hment | SF 424 R&R - Box 20          | to HRSA; Do    |
|             |       |                              | not use.       |
+-------------+-------+------------------------------+----------------+
| HHS 5161    | Form  | Also known as PHS 5161       | Not counted in |
| Checklist   |       | checklist                    | the page limit |
+-------------+-------+------------------------------+----------------+
| SF 424R&R   | Form  | Supports 8 structured        | Not counted in |
| Senior/Key  |       | profiles                     | the page limit |
| Person      |       |                              |                |
| Profile     |       | (PD + 7 additional)          |                |
+-------------+-------+------------------------------+----------------+
| Senior Key  | Attac | Can be uploaded in SF 424    | Counted in the |
| Personnel   | hment | R&R Senior/Key Person        | page limit.    |
| B           |       | Profile form. One per each   |                |
| iographical |       | senior/key person. The PD/PI |                |
| Sketches    |       | biographical sketch should   |                |
|             |       | be the first biographical    |                |
|             |       | sketch. Up to 8 allowed      |                |
+-------------+-------+------------------------------+----------------+
| Senior Key  | Attac | Can be uploaded in SF 424    | Not Applicable |
| Personnel   | hment | R&R Senior/Key Person        | to HRSA; Do    |
| Current and |       | Profile form                 | not use.       |
| Pending     |       |                              |                |
| Support     |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | Can be uploaded in SF 424R&R | Not counted in |
| Senior/Key  | hment | Senior/Key Person Profile    | the page limit |
| Person      |       | form. Single document with   |                |
| Profiles    |       | all additional profiles      |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | Can be uploaded in the       | Counted in the |
| Senior Key  | hment | Senior/Key Person Profile    | page limit     |
| Personnel   |       | form. Single document with   |                |
| B           |       | all additional sketches      |                |
| iographical |       |                              |                |
| Sketches    |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | Can be uploaded in the       | Not Applicable |
| Senior Key  | hment | Senior/Key Person Profile    | to HRSA; Do    |
| Personnel   |       | form                         | not use.       |
| Current and |       |                              |                |
| Pending     |       |                              |                |
| Support     |       |                              |                |
+-------------+-------+------------------------------+----------------+
| SF 424 R&R  | Form  | Supports primary and 7       | Not counted in |
| Performance |       | additional sites in          | the page limit |
| Site        |       | structured form              |                |
| Locations   |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | Can be uploaded in SF 424    | Counted in the |
| Performance | hment | R&R Performance Site         | page limit     |
| Site        |       | Locations form. Single       |                |
| Location(s) |       | document with all additional |                |
|             |       | site locations               |                |
+-------------+-------+------------------------------+----------------+
| Project     | Attac | Can be uploaded in SF 424    | Required       |
| Summa       | hment | R&R Other Project            | attachment.    |
| ry/Abstract |       | Information form, Box 6      | Counted in the |
|             |       |                              | page limit.    |
|             |       |                              | Refer guidance |
|             |       |                              | for detailed   |
|             |       |                              | instructions.  |
|             |       |                              | Provide table  |
|             |       |                              | of contents    |
|             |       |                              | specific to    |
|             |       |                              | this document  |
|             |       |                              | only as the    |
|             |       |                              | first page     |
+-------------+-------+------------------------------+----------------+
| Project     | Attac | Can be uploaded in SF 424    | Required       |
| Narrative   | hment | R&R Other Project            | attachment.    |
|             |       | Information form, Box 7      | Counted in the |
|             |       |                              | page limit.    |
|             |       |                              | Refer guidance |
|             |       |                              | for detailed   |
|             |       |                              | instructions.  |
|             |       |                              | Provide table  |
|             |       |                              | of contents    |
|             |       |                              | specific to    |
|             |       |                              | this document  |
|             |       |                              | only as the    |
|             |       |                              | first page     |
+-------------+-------+------------------------------+----------------+
| SF-424RR    | Form  | Supports structured budget   | Not counted in |
| Budget      |       | for up to 5 periods          | the page limit |
| Period      |       |                              |                |
| (1-5) -     |       |                              |                |
| Section A   |       |                              |                |
| -- B        |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | SF-424 R&R Budget Period     | Not counted in |
| Senior Key  | hment | (1-5) - Section A - B, Box   | the page limit |
| Persons     |       | 9. One for each budget       |                |
|             |       | period                       |                |
+-------------+-------+------------------------------+----------------+
| SF 424R&R   | Form  | Supports structured budget   | Not counted in |
| Budget      |       | for up to 5 periods          | the page limit |
| Period      |       |                              |                |
| (1-5) -     |       |                              |                |
| Section C   |       |                              |                |
| -- E        |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Additional  | Attac | SF-424R&R Budget Period      | Not counted in |
| Equipment   | hment | (1-5) - Section C -- E, Box  | the page limit |
|             |       | 11. One for each budget      |                |
|             |       | period                       |                |
+-------------+-------+------------------------------+----------------+
| SF 424 R&R  | Form  | Supports structured budget   | Not counted in |
| Budget      |       | for up to 5 periods          | the page limit |
| Period      |       |                              |                |
| (1-5) -     |       |                              |                |
| Section F   |       |                              |                |
| -- J        |       |                              |                |
+-------------+-------+------------------------------+----------------+
| SF-424RR    | Form  | Total cumulative budget      | Not counted in |
| Cumulative  |       |                              | the page limit |
| Budget      |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Budget      | Attac | Can be uploaded in SF 424    | Required       |
| Narrative   | hment | R&R Budget Period (1-5) -    | attachment.    |
|             |       | Section F - J form, Box K.   | Counted in the |
|             |       | Only one consolidated budget | page limit.    |
|             |       | justification for the        | Refer guidance |
|             |       | project period.              | for detailed   |
|             |       |                              | instructions.  |
|             |       |                              | Provide table  |
|             |       |                              | of contents    |
|             |       |                              | specific to    |
|             |       |                              | this document  |
|             |       |                              | only as the    |
|             |       |                              | first page     |
+-------------+-------+------------------------------+----------------+
| SF 424 R&R  | Form  | Supports up to 10 budget     | Not counted in |
| Subaward    |       | attachments. This form only  | the page limit |
| Budget      |       | contains the attachment list |                |
+-------------+-------+------------------------------+----------------+
| Subaward    | Attac | Can be uploaded in SF 424    | Filename       |
| Budget      | hment | R&R Subaward Budget form,    | should be the  |
| Attachment  |       | Box 1 through 10. Extract    | name of the    |
| 1-10        |       | the form from the SF 424 R&R | organization   |
|             |       | Subaward Budget **PureEdge** | and unique.    |
|             |       | form and use it for each     | Counted in the |
|             |       | con                          | page limit     |
|             |       | sortium/contractual/subaward |                |
|             |       | budget as required by the    |                |
|             |       | program guidance. Supports   |                |
|             |       | up to 10                     |                |
+-------------+-------+------------------------------+----------------+
| SF 424 R&R  | Form  | Assurances for the SF 424    | Not counted in |
| Assurances  |       | R&R package                  | the page limit |
| for         |       |                              |                |
| Non-C       |       |                              |                |
| onstruction |       |                              |                |
| Programs    |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Other       | Form  | Allows additional            | Not counted in |
| Project     |       | information and attachments  | the page limit |
| Information |       |                              |                |
+-------------+-------+------------------------------+----------------+
| B           | Attac | Can be uploaded in Other     | Optional.      |
| ibliography | hment | Project Information form,    | Counted in the |
| &           |       | Box 8.                       | page limit     |
| References  |       |                              |                |
+-------------+-------+------------------------------+----------------+
| Facilities  | Attac | Can be uploaded in Other     | Optional.      |
| & Other     | hment | Project Information form,    | Counted in the |
| Resources   |       | Box 9.                       | page limit.    |
+-------------+-------+------------------------------+----------------+
| Equipment   | Attac | Can be uploaded in Other     | Optional.      |
|             | hment | Project Information form,    | Counted in the |
|             |       | Box 10.                      | page limit     |
+-------------+-------+------------------------------+----------------+
| Other       | Form  | Supports up to 15 numbered   | Not counted in |
| Attachments |       | attachments. This form only  | the page limit |
| Form        |       | contains the attachment list |                |
+-------------+-------+------------------------------+----------------+
| Attachment  | Attac | Can be uploaded in Other     | Refer to the   |
| 1-15        | hment | Attachments form 1-15        | attachment     |
|             |       |                              | table provided |
|             |       |                              | below for      |
|             |       |                              | **specific**   |
|             |       |                              | sequence.      |
|             |       |                              | **Counted in   |
|             |       |                              | the page       |
|             |       |                              | limit**        |
+-------------+-------+------------------------------+----------------+
| Other       | Attac | Can be uploaded in SF 424    | Not Applicable |
| Attachments | hment | R&R Other Project            | to HRSA; Do    |
|             |       | Information form, Box 11.    | not use        |
|             |       | Supports multiple            |                |
+-------------+-------+------------------------------+----------------+

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

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

  ----------------------------------------------------------------------------
  **Attachment   **Attachment Description (Program Guidelines)**
  Number**       
  -------------- -------------------------------------------------------------
  Attachment 1   **Business Official Information**: Attach the file with
                 information on your organization's Business Official.

  Attachment 2   **Nursing Workforce Diversity Program Project Synopsis**
                 assists the reviewers and the federal staff in identifying
                 key components of the application.

  Attachment 3   **Position Descriptions:** Attach position descriptions that
                 include the roles, responsibilities, and qualifications of
                 proposed project staff. Please merge all descriptions into a
                 single document and include a table of content cover page
                 specific to this attachment. The table of content page will
                 not be counted in the page limit.

  Attachment 4   **Organizational Chart:** Attach a one-page figure that
                 depicts the organizational structure of the project,
                 including any collaborating partners.

  Attachment 5   **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. Letters of agreement from key
                 organizations/individuals must document their willingness to
                 perform in accordance with the plan presented in the
                 application. Documents that confirm actual or pending
                 contractual agreements should clearly describe the roles of
                 the subcontractors and any deliverable. Please merge similar
                 documents into a single document and include a table of
                 content cover page specific to this attachment. The table of
                 content page will not be counted in the page limit.

  Attachment 6   **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.)
                 Letters of agreements and support must be dated. List all
                 other support letters on one page. Please merge similar
                 documents into a single document and include a table of
                 content cover page specific to this attachment. The table of
                 content page will not be counted in the page limit.

  Attachment 7   **Program Specific Table**: Admissions to the Overall Nursing
                 Program, Total Enrollment and Graduation by Race/Ethnicity
                 and Disadvantaged Status

  Attachment 8   (Optional) **Additional Project Information**: Tables,
                 charts, etc. to give further details about the proposal.
  ----------------------------------------------------------------------------

> **SF 424 R&R Application Format (continued)**

i.  []{#__RefHeading___Toc146691107 .anchor}**Application Face Page**

> SF 424 R&R is 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 93.178.
>
> **Data Universal Numbering System (DUNS)**
>
> All applicant organizations are required to have a Data Universal
> Numbering System (DUNS) number in order to apply for a grant from the
> Federal Government. The DUNS number is a unique nine-character
> identification number provided by the commercial company, Dun and
> Bradstreet. There is no charge to obtain a DUNS number. Information
> about obtaining a DUNS number can be found at
> http://www.hrsa.gov/grants/dunsccr.htm or call 1-866-705-5711. Please
> include the DUNS number in item 5 on the SF 424 R&R. Applications
> ***will not*** be reviewed without a DUNS number.
>
> Additionally, the applicant organization will be required to register
> with the Federal Government's Central Contractor Registry (CCR) in
> order to do electronic business with the Federal Government.
> Information about registering with the CCR can be found at
> <http://www.hrsa.gov/grants/dunsccr.htm>http://www.hrsa.gov/grants/dunsccr.htm.

ii. []{#__RefHeading___Toc146691108 .anchor}**Table of Contents**

> 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___Toc146691109 .anchor}**Application Checklist**

> Follow the instructions in SF 424 R&R provided with the application
> package.

iv. []{#__RefHeading___Toc146691110 .anchor}**Budget**

> SF 424 R&R is provided with the application package. *Please complete
> **Budget Sections A, B, C, D, E, F, G, H, I and K**, and provide a
> **line item budget** for [each grant year]{.underline} using the
> budget categories in the SF 424 R&R.* The budget period is one year
> and the project period is three years.
>
> The Cumulative Budget provides the total budget information for
> [each]{.underline} year of the grant request. SF 424 R&R -- Budget
> Sections A through F list the direct costs requested for each year of
> the project. The applicant must provide an itemized cost-effective
> budget, compatible with stated objectives, and a detailed
> justification/rationale for each budget line item, using the
> categories listed in Sections A through F. The requested budget and
> financial plan should reflect institutional commitment to the project
> listing in-kind contributions.

v.  **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, 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.
>
> **Budget for Multi-Year Grant Award**
>
> This announcement is inviting applications for a project period of
> three years. Awards, on a competitive basis, will be for a one-year
> budget period, although project periods are for up to three (3) years.
> Applications for continuation grants funded under these awards beyond
> the one-year budget period but within the three-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.
>
> **Caps on expenses**: The maximum amount that can be requested for
> scholarships is \$40,000 per year.
>
> **The following information should be included in the Budget
> narrative:**
>
> **1. Non-trainee Expenses**
>
> **Personnel Costs:** Personnel costs should be explained by listing
> each staff member who will be supported from funds, name (if
> possible), position title, percent full time equivalency (FTE), annual
> salary, and the exact amount requested for each project year which
> mainly covers indirect cost. Describe the roles and responsibilities
> under the budget justification for grant supported and non-grant
> supported personnel. This information is essential for reviewers to
> determine if project resources are adequate.
>
> **Consultant Costs:** 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.
>
> **Indirect Costs:** Indirect costs are those costs incurred for common
> or joint objectives which cannot be readily identified but are
> necessary to the operations of the organization, e.g., the cost of
> operating and maintaining facilities, depreciation, and administrative
> salaries. ***[The indirect costs under training grants to
> organizations other than State, local or Indian tribal governments
> will be budgeted and reimburse at 8% of modified total direct cost
> rather than on the basis of a negotiated rate agreement and are not
> subject to upward or downward adjustment.]{.underline}*** 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.
>
> **Fringe Benefits**: List the components that comprise the fringe
> benefit rate, for example - health insurance, taxes, unemployment
> insurance, life insurance, retirement plan, tuition reimbursement. The
> fringe benefits should be directly proportional to that portion of
> personnel costs that are allocated for the project.
>
> **Travel:** List travel costs according to local and long distance
> travel. For local travel, the mileage rate, number of miles, reason
> for travel and staff member/consumers completing the travel should be
> outlined. The budget should also reflect the travel expenses
> associated with participating in meetings and other proposed trainings
> or workshops.
>
> *Note: Project Directors are expected to include in their budgets one
> annual meeting in the Washington, D.C., area during the project period
> to report and share experiences with other grantees.*
>
> **Equipment:** List equipment costs and provide justification for the
> need of the equipment to carry out the program's goals. Extensive
> justification and a detailed status of current equipment must be
> provided when requesting funds for the purchase of computers and
> furniture items. ***Proposals for the sole purpose of setting
> up/constructing a skills lab are not eligible under the NWD
> program.***
>
> **Supplies:** List the items that the project will use. In this
> category, separate office supplies from educational purchases. Office
> supplies could include paper, pencils, and the like; and educational
> supplies may be pamphlets, educational videotapes, etc. Remember, they
> must be listed separately.
>
> []{.mark}
>
> **Subcontracts:** To the extent possible, all subcontract budgets and
> justifications should be standardized, and contract budgets should be
> presented by using the same object class categories contained in the
> SF 424 R&R. Provide a clear explanation as to the purpose of each
> contract, how the costs were estimated, and the specific contract
> deliverables.
>
> []{.mark}
>
> **Data Collection Activities:** Funds may be used 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.
>
> []{.mark}
>
> **Other Expenses:** 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. **Note: Accreditation, Credentialing, Licensing,
> and Franchise fees and expenses are [NOT]{.underline} allowable.**
>
> **2. Participant/Trainee Support Costs**

A.  **Tuition/Fees/Health Insurance; Travel; Subsistence**

> Make no entry for tuition/fees/health insurance, travel or
> subsistence.

B.  **Stipends**

> Enter the total stipend amount for each budget period in Budget
> Section E, "Participant/Trainee Support Costs", of the SF 424 R&R. The
> budget narrative must indicate the number of project students to
> receive stipends for each year of the grant, and the amount each
> student will receive. Student stipend support is provided to assist in
> covering general living expenses, including allowances for travel.
> Section 821 funds do not permit allowance for dependents.
>
> [**The maximum stipend payment of \$250 per month shall be paid to
> eligible project students at regular intervals. The maximum annual (12
> month) amount for stipends (to be prorated and paid on the basis of
> one-twelfth for each month of training) is \$3000 per
> student**.]{.underline}

C.  **Scholarships**

> Enter the total scholarship amount for each budget period in Budget
> Section E, "Other" of the SF 424 R&R. The budget narrative must
> indicate the number of project students to receive scholarships for
> each year of the grant and the proposed amount of each scholarship per
> student.
>
> **[Each applicant organization may request up to \$40,000 (maximum)
> for scholarship funds annually]{.underline}.**
>
> **The maximum scholarship payment of \$7000 per student per year may
> be paid to eligible students who are full time students enrolled in
> nursing courses, and with documented financial need.**

D.  **Number of Participants/Trainees**

> Indicate the total number of proposed project participants and their
> educational level (high school and grade level or college and grade
> level) for each budget period.

vi. []{#__RefHeading___Toc146691111 .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. Copies of biographical sketches for any key employed
> personnel that will be assigned to work on the proposed project must
> be included in SF 424 R&R: Senior/Key Person Profile. Position
> descriptions that include the roles, responsibilities, and
> qualifications of proposed project staff must be uploaded and included
> in SF 424 R&R: Attachment 3.

vii. []{#__RefHeading___Toc146691112 .anchor}**Assurances**

> Follow the instructions in SF 424 R&R provided with the application
> package.

viii. []{#__RefHeading___Toc146691113 .anchor}**Certifications**

> Follow the instructions in SF 424 R&R provided with the application
> package.

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

> Provide a summary of the application. Because the abstract is often
> distributed 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. The project
> abstract must be single-spaced, limited to one page in length and
> uploaded in SF 424 R&R Other Project Information Form, Box 6.
>
> The following information must be placed at the top of the abstract:

-   Project Title

-   Applicant Organization Name

-   Project Director

-   Address

-   Contact Phone Numbers (Phone and Fax)

-   Email Address

-   Organizational Website Address, if applicable

    []{#__RefHeading___Toc146691115 .anchor}**x. Program Narrative**

> This section provides a comprehensive framework and description of all
> aspects of the proposed program. It should be succinct,
> self-explanatory and well organized so that reviewers can understand
> the proposed project.
>
> **Use the following section headers for the Program Narrative:**

-   **Introduction**

-   **Needs Assessment**

-   **Methodology**

-   **Work Plan**

-   **Resolution of Challenges (Competing Continuation grants only)**

-   **Evaluation and Technical Support Capacity**

-   **Organizational Information**

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-   **Introduction**

> This section should briefly describe the purpose of the proposed
> project. The program's purpose is to meet the costs of special
> projects to increase nursing education opportunities for individuals
> from disadvantaged backgrounds (including racial and ethnic minorities
> underrepresented among registered nurses) through retention programs,
> pre-entry preparation programs, and by providing student scholarships
> or stipends. Applicants must address all three areas. The project must
> support participants in becoming Registered Nurses and/or obtaining a
> baccalaureate degree, if already licensed as Registered Nurses.
> Additionally, applicants must graduate individuals who are eligible to
> take the NCLEX to become Registered Nurses, or Registered Nurses who
> have satisfied the educational requirements for the baccalaureate
> degree.

-   **NEEDS ASSESSMENT**

> This section outlines the needs of your community and/or organization
> and should help reviewers understand the population to be served by
> the proposed project. It should lead clearly to the identification of
> the applicant pool and the target population for the project. The
> target population and its unmet health needs must be described and
> documented. Demographic data should be used and cited whenever
> possible to support the information provided. Applicants may, but are
> not limited to, use surveys, pilot studies, needs assessments, or
> focus groups to document the need for the project, as well as methods
> of ongoing data collection for evaluation purposes. Criterion 1a
> "Need" may be addressed in this section.
>
> Applicants must describe:

-   The barriers that exist, at any point along the educational
    pipeline, that ultimately affect the competitiveness of individuals
    from disadvantaged backgrounds (including racial and ethnic
    minorities underrepresented among registered nurses) to enter and
    graduate from professional Schools of Nursing.

-   The geographic area (local or regional) that the project will focus
    on and the specific health care access, health disparity and quality
    issues there.

-   Whether the diversity of the current nursing workforce reflects the
    demographics of the geographic area it serves.

-   How the proposal will improve upon and change these needs.

> [The Proposed NWD Program Participants]{.underline}

-   Assure that the targeted participants are clearly defined (including
    the educational levels, i.e. high school and grade levels, and/or
    college and grade levels).

-   Assure that the number of targeted participants to be impacted by
    the NWD project is clearly documented.

-   Assure that the number of targeted participants is consistent with
    the documented budget requests.

> **Competing Continuation Applications Only: Progress Report as Needs
> Assessment**
>
> Applicants who are in the third year of funding, and wish to continue
> the basic project that is funded, should submit a Competing
> Continuation Application. Applicants must provide a statement of need
> for continuation of the currently funded project: a competing
> continuation is an extension of the original project. For the
> competing continuation needs statement:

-   Highlight the critical elements documented in the original needs
    assessment and justify the need for three additional years of
    support (it is not necessary to recreate the original need
    documentation for the competing continuation application such as a
    feasibility study. The need is to be updated as necessary.)

-   Provide a [Progress Report Summary]{.underline} (see review
    criteria). Failure to include a progress report, **for competing
    continuations only**, will render the application non-responsive.

-   Identify gaps in achievement of objectives and work that remains to
    be done

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-   **Methodology**

> Propose methods that will be used to meet each of the described
> program requirements and expectations in this grant announcement.
> Clearly document the linkage and relationships among the three
> programs (Retention Program, Pre-entry Preparation Program, and
> Scholarships and/or Stipends Program) and the NWD program
> participants. [Criterion 2 "Response" and Criterion 7 "Cultural
> Competence" may be addressed in this section]{.underline}.
>
> Clearly describe, as a component of the Methodology section, the
> participant [**eligibility requirements,** **selection criteria *and*
> selection process**]{.underline}. Identify specific elements used for
> the selection criteria (such as: GPA, SAT or ACT scores, low incomes,
> letters of recommendation, etc.) and identify the individuals involved
> in selecting NWD participants and how the process works. Describe the
> methods and instruments used to track and record the progress of
> nursing student participants from the time they are recruited into the
> project to the time they graduate from a School of Nursing.

1.  **[Program Information]{.underline}**

> **Purposes/Focus Areas**
>
> Applicants **must** address the following three program areas:
>
> **RETENTION PROGRAM** [--]{.smallcaps} The Retention Program should
> include activities that are creative interventions designed to assist
> **[nursing students]{.underline}** from disadvantaged backgrounds to
> continue their pursuit of a nursing education. These activities help
> to reduce attrition rates and improve graduation rates for Nursing
> Workforce Diversity program participants who are nursing majors
> enrolled in a professional nursing program; specific retention and
> graduation rates must be documented for each year of the project.
>
> The activities and goals of the Retention Program should be **program
> and participant specific**. Applicants should target retention goals
> and document the plan for increasing retention rates. If the retention
> rate falls below the rate of the two years preceding the grant award,
> the grantee may risk losing grant funds.
>
> Examples of retention activities include, but are not limited to:

-   personal and professional counseling

-   mentoring, tutoring, and coaching

-   professional nursing school entrance examination preparation

-   NCLEX-RN preparation

-   computer skill training

-   advanced technical, academic and social enrichment

-   study skills

-   time management training

-   clinical skills laboratory

-   providing training, information, or advice to faculty with respect
    to encouraging students from disadvantaged backgrounds and/or
    underrepresented minorities to complete the program of nursing
    education in which they are enrolled.

> **PRE-ENTRY PREPARATION PROGRAM**- The Pre-entry Preparation Program
> should include activities that are creative interventions designed to
> enhance the academic abilities and preparation of students from
> disadvantaged backgrounds to increase their competitiveness for entry
> into, and graduation from a professional nursing program. The program
> and its activities should also identify, motivate, recruit and select
> potential candidates for a professional nursing education.
>
> The Pre-entry Program and its outreach activities may be geared to
> elementary, middle and high school students (K-12) to promote Nursing
> as a career; support the transition from senior high school to
> professional nursing programs; support the transition of CNAs or
> LPNs/LVNs to professional nursing; support associate degree or diploma
> RNs to obtain a baccalaureate degree in Nursing; and prepare
> collegiate pre-nursing students for entry into the nursing program.
>
> Examples of pre-entry preparation activities include, but are not
> limited to:

-   career fairs

-   future nurses clubs

-   lecture series

-   tours, field trips and visits

-   exposure to clinical settings

-   programs targeted at improving communication, reading and writing
    skills

-   reinforcement of basic mathematical skills

-   enrichment of fundamental knowledge of chemistry, biology and
    physics

-   encounters that provide familiarity with basic laboratory equipment

-   workshops or classes that improve test taking, study and critical
    thinking skills

-   introduction to medical terminology

-   computer instruction

-   mock SATs and ACTs

-   summer enrichment programs

-   Saturday academics to support regular curriculum

> **STUDENT STIPENDS OR SCHOLARSHIPS PROGRAM** -- The student Stipends
> and/or Scholarships Program provides financial assistance to project
> participants to enhance their ability for successful entrance and
> completion of a professional nursing education program.
>
> **Stipends may be awarded to qualifying students (who meet NWD
> eligibility criteria and are program participants) from disadvantaged
> backgrounds who [participate full time in project
> activities]{.underline}.**
>
> **Stipends** may only be provided to 10^th^, 11^th^ and 12^th^ grade
> high school students and college students participating full-time in
> grant-funded project activities. Students receiving stipends must
> participate in all activities of the funded program described in the
> grant application. Student stipend support is provided to assist in
> covering general living expenses, including allowances for travel.
>
> When requesting student stipend assistance, applicant institutions are
> required to:
>
> \(a\) Designate a person within the school of nursing or the applicant
> entity to direct and assume responsibility for the stipend program.
>
> \(b\) Adhere to the institution\'s policies and guidelines with the
> application, including eligibility criteria which govern the award and
> monitoring of stipend funds.
>
> \(c\) Maintain documentation, which will enable government auditors or
> other officials to review practices at institutions to determine
> conformance with the established grants policy.
>
> [**The maximum stipend payment of \$250 per month shall be paid to
> eligible project students at regular intervals. The maximum annual (12
> month) amount for stipends (to be prorated and paid on the basis of
> one-twelfth for each month of training) is \$3000 per
> student**.]{.underline}
>
> Indicate in the budget narrative the number of project students to
> receive stipends and the total stipend amount for each year of the
> request.
>
> **Scholarship funds are awarded only to Nursing Workforce Diversity
> program participants who are [nursing majors enrolled full-time in a
> professional nursing program and enrolled in nursing
> courses]{.underline}.**
>
> Students designated to receive **scholarships** must be in need of
> financial assistance in order to pursue the full-time course of study
> in the nursing program and must be in good academic standing.
> Determination of financial need is based on the academic institution's
> policy for determining financial aid eligibility.
>
> Funds awarded must be used to provide full or partial scholarships to
> eligible full-time nursing students for tuition expenses, and other
> reasonable educational expenses. The payment made to the scholarship
> recipients may or may not meet the total expenses required by the
> school for full-time students. **The amount awarded to each**
> **student may not exceed \$7,000** **per budget period.** Scholarship
> funds should be disbursed in logical increments throughout the
> academic year and calendar year. Awards that are earmarked to pay for
> tuition should be disbursed at the beginning of each period within the
> academic year (e.g. semester, trimester, quarter).
>
> Students are designated to receive scholarships by the grantee
> institution in accordance with the intent of the Nursing Workforce
> Diversity program and the guidelines established by the applicant
> organization. Grantees must use Nursing Workforce Diversity
> Scholarship funds in a manner that will best meet the needs of
> eligible students.
>
> Requests for scholarship funding must be consistent with the
> activities and project plans outlined in the application. **Applicants
> may request up to a maximum of \$40,000 annually for scholarships**.
> Indicate in the budget narrative the number of project students to
> receive scholarships and the total scholarship amount per student for
> each year of the request.
>
> Applicant institutions are required to maintain documentation, which
> will enable government auditors or other officials to review practices
> at institutions to determine conformance with established grants
> policy.
>
> **[NOTE]{.underline}: A student may not receive a scholarship and
> stipend concurrently. NWD funds may not be used to support RN
> licensure costs, NCLEX exam costs, or child care costs; NCLEX
> preparation may be supported.**

2)  **[Project Objectives]{.underline}**

> Provide specific, measurable, achievable, relevant and timed
> objectives with specific outcomes and evaluation methods identified
> for each project year. The objectives **must:**

-   Relate to all program areas (retention program, pre-entry
    preparation program, and provision of stipends and scholarships),
    the identified problems/needs, and the targeted participants.

-   Indicate separate outcome measures for each educational level
    addressed in the project.

-   Include expected outcome measures using numbers and percentages and
    [indicate baselines]{.underline} by which success will be measured.

-   Identify projected enrollment, retention and graduation rates for
    project participants that are reflective of the respective ethnic
    and/or racial subgroups' representation in the institution's service
    area.

-   Incorporate at least [one]{.underline} objective that addresses how
    the Retention Program will result in graduates eligible to take the
    NCLEX. This objective shall include the number and proportion of
    graduates per year based on the total number of NWD program
    participants and School of Nursing total enrollment. Clearly
    document the methods/measures used to determine the targeted number
    of graduates within the parameters of the proposed NWD project.

-   Consist of at least [one]{.underline} project specific objective
    that addresses how the grant project will contribute to meeting at
    least one of the BHPr goals:

> **Goal 1**: Eliminate Health Barriers: Assure the appropriate supply,
> diversity, composition and distribution of the health professions
> workforce.
>
> **Goal 2**: Eliminate Health Disparities: Assure the availability of a
> full range of healthcare skills and services to populations bearing a
> disproportionate share of disease and disability.
>
> **Goal 3**: Assure Quality of Care: Improve the knowledge, skills,
> competencies and outcomes of health professions workforce.
>
> **Goal 4**: Improve Public Health and Health Care Systems: Assure the
> infrastructure to support an efficient and effective health
> professions workforce.
>
> Approved and funded applicants will be required to provide baseline
> and yearly data on these goals and their corresponding outcome(s) in
> the annual progress report. Specific guidance on these requirements is
> included under the instructions for the "Objective" and "Evaluation"
> sections included in the application guidance.
>
> For **competing continuations**, the original project objectives must
> be updated based on current needs and/or evaluation. New objectives
> must be developed to reflect **expansion or enhancement of the
> original project**. Objectives from the previous project period that
> have been completed are to be included in the competing continuation
> application and noted as achieved.

3)  **[Diversity and Cultural Competence]{.underline}**

    A.  **Diversity**

> **           **

1.  Describe the institution's strategic plan, policies, and initiatives
    that demonstrate a commitment to increasing the number of diverse
    health professionals.

>  

2.  Describe the School of Nursing's past performance in admitting,
    retaining, and graduating students from underrepresented minority
    groups and/or students from disadvantaged or low-income
    backgrounds.  Identify the number of students from underrepresented
    minority groups and students from educationally and economically
    disadvantaged backgrounds enrolled in the school of nursing within
    the past three years and strategies that have been effective in
    assisting these students to successfully graduate.

3.  Describe the project plan to recruit, retain, and graduate students
    from underrepresented minority groups and students from
    educationally and economically disadvantaged backgrounds. 

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B.  **Cultural Competence**

    1.  Describe the institution's strategic plan, policies, and
        initiatives that demonstrate a commitment to developing
        culturally competent health professionals. 

    2.  Summarize specific courses and /or learning experiences that
        will develop student's knowledge and appreciation of how culture
        impacts health, and the delivery of quality healthcare
        services.  Provide a rationale for how the course and/or
        learning experience will increase the student's self-awareness
        of multicultural issues and engage individuals, families, and
        communities from diverse social and cultural backgrounds in
        their own health care.

-   **Work Plan**

> Describe the activities or steps that will be used to achieve
> [each]{.underline} of the objectives proposed in the methodology
> section; each activity must support the yearly project outcomes.
> Provide a timetable, at least by quarters, for each project year that
> identifies the appropriate time period for the implementation of each
> proposed activity and the responsible staff. [Criterion 2 "Response",
> Criterion]{.underline} 4 "Impact", and Criterion 5
> "Resources/Capabilities" [may be addressed in this
> section]{.underline}.
>
> **1. Approach**

Describe by project year the activities, methods, and techniques to be
used to accomplish each stated objective. Describe the activities that
define the process and the desired measurable outcome. The description
should include information that clearly indicates what is going to be
done and how it will be done.

Develop a plan for the dissemination of project outcomes or products
such as conferences, presentations, publications, etc. Provide the
Nursing Workforce Diversity Program with copies of materials developed
for dissemination. On such work, **include the following disclaimer and
acknowledgment:** "*This project is/was supported by funds from the
Division of Nursing (DN), 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). The 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 official endorsement
be inferred by, the DN, BHPr, HRSA, DHHS, or the US Government."*

> **[ELECTRONIC DISTANCE LEARNING Requirements]{.underline}**
>
> All grant projects using electronic distance learning methodologies
> should include the information below:
>
> ***[Educational Program]{.underline}***

1.  Describe the distance learning method to be used in the project.
    Provide a rationale for the method chosen.

2.  Describe the coursework distance learning students will take.
    Applicants should consider number, sequencing, clinical experiences,
    and length of program. Compare to traditional program where
    appropriate.

3.  Describe the faculty's expertise with the proposed distance learning
    format.

4.  Describe the process for developing distance-learning courses and
    materials.

5.  Describe the measures that will be taken to ensure scholarly
    dialogue and interaction between students and faculty.

6.  Describe how resources will be made available to off-site students.
    These should include library and administrative (i.e., orientation,
    registration) resources.

7.  Describe the plan for evaluating the distance learning methods used.

> ***[Equipment and Technical Support]{.underline}***

1.  Describe the hardware, software, peripherals, and other equipment
    which will be used. Applicants should consider compatibility with
    other computer systems and potential issues related to use and
    upgrading following the award period.

2.  Detail preparation and technical support that will be offered to
    faculty and students.

> ***[Financing and Experience]{.underline}***

1.  Describe the financing of distance learning courses.

2.  Describe the applicant's and any partner organization's previous
    experience with distance learning.

> **2. Roles and Responsibilities**
>
> Specifically describe the functions and time commitment of the Project
> Director and other key staff as well as their academic and
> professional backgrounds and past experience in working with
> individuals from disadvantaged backgrounds (including racial and
> ethnic minorities underrepresented among registered nurses). Describe
> current experience, skills, and knowledge of individuals on staff,
> including materials published and previous work of a similar nature.
>
> **Position descriptions** that include the roles, responsibilities,
> and qualifications of proposed project staff must be included in **SF
> 424 R&R: Attachment 3**. Copies of **biographical sketches** for any
> key employed personnel that will be assigned to work on the proposed
> project must be uploaded and included in **SF 424 R&R: Senior/Key
> Person Profile**.
>
> **3. 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 the income, future funding
initiatives and strategies, Federal funding plans by year for the
remaining project period, and a timetable for becoming self-sufficient.
Describe problems to overcome in order to become self-sufficient.

-   **RESOLUTION OF CHALLENGES**

N/A

-   **Evaluation**

> Evaluation strategy must be tied explicitly to the project objectives
> and the proposed performance outcomes. Specify qualitative and/or
> quantitative evaluation measures (as appropriate) for each objective.
> Describe the methods and techniques which will be used to measure the
> outcomes of the project for each objective. Specify what data will be
> collected, the method for collecting the data, the manner in which
> data will be reported and analyzed, and what personnel will be
> involved with these activities. Criterion 3 "Evaluative Measures" may
> be addressed in this section.

-   **ORGANIZATIONAL INFORMATION**

    1.  Provide information on the applicant agency's current mission
        and structure, scope of current activities, and an
        organizational chart, and describe how these all contribute to
        the ability of the organization to conduct the program
        requirements and meet program expectations. Include the
        organizational chart in SF 424 R&R: Attachment 4.

        2.  Identify institutional and human resources available to
            implement and support the project. Provide evidence of
            support for the project from faculty, administrative and
            institutional personnel. Summarize past performance in
            assisting students from disadvantaged backgrounds (including
            racial and ethnic minorities underrepresented in nursing).
            Include letters of agreement or letters of support from key
            organizations/individuals of their willingness to perform in
            accordance with the plan presented in the application in SF
            424R&R: Attachment 5 and Attachment 6. [Criterion 5
            "Resources/Capabilities" may be addressed in this
            section]{.underline}.

+-------------------------------+--------------------------------------+
| **ADDITIONAL NARRATIVE        |                                      |
| GUIDANCE**                    |                                      |
|                               |                                      |
| In order to ensure that the   |                                      |
| seven review criteria are     |                                      |
| fully addressed, this box     |                                      |
| provides a cross-reference    |                                      |
| between the narrative text    |                                      |
| language and the review       |                                      |
| criteria.                     |                                      |
+-------------------------------+--------------------------------------+
| **[Narrative Section (page    | **[NWD Review Criteria (page         |
| 19)]{.underline}**            | 32)]{.underline}**                   |
+-------------------------------+--------------------------------------+
| Introduction                  |                                      |
+-------------------------------+--------------------------------------+
| Needs Assessment              | (1a) Need                            |
|                               |                                      |
|                               | (1b) Progress Report Summary (for    |
|                               | 'Competing Continuations' only)      |
+-------------------------------+--------------------------------------+
| Methodology                   | (2)Response                          |
|                               |                                      |
|                               | \(7\) Cultural Competency            |
+-------------------------------+--------------------------------------+
| Work Plan                     | \(2\) Response                       |
|                               |                                      |
|                               | \(4\) Impact                         |
|                               |                                      |
|                               | \(5\) Resources/Capabilities         |
+-------------------------------+--------------------------------------+
| Evaluation                    | \(3\) Evaluative Measures            |
+-------------------------------+--------------------------------------+
| Organizational Information    | \(5\) Resources/Capabilities         |
+-------------------------------+--------------------------------------+
|                               | \(6\) Support Requested-- the budget |
|                               | section should be sufficient to      |
|                               | allow reviewers to determine the     |
|                               | reasonableness of the requested      |
|                               | support.                             |
+-------------------------------+--------------------------------------+

[]{#__RefHeading___Toc146691116 .anchor}**xi. Program Specific Forms**

> The required Nursing Workforce Diversity Program Project Synopsis
> (Appendix D) assists the reviewers and the federal staff in
> identifying key components of the application. Please complete and
> upload as SF 424 R&R: Attachment 2.
>
> The NWD program table identified as Admissions to the Overall Nursing
> Program, Total Enrollment and Graduation by Race/Ethnicity and
> Disadvantaged Status must be completed by all applicants (Appendix E).
> Please complete and upload as SF 424 R&R: Attachment 7.

[]{.mark}

[]{#__RefHeading___Toc146691117 .anchor}**xii.** **Attachments**

> The required application attachments include:
>
> **Attachment 1: Business Official Information** - Attach the file with
> information on your organization's Business Official.
>
> **Attachment 2: Nursing Workforce Diversity Program Project Synopsis**
> assists the reviewers and the federal staff in identifying key
> components of the application. The Project Synopsis is located in
> Appendix D of this guidance.
>
> **Attachment 3: Position Descriptions** - Attach position descriptions
> that include the roles, responsibilities, and qualifications of
> proposed project staff.
>
> **Attachment 4: Organizational Chart** - Attach a one-page figure that
> depicts the organizational structure of the project, including any
> collaborating partners.
>
> **Attachment 5: 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. Letters
> of agreement from key organizations/individuals must document their
> willingness to perform in accordance with the plan presented in the
> application. Documents that confirm actual or pending contractual
> agreements should clearly describe the roles of the subcontractors and
> any deliverable.
>
> **Attachment 6: 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.) Letters of
> agreements and support must be dated. List all other support letters
> on one page.
>
> **Attachment 7: Program Specific Table** - Admissions to the Overall
> Nursing Program, Total Enrollment and Graduation by Race/Ethnicity and
> Disadvantaged Status
>
> **Attachments 8-15: Any additional information** the applicant desires
> to provide for further details about the proposal should be entered as
> SF 424 R&R. Additional information will be counted in the page limit.

[]{#__RefHeading___Toc146691118 .anchor}**3. Submission Dates and
Times**

**Application Due Date**

**The due date for applications under this grant announcement is
*NOVEMBER 30, 2006 at 8:00 P.M. ET*.** Applications will be considered
as meeting the deadline if they are E marked on or before the due date.
Please consult Appendix A, Section 3 for detailed instructions on
submission requirements.

The Chief Grants Management Officer (CGMO) or a higher level designee
may authorize an extension of published deadlines when justified by
circumstances such as acts of God (e.g. floods or hurricanes),
widespread disruptions of mail service, or other disruptions of
services, such as a prolonged blackout. The authorizing official will
determine the affected geographical area(s).

Applications must be submitted by **8:00 P.M. ET**. **To ensure that you
have adequate time to follow procedures and successfully submit the
application, we recommend you register immediately in Grants.gov (see
Appendix B) and complete the forms as soon as possible, as this is a new
process and may take some time.**

**Please refer to Appendix B for important specific information on
registering, and Appendix A, Section 3 for important information on
applying through Grants.gov.**

**Late Applications:**

Applications which do not meet the criteria above are considered late
applications. Health Resources and Services Administration (HRSA) shall
notify each late applicant that its application will not be considered
in the current competition.

[]{#__RefHeading___Toc146691119 .anchor}**4. Intergovernmental Review**

The Nursing Workforce Diversity program is not subject to the provisions
of Executive Order 12372, as implemented by 45 CFR 100.

[]{#__RefHeading___Toc146691120 .anchor}**5. Funding Restrictions**

Applicants responding to this announcement must request funding for a
project period of THREE (3) years. 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.

Each applicant organization may request up to \$40,000 (maximum) for
scholarship funds annually.

[]{#__RefHeading___Toc146691121 .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 the
EHBs. However, to complete the submission requirements, a hard-copy of
the SF 424 R&R Face Sheet must be printed, signed, and submitted to the
HRSA Grants Application Center. The SF 424 R&R must be printed from
Grants.gov.

For an online application, the signed SF 424 R&R 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:

> HRSA Grants Application Center
>
> Attention: Nursing Workforce Diversity Program
>
> Program Announcement Number: \[HRSA-07-092\]
>
> 910 Clopper Road
>
> Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 1-877-477-2123

Applications will be considered as having met the deadline if: (1) the
application has been successfully transmitted electronically by your
organization's Authorizing Official on or before the deadline date and
time, and (2) the signed SF 424 R&R 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___Toc146691122 .anchor}**V. Application Review
Information**

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

**1. 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 used to review and to rank applications. The NWD
> program has seven (7) review criteria. All applications will be
> evaluated by peer reviewers based on the criteria listed below. The
> points allocated to each criterion are provided beside each criterion.
> The weights are based on a total possible score of 100. The peer
> reviewers will use these values during the technical review process to
> determine the extent to which the applicant meets the following
> criteria:
>
> **Criterion 1a. Need (Purpose, Need, and Rationale): (New=20 points,
> Competing Continuation=15 points)** The extent to which the
> application describes the problem and associated contributing factors
> to the problem.

-   [Purpose]{.underline} is clearly stated and is consistent with the
    legislative intent

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-   [Need]{.underline} for the proposed project thoroughly describes the
    problem and associated contributing factors to the problem
    including:

    -   The health care needs of the populations who will be served by
        the program's participants;

    -   How the proposed project will affect the health care needs of
        the target population(s);

    -   Documentation of the diversity of the current nursing workforce
        in the service are;

    -   Documented evidence of an eligible enrollee, project and/or
        applicant pool, including potential students from
        underrepresented minority backgrounds; and

    -   Description of the targeted participants.

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-   [Rationale]{.underline} describes how the proposed project will
    contribute to meeting the documented needs. Rationale is provided
    for how the project is consistent with related Federal, State, and
    regional workforce programs, plans, and priorities and how it will
    contribute to increasing nursing workforce diversity.

> **Criterion 1b. Progress Report Summary (New=NA, Competing
> Continuation=10 points)**
>
> ***[Progress Report Summary (Competing Continuations
> only)]{.underline}*** A clearly stated need for
> [continuing]{.underline} grant support for the project is provided by
> competing continuation applicants.
>
> The Progress Report should provide adequate information that
> demonstrates progress towards the project meeting the objectives and
> outcomes of the program. **The summary of the report should include**:

-   **The project period of the initial grant application.** All
    activities related to the current **project** period.

-   The original objectives of the initial project. For each of the
    stated objective provide outcome data in quantitative and
    qualitative terms using actual numbers and percentages. Indicate the
    **baselines** by which outcomes (results) were measured; and

-   Milestones that have been achieved and their significance. Where
    milestones have not been achieved, indicate the reasons and actions
    to be taken to address the issue(s). Revised dates should be
    included for modified objectives that are carried over to the
    continuation application.

-   Publications: Note any publications arising from the current project
    and identify any project-related publication activities being
    conducted at the applicant organization

-   Evaluation: In the narrative, state whether the project activities
    had an impact on the project objectives. Include quantitative and
    qualitative date to show impact. If results fell short of stated
    objectives, include any corrective measures for future objectives.

-   Staffing modifications: Discuss any staffing changes related to the
    project, including additions or deletions of project positions.
    Indicate the reasons why funded project positions were not filled,
    if applicable. Discuss the impact of the project due to unfilled
    positions and the expectations for staffing remaining positions.

> **Criterion 2. Response: Project Plan (New=30 points, Competing
> Continuation=20 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 are capable of addressing the
> problem and attaining the project objectives.
>
> [Objectives must:]{.underline}

-   Relate to both the identified problems/needs and the program purpose
    of increasing nursing education opportunities for individuals from
    disadvantaged backgrounds (including underrepresented minorities)
    through retention program, pre-entry preparation program, and
    provision of stipends and/or scholarships;

-   Include at least one objective that addresses one of the BHPr goals;
    and

-   Reflect

    -   A specific relationship to what the program wants to achieve,

    -   Baseline data and measurable outcome goals in quantitative and
        qualitative terms,

    -   Achievability with the resources described,

    -   The time frame within which each objective should be achieved
        during the project period,

    -   Expected outcomes for each educational level of student
        projected to participate in the project, and

    -   Ongoing evaluation and continuous quality improvement.

> [Project Activities]{.underline}

-   Activities are described which will be used to accomplish each
    objective for each year of the project and are appropriate for the
    student participants.

-   Proposed activities are reasonable given the proposed level of
    staff, resources available, length of the project period, the
    qualifications of the project director and staff, and the adequacy
    of the facilities available to the applicant to carry out the
    proposed project.

-   Established and/or planned linkages and partnerships with relevant
    educational and health care entities, and interdisciplinary
    education programs for other health professionals are described, are
    relevant to project objectives, and will assist in the attainment of
    project objectives.

-   The number of NWD project participants and the expected activity
    outcomes for the participants are clearly defined.

-   Distance learning methodology guidance is addressed, if applicable.

> **Criterion 3. Evaluative Measures (New=10 points, Competing
> Continuation=10 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.
>
> The proposed methods for evaluating the project are described
> including:

-   The data collection, analysis and reporting procedures to be used,
    and the personnel involved;

-   Appropriate quantitative and/or qualitative evaluation measures for
    each objective and;

-   Outcome and process evaluation indicators.

> **Criterion 4. Impact (New=10 points, Competing Continuation=15
> 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 the sustainability of the program beyond the Federal
> Funding
>
> Specific information is provided that describes the extent and means
> by which the project plans to become self-sufficient after the period
> of grant support including:

-   Other sources of income; the nature of income, future funding
    initiatives and strategies, Federal funding plans by year, and a
    timetable for becoming self-sufficient; and

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-   Problems to overcome to reach self-sufficiency

> **Criterion 5**. **Resources/Capabilities (New=15 points, Competing
> Continuation=15 points)** The extent to which project personnel are
> qualified by training and/or experience to implement and carry out the
> projects. The capabilities of the applicant organization, and quality
> and availability of facilities and personnel to fulfill the needs and
> requirements of the proposed project. For competing continuations,
> past performance will also be considered.

-   Evidence is provided of the institution's commitment, experience,
    and success in working with students from disadvantaged backgrounds
    (including racial and ethnic minorities underrepresented among
    registered nurses).

-   Evidence of support for the project from faculty, administrative,
    and institutional personnel is provided.

-   Letters of agreement or support are provided from key
    organizations/individuals indicating their willingness to perform in
    accordance with the plan presented in the application.

-   Activities and outcomes, related to the outcome objectives, are
    appropriate given the qualifications of the project director and the
    proposed level of staff, resources available, length of the project
    period, adequacy of the facilities available to the applicant to
    carry out the proposed project, and institutional eligibility.

> **Criterion 6. Support Requested (New=5 points, Competing
> Continuation=5 points)** The reasonableness of the proposed budget in
> relation to the objectives, the complexity of the activities, and the
> anticipated results.
>
> [Fiscal Plan]{.underline} includes:

-   The administrative and managerial capability of the applicant to
    carry out the project;

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-   The relationship between the number of individuals impacted through
    the project in relation to the budget;

-   Assurance of the effective use of grant funds and resources to carry
    out the project as evidenced by a reasonable proposed budget that
    reflects effective use of the funds requested and a detailed
    justification for each line item; and

-   The level of in-kind support and other sources of funds, both
    Federal and non-Federal, that the applicant proposes to use for
    carrying out the project.

> **Criterion 7. Cultural Competence (New=10 points, Competing
> Continuation=10 points)** A clear and concise project plan for
> strengthening cultural competence of project participants and faculty
> includes the following:

-   A description of the institution's strategic plan, policies, and
    initiatives that demonstrate a commitment to increasing the number
    of diverse health professionals;

-   A description of the School of Nursing's past performance in
    admitting, retaining, and graduating students from underrepresented
    minority groups and/or students from educationally or economically
    disadvantaged or low-income backgrounds.  Identify the number of
    students from underrepresented minority groups and students from
    educationally or economically disadvantaged backgrounds enrolled in
    the school of nursing within the past three years and strategies
    that have been effective in assisting these students to successfully
    graduate.

-   A description of the project's plan to recruit, retain, and graduate
    students from underrepresented minority groups and students from
    educationally or economically disadvantaged backgrounds.

-   A description of the institution's strategic plan, policies, and
    initiatives that demonstrate a commitment to developing culturally
    competent health professionals.

-   A summary of the specific courses and/or learning experiences that
    will develop students and faculty's knowledge and appreciation of
    how culture impacts health, and the delivery of quality healthcare
    services; and

-   Provision of a rationale for how the course and/or learning
    experience will increase the students and faculty's self-awareness
    of multicultural issues and engage individuals, families, and
    communities from diverse social and cultural backgrounds in their
    own health care.

    **2. Review and Selection Process**

> **The Division of Independent Review** is responsible for managing
> objective reviews within HRSA. Applications competing for federal
> funds receive an objective and independent review performed by a
> committee of experts qualified by training and experience in
> particular fields or disciplines related to the program being
> reviewed. In selecting review committee members, other factors in
> addition to training and experience may be considered to improve the
> balance of the committee, e.g., geographic distribution. Each reviewer
> is screened to avoid conflicts of interest and is responsible for
> providing an objective, unbiased evaluation based on the review
> criteria noted above. The committee provides expert advice on the
> merits of each application to program officials responsible for final
> selections for award.
>
> Applications that pass the initial HRSA eligibility screening will be
> reviewed and rated by a panel based on the program elements and review
> criteria presented in relevant sections of this program announcement.
> The review criteria are designed to enable the review panel to assess
> the quality of a proposed project and determine the likelihood of its
> success.  The criteria are closely related to each other and are
> considered as a whole in judging the overall quality of an
> application.
>
> **Funding Preferences**
>
> The authorizing legislation provides a statutory funding preference
> for some applicants. 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. Applicants must
> request and also demonstrate how the application meets the statutory
> funding preference. Applications 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.
>
> As provided in section 805 of the Public Health Service Act, a
> statutory funding preference may be granted to any qualified applicant
> that: a) [specifically requests]{.underline} the preference, and b)
> [meets the criteria]{.underline} for the preference as follows:

1.  The project substantially benefits **rural populations**;

2.  The project substantially benefits **underserved populations;
    and/or**

3.  The project **helps meet public health nursing needs** in state or
    local health departments.

    []{#__RefHeading___Toc146691125 .anchor}**3. Anticipated
    Announcement and Award Dates**

> All eligible NWD applications that are received by the application
> deadline will be forwarded to the Peer Reviewer for review,
> evaluation, and scoring determinations. All applicants will be
> notified by mail regarding their peer review score and grant award
> potential. All funding determinations will be completed in a timely
> manner to enable HRSA to make awards by the July 1, 2007 project start
> date.

[]{#__RefHeading___Toc146691126 .anchor}**VI. Award Administration
Information**

[]{.mark}

[]{#__RefHeading___Toc146691127 .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 serves as the only authorizing document. It will
> be sent prior to the start date of July 1, 2007.

[]{#__RefHeading___Toc146691128 .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.

**PUBLIC POLICY ISSUANCE**

**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}/.
>
> 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.

[]{#Award_OtherReportingRequirements .anchor}

**3. Reporting**

> The successful applicant under this guidance must:

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

b.  Submit a 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.  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; and

d.  Submit a Progress Report(s).

> All Bureau of Health Professions grantees are required to submit
> progress reports to HRSA on an annual basis. These reports take the
> form of Uniform Progress Reports (UPR I & II), Final Reports and
> Comprehensive Performance Management System (CPMS) Reports. The UPR I
> section allows the grantee to report on project objectives while UPR
> II focuses on program specific data variables. CPMS builds on the BHPr
> focus of assuring access through programs that improve the
> distribution, diversity and quality of the healthcare workforce, as
> seen in the BHPR goals already discussed earlier in this document.
>
> Progress reports must be submitted on-line by the grantee. The
> 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 BHPR's web page address is
> [www.bhpr.hrsa.gov/grants](http://www.bhpr.hrsa.gov/grants) and once
> on the web page, click on **Grantee Reports**.

[]{#__RefHeading___Toc146691130 .anchor}**4. 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. On a regularly scheduled
> basis, HRSA grantees are required to participate in a 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 are
> expected to prepare an Action Plan that identifies key actions to
> improve program performance as well as addresses any identified
> program requirement issues. Performance reviews also provide 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___Toc146691131 .anchor}**VII. Agency Contacts**

Applicants may obtain additional information regarding business,
administrative, or fiscal issues related to this grant announcement by
contacting:

[]{.mark}

> Bruce Holmes, Grants Management Specialist
>
> Attn: NWD Program
>
> HRSA Division of Grants Management Operations, OFAM
>
> Parklawn Building, Room 11A-16
>
> 5600 Fishers Lane
>
> Rockville, MD 20857
>
> Telephone: 301 443-0752
>
> Fax: 301 443-6343
>
> E-mail: bholmes@hrsa.gov

Additional information related to the overall program issues and program
technical assistance regarding this funding announcement may be obtained
by contacting:

> Janice B. Young, Ph.D., MPH, RN
>
> Nurse Consultant, Division of Nursing
>
> Bureau of Health Professions, HRSA
>
> Parklawn Building, Room 9-36
>
> 5600 Fishers Lane
>
> Rockville, MD 20857
>
> Telephone: 301 443-6193
>
> Fax: 301 443-0791
>
> E-mail: jyoung2@hrsa.gov
>
> Aisha K. Mix, MPH, MSN, RN
>
> Nurse Consultant, Division of Nursing
>
> Bureau of Health Professions, HRSA
>
> Parklawn Building, Room 9-35
>
> 5600 Fishers Lane
>
> Rockville, MD 20857
>
> Telephone: 301 443-6193
>
> Fax: 301 443-8586
>
> E-mail: <amix@hrsa.gov>

[]{#__RefHeading___Toc146691132 .anchor}**VIII. Tips for Writing a
Strong Application**

**Include DUNS Number.** You must include a DUNS Number to have your
application reviewed. Applications ***will not*** be reviewed without a
DUNS number. To obtain a DUNS number, access www.dunandbradstreet.com 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.

**Ensure that all information is submitted at the same time.** We will
not consider additional information and/or materials submitted after
your initial submission, nor will we accept e-mailed applications or
supplemental materials once your application has been accepted.

**IX. Appendices**

[]{#__RefHeading___Toc146691133 .anchor}APPENDIX A: HRSA's Electronic
Submission User Guide

> User Guide Table of Contents
>
> 1\.
> INTRODUCTION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....44
>
> 1.1. DOCUMENT PURPOSE AND
> SCOPE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...44
>
> 1.2. DOCUMENT ORGANIZATION AND VERSION
> CONTROL\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....44
>
> 2\. NONCOMPETING CONTINUATION
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....44
>
> 2.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....44
>
> 2.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) (IF NOT ALREADY
> REGISTERED)...................................................................................................\...\...\...\.....45
>
> 2.3. PROJECT DIRECTOR AND AUTHORIZING OFFICIAL NEED TO REGISTER WITH
> HRSA EHBS
>
> (IF NOT ALREADY REGISTERED)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....45
>
> 2.4. APPLY THROUGH [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....46
>
> 2.4.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> \...\...\...\....46
>
> 2.4.2 Download Application Package
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....
> \...\...\...\.....46
>
> 2.4.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....
> \...\...\...\...\....47
>
> 2.4.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\... 47
>
> 2.4.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\... 47
>
> 2.5. VERIFY IN HRSA ELECTRONIC HANDBOOKS
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....48
>
> 2.5.1 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\... 48
>
> 2.5.2 Manage Access to Your Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\...\..... 48
>
> 2.5.3 Check Validation
> Errors\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> \...\...\...\...\...\....49
>
> 2.5.4 Fix Errors and Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....49
>
> 2.5.5 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....49
>
> 2.6. SUBMIT SIGNED FACE
> PAGE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...49
>
> 3\. COMPETING
> APPLICATION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...49
>
> 3.1. PROCESS
> OVERVIEW\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....49
>
> 3.2. GRANTEE ORGANIZATION NEEDS TO REGISTER WITH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/) NOT ALREADY
> REGISTERED)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....50
>
> 3.3. APPLY THROUGH
> [[GRANTS.GOV]{.underline}](http://GRANTS.GOV/)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....
> 50
>
> 3.3.1 Find Funding
> Opportunity\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....50
>
> 3.3.2 Download Application
> Package\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....51
>
> 3.3.3 Complete
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....51
>
> 3.3.4 Submit
> Application\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....51
>
> 3.3.5 Verify Status of Application
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....52
>
> 3.4. SUBMIT SIGNED FACE PAGE
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....52
>
> 4\. GENERAL INSTRUCTIONS FOR APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....52
>
> 4.1. NARRATIVE ATTACHMENT
> GUIDELINES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....53
>
> 4.1.1
> Font\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....53
>
> 4.1.2 Paper Size and
> Margins\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...53
>
> 4.1.3
> Names\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...53
>
> 4.1.4 Section Headings
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...53
>
> 4.1.5 Page
> Numbering\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....53
>
> 4.1.6 Allowable Attachment or Document
> Types\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....53
>
> 4.2. APPLICATION CONTENT ORDER (TABLE OF
> CONTENTS)\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> \...\...\...\.....54
>
> 4.3. PAGE
> LIMIT\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....54
>
> 5.0 CUSTOMER SUPPORT INFORMATION
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....54
>
> 5.1.1 Grants.gov Customer
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....54
>
> 5.1.2 HRSA Call
> Center\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....55
>
> 5.1.3 HRSA Program
> Support\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....55
>
> 6.0
> FAQs\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> 55
>
> 6.1.
> SOFTWARE\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...55
>
> 6.1.1 What are the software requirements for using
> Grants.gov?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....55
>
> 6.1.2 Why can\'t I download PureEdge Viewer onto my
> machine?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...55
>
> 6.1.3 I have heard that Grants.gov is not Macintosh compatible. What
> do I do if I use only a
> .Macintosh?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
> \...\...\...\...\...\...\.....55
>
> 6.1.4 What are the software requirements for HRSA
> EHBs?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....56
>
> 6.1.5 What are the system requirements for using HRSA EHBs on a
> Macintosh computer?\...\...\...\...\...\...\...\....56
>
> 6.2. APPLICATION RECEIPT
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....56
>
> 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?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....56
>
> 6.2.2 When do I need to submit my application?
> \...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....56
>
> 6.2.3 What emails can I expect once I submit my application? Is email
> reliable? \...\...\...\...\...\...\...\...\...\...\...\...\.....57
>
> 6.2.4 If a resubmission is required because of Grants.gov system
> problems, will these be
>
> considered
> \"late\"?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....58
>
> 6.3. APPLICATION
> SUBMISSION\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...58
>
> 6.3.1 How can I make sure that my electronic application is presented
> in the right order for
>
> objective
> review?\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...58
>
> 6.4 GRANT.GOV
> HELP\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...58

**1. Introduction**

**1.1 Document Purpose and Scope**

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**

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**

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.  **Grantee Organization Needs to Register With Grants.gov (if not
    already registered) -- See Appendix B**

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)

o Obtain a username and password from the Grants.gov Credential Provider

o Register the username and password with Grants.gov

o 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

I.

2.  **Project Director and Authorizing Official Need to Register with
    HRSA EHBs (if not already registered)**

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**

1.  **Find Funding Opportunity**

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!

    1.  **Download Application Package**

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

    1.  **Complete Application**

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 R&R or box 4
    in SF424 R&R)

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

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

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

    1.  **Submit Application**

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.

    1.  **Verify Status of Application**

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."

    4.  **Verify in HRSA Electronic Handbooks**

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.

    1.  **Verify Status of Application**

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.

    1.  **Manage Access to Your Application**

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

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

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

2.  **Check Validation Errors**

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.

3.  **Fix Errors and Complete Application**

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.

4.  **Submit Application**

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.

    4.  **Submit Signed Face Page**

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: \[*HRSA 07-092\]*

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**

1.  **Process Overview**

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.

2.  **Grantee Organization Needs to Register With Grants.gov (if not
    already registered) -- See Appendix B**

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)

o Obtain a username and password from the Grants.gov Credential Provider

o Register the username and password with Grants.gov

o 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**

1.  **Find Funding Opportunity**

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.

    1.  **Download Application Package**

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.

    1.  **Complete Application**

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 SF 424
    R&R or box 4 in SF 424 R&R)

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

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

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

    1.  **Submit Application**

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.

.

1.  **Verify Status of Application**

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.  **Submit Signed Face Page**

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 R&R 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: \[07-092\]

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**

-   The following guidelines are applicable to both electronic and paper
    submissions (when allowed) unless otherwise noted.

    1.  **Font**

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. 

2.  **Paper Size and Margins**

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.

3.  **Names**

Please include the name of the applicant and 10-digit grant number (if
competing continuation, supplemental or non-competing continuation) on
each page.

4.  **Section Headings**

Please put all section headings flush left in bold type.

5.  **Page Numbering**

**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**

**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)**

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**

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**

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**

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**

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**

**6.1.1 What are the software requirements for using Grants.gov?**

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?**

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?**

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?**

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?**

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**

**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?**

**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?**

**Competing Submissions:**

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

**Noncompeting Submissions:**

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

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

**6.2.3 What emails can I expect once I submit my application? Is email
reliable?**

**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\"?**

**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**

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

Follow the instructions provided in section 4.2 to ensure that your
application is presented in the right order and is compliant with all
the requirements.

**6.4 Grants.gov**

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>

[]{#__RefHeading___Toc146691134 .anchor}**Appendix B -- Registering and
Applying Through Grants.gov**

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

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

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

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

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

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

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

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

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

Step 1: Register your organization

Step 2: Register yourself as an Authorized Organization Representative

Step 3: Get authorized by your organization to submit grants

These instructions will walk you through the three basic registration
steps. Additional assistance is available at Grants.gov at
[www.grants.gov](../www.grants.gov). Individual assistance is available
at [http://www.grants.gov/Support](http://www.grants.gov/Support  ) or
1-800-518-4726. Grants.gov also provides a variety of support options
through online Help including Context-Sensitive Help, Online Tutorials,
FAQs, Training Demonstration, User Guide, and Quick Reference Guides.

Follow this checklist to complete your registration---

1\. Register Your Organization

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

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

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

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

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

\- Obtain your username and password

\- Register your username and password with Grants.gov

3\. Get Yourself Authorized as an AOR

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

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

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

**REGISTER YOUR ORGANIZATION**

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

**Obtain your organization's DUNS number**

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

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

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

**Register your organization with CCR**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**2. Register with Grants.gov**

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

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

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

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

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

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

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

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

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

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

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

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

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

• You must submit all documents electronically, including all
information typically included on the SF 424 R&R 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 R&R/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:

HRSA Grants Application Center

> Attention: Nursing Workforce Diversity Program
>
> Program Announcement Number: \[HRSA-07-092\]
>
> 910 Clopper Road
>
> Suite 155 South
>
> Gaithersburg, MD 20878
>
> Telephone: 1-877-477-2123

**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 R&R/5161 Face Sheet must be printed, signed, and
submitted to the HRSA Grants Application Center. For competitive
applications, the SF 424R&R/5161 must be printed from Grants.gov.

For an online application, the signed SF 424 R&R/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 424R&R/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.

[]{#__RefHeading___Toc146691135 .anchor}**Appendix C: [Instructions for
the SF424 R&R (Research and Related)]{.underline}**

This application form is replacing the 6025 training application form
and the 398 application form. The SF 424 R&R will be used for all HRSA
training and research programs.

**INSTRUCTIONS FOR THE APPLICATION FACE PAGES**

Below are detailed instructions for the completion of the SF 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   |
|    | pre-application. 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 SF 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 SF 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 SF 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 SF 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 SF 424 R & R face   |
| Investigator    | page field number 15. Enter the **Prefix, First    |
| designated to   | Name, 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       |
|             | pre-populated with the prefix for the project director |
|             | identified on the face page of the 424 R&R.            |
+-------------+--------------------------------------------------------+
| First Name  | This is the first (given) name of the Individual       |
|             | identified as a key person for the project. If this is |
|             | the entry for the Project Director and you are         |
|             | submitting electronically this field will be           |
|             | pre-populated with the name of the project director    |
|             | identified on the face page of the SF 424 R&R.         |
+-------------+--------------------------------------------------------+
| Middle Name | This is the middle 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 pre-populated with   |
|             | the name of the project director identified on the     |
|             | face page of the SF 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 pre-populated with   |
|             | the last name of the project director identified on    |
|             | the face page of the SF 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       |
|             | pre-populated with the prefix for the project director |
|             | identified on the face page of the SF 424 R&R.         |
+-------------+--------------------------------------------------------+
| Pos         | Enter the Title for the Individual identified as a key |
| ition/Title | person for the project. If this is the entry for the   |
|             | Project Director and you are submitting electronically |
|             | this field will be pre-populated with the Title for    |
|             | the project director identified on the face page of    |
|             | the SF 424 R&R.                                        |
+-------------+--------------------------------------------------------+
| Department  | This is the name of the primary organizational         |
|             | department, service, laboratory, or equivalent level   |
|             | within the organization for the Individual identified  |
|             | as a key person for the project. If this is the entry  |
|             | for the Project Director and you are submitting        |
|             | electronically this field will be pre-populated with   |
|             | the Department for the project director identified on  |
|             | the face page of the SF 424 R&R.                       |
+-------------+--------------------------------------------------------+
| O           | This is the name of the organizational for the         |
| rganization | 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       |
|             | pre-populated with the Organization Name for the       |
|             | project director identified on the face page of the SF |
|             | 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 pre-populated 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           |
|             | pre-populated with the Street address for the project  |
|             | director identified on the face page of the SF 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           |
|             | pre-populated with the second line of the Street       |
|             | address ( if applicable) for the project director      |
|             | identified on the face page of the SF 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       |
|             | pre-populated.                                         |
+-------------+--------------------------------------------------------+
| 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 pre-populated                                       |
+-------------+--------------------------------------------------------+
| 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 pre-populated                                       |
+-------------+--------------------------------------------------------+
| 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 pre-populated                                       |
+-------------+--------------------------------------------------------+
| Fax Number  | Enter the fax number for the senior/key person. If     |
|             | this is the entry for the Project Director and you are |
|             | submitting electronically this filed will be           |
|             | pre-populated                                          |
+-------------+--------------------------------------------------------+
| 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           |
|             | pre-populated- This is a required field                |
+-------------+--------------------------------------------------------+
| Credential  | Leave this field blank                                 |
| e.g. agency |                                                        |
| login       |                                                        |
+-------------+--------------------------------------------------------+
| Project     | Enter the project role from the list below             |
| Role        |                                                        |
|             | 1\. Project Director (PD)/Principle Investigator(PI)   |
|             |                                                        |
|             | 2\. Co- PD/Co- PI                                      |
|             |                                                        |
|             | 3.Faculty                                              |
|             |                                                        |
|             | 4\. Post Doctoral                                      |
|             |                                                        |
|             | 5\. Post Doctoral Associate                            |
|             |                                                        |
|             | 6\. Other Professional                                 |
|             |                                                        |
|             | 7\. Graduate Student                                   |
|             |                                                        |
|             | 8\. Undergraduate Student                              |
|             |                                                        |
|             | 9\. Technician                                         |
|             |                                                        |
|             | 10\. Consultant                                        |
|             |                                                        |
|             | 11\. Other (Specify)                                   |
+-------------+--------------------------------------------------------+
| Other       | Complete if you selected "Other "as a project role.    |
| Project     | For example, Engineer, social worker.                  |
| Role        |                                                        |
| Category    |                                                        |
+-------------+--------------------------------------------------------+
| Attach      | Provide a biographical sketch for the PD/PI or Senior  |
| B           | Key Person identified. For each of these individuals a |
| iographical | 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 SF424 R&R 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: 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 SF 424 R&R 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 SF 424 R&R Subaward Budget Attachment
                   and attach as a separate file on the SF 424 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.

[]{#__RefHeading___Toc146691136 .anchor}**Appendix D: Nursing Workforce
Diversity Program Project Synopsis**

The synopsis assists the reviewers and the federal staff to identify key
application components.

Applicant Organization Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Project Director Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Project Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Place an "X" in the appropriate box for each item.**

1.  Identify the Type of Educational Program Being Addressed:

-   Associate Degree in Nursing

-   Diploma

```{=html}
<!-- -->
```
-   Baccalaureate Degree in Nursing

2.  Identify if requesting the following preference:

-   Substantially benefit rural populations

```{=html}
<!-- -->
```
-   Substantially benefit underserved populations

```{=html}
<!-- -->
```
-   Help meet public health nursing needs in State or local health
    departments

> **It is encouraged that the applicant select and document how they met
> at least one of the preferences listed above.**

3.  Type of Applicant Institution

> Diploma School of Nursing
>
> Community College
>
> 4-yr College/University
>
> Academic Health Center

Long Term Care Facility

> State or Local Govt.

Nursing Center

> AHEC

Health Care Organization

A partnership of a School and a health care facility

Other

4.  Check all Program Participants

> Elementary School Students
>
> Middle School Students
>
> High School Students
>
> High School Graduates
>
> College Students (Pre-nursing)
>
> College Students (Nursing majors)
>
> LPNs/LVNs
>
> CNAs
>
> Other (Specify)
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Appendix E: Recommended Program Table**

**Admissions to the Nursing Program, Total Undergraduate Enrollment, and
Graduation by Race/Ethnicity and Disadvantaged Status**

+-----------------+--------+------+------+--------+---+-------+--------+
| > *             | *U     |      | *T   |        |   | *     |        |
| Race/Ethnicity* | ndergr |      | otal |        |   | Gradu |        |
|                 | aduate |      | U    |        |   | ates* |        |
|                 | Admi   |      | nder |        |   |       |        |
|                 | ssions |      | grad |        |   | **7/1 |        |
|                 | to     |      | uate |        |   | /05-- |        |
|                 | School |      | Enr  |        |   | 6     |        |
|                 | of     |      | ollm |        |   | /30/2 |        |
|                 | Nu     |      | ents |        |   | 006** |        |
|                 | rsing* |      | in*  |        |   |       |        |
|                 |        |      |      |        |   |       |        |
|                 | **7/   |      | *Sc  |        |   |       |        |
|                 | 1/05-- |      | hool |        |   |       |        |
|                 | 6/30/  |      | of   |        |   |       |        |
|                 | 2006** |      | Nurs |        |   |       |        |
|                 |        |      | ing* |        |   |       |        |
|                 |        |      |      |        |   |       |        |
|                 |        |      | **   |        |   |       |        |
|                 |        |      | 7/1/ |        |   |       |        |
|                 |        |      | 05-- |        |   |       |        |
|                 |        |      | 6/3  |        |   |       |        |
|                 |        |      | 0/20 |        |   |       |        |
|                 |        |      | 06** |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
|                 | 1^st^  | \%   | *To  | *%     | N |       | \% of  |
|                 | Year   | 1    | tal* | Total* | u |       | Total  |
|                 |        | ^st^ |      |        | m |       |        |
|                 | Enro   | Year | En   | *Enrol | b |       | Gra    |
|                 | llment |      | roll | lment* | e |       | duates |
|                 |        | En   | ment |        | r |       |        |
|                 |        | roll |      |        | o |       |        |
|                 |        | ment |      |        | f |       |        |
|                 |        |      |      |        |   |       |        |
|                 |        |      |      |        | G |       |        |
|                 |        |      |      |        | r |       |        |
|                 |        |      |      |        | a |       |        |
|                 |        |      |      |        | d |       |        |
|                 |        |      |      |        | u |       |        |
|                 |        |      |      |        | a |       |        |
|                 |        |      |      |        | t |       |        |
|                 |        |      |      |        | e |       |        |
|                 |        |      |      |        | s |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| American Indian |        |      |      |        |   |       |        |
| or              |        |      |      |        |   |       |        |
|                 |        |      |      |        |   |       |        |
| Alaskan Native  |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| Asian(Not       |        |      |      |        |   |       |        |
| Un              |        |      |      |        |   |       |        |
| derrepresented) |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| U               |        |      |      |        |   |       |        |
| nderrepresented |        |      |      |        |   |       |        |
| Asian Subgroup  |        |      |      |        |   |       |        |
| \*              |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| Black or        |        |      |      |        |   |       |        |
| African         |        |      |      |        |   |       |        |
| American        |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| Hispanic or     |        |      |      |        |   |       |        |
| Latino          |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| Native Hawaiian |        |      |      |        |   |       |        |
| or              |        |      |      |        |   |       |        |
|                 |        |      |      |        |   |       |        |
| Other Pacific   |        |      |      |        |   |       |        |
| Islander        |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| White (Non      |        |      |      |        |   |       |        |
| Disadvantaged)  |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| White           |        |      |      |        |   |       |        |
| (Disadvantaged) |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| Other           |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| *TOTAL          |        | *1   |      |        |   |       | *100%* |
| STUDENTS*       |        | 00%* |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| *Total \# of    |        |      | ##   | ##     |   |       | ##     |
| No              |        |      |      |        |   |       |        |
| n-Disadvantaged |        |      |      |        |   |       |        |
| Students*       |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+
| *Total \# of    |        |      |      |        |   |       |        |
| Disadvantaged   |        |      |      |        |   |       |        |
| Students*       |        |      |      |        |   |       |        |
+-----------------+--------+------+------+--------+---+-------+--------+

\* Any Asian other than Chinese, Filipino, Japanese, Korean, Asian
Indian or Thai

**Instructions:**

-   Data for this table should reflect students admitted into the first
    year of the undergraduate nursing program, total of students
    enrolled in the undergraduate nursing program and students who
    graduated from the nursing program.

-   For "First Year Enrollments" enter the number of students admitted
    into the first year of the undergraduate nursing program between
    July 1, 2005 and June 30, 2006.

-   For "Graduates" enter the number of undergraduate students
    graduating between July 1, 2005 and June 30, 2006.

-   Count each student in only one (1) racial/ethnic category.

-   Count students who identify their race/ethnicity as a combination of
    the specified categories and students who identify their
    race/ethnicity as something other than the specified categories in
    the "Other" category.

-   Count international students in the "Other" category. Do not include
    international students in any specific racial/ethnic category.

-   Each student should be counted in either the "Total Disadvantaged"
    or "Total Non-Disadvantaged" category.

> **NOTE: INFORMATION IN THIS TABLE IS REQUESTED FOR ALL UNDERGRADUATE
> STUDENTS IN THE NURSING PROGRAM INCLUDING THOSE WHO ARE NOT SUPPORTED
> BY THE PROJECT.**

[]{#__RefHeading___Toc146691138 .anchor}**Appendix F: PROGRAM
DEFINITIONS:**

The following definitions shall apply to the *Nursing Workforce
Diversity Grant Program* for Fiscal Year 2006.

**"Academic Health Center"** refers to an institution that includes a
school of medicine, a teaching hospital, and at least one additional
health education program (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.

**"Access"** means to assure health care services to all by improved
health professions distribution.

**"Accredited"** means a program accredited by a recognized body or
bodies, or by a State agency approved for such purposes 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.

**"Assistive Nursing Personnel"** refers to unlicensed individuals who
assist nursing staff in the provision of basic care to clients and who
work under the supervision of licensed nursing personnel. Included in
this category are nurses' aides, nursing assistants, orderlies,
attendants, personal care aides, home health aides, and technicians.

**"Associate Degree School of Nursing"** means a department, division or
other administrative unit in a junior college, community college,
college, or university which provides primarily or exclusively a
two-year program of education in professional nursing and allied
subjects leading to an associate degree, but only if such program, or
such unit, college or university is accredited.

**"Collegiate School of Nursing"** means a department, division, or
other administrative unit in a college or university which provides
primarily or exclusively a program of education in professional nursing
and allied subjects leading to a degree of bachelor of arts, bachelor of
science, bachelor of nursing, or to an equivalent degree, or to a
graduate degree in nursing, and including advanced education related to
such program of education provided by such school, but only if such
program, or such unit, college or university is accredited.

**"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 and Linguistically Appropriate Services"** means health
care services that are respectful of and responsive to cultural and
linguistic needs.

**"Culturally Competent Program"** means a program that demonstrates
sensitivity to and 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.

**"Diploma School of Nursing"** means a school affiliated with a
hospital or university, or an independent school, which provides
primarily or exclusively a program of education in professional nursing
and allied subjects leading to a diploma or to equivalent indicia that
such program has been satisfactorily completed, but only if such
program, or such affiliated school or such hospital or university or
such independent school is accredited.

**"Distance Learning Methodologies"** means electronic media are used to
deliver educational content when the learner and teacher are separated
by distance. An electronic medium may be a computer, World Wide Web
technologies, teleconferencing, television, or CD ROM/DVD.

**"Elementary School"** generally refers to grades kindergarten through
grade 5 or 6 depending on the school district.

**"Faculty Development"** means activities and/or programs designed to
assist project faculty to develop theory and practice skills to improve
their ability to teach.

**"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
institutional requirements necessary to be granted a degree/certificate.

**"Individual from a Disadvantaged Background"** as authorized by
Section 821 of the Act refers to an individual who:

1)  comes from an environment that has inhibited them from obtaining the
    knowledge, skills, and abilities required to enroll in and graduate
    from a school of nursing (**Educationally Disadvantaged**). 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 their
    institution.

Examples:

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

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

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

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

5.  Person who is first generation to attend college.

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

**or**

2)  comes from a family with an annual income below a level based on
    low-income thresholds established by the U.S. Census Bureau,
    adjusted annually for changes in the Consumer Price Index
    **(Economically Disadvantaged).**

> The Secretary defines a ''low income family'' for programs included in
> Titles III, VII and VIII of the PHS Act as having an annual income
> that does not exceed 200 percent of the Department's poverty
> guidelines. A family is a group of two or more individuals related by
> birth, marriage, or adoption who live together or an individual who is
> not living with any relatives.
>
> FY 2006 **Low** **Income** **Levels**
>
> \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
>
> **Income**
>
> Persons in family \* level \*\*
>
> \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
>
> 1\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> \$19,600
>
> 2\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 26,400
>
> 3\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 33,200
>
> 4\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 40,000
>
> 5\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 46,800
>
> 6\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 53,600
>
> 7\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 60,400
>
> 8\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
> 67,200
>
> \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
>
> \* Includes only dependents listed on Federal income tax forms.
>
> \*\* Adjusted gross income for calendar year 2005.

**"Licensed Practical/Vocational Nurse (LPN/LVN)"** means an individual
who is currently licensed as a licensed practical nurse or a licensed
vocational nurse in at least one jurisdiction of the United States and
employed in a nursing facility or home health 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), or any other regional or interstate
entity, or any agency or instrumentality of local government.

**"Medically Underserved Communities"** as defined in section 799(6) of
the law, means an urban or rural area or population that:

\(1\) is eligible for designations under section 332 as a health
professional shortage area;

(2) is eligible to be served by a migrant health center (MHC) under
    section 329, a community health center (CHC) under section 330, a
    grantee under section 340 (relating to homeless individuals), or a
    grantee under section 340A (relating to residents of public
    housing); or

(3) 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).

In keeping with the Congressional intent that eligible entities should
not be limited to formally designated Health Professional Shortage Areas
(HPSA\'s) 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 (CHC) (section 330)

-   Migrant Health Centers (MHC) (section 329)

-   Health Care for the Homeless Grantees (section 340)

-   Public Housing Primary Care Grantees (section 340A)

-   Rural Health Clinics, federally designated (section 1861(aa)(2) of
    the Social Security Act)

-   National Health Service Corps (NHSC) Sites, freestanding (section
    333)

-   Indian Health Services (IHS) Sites (Pub. L. 93-638 for tribal
    governed sites and

Pub. L. 94-437 for IHS operated sites)

-   Federally Qualified Health Centers (section 1905 (a) and (1) of the
    Social Security Act)

-   Primary Medical Care Health Professional Shortage Areas (HPSA\'s)
    (facilities and

> geographic) (section 332), for primary care physicians, other
> personnel except dentists and nurses

-   Dental HPSA's (facilities and geographic) (section 332) for dentist
    only

-   Nurse Shortage Areas (section 846)

-   State or Local Health Departments (regardless of sponsor - for
    example, local health

departments who are funded by the state would qualify)

-   Ambulatory practice sites designated by State Governors as serving
    medically underserved communities

```{=html}
<!-- -->
```
-   Information on HPSAs, CHCs, MHCs, and/or homeless health centers is
    available on

> HRSA's web site under the Bureau of Primary Health Care (BPHC) at
> \<http://www.bphc.hrsa.gov/bphc.database.htm\> or you may call
> 1-800-400-2742.

**"Middle School"** refers to either grades six, seven, and eight or
grades, seven, eight and nine, depending on the school district.
Synonymous with junior high school.

**"Minority"** means an individual whose race/ethnicity is classified as
American Indian or Alaska Native, Asian, Black or African American,
Hispanic or Latino, Native Hawaiian or Pacific Islander.

**"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 8 U.S.C. 110
(a) (22), the Immigration and Nationality Act)(8 U.S.C. 110(a)(22).

**"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 Law.

**"Nursing Center"** means an organization in which the client has
direct access to professional nursing service. Nurses in these centers
are responsible and accountable for diagnosing, treating, and promoting
health and optimal functioning of the client. Overall center
accountability remains with the nurse executive. Nursing centers are
commonly referred to as nurse-managed clinics, community nursing
centers, nursing clinics, or nursing practice arrangements.

**"Nursing Practice Arrangement"** means a delivery system managed by a
school of nursing and operated by faculty, students, and staff to
increase access to primary health care for medically underserved
communities and populations.

**"Pre-entry Preparation"** refers to pre-entry activities designed to
encourage, inform, and prepare elementary, middle and senior high school
students (K-12) of educational and career opportunities in nursing;
pre-entry activities that will support the transition from senior high
school to associate, professional and/or baccalaureate nursing programs;
and pre-entry activities that prepare collegiate pre-nursing students
for the nursing program (pre-nursing curriculum).

**"Professional Nurse"** means a registered nurse who has received
initial nursing preparation from a diploma, associate degree, or
collegiate school of nursing and who is currently licensed in a State to
practice nursing.

**"Program"** means a combination of identified courses and other
educational or training experiences at a specified academic level, the
sum of which provides the required competence (ies) to practice.

**"Project"** refers to all proposed activities, including educational
programs, specified or described in an application.

**"Racial/Ethnic Categories"** the following definitions of
racial/ethnic categories should be used:

**[American Indian or Alaska Native:]{.underline}** 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:]{.underline}** a person having origins 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.

**[Black or African American:]{.underline}** a person having origins in
any of the black racial groups of Africa. Terms such as "Haitian or
Negro" can be used in addition to "Black or African American".

**[Hispanic or Latino:]{.underline}** A person of Mexican, Puerto Rican,
Cuban, Central or South 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:]{.underline}** a person
having origins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific Islands.

**[White:]{.underline}** A person having origins in any of the original
peoples of Europe, North Africa, or the Middle East.

**"Registered Nurse"** means a person who has graduated from a school of
nursing and is licensed to practice as a registered or professional
nurse in a State.

**"Retention Activities"** refer to activities conducted by the grantee
that help nursing students (from disadvantaged backgrounds) to continue
their pursuit of a nursing education. These activities help to reduce
attrition rates and improve graduation rates for those students.

**"Rural Area"** means an area other than a Metropolitan Statistical
Area (MSA) as designated by the Office of Management and Budget based on
current census data. Census tracts in certain metropolitan areas may
also be eligible if they are located a significant distance from the
major city in the Standard Metropolitan Area (SMA). Rural means people
who live in places with small populations or unincorporated areas with
population density less than 1,000 per square mile. A rural place is any
incorporated place or Census Designated Place with fewer than 2500
inhabitants that is located outside of an Urbanized Area (UA). An UA is
defined as a continuously built-up area with a population of 50,000 or
more.

**"Rural Clinical Experience"** means a structured primary care clinical
experience in any appropriate outpatient, home health, public health
agency setting or hospital located in a rural area.

**"Rural Health Facility"** means a hospital of less than 100 beds or
other patient care facility located outside Office of Management and
Budget (OMB) designated metropolitan areas. Census tracts in certain
metropolitan areas may also be eligible if they are located at a
significant distance from the major city in the SMA.

**"Rural Populations"** means populations who reside in rural areas.

**"School of Nursing"** means a collegiate, associate degree, or diploma
school of nursing as defined in Section 801 of the Act.

**"Senior High School"** refers to grades nine through twelve or ten
through twelve, depending on the school district.

**"State Governments"** means the governments of any of the several
States of the United States, the District of Columbia, the Commonwealth
of Puerto Rico, 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 nongovernmental
organizations for purposes of this program.

**"Underrepresented Minorities"** means racial and ethnic populations
that are underrepresented in the registered nurse population relative to
the number of individuals who are members of the population involved.
Underrepresented minorities include Black or African American, Hispanic
or Latino, American Indian or Alaska Native, and any Asian or Pacific
Islander group other than Chinese, Filipino, Japanese, Korean, Asian
Indian, or Thai.