the ‘Apply for Grants’ page. You can view, print, or save all the forms in the Application Package and then complete them for electronic submission to Grants.gov. Completed forms can also be saved and printed for your records. 2.2 Additional Documents for Submission (SAMHSA Website) You will find additional materials you will need to complete your application on the SAMHSA website at . For a full list of required application components, refer to . WRITE AND COMPLETE APPLICATION After downloading and retrieving the required application components and completing the registration processes, it is time to write and complete your application. With SAMHSA’s transition to NIH’s eRA grants system, there are new application formatting requirements and validations. All files uploaded with the Grants.gov application MUST be in Adobe PDF file format. Directions for creating PDF files can be found on the Grants.gov website. Please see for all application formatting and validation requirements. Applications that do not comply with these requirements will be screened out and will not be reviewed. SAMHSA strongly encourages you to sign up for Grants.gov email notifications regarding this FOA. If the FOA is cancelled or modified, individuals who sign up with Grants.gov for updates will be automatically notified. 3.1 Required Application Components Standard Application Components Applications must include the following required application components listed in the table below. This table consists of a full list of standard application components, a description of each required component, and its source for application submission. # Standard Application Components Description Source 1 SF-424 (Application for Federal Assistance) Form This form must be completed by applicants for all SAMHSA grants and cooperative agreements. Grants.gov 2 SF-424 A (Budget Information – Programs) Form Use SF-424A. Fill out Sections A, B, D and E of the SF-424A. Section C should only be completed if applicable. It is highly recommended that you use the sample budget format in the FOA. Grants.gov Construction
Realistic – Objectives should be within the scope of the project and propose reasonable programmatic steps that can be implemented within a specific time frame. For example, “Two ex-gang members will make one school presentation each week for two months to raise community awareness about the presence of gangs” is a more realistic objective than “Gang-related violence in the community will be eliminated.” Time-bound – Provide a time frame indicating when the objective will be measured or a time by when the objective will be met. For example, “Five new peer educators will be recruited by the second quarter of the first funding year” is a better objective than “New peer educators will be hired.” Examples: Non-SMART Objective Critique SMART Objective Teachers will be trained on the selected evidence-based substance abuse prevention curriculum. The objective is not SMART because it is not specific, measurable, or time-bound. It can be made SMART by specifically indicating who is responsible for training the teachers, how many will be trained, who they are, and by when the trainings will be conducted. By June 1, 2018, LEA supervisory staff will have trained 75% of health education teachers in the local school district on the selected, evidence-based substance abuse prevention curriculum. 90% of youth will participate in classes on assertive communication skills. This objective is not SMART because it is not specific or time-bound. It can be made SMART by indicating who will conduct the activity, by when, and who will participate in the lessons on assertive communication skills. By the end of the 2018 school year, district health educators will have conducted classes on assertive communication skills for 90% of youth in the middle school receiving the substance abuse and HIV prevention curriculum. Train individuals in the community on the prevention of prescription drug/opioid overdose-related deaths. This objective is not SMART as it is not specific, measureable or time-bound. It can be made SMART by specifically indicating who is responsible for the training, By end of year two of the project, the Health Department will have trained 75% of EMS staff in the County Government on the selected curriculum addressing the prevention of prescription
Appendix E: Developing the Plan for Data Collection, Performance Assessment, and Quality Improvement Information is provided in this Appendix about points that you should consider in responding to the criteria in Section D. Data Collection In describing your plan for data collection, consider addressing the following points: The electronic data collection software that will be used; How often data will be collected; The organizational processes that will be implemented to ensure the accurate and timely collection and input of data; The staff that will be responsible for collecting and recording the data; The data source/data collection instruments that will be used to collect the data; How well the data collection methods will take into consideration the language, norms and values of the population(s) of focus; How will the data be kept secure; If applicable, how will the data collection procedures ensure that confidentiality is protected and that informed consent is obtained; and If applicable, how data will be collected from partners, sub-awardees. It is not necessary to provide information related to data collection and performance measurement in a table but the following samples may give you some ideas about how to display the information. In Table 1 an example is provided about how information about the required performance measures could be displayed. Table 1 Performance Measures Data Source Data Collection Frequency Responsible Staff for Data Collection Method of Data Analysis
work, they must be billed under the “Contract” cost category. Travel for training participants, advisory committees, and review panels should be itemized the same way as in this section but listed in the “Other” cost category. Provide the following information for the narrative and justification: Purpose – Briefly note the purpose of the travel, e.g., regional conference, training, site visit. The justification must identify the need for the travel if the travel is not specifically required by the FOA. The narrative description should include the purpose, why it is necessary and directly relates to the scope of work, number of trips planned, staff that will be making the trip, and approximate dates. Location – specify the start and end locations of the trip Item – specify the costs associated with travel, e.g., mode of transportation accommodations, per diem. Rate Calculation – specify the basis for the travel costs. For mileage, specify the number of miles and the cost per mile. For air transportation, specify the cost. For per diem, specify the number of days and daily cost. For lodging, specify the number of nights and daily cost. Costs for contingencies and miscellaneous costs are not allowable. Travel Cost Charged to Award – provide the total cost of the travel to be charged to the award during the budget period. FEDERAL REQUEST – Sample Travel Narrative Purpose (1) Destination (2) Item (3) Calculation (4) Travel Cost Charged to the Award (5) Mandatory Recipient Conference Chicago, IL to Washington D.C. Airfare $200/flight x 2 $400 Hotel $180/night x 2 persons x 2 nights $720 Per Diem (meals and incidentals) $46/day x 2 persons x 2 days $184 Local Travel Mileage 3,000 miles @.38/mile $1,140 FEDERAL REQUEST - (enter in Section B column 1, line 6c of SF-424A $2,444 FEDERAL REQUEST: Sample Justification for Travel Two staff (Project Director and Evaluator) to attend mandatory recipient meeting in Washington, D.C.
Travel 0 0 0 0 0 0 Equipment $15,000 0 0 0 0 $15,000 Supplies $1,575 $1,575 $1,575 $1,575 $1,575 $7,875 Contractual $5,000 $5,000 $5,000 $5,000 $5,000 $25,000 Other $1,617 $2,375 $2,375 $2,375 $2,375 $11,117 Total Direct Charges $26,000 $11,758 $11,758 $11,758 $11,758 $73,032 Indirect Charges $280 $280 $280 $280 $280 $1,400 Total Infrastructure Costs $26,280 $12,038 $12,038 $12,038 $12,038 $74,432 The maximum percentage of the budget that will be spent on infrastructure development for any budget period is 14.2% ($26,280/$184,303 – Year 1). SAMPLE OF COMPLETED SF-424A SECTION A – BUDGET SUMMARY Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number (b) Estimated Unobligated Funds New or Revised Budget Federal (c) Non-Federal (d) Federal (e) (f) Total (g) 1. Title of FOA 93.243 $184,303 $184,303 2. 3.
k. TOTALS (sum of 6i and 6j) $184,303 $184,303 7. Program Income Standard Form 424A SECTION C – NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS 8. Title of FOA 9. 10. 11. 12. TOTAL (sum of lines 8-11) $ $ $ $ SECTION D – FORECASTED CASH NEEDS 13. Federal Totals for 1st Year $184,303 1st Quarter $46,075 2nd Quarter $46,076 3rd Quarter $46.076 4th Quarter $46,076 14. Non-Federal 15.TOTAL (sum of lines 13 and 14) $184,303 $46,075 $46,076 $46,076 $46,076 SECTION E – BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (b) First (c) Second (d) Third (e) Fourth 16. Title of FOA $184,498 $185,531 $185,762 $186,001 17.