application components, attach each document (Adobe PDF format only) using the Other Attachments Form from the Grants.gov application package. # Supporting Documents Description Source 1 HHS 690 Form Every grant applicant must have a completed on file with the Department of Health and Human Services. 2 Charitable Choice Form SMA 170 See Section IV-1 of the FOA to determine if you are required to submit Charitable Choice Form SMA 170. If you are, you can upload this form to Grants.gov when you submit your application. 3 Biographical Sketches and Job Descriptions See of this document for additional instructions for completing these sections. of this document. 4 Confidentiality and SAMHSA Participant Protection/Human Subjects See the FOA or requirements related to confidentiality, participant protection, and the protection of human subject’s regulations. FOA: See 5 Additional Documents in the FOA The FOA will indicate the attachments you need to include in your application. 4. SUBMIT APPLICATION 4.1 Electronic Submission (Grants.gov, ASSIST) After completing all required registration and application requirements, SAMHSA requires applicants to electronically submit using eRA ASSIST, Grants.gov Downloadable Forms, Grants.gov Workspace or another system to system provider. Information on each of these options is below: ASSIST – The Application Submission System and Interface for Submission Tracking (ASSIST) is an NIH sponsored online interface used to prepare applications using the SF424 form set, submit electronically through Grants.gov to SAMHSA and other participating agencies, and track grant applications. [Note: ASSIST requires an eRA Commons ID to access the system]
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 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, measurable or It can be made SMART by specifically indicating who is responsible for the training, how many people will be trained, who they are, and by when the training will be conducted. By the 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 drug/opioid deaths.
Travel costs charged to an award must comply with HHS regulations at 45 CFR §75.474. If your organization does not have documented travel policies, the federal GSA rates must be used (). If specific travel details are unknown, the basis for proposed costs should be explained (e.g., historical information). Funds requested in the travel category should be only for project staff. Travel for consultants and contractors should be shown in the “Contract” cost category along with consultant/contractor fees. Because these costs are associated with contract-related 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
Infrastructure Development Year 1 Year 2 Year 3 Year 4 Year 5 Total Costs Personnel $2,250 $2,250 $2,250 $2,250 $2,250 $11,250 Fringe $558 $558 $558 $558 $558 $2,790 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 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