data) for the population(s) of focus. Identify the source of the data. Include information regarding different funding streams currently used to address the problem. Section B: Proposed Implementation Approach (30 points – approximately 5 pages) Describe how you will implement the Required Activities of the and how those activities will meet your goals and objectives. State the unduplicated number of individuals you propose to serve (annually and over the entire project period) with grant funds. Section C: Proposed Evidence-Based Service/Practice (25 points approximately 2 pages) Identify the Evidence-Based Practice(s) (EBPs) and traditional practices that will be used. Discuss how each EBP chosen is appropriate for your population(s) of focus and the outcomes you want to achieve. Section D: and Organizational Experience (15 points – approximately 1 page) Provide a complete list of staff positions for the project, including the Key Personnel (Project Director) and other significant personnel. Describe the role of each, their level of effort, and qualifications, to include their experience providing services to the population(s) of focus and familiarity with their culture(s) and language(s). Section E: Data Collection and Performance Measurement (20 points – approximately 1 page) Provide specific information about how you will collect the required data for this program and how such data will be utilized to manage, monitor and enhance the program. Budget Justification, Existing Resources, Other Support (other federal and sources) You must provide a narrative justification of the items included in your proposed budget, as well as a description of existing resources and other support you expect to receive for the proposed project. Other support is defined as funds or resources, whether federal, non-federal or institutional, in direct support of activities through fellowships, gifts, prizes, in-kind contributions, or non-federal means. (This should correspond to Item #18 on your SF-424, Estimated Funding.) Other sources of funds may be used for unallowable costs, e.g., meals, sporting events, entertainment.
Grants.gov Downloadable Forms – You can download an application package from Grants.gov, complete the forms offline, submit the completed forms to Grants.gov, and track your application in eRA Commons. Note that this option is only available until December 31, 2017. Grants.gov Workspace – You can use the shared, online environment of the Grants.gov Workspace to collaboratively work on different forms within the application package. The specific actions you need to take to submit your application will vary by submission method as listed above. The steps to submit your application are as follows: To submit to Grants.gov using ASSIST: To submit to Grants.gov downloadable forms are available at: To submit to Grants.gov using the Grants.gov Workspace: Regardless of the option you use, your application will be subject to the same registration requirements, completed with the same data items, routed through Grants.gov, validated against the same agency business rules, assembled in a consistent format for review consideration, and tracked in eRA Commons. All applications that are successfully submitted must be validated by Grants.gov before proceeding to the NIH eRA Commons system and validations. On-time submission requires that electronic applications be error-free and made available to SAMHSA for processing from the NIH eRA system on or before the application due date and time. Applications must be submitted to and validated successfully by Grants.gov and eRA Commons no later than 11:59 PM Eastern Time on the application due date. You are strongly encouraged to allocate additional time prior to the submission deadline to submit your application and to correct errors identified in the validation process. You are also encouraged to check the status of your application submission to determine if the application is complete and error-free. If you encounter problems when submitting their applications in Grants.gov, you must attempt to resolve them by contacting the Grants.gov Help Desk at: By e-mail: By phone: (toll-free) 1-800-518-4726 (1-800-518-GRANTS). \The Grants.gov Contact Center is available 24 hours a day, 7 days a week, excluding federal holidays.
(2) Treatment Services 1040 Clients $27/client per year $28,080 (3) John Smith (Case Manager) Treatment Client Services 1FTE @ $27,000 + Fringe Benefits of $6,750 = $33,750 *Travel at 3,126 @ .50 per mile = $1,563 *Training course $175 *Supplies @ $47.54 x 12 months or $570 *Telephone @ $60 x 12 months = $720 *Indirect costs = $9,390 (negotiated with contractor) $46,168 (4) Jane Smith Evaluator $40 per hour x 225 hours 12 month period $9,000 (5) To Be Announced Marketing Coordinator Annual salary of $30,000 x 10% level of effort $3,000 FEDERAL REQUEST – (enter in Section B column 1, line 6f of-424A) $86,998 *Represents separate/distinct requested by cost category FEDERAL REQUEST – Sample Justification for Contracts Certified trainers are necessary to carry out the purpose of the statewide Consumer Network by providing recovery and wellness training, preparing consumer leaders statewide, and educating the public on mental health recovery. Client treatment services to be provided are based on organizational history of expenses. The Case Manager is to providing client services related to the program and leading to successful outcomes. The Evaluator is an experienced individual (Ph.D. with expertise in substance abuse, research and evaluation, is knowledgeable about the population of focus, and will be responsible for all data collection and reporting. The Marketing Coordinator will develop a plan for public education and outreach efforts to engage clients in the community about recipient activities; and provide presentations at public meetings and community events to stakeholders, community civic organizations, churches, agencies, family groups and schools.
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 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) (g) 1. Title of FOA 93.243 $184,303 $184,303 2.
Sisseton-Wahpeton Oyate / Sisseton $202,600 CH-SU Pinon $215,652 Cheyenne River Sioux Tribe / Eagle Butte $218,230 FD-SU Ganado $220,780 Greater Red Lake $223,640 Ft Peck $224,494 Greater White Earth $235,588 Wewoka $238,303 Abs Shawnee $241,147 Norton Sound $249,057 Standing Rock Tribe / Ft Yates, McLaughlin $254,753 Choctaw $260,469 Acoma/Canoncito/Laguna $265,915 ZRSU-Zuni $272,984 Flathead $282,164 Wind River $286,323 K-SU Kayenta $288,222 Greater Leech Lake $291,902 Rosebud Sioux Tribe / Rosebud $294,446 Yakama $307,697 Clinton $309,604 Blackfeet $311,001 Saulte Sainte $312,868 San Carlos $320,468 Cherokee $323,875 Crow $331,478 CR-SU Crownpoint $341,069 Riverside-San Bernardino $350,585 Fe $365,781 Oneida $367,118 Turtle Mountain Band of Chippewa Indians / Belcourt $367,364 CH-SU Chinle $373,367 Claremore $373,995 Tanana Chiefs Conference $374,803 Rapid City $383,296 Southeast Alaska Regional $414,482 Whiteriver $415,035 FD-SU Fort Defiance $426,005 Citizen Potawatomi $502,289 Tohono O'Odham $504,591 CRIHB $515,222 Oglala Sioux Tribe / Pine Ridge, Kyle, Wanblee $535,914 Lawton $620,105