BHW HRA-22-122 (T52) PSHP_FINAL Modified.pdf

U.S. Department of Health and Human Services

Bureau of Health Workforce

Division of Medicine and Dentistry

Public Health Scholarship Program

Funding Opportunity Number: HRSA-22-122

Funding Opportunity Type(s): New

Assistance Listings (AL) Number: 93.516

NOTICE OF FUNDING OPPORTUNITY

Fiscal Year 2022

Application Due Date: June 1, 2022 Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately!

HRSA will not approve deadline extensions for lack of registration.

Registration in all systems may take up to 1 month to complete.

Issuance Date: March 29, 2022

MODIFIED April 29, 2022: Eligibility Section III.3 Other

Anne Patterson Project Officer Telephone: (301) 443-6822 Email: apatterson@hrsa.gov

See Section VII for a complete list of agency contacts.

mailto:apatterson@hrsa.gov

Authority: Section 2501 of the American Rescue Plan Act of 2021 (Public Law No. 117-2) (Section 765 of the Public Health Service Act (42 U.S.C. § 295)

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508 COMPLIANCE DISCLAIMER

Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email or call one of the HRSA staff above in Section VII.

Agency Contacts.

EXECUTIVE SUMMARY

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2022 Public Health Scholarship Program (PHSP). The purpose of PHSP is to strengthen the public health workforce by providing support to organizations to develop scholarship programs that incentivize individuals to pursue training and careers in public health. Through the PHSP, scholarship recipients will gain the requisite knowledge and skills necessary to prevent, prepare for, and respond to recovery activities related to COVID–19, as well as other public health emergencies.

Applicants will be required to have an existing public health training program as well as public health partnerships in place, along with a system for scholarship recipients to maintain or be transitioned into employment in public health upon completion of their training. This program will enhance the public health system to meet the core public health functions and the Ten Essential Public Health Services.1

Funding Opportunity Title: Public Health Scholarship Program (PHSP)

Funding Opportunity Number: HRSA-22-122

Due Date for Applications: June 1, 2022

Anticipated Total Available FY 2022 Funding:

$39,000,000

Estimated Number and Type of Award(s): Up to 26 grants

Estimated Total Award Amount: Up to $1,500,000 per award (fully-funded at the outset for the use over the period of performance)

Cost Sharing/Match Required: No

Period of Performance: September 30, 2022 through September 29, 2025 (3 years)

1 Centers for Disease Control and Prevention. Public Health Professionals Gateway. The Ten Essential Public Health Services. Retrieved from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html on October 28, 2021.

https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html

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Eligible Applicants: Eligible entities are:

(A) a health professions school, including an accredited school or program of public health, health administration, preventive medicine, or dental public health or a school providing health management programs;

(B) an academic health center;

(C) a State or local government; or

(D) any other appropriate public or private nonprofit Entity.

See Section III.1 of this Notice of Funding Opportunity (NOFO) for complete eligibility information.

Application Guide

You (the applicant organization/agency) are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide, available online at http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf, except where instructed in this NOFO to do otherwise.

Technical Assistance

HRSA will hold a pre-application technical assistance (TA) webinar for applicants seeking funding through this opportunity. The webinar will provide an overview of pertinent information in the NOFO and an opportunity for applicants to ask questions.

Visit the HRSA Bureau of Health Workforce’s open opportunities website at https://bhw.hrsa.gov/fundingopportunities/default.aspx to learn more about the resources available for this funding opportunity.

http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf https://bhw.hrsa.gov/fundingopportunities/default.aspx

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Table of Contents

I. PROGRAM FUNDING OPPORTUNITY DESCRIPTION

1. PURPOSE

2. BACKGROUND

II. AWARD INFORMATION

1. TYPE OF APPLICATION AND AWARD

2. SUMMARY OF FUNDING

III. ELIGIBILITY INFORMATION

1. ELIGIBLE APPLICANTS

2. COST SHARING/MATCHING

3. OTHER

IV. APPLICATION AND SUBMISSION INFORMATION

1. ADDRESS TO REQUEST APPLICATION PACKAGE

2. CONTENT AND FORM OF APPLICATION SUBMISSION

i. Project Abstract

ii. Project Narrative

iii. Budget

iv. Budget Justification Narrative

v. Standardized Work Plan (SWP) Form

vi. Attachments

3. DUN AND BRADSTREET DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER TRANSITION

TO THE UNIQUE ENTITY IDENTIFIER (UEI) AND SYSTEM FOR AWARD MANAGEMENT (SAM)

4. SUBMISSION DATES AND TIMES

5. INTERGOVERNMENTAL REVIEW

6. FUNDING RESTRICTIONS

V. APPLICATION REVIEW INFORMATION

1. REVIEW CRITERIA

2. REVIEW AND SELECTION PROCESS

3. ASSESSMENT OF RISK

VI. AWARD ADMINISTRATION INFORMATION

1. AWARD NOTICES

2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS

3. REPORTING

VII. AGENCY CONTACTS

VIII. OTHER INFORMATION

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I. Program Funding Opportunity Description

1. Purpose

This notice announces the opportunity to apply for funding under the Public Health Scholarship Program (PHSP).

The purpose of the PHSP is to strengthen the public health workforce by providing support to organizations to develop scholarship programs that incentivize individuals to pursue training and careers in public health. Through the PHSP, scholarship recipients will gain the requisite knowledge and skills necessary to prevent, prepare for, and respond to recovery activities related to COVID–19, as well as other public health emergencies.

Awarded recipients will provide scholarships to individuals, for the purpose of public health training in professional, graduate, degree, and/or certificate programs. For example, health professions schools would provide scholarships to students seeking a graduate degree in public health. A community college offering an associate degree in public health would provide scholarships to students to train as health educators. A public health department/entity/site would provide scholarships to employees who are training for advanced public health certifications. These examples are not an exhaustive list of training opportunities.

Applicants will be required to have an existing public health training program as well as public health partnerships in place, along with a system for scholarship recipients to maintain or be transitioned into employment in public health upon completion of their training.

This program will enhance the public health system to meet the core public health functions and the Ten Essential Public Health Services.2 Training participants will include individuals currently working in state or local governments, including state, local, territorial or tribal public health departments, and individuals in public health-related training programs. Scholarship recipients will be trained to work as case investigators, contact tracers, social support specialists, public health nurses, disease intervention specialists, epidemiologists, program managers, laboratory personnel, informaticians, communication and policy experts, and any other positions as may be required to prevent, prepare for, and respond to recovery activities related to COVID-19, as well as other public health emergencies.

2 The Ten Essential Public Health Services as stated by the Centers for Disease Control and Prevention, Available at https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html

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Program Goals

The goal of the program is to increase the capacity in public health systems to meet core public health functions, the Ten Essential Public Health Services, and decrease public health inequities and health disparities.

Program Objectives

1. Enhance the knowledge and skills of the public health workforce by developing or strengthening community partnerships and linkages to identify employment needs, training opportunities, and to facilitate scholarship recipients’ employment post-training completion in state or local governments, including state, local, territorial or tribal public health departments, and other public health-related organizations.

2. Educate the public health workforce to address public health inequities and health disparities and incorporate principles of social determinants of health (SDOH) into practice.

3. Educate the public health workforce to prevent, prepare for, and respond to recovery activities related to COVID–19, as well as other public health emergencies, by providing public health field experience (practicum) opportunities.

For more details, see Program Requirements and Expectations.

General Emergency Preparedness Statement Eligible entities must be ready to continue programmatic activities in the event of a public health emergency – both expected and unexpected. A training-focused emergency preparedness plan is critical for HRSA-funded projects and helps ensure that recipients are able to continue programmatic activities, can coordinate effectively, and can implement recovery plans when emergencies disrupt project activities. You must develop and maintain a flexible training-focused emergency preparedness plan in case of public health emergencies to ensure continuation of programmatic and training activities, including but not limited to the Public Health Scholarship Program.

2. Background

The PHSP is authorized by Section 2501 of the American Rescue Plan (ARP) Act of 2021, and Section 765 of the Public Health Service Act.3

3 Public Law 117-2, section 2501. American Rescue Plan Act of 2021. (March 11, 2021). Retrieved on October 28, 2021 at https://www.congress.gov/117/plaws/publ2/PLAW-117publ2.pdf.

https://www.congress.gov/117/plaws/publ2/PLAW-117publ2.pdf

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The first line of defense to prevent disease, protect health, and keep the public safe is a well-trained public health workforce.4 The state and local governmental public health workforce is primarily made up of employees with no formal public health training.5 The COVID-19 pandemic exacerbated the need to bolster an already underfunded and understaffed public health workforce.6 As of January 7, 2022, there have been 829,740 deaths in the United States due to COVID-19.7 This is even more challenging for rural communities experiencing weakened health care infrastructure, health care provider shortages, and closures of rural hospitals.8 Solutions need to include issues around rurality as well as the SDOH that influence health care outcomes.9

The COVID pandemic also created hardships for families in underserved communities including job loss, wage reduction, mental health issues, and substance use.

Many low-income workers risked infection by working outside of the home. Communities that have a high percentage of people living in poverty, substandard housing, inadequate education, and lacking access to proper nutrition and health care, are more likely to experience more chronic diseases resulting in infection and severe illness, high number of hospitalizations, and deaths.10

Findings from the Public Health Workforce Interests and Needs Survey (PH WINS) indicate that a large proportion of public health workers are considering leaving their jobs due to dissatisfaction with pay, lack of opportunity for advancement, and workplace environment. 11 The survey also reveals that the workforce is primarily made up of employees with no formal training. For example, although 30 percent of the public health workforce surveyed had a masters’ degree, only 14 percent of the governmental public

4Centers for Disease Control and Prevention. (2019, August 12). Public Health Workforce Development. Centers for Disease Control and Prevention. Retrieved September 1, 2021, from https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/action-plan.html#:~:text=A%20well%20trained%20public%20health%20workforce%20is%20our%20first,prevent%20disease%2C %20protect%20health%2C%20and%20keep%20people%20safe.\.

5 Halverson, Paul K.. Ensuring a Strong Public Health Workforce for the 21st Century: Reflections on PH WINS 2017.

Journal of Public Health Management and Practice: March/April 2019 - Volume 25 - Issue - p S1-S3 Retrieved on September 1, 2021 from https://journals.lww.com/jphmp/Fulltext/2019/03001/Ensuring_a_Strong_Public_Health_Workforce_for_the.1.aspx 6Stone, Kahler W., Kintziger, Kristina W., Jagger, Meredith A. International Journal of Environmental Research and Public Health Public Health Workforce Burnout in the COVID-19 Response in the U.S. April 2021. Retrieved on September 1, 2021 from https://www.mdpi.com/1660-4601/18/8/4369.

7 Centers for Disease Control and Prevention, COVID Data Tracker Weekly Review Interpretive Summary for January 7, 2022, https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html and https://covid.cdc.gov/covid-data-tracker/#trends_dailycases 8 Melvin, Sandra C., Wiggins, Corey, Burse, Nakeitra Burse, et al. The Role of Public Health in COVID-19 Emergency Response Efforts From a Rural Health Perspective. Prevent Chronic Disease. Public Health Research, Practice, and Policy. Volume 17. July 2020. Retrieved on September 1, 2021 from https://www.cdc.gov/pcd/issues/2020/20_0256.htm.

9 Ibid.

10 Hoyt, L. The Impact of COVID-19 on Underserved Communities. Rutgers Global Health Insititute, State University of New Jersy. (Nov 2020). Retrieved on March 16, 2021 from https://globalhealth.rutgers.edu/news/the-impact-of-covid- 19-on-underserved-communities/..

11 de Beaumont Foundation. 2017 National Findings Public Health Workforce Interests and Needs Survey. January 2019. Retrieved on September 1, 2021 from https://debeaumont.org/wp-content/uploads/2019/04/PH-WINS-2017.pdf.

https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/action-plan.html#:%7E:text=A%20well%20trained%20public%20health%20workforce%20is%20our%20first,prevent%20disease%2C%20protect%20health%2C%20and%20keep%20people%20safe.%5C https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/action-plan.html#:%7E:text=A%20well%20trained%20public%20health%20workforce%20is%20our%20first,prevent%20disease%2C%20protect%20health%2C%20and%20keep%20people%20safe.%5C https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/action-plan.html#:%7E:text=A%20well%20trained%20public%20health%20workforce%20is%20our%20first,prevent%20disease%2C%20protect%20health%2C%20and%20keep%20people%20safe.%5C https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/action-plan.html#:%7E:text=A%20well%20trained%20public%20health%20workforce%20is%20our%20first,prevent%20disease%2C%20protect%20health%2C%20and%20keep%20people%20safe.%5C https://journals.lww.com/jphmp/toc/2019/03001 https://journals.lww.com/jphmp/Fulltext/2019/03001/Ensuring_a_Strong_Public_Health_Workforce_for_the.1.aspx https://www.mdpi.com/1660-4601/18/8/4369 https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html https://covid.cdc.gov/covid-data-tracker/#trends_dailycases https://covid.cdc.gov/covid-data-tracker/#trends_dailycases https://www.cdc.gov/pcd/issues/2020/20_0256.htm https://globalhealth.rutgers.edu/news/the-impact-of-covid-19-on-underserved-communities/ https://globalhealth.rutgers.edu/news/the-impact-of-covid-19-on-underserved-communities/ https://debeaumont.org/wp-content/uploads/2019/04/PH-WINS-2017.pdf

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health workforce had formal training in public health.12 Furthermore, the survey found that one-third of the state public health workforce indicated they would be leaving their organization to take a job outside of public health.13

Public health workforce development aims to improve health outcomes by enhancing the training, skills, and performance of public health workers.14 The Ten Essential Public Health Services are a guide to ensure public health workers are trained to promote policies, systems and conditions for population health and remove barriers to promote health equity in all communities.15

In order to address the short- and long-term needs and health disparities of the nation, funds will be used to prepare public health workers for a variety of public health roles, such as conducting and implementing testing, contact tracing, vaccination administration, case management, and support for outbreak investigations.16

This program will provide funds to award recipients to provide scholarships to individuals, including grant recipient employees, receiving training in professional, graduate, degree, and/or certificate programs in public health. Providing scholarships will provide the public health workforce an opportunity to receive more formal public health training that is so desperately needed.

Additional information on the Bureau of Health Workforce programs can be found at https://bhw.hrsa.gov/.

Program Definitions

A glossary containing general definitions for terms used in Bureau of Health Workforce NOFOs is located at the HRSA Health Workforce Glossary. In addition, the following definitions apply to the Public Health Scholarship Program for fiscal year 2022:

Centers for Disease Control and Prevention (CDC) Social Vulnerability Index— describes the potential negative effects on communities caused by external stresses on human health. Such stresses include natural or human-caused disasters and disease outbreaks. Reducing social vulnerability can decrease both human suffering and economic loss.17

12 Ibid.

13 Ibid.

14 Public Health Foundation. Workforce Development Training Programs. (n.d.) Retrieved on September 1, 2021 from http://www.phf.org/focusareas/workforcedevelopment/Pages/Workforce_Development_Training.aspx.

15 Ibid 16 Peter H. Kilmarx, Theodore Long, Michael J. A. Reid, A National Public Health Workforce to Control COVID-19 and Address Health Disparities in the United States, Open Forum Infectious Diseases, Volume 8, Issue 7, July 2021, of ab304, https://doi.org/10.1093/ofid/ofab304.

17 Social Vulnerability Index, Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR) is located at https://www.atsdr.cdc.gov/placeandhealth/svi/index.html https://bhw.hrsa.gov/ https://bhw.hrsa.gov/grants/resourcecenter/glossary http://www.phf.org/focusareas/workforcedevelopment/Pages/Workforce_Development_Training.aspx https://doi.org/10.1093/ofid/ofab304 https://www.atsdr.cdc.gov/placeandhealth/svi/index.html

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Community-based Organization— a public or private nonprofit entity that is representative of a community or a significant segment of a community, and is engaged in meeting human, educational, environmental, or public safety community needs.

Core Competencies for Public Health Professionals— a consensus set of skills for the broad practice of public health, as defined by the Ten Essential Public Health Services.

Developed by the Council on Linkages Between Academia and Public Health Practice (Council on Linkages), the Core Competencies reflect foundational skills desirable for professionals engaging in the practice, education, and research of public health. The Core Competencies “support workforce development within public health and can serve as a starting point for public health professionals and organizations as they work to better understand and meet workforce development needs, improve performance, prepare for accreditation, and enhance the health of the communities they serve.”18

Graduate —for purposes of this NOFO, individuals who completed all requirements for a degree or non-degree public health training program or training activity.

Health Equity— means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.19

Public Health Surveillance— is the ongoing, systematic collection, analysis, and interpretation of health-related data essential to planning, implementation, and evaluation of public health practice.20

Scholarship— Provision of financial support in the form of tuition, fees, and other educational costs.

Social Determinants of Health (SDOH)— The Department of Health and Human Services (HHS) defines “social determinants of health” as the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Social determinants of health can be grouped into five domains: economic stability; education access and quality; health care access and quality; neighborhood and built environment;

social and community context.

18 Public Health Foundation. Core Competencies for Public Health Professionals. (October 21, 2021). Retrieved on November 5, 2021 from http://www.phf.org/resourcestools/pages/core_public_health_competencies.aspx .

19 Definition of Health Equity: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, https://www.cdc.gov/chronicdisease/healthequity/index.htm#:~:text=Health%20Equity%20Health%20equity%20is%20a chieved%20when%20every,of%20social%20position%20or%20other%20socially%20determined%20circumstances.% E2%80%9D 20 Centers for Disease Control and Prevention https://www.cdc.gov/training/publichealth101/surveillance.html.

http://www.cdc.gov/nphpsp/essentialservices.html http://www.phf.org/programs/council/Pages/default.aspx http://www.phf.org/resourcestools/pages/core_public_health_competencies.aspx https://www.cdc.gov/chronicdisease/healthequity/index.htm#:%7E:text=Health%20Equity%20Health%20equity%20is%20achieved%20when%20every,of%20social%20position%20or%20other%20socially%20determined%20circumstances.%E2%80%9D https://www.cdc.gov/chronicdisease/healthequity/index.htm#:%7E:text=Health%20Equity%20Health%20equity%20is%20achieved%20when%20every,of%20social%20position%20or%20other%20socially%20determined%20circumstances.%E2%80%9D https://www.cdc.gov/chronicdisease/healthequity/index.htm#:%7E:text=Health%20Equity%20Health%20equity%20is%20achieved%20when%20every,of%20social%20position%20or%20other%20socially%20determined%20circumstances.%E2%80%9D https://www.cdc.gov/training/publichealth101/surveillance.html

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Telehealth— is defined as the use of electronic information and telecommunication technologies to support long-distance clinical health care, patient and professional health-related education, health administration, and public health.21

Ten Essential Public Health Services— provides a framework for public health to protect and promote the health of all people in all communities. To achieve equity, the Ten Essential Public Health Services actively promote policies, systems, and overall community conditions that enable optimal health for all and seek to remove systemic and structural barriers that have resulted in health inequities.22

II. Award Information.

1. Type of Application and Award

Type(s) of applications sought: New

HRSA will provide funding in the form of a grant.

2. Summary of Funding

HRSA estimates approximately $39,000,000 to be available to fund 26 recipients. You may apply for a ceiling amount of up to $1,500,000 per award (fully-funded at the outset for the use over the period of performance), with a ceiling amount of $500,000 per year (includes both direct and indirect/facilities and administrative costs). All funds will be awarded the first year for use over the entire period of performance.

The period of performance is September 30, 2022 through September 29, 2025 (3 years).

HRSA may reduce or take other enforcement actions regarding recipient funding levels if the recipient is unable to fully-succeed in achieving the goals outlined in the application.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75.

Limitations on indirect cost rates

Indirect costs under training awards to organizations other than state or local governments or federally recognized Indian tribes, will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement and are not subject to upward or downward adjustment. Direct cost amounts for equipment, tuition and fees, as otherwise allowable, and subawards and subcontracts in excess of $25,000, are excluded from the direct cost base for purposes of this calculation.

21 Definition of Telehealth: Health Resources and Services Administration, Federal Office of Rural Health Policy, Office for the Advancement of Telehealth, https://www.hrsa.gov/rural-health/telehealth/what-is-telehealth 22 The Ten Essential Public Health Services as stated by the Centers for Disease Control and Prevention, Available at https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html http://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=4d52364ec83fab994c665943dadf9cf7&ty=HTML&h=L&r=PART&n=pt45.1.75 https://www.hrsa.gov/rural-health/telehealth/what-is-telehealth

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III. Eligibility Information

1. Eligible Applicants

Eligible entities for the PHSP are:

(A) a health professions school, including an accredited school or program of public health, health administration, preventive medicine, or dental public health or a school providing health management programs;

(B) an academic health center;

(C) a State or local government; or

(D) any other appropriate public or private nonprofit entity.

Eligible applicants include domestic public or private nonprofit entities. Domestic faith-based and community-based organizations, tribes, and tribal organizations are also eligible to apply, if otherwise eligible.

Applicants must provide a statement as Attachment 9, documenting justification of their eligibility and ability to carry out the scope of work of this NOFO.

2. Cost Sharing/Matching

Cost sharing/matching is not required for this program.

3. Other

HRSA may not consider an application for funding if it contains any of the non-responsive criteria below:

• Exceeds the ceiling amount

• Fails to satisfy the deadline requirements referenced in Section IV.4

Accreditation

Health professions schools and programs must provide documentation of accreditation as Attachment 10. Documentation must include: (1) a statement that you hold continuing accreditation from the relevant accrediting body and are not under probation, (2) the dates of initial accreditation and next accrediting body review, (3) the accreditation start and expiration dates, and (4) a web link to the accreditation status. The full letter of accreditation is not required. Failure to submit the required accreditation documentation may be considered by HRSA as non-responsive and ineligible for consideration.

Applicants are required to maintain their accreditation or state approval status throughout the period of performance and notify HRSA of change in status.

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Maintenance of Effort (MOE)

The recipient must agree to maintain non-federal funding for award activities at a level that is not less than expenditures for such activities maintained by the entity for the fiscal year preceding the fiscal year for which the entity receives the award, as required by 42 U.S.C. § 295n-2. Such federal funds are intended to supplement, not supplant, existing non-federal expenditures for such activities. Complete the MOE information in the chart provided on page 26 and submit as Attachment 6.

HRSA will enforce statutory MOE requirements through all available mechanisms.

NOTE: Multiple applications from an organization with the same DUNS number or Unique Entity Identifier (UEI) are allowable if the applications propose separate and distinct projects. An “organization” for this NOFO is defined by having a valid DUNS number or

UEI.

NOTE: HRSA will only accept your last validated electronic submission, under the correct funding opportunity number, before the Grants.gov application due date as the final and only acceptable application.

Failure to include all required documents as part of the application may result in an application being considered incomplete or non-responsive.

Beneficiary Eligibility

A student/trainee receiving support from grant funds must be a citizen, national, or permanent resident of the United States.

NOTE: Applicants may offer scholarships to multiple types and levels of trainees.

Project Director The project director must be employed by the applicant organization.

IV. Application and Submission Information

1. Address to Request Application Package

HRSA requires you to apply electronically. HRSA encourages you to apply through Grants.gov using the SF-424 Research and Related (R&R) workspace application package associated with this NOFO following the directions provided at http://www.grants.gov/applicants/apply-for-grants.html.

Form Alert: For the Project Abstract Summary, applicants using the SF-424 R&R Application Package are encountering a “Cross-Form Error” associated with the Project Summary/Abstract field in the “Research and Related Other Project Information” form, Box 7. To avoid the “Cross-Form Error,” you must attach a blank document in Box 7 of https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-information-kit/unique-entity-identifier-update https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-information-kit/unique-entity-identifier-update https://www.grants.gov/ http://www.grants.gov/applicants/apply-for-grants.html

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the “Research and Related Other Project Information” form, and use the Project Abstract Summary Form 2.0 in workspace to complete the Project Abstract Summary. See Section IV.2.i Project Abstract for content information.

The NOFO is also known as “Instructions” on Grants.gov. You must select “Subscribe” and provide your email address for HRSA-22-122 in order to receive notifications including modifications, clarifications, and/or republications of the NOFO on Grants.gov.

You will also receive notifications of documents placed in the RELATED DOCUMENTS tab on Grants.gov that may affect the NOFO and your application. You are ultimately responsible for reviewing the For Applicants page for all information relevant to this

NOFO.

2. Content and Form of Application Submission

Application Format Requirements Section 4 of HRSA’s SF-424 R&R Application Guide provides general instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, etc. You must submit the information outlined in the HRSA SF-424 R&R Application Guide in addition to the program-specific information below. You are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide except where instructed in the NOFO to do otherwise. You must submit the application in the English language and in the terms of U.S. dollars (45 CFR § 75.111(a)).

See Section 8.5 of the HRSA SF-424 R&R Application Guide for the Application Completeness Checklist.

Application Page Limitation The total size of all uploaded files included in the page limit shall not exceed the equivalent of 80 pages when printed by HRSA. The page limit includes project and budget narratives, attachments including biographical sketches (biosketches), and letters of commitment and support required in HRSA’s SF-424 R&R Application Guide and this

NOFO.

Note: Effective April 22, 2021, the abstract is no longer an attachment that counts in the page limit. The abstract is the standard form (SF) "Project Abstract Summary.”

Standard OMB-approved forms that are included in the workspace application package, including the Standardized Work Plan (SWP), do not count in the page limit. Biosketches do count in the page limitation. Note: If you use an OMB-approved form that is not included in the workspace application package for HRSA-22-122, it may count against https://www.grants.gov/web/grants/applicants.html http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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the page limit. Therefore, we strongly recommend you only use Grants.gov workspace forms associated with this NOFO to avoid exceeding the page limit. Indirect Cost Rate Agreement and proof of non-profit status (if applicable) do not count in the page limit. It is therefore important to take appropriate measures to ensure your application does not exceed the specified page limit. Any application exceeding the page limit of 80 pages will not be read, evaluated, or considered for funding.

Applications must be complete, within the maximum specified page limit, and validated by Grants.gov under HRSA-22-122 prior to the deadline.

Debarment, Suspension, Ineligibility, and Voluntary Exclusion Certification

1) You certify on behalf of the applicant organization, by submission of your proposal, that neither you nor your principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

2) Failure to make required disclosures can result in any of the remedies described in 45 CFR § 75.371, including suspension or debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C. § 3354).

3) If you are unable to attest to the statements in this certification, you must include an explanation in Attachment 13: Other Relevant Documents.

See Section 4.1 viii of HRSA’s SF-424 R&R Application Guide for additional information on all certifications.

Temporary Reassignment of State and Local Personnel during a Public Health Emergency Section 319(e) of the Public Health Service (PHS) Act provides the Secretary of HHS with discretion upon request by a state or tribal organization to authorize the temporary reassignment of state, tribal, and local personnel during a declared federal public health emergency. The temporary reassignment provision is applicable to state, tribal, and local public health department or agency personnel whose positions are funded, in full or part, under PHS programs, and allows such personnel to immediately respond to the public health emergency in the affected jurisdiction. Funds provided under the award may be used for scholarships to support personnel who are temporarily reassigned in accordance with § 319(e). Please reference detailed information available on the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) website.

Program Requirements and Expectations

Applicants that do not meet all of the program requirements will be considered non-responsive and will not will not be considered for funding under this notice.

Programs must:

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=4d52364ec83fab994c665943dadf9cf7&ty=HTML&h=L&r=PART&n=pt45.1.75#se45.1.75_1371 http://www.phe.gov/Preparedness/legal/pahpa/section201/Pages/default.aspx http://www.phe.gov/Preparedness/legal/pahpa/section201/Pages/default.aspx

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1. Have an existing public health training program in place. Applicants must have trainees in place to begin their public health training within six months of receipt of the Notice of Award. This NOFO does not support a planning year.

2. Provide scholarships for individuals participating in the PHSP and have a system in place to assist scholarship recipients to maintain or obtain employment in public health upon completion of their training.

3. Develop or enhance partnerships with academia, state or local governments, including state, local, territorial or tribal public health departments, and other public health-related organizations, to provide public health field experiences (practica) and to develop employment opportunities for trainees once they have completed their training.

4. Provide, as appropriate for the program of study, public health field experiences

(practica) at the state, local, and/or community level for each trainee for at least three months or as required by the type and level of the public health training program, to promote collaboration across sectors to address SDOH as well as increase understanding of health equity and health disparities. The practicum can be in the same or different locations and must include cumulative training for no less than three months over the course of the program.

5. Incorporate training to increase the use of culturally and linguistically appropriate services throughout the program or curriculum. Applicants can reference the HHS Office of Minority Health National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.

6. Incorporate a Disparity Impact Statement in your application using local data to identify populations at highest risk for health disparities and low health literacy.

Below are HHS resources that can help you develop a Disparity Impact Statement.

CMS.gov: Quality Improvement & Interventions: Disparity Impact Statement SAMHSA.gov: Disparity Impact Statement.

Program-Specific Instructions In addition to application requirements and instructions in Section 4 of HRSA’s SF-424 R&R Application Guide (including the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract), include the following:

i. Project Abstract Use the Standard OMB-approved Project Abstract Summary Form 2.0 that is included in the workspace application package. Do not upload the abstract as an attachment or it may count toward the page limitation. See Form Alert in Section IV.1 Application Package. Please use the guidance below. It is most current and differs slightly from that in Section 4.1.ix of HRSA’s SF-424 R&R Application Guide.

https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53 https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/Disparities-Impact-Statement-508-rev102018.pdf https://www.samhsa.gov/grants/grants-management/disparity-impact-statement http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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Starting with the information below, provide a summary of the application in the Project Abstract box of the Project Abstract Summary Form using 4,000 characters or less.

Address Project Director Name Contact Phone Numbers (Voice, Fax) Email Address Website Address, if applicable List all grant program funds requested in the application, if applicable If requesting a funding preference, priority, or special consideration as outlined in Section V. 2. of the program-specific NOFO, indicate here.

Because the abstract is often distributed to provide information to the public and Congress, 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 project including the needs to be addressed, the proposed services, and the population group(s) to be served. If the application is funded, your project abstract information (as submitted) will be made available to public websites and/or databases including USAspending.gov.

The abstract must include:

1. A brief overview of the project as a whole;

2. Specific, measurable objectives that the project will accomplish;

3. How the proposed project for which funding is requested will be accomplished, i.e., the "who, what, when, where, why, and how" of a project.

4. A statement on the projected number of trainees to be awarded scholarships each year of the grant.

NARRATIVE GUIDANCE

To ensure that you fully address the review criteria, the table below provides a crosswalk between the narrative language and where each section falls within the review criteria.

Any forms or attachments referenced in a narrative section may be considered during the objective review.

Narrative Section Review Criteria

Purpose and Need (1) Purpose and Need

Response to Program Purpose:

(a) Work Plan

(b) Methodology/Approach

(c) Resolution of Challenges

(2) Response to Program Purpose

(a) Work Plan

(b) Methodology/Approach

(c) Resolution of Challenges http://www.usaspending.gov/

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Narrative Section Review Criteria

Impact:

(a) Evaluation and Technical Support Capacity

(b) Project Sustainability

(3) Impact:

(a) Evaluation and Technical Support Capacity

(b) Project Sustainability

Organizational Information, Resources, and Capabilities

(4) Organizational Information, Resources, and Capabilities

Budget and Budget Justification Narrative

(5) Support Requested

ii. Project Narrative This section provides a comprehensive description of all aspects of the proposed project.

It should be succinct, self-explanatory, consistent with forms and attachments, and organized in alignment with the sections and format below so that reviewers can understand the proposed project.

Use the following section headers for the narrative:

PURPOSE AND NEED -- Corresponds to Section V’s Review Criterion 1

Briefly describe the purpose of the proposed project. Use and cite demographic data whenever possible to support the information provided. This section will help reviewers understand the organization that would receive funding.

1. Incorporate a Disparity Impact Statement as Attachment 8, using local data (e.g., the CDC SVI https://www.atsdr.cdc.gov/placeandhealth/svi/index.html) to identify populations at highest risk for health disparities, low health literacy, SDOH, and infrastructure to receive necessary services in rural or underserved communities to document the need for the proposed project.

2. Describe national, regional, and/or local public health workforce shortages that are needed to prevent, prepare for and respond to recovery activities related to COVID-19, and other public health emergencies.

3. Describe your existing academic and/or community-based partners to identify public health workforce employment needs, training opportunities, and to facilitate scholarship recipients’ employment post-training completion.

4. Describe your type and content of public health training program in professional, graduate, degree, and/or certificate programs and the field experiences (practica) proposed that will prepare the public health workforce to fill the employment needs https://www.atsdr.cdc.gov/placeandhealth/svi/index.html

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in state or local governments, including state, local, territorial or tribal public health departments, and other public health-related organizations.

5. Describe need to incorporate training to increase the use of culturally and linguistically appropriate services, and the need to address public health inequities and health disparities and the principles of SDOH throughout the program or curriculum.

RESPONSE TO PROGRAM PURPOSE -- This section includes three sub-sections —

(a) Work Plan; (b) Methodology/Approach; and (c) Resolution of Challenges—all of which correspond to Section V’s Review Criteria 2 (a), (b), and (c).

(a) WORK PLAN -- Corresponds to Section V’s Review Criterion 2 (a)

Provide a detailed work plan that demonstrates your experience implementing a project of the proposed scope. Your work plan must be submitted through the Standardized Work Plan (SWP) Form located in the Grants.gov workspace. The SWP form is organized by budget period and must include all activities and deliverables for each objective and program goal. The program goals for this NOFO must be entered in the Program Goals section of the SWP form. For example, Goal 1 in the Purpose section of the NOFO will need to be entered as Goal 1 in the SWP form. Objectives and sub-objectives can be tailored to your project needs. Objectives may be tagged with organizational priorities by selecting applicable priorities on the SWP form. For the purpose of this NOFO, please write in COVID-19 or Health Equity in the “Other Priority Linkage” if your objective or sub-objectives align with those priorities. Form instructions are provided along with the SWP form, and are included in the application package found on Grants.gov.

You must complete the Standardized Work Plan (SWP) mandatory form in the Application Package.

1. Describe the activities or steps you will use to achieve each of the objectives proposed during the entire period of performance, including how they are specific and identified for each year of the project period and provide indication of persons responsible for each activity.

2. Identify meaningful support and collaboration with key stakeholders in planning, designing, and implementing all activities, including development of the application and, further, the extent to which these contributors address the cultural, racial, linguistic, and/or geographic diversity of the populations and communities served.

3. Describe how funds will be subawarded or expended on contracts, if applicable, and ensure that funds are properly used and monitored, including having policies and procedures in place that meet or exceed the requirements in 45 CFR part 75 regarding subrecipient monitoring and management.

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4. Describe specific plans and strategies for trainees to receive scholarships.

5. Describe how the timeframes, deliverables, and key partners required during the grant period of performance to address each of the activities are designed to address the needs described in the Purpose and Need section.

(b) METHODOLOGY/APPROACH -- Corresponds to Section V’s Review Criterion 2 (b)

1. List your project objectives (specific, measureable, achievable, realistic, and time-framed) and proposed activities, summarize the proposed activities, and provide evidence for how they link to the project purpose and stated needs. These are the same project objectives in the SWP.

2. Describe type and content of public health training including the field experiences

(practica) for at least three months in duration, or as required by the type and level of the public health workforce training program in Attachment 12 and proposed methods that you will use to address the stated needs and meet each of the program requirements and expectations in this NOFO.

3. Describe how your Disparity Impact Statement, in Attachment 8, depicts the framework for the project, and the tools and strategies to address the core public health functions, the Ten Essential Public Health Services, and culturally- and linguistically-appropriate services.

4. Describe the tools and strategies for identifying training needs and employment opportunities for scholarship recipients to maintain or obtain employment in public

5. Provide a trainee table with projected number of trainees by type of public health training program, profession, discipline, and scholarship amount to be enrolled and to complete the training program for each year of the project period in Attachment 5.

6. Describe a plan to track scholarship recipients including those hired by state or local governments, including state, local, territorial or tribal public health departments, and other public health-related organizations such as community-based organizations with a public health focus, and/or public health professional organizations.

7. Describe the plan for engaging with academic and community-based partners.

Provide letters of support in Attachment 7 and/or letters of agreement and/or memorandum of understanding in Attachment 3 supporting this information.

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8. Describe a plan to disseminate reports, products, and/or project outputs so project information is provided to key audiences. Explain why your project is innovative and provide the context for the project’s innovation.

9. Provide a one-page logic model appropriate for conceptualizing, designing, managing, and evaluating the project that includes objectives, activities, and short-, intermediate-, and long-term outcomes and attach as Attachment 1.

Logic Models

Submit a logic model for designing and managing the project. A logic model is a one-page diagram that presents the conceptual framework for a proposed project and explains the links among program elements. While there are many versions of logic models, for the purposes of this notice, the logic model should summarize the connections between the:

• Goals of the project (e.g., reasons for proposing the intervention, if applicable);

• Assumptions (e.g., beliefs about how the program will work and support resources. Base assumptions on research, best practices, and experience);

• Inputs (e.g., organizational profile, collaborative partners, key personnel, budget, other resources);

• Target population (e.g., the individuals to be served);

• Activities (e.g., approach, listing key intervention, if applicable);

• Outputs (i.e., the direct products of program activities); and

• Outcomes (i.e., the results of a program, typically describing a change in people or systems).

Although there are similarities, a logic model is not a work plan. A work plan is an “action” guide with a time line used during program implementation; the work plan provides the “how to” steps. You can find additional information on developing logic models at the following website:

https://www.acf.hhs.gov/sites/default/files/documents/prep-logic-model-ts_0.pdf.

(c) RESOLUTION OF CHALLENGES -- Corresponds to Section V’s Review Criterion 2…