HRSA-25-067 Mod 2.pdf

Bureau of Health Workforce

Notice of Funding Opportunity

Application due January 21, 2025

Graduate Psychology Education Program (GPE) Opportunity number: HRSA-25-067

Modified on 12/20

GPE modifications include clarifying the indirect costs, funding priorities and Qualification 1: High Rate.

Contents Before you begin 4

Step 1: Review the Opportunity 5

Basic information 6

Summary 6

Key dates 6

Funding detail 6

Eligibility 7

Program description 9

Award information 12

Step 2: Get Ready to Apply 14

Get registered 15

Application writing help 15

Step 3: Prepare Your Application 16

Application contents and format 17

Step 4: Learn About Review and Award 34

Application review 35

Selection process 39

Award notices 44

Step 5: Submit Your Application 45

Application submission and deadlines 46

Application checklist 47

Step 6: Learn What Happens After Award 49

Post-award requirements and administration 50

Contents 2

Contacts and Support 54

Endnotes 58

Contents 3

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM.gov registration (this can take several weeks) You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days) You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by the application due date Applications are due by 11:59 p.m. Eastern Time on January 21, 2025.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard.

Before you begin 4 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 6

Summary 6

Key dates 6

Funding detail 6

Eligibility 7

Program description 9

Award information 12

Basic information Health Resources and Services Administration (HRSA)

Bureau of Health Workforce

Division of Nursing and Public Health

Preparing health service doctoral psychology trainees for practice in high-need community-based primary care settings.

Have questions? Go to Contacts and Support.

Key facts

Opportunity name:

Graduate Psychology Education Program (GPE)

Opportunity number:

HRSA-25-067

Announcement version:

Modified

Federal assistance listing:

93.191

Statutory authority: 42 U.S.C. § 294e–1(a)(2) (Section 756(a)(2) of the Public Health Service Act) )

Key dates NOFO issue date: October 22, 2024

Informational webinar:

Visit the HRSA Bureau of Health Workforce’s open opportunities website to learn more about the informational webinar.

Application deadline:

January 21, 2025

Expected award date is by:

July 1, 2025

Expected start date: July 1, See other submissions for other time frames that may apply to this NOFO.

Summary The purpose of this program is to train doctoral health service psychology students, interns, and postdoctoral residents in integrated, interdisciplinary behavioral health.

The program will prepare trainees to provide behavioral health services, including trauma informed care and substance use disorder prevention and treatment, in community-based primary care settings in high need and high demand areas.

Developing health service psychology faculty is also a key aspect of this program.

Funding detail Application Types: New, Competing Continuations

Expected total available funding in FY 2025: $22,800,000

Expected number and type of awards: 50 grants

Funding range per award: Up to $450,000 annually per award

We plan to fund awards in three 12-month budget periods, for a total 3-year period of performance from July 1, 2025 to June 30, 2028. Your request for each of years 2 and 3 cannot exceed your year 1 request.

The program and estimated awards depend on the future appropriation of funds and are subject to change based on the availability and amount of appropriations.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 6 https://www.govinfo.gov/content/pkg/USCODE-2021-title42/pdf/USCODE-2021-title42-chap6A-subchapV-partD-sec294e-1.pdf https://bhw.hrsa.gov/fundingopportunities/default.aspx https://bhw.hrsa.gov/fundingopportunities/default.aspx https://www.grants.gov/learn-grants/grant-terminology#g

Eligibility Who can apply You can apply if you are an accredited doctoral, internship, and/or post-doctoral residency program of health service psychology (including clinical psychology, counseling, and school psychology). Your training program must be accredited by a nationally recognized accrediting agency, approved for such purposes by the U.S.

Department of Education.

Types of eligible organizations These types of domestic* organizations may apply:

Clinical Institutions

• Hospitals

• HRSA-funded health centers and Federally Qualified Health Centers (FQHCs)

• Rural Health Clinics

• Other community-based clinical settings

Current and Prior GPE Recipients

• GPE recipients with funding that ends on June 30, 2025, can apply as a

“Competing Continuation” applicant so long as there is no change to their scope of work. If there is a change in scope, organizations should apply as a “New” applicant.

• Previous GPE recipients whose funding ended before August 31, 2022, should apply as a “New” applicant.

Entity types

• Public institutions of higher education

• Private institutions of higher education

• Nonprofits with or without a 501(c)(3) IRS status

• State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and freely associated states

• Native American tribal governments

• Native American tribal organizations

Step 1: Review the Opportunity 7

“Domestic” means located in the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Individuals are not eligible applicants under this funding opportunity.

Other eligibility criteria Your training program must be accredited at the applicable doctoral, internship and/or post-doctoral training level. You must provide a copy of your active accreditation as Attachment 1: Accreditation Documentation.

You must maintain active accreditation throughout the period of performance and notify us of any change in status.

Eligible organizations may apply in partnership with an accredited training program.

You must provide supporting documentation from each organization in Attachment 4, in addition to the program accreditation documentation in Attachment 1. If you are applying as a consortium, all members must be independently eligible for this program.

Trainee eligibility To receive support under this program, a trainee must be one of the following:

• A U.S. citizen or non-citizen national.

• An individual lawfully admitted for permanent residence to the United States.

• Any other “qualified alien” under section 431(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Pub. L. 104-193, as amended.

Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition.

We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

Step 1: Review the Opportunity 8

Application limits You may not submit more than one application per Unique Entity Identifier (UEI). If you submit more than one application under the same UEI, we will only accept the last on-time submission.

More than one application may be submitted from the same organization under separate UEIs.

Communication within your organization is encouraged to prevent duplication and to promote collaboration.

Cost sharing This program has no cost-sharing requirement. If you choose to share in the costs of the project, we will not consider it during merit review. We will hold you accountable for any funds you add, including through reporting.

Program description Purpose The purpose of this program is to train doctoral health service psychology students, interns, and postdoctoral residents in integrated, interdisciplinary behavioral health, with significant focus on trauma-informed care and substance use disorder prevention and treatment services.

The program will prepare trainees for practice in community-based primary care settings in high need and high demand areas. To support trainees, the program will also focus on developing health service psychology faculty.

Background The United States continues to face a mental health and substance use crisis. In 2023,

32.8 percent of the population (or 84.5 million people) had either any mental illness (AMI) or a substance use disorder (SUD).[1] Additionally, according to the Centers for Disease Control and Prevention, an alarming 103,793 drug overdose deaths occurred in the United States during the 12-month period ending in December 2023.[2] Addressing better access to prevention, treatment, and recovery services is one of the strategies to improve these statistics and remains a priority for behavioral health workforce programs.[3]

Among the 20.4 million adults aged 18 or older in 2023 with co-occurring AMI and an SUD in the past year, an estimated 40.2% (or 8.2 million) received only mental health

Step 1: Review the Opportunity 9 treatment, 3.6% (or 743,000 people) received only substance use treatment, and 18.6% (or 3.8 million people) received both types of treatment.[4] As a result, training in opioid use disorder (OUD) and other SUD prevention, treatment, and recovery services continue to be vital for behavioral health professionals.

As of September 2024, over one third (123 million) of the U.S. population live in a Mental Health Professional Shortage Area (HPSA).[5] Shortages and maldistribution of the workforce leave high-need areas without access to behavioral health services.

Improving access to services includes ensuring an appropriate supply and distribution of culturally-competent, diverse behavioral health providers.[6] Tele-behavioral health is also an important tool for delivering services and resources and can serve to reduce barriers by connecting patients and providers to a wider network, regardless of location.[7]

Providing didactic and experiential training opportunities in underserved communities can influence providers to practice in those communities, and educating and engaging trainees who are from rural and underserved communities can increase the chances that they will practice in those areas in the future.[8] A diverse health workforce has been shown to increase access to care and improve quality of care, especially among underserved populations.[9]

Program goal The GPE program has one goal: Increase the number of well-trained, culturally competent health service psychology students, interns, and post-doctoral residents, who are both prepared to address the needs of the communities they serve and committed to working in high need and high demand areas after graduation.

Program objectives To achieve the program’s goal, you will need to accomplish the following objectives if funded:

• Recruit, train, and prepare trainees for the community-based primary care settings they will serve in.

• Provide trainees with didactic and experiential training curricula, including trauma-informed care, substance use disorder (SUD)/opioid use disorder (OUD) prevention and treatment services, along with interdisciplinary training.

• Develop academic and clinical partnerships.

• Provide ongoing faculty development and staff training.

Step 1: Review the Opportunity 10

Program requirements and expectations You must address the following in your application and meet these expectations if you receive an award:

1. Recruit a diverse group of doctoral health service psychology students, interns, and/or post-doctoral resident level trainees committed to completing integrated, interdisciplinary behavioral health training and the requirements of the GPE program. Additionally, trainees should demonstrate an interest in working with people in high-need, high-demand areas after graduation. You must provide a student commitment letter template in Attachment 2.

2. Provide stipend support to GPE trainees. See Table 1: Student Stipends for details.

Applications may propose to train and support more than one level of trainee.

3. Enhance didactic and experiential training activities to improve health service psychology trainee competencies.

◦ You must ensure that:

▪ Integrated, interdisciplinary training in team-based care includes two or more health disciplines besides psychology.

▪ At least 25 percent of time in training sites includes experiential training on OUD and other SUD prevention and treatment.

▪ Training sites provide an integrated, interdisciplinary behavioral health experience including in community-based primary care settings located in high need and high demand areas.

◦ This training must include a focus on:

▪ Opioid use disorder (OUD) and other substance use disorders (SUD)

▪ Trauma-informed care

▪ Tele-behavioral health strategies

▪ Knowledge and understanding of behavioral health disorders in children, adolescents and [transitional-age youth](#115–contacts-and-support–program-specific-definitions)

◦ Other optional focus areas may include:

▪ Medications for Opioid Use Disorder (MOUD) and other substance use disorders.

▪ Social determinants of health (SDOH)

▪ Supporting provider mental health and well-being

4. Develop or expand academic and community-based partnerships to provide experiences in different settings. Examples may include (but are not limited to) HRSA-supported health centers, other community-based health centers, rural

Step 1: Review the Opportunity 11 clinics, academic institutions, K-12 schools, correctional facilities, and/or specialized residential facilities.

5. Conduct faculty and staff development training that supports the trainee curriculum.

6. Collect:

◦ National Provider Identifier (NPI) numbers from all trainees before the end of the training year.

◦ Post-graduation employment demographics for at least 1 year after program completion.

7. Inform GPE trainees about HRSA-sponsored loan repayment programs. Also inform trainees that they receive funding priority when applying for the National Health Service Corps Loan Repayment Programs.

8. Use evidence-based monitoring practices to collect specified program and performance data for the purpose of:

◦ Meeting HRSA data collection requirements.

◦ Continuous program evaluation and improvement during the 3-year period of performance.

9. Collaborate with the identified HRSA technical assistance provider at least once per budget period.

10. Participate in federally designed evaluations to assess program effectiveness and efficiency upon request.

Award information Funding policies and limitations Policies

• We will only make awards if this program receives funding. If Congress appropriates funds for this purpose, we will move forward with the review and award process.

• Support beyond the first budget year will depend on:

◦ Appropriation of funds.

◦ Satisfactory progress in meeting the project’s objectives.

◦ A decision that continued funding is in the government’s best interest.

If we receive more funding for this program, we may:

• Fund more applicants from the rank order list.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 12 https://bhw.hrsa.gov/funding/apply-loan-repayment https://bhw.hrsa.gov/funding/apply-loan-repayment#nhsclrp https://bhw.hrsa.gov/funding/apply-loan-repayment#nhsclrp

• Extend the period of performance.

• Award supplemental funding.

Maintenance of effort Federal funds must add to any existing non-federal funds for your proposed activities. If you receive an award, you will have to spend at least as much as you spent in the last fiscal year before the award. 42 U.S.C. § 295n-2(b) (Section 797(b) of the Public Health Service (PHS) Act) requires this. We will enforce this statutory requirement through all available mechanisms. You must provide supporting documentation in Attachment 7.

General limitations

• For guidance on some types of costs we do not allow or restrict, see Project

Budget Information in section 3.1.4 of the R&R Application Guide. You can also see 45 CFR part 75, or any superseding regulation, General Provisions for Selected Items of Cost.

• You cannot earn profit from the federal award. See 45 CFR 75.216(b) .

• The current appropriations act includes a salary limitation, which applies to this program. As of January 2024, the salary rate limitation is $221,900. Note this limitation may be updated.

See Manage Your Grant for other information on costs and financial management.

Indirect costs Indirect costs are costs you charge across more than one project that cannot be easily separated by project. For example, this could include utilities for a building that supports multiple projects).

Per 45 CFR 75.414, indirect costs for training awards cannot exceed 8 percent of modified total direct costs. To calculate the modified total direct costs, we exclude from the direct cost base:

• Direct cost amounts for equipment, tuition, fees and participant support costs.

• Subawards and subcontracts exceeding $50,000.

For modified total direct costs, we use the definition at 2 CFR 200.1.

Program income Program income is money earned as a result of your award-supported project activities. You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 45 CFR 75.307.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 13 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#p-75.216(b) https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 15

Application writing help 15

Get registered SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist to find out what you’ll need to register.

When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations. You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award.

Grants.gov You must also have an active account with Grants.gov. You can see step-by step instructions at the Grants.gov Quick Start Guide for Applicants.

Need help? See Contacts and Support.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-067.

After you select the opportunity, we recommend that you select the Subscribe button to get updates.

Application writing help Visit HHS Tips for Preparing Grant Proposals.

Visit HRSA’s How to Prepare Your Application page for more guidance.

Join the webinar We will hold a pre-application technical assistance (TA) webinar. 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 to learn more about the resources available for this funding opportunity.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 15 https://sam.gov/content/entity-registration https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/search-grants https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application

Step 3:

Prepare Your Application

In this step

Application contents and format 17

Application contents and format Applications include 5 main components. This section includes guidance on each.

There is a 60-page limit for the overall application.

Submit your information in English and express whole number budget figures using U.S. dollars.

Make sure you include each of these:

Components Submission Form Included in the page limit?

Project abstract Use the Project Abstract Summary Form. No

Project narrative Research and Related Other Project Information

Yes

Budget narrative Use the Research and Related Budget form.

(Line L)

Yes

Attachments Insert each in the Other Attachments form. Yes, unless otherwise marked below.

Other required forms Upload using each required form. Indicated in the other required forms section.

See the application checklist for a full list of all application requirements. See form instructions for more detail on completing each form.

Required format You must format your narratives and attachments using our required formats for fonts, size, color, format, and margins. See the formatting guidelines in section 3.2 of the R&R Application Guide.

Project abstract Complete the information in the Project Abstract Summary Form. Include a short description of your proposed project. Include the needs you plan to address, the proposed services, and the population groups you plan to serve. If you are requesting a

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 17 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=25 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=25 funding priority or preference, you must state this in the project abstract. For more information, see section 3.1.2 of the R&R Application Guide.

Project narrative In this section, you will describe all aspects of your project. Project activities must comply with the nondiscrimination requirements.

Use the following section headers in the order shown.

Introduction and purpose See merit review criterion 1: Purpose and need

• Briefly describe the purpose of your project.

• Describe the communities and populations your project will serve. Include information about the behavioral health challenges they face around OUD/SUD and trauma. Also consider SDOH, health disparities, and access to care.

• Explain the current status of graduate psychology training, including any trauma informed care and OUD/SUD-specific training, at your organization.

• Describe the barriers trainees may face in accessing graduate psychology education.

Need See merit review criterion 1: Purpose and need

Describe the needs your project will address in the following areas:

• Communities served, particularly around SUD/OUD and trauma.

• Psychology workforce shortages, including at partner training sites.

• Didactic and experiential curriculum development.

• Faculty and staff development.

Describe the approaches used to identify these needs and provide applicable supporting data.

Approach See merit review criterion 2: Response

• Describe the activities you will conduct to meet the specified program objectives and how they will lead to improving access to behavioral health services in your community to meet the stated needs. All program requirements must be addressed by the objectives.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 18 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1

• Include traditional and unique approaches you will use to recruit a diverse group of doctoral health service psychology students, interns, and/or postdoctoral residents who demonstrate an interest in working with persons in high-need, high-demand areas after graduation. Provide the student commitment letter template you will use in Attachment 2.

• Provide an overview of:

◦ Your program’s didactic and experiential training curriculum.

◦ How your trainees will receive a team-based care experience with two or more health disciplines other than psychology.

◦ How you will ensure at least 25 percent of the trainee time is in the delivery of OUD and other SUD prevention, treatment, and recovery services.

◦ How trainees will receive tele-behavioral health experience.

◦ How trainees will gain knowledge and understanding of behavioral health disorders in children, adolescents and transitional-age youth.

• Provide a description of the academic and community-based partnerships that will provide your trainees with integrated, interdisciplinary behavioral health experience. For experiential training site(s), include the information depicted in Table 2 as Attachment 3.

• Describe how you will provide training relating to faculty and staff development, including skills and expertise in OUD and other SUD prevention, treatment such as medications for opioid use disorder (MOUD) and recovery services. Include structured training courses and continuing education (CE) credits.

• Explain how you will improve trainees’ cultural competence to meet the needs of the communities they serve. Include those that increase the use of culturally and linguistically appropriate services by providing training based on the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care Standards.

Table: Table 2 Experiential Training Sites

Example Site

Site

Site

Site

Facility name Expert Medical Healthcare Center

Site address (street, town, state, zip code, and county)

1234 Anytown, AK 99540

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 19 https://thinkculturalhealth.hhs.gov/clas https://thinkculturalhealth.hhs.gov/clas

Example Site

Site

Site

Site

County:

Anchorage Municipality

Number of trainees per level 3 Practica; 2 Intern

Number of trainee hours and weeks/months at site per level

Practica: 12 hours/week for 6 months

Intern: 20 hours/ week for 6 months

Offers OUD/SUD prevention, treatment, or recovery services (yes/no)

Yes

Offers tele-behavioral health services (yes/no) Yes

Integrates behavioral health into primary care (yes/ no)

Yes

Has interdisciplinary training with two or more disciplines (yes/no)

Yes

Concentration of licensed psychologists in county as determined by CWS Data Tool (High or Low)

Low

Mental Health HPSA score using Find HPSA Tool 12

Located in a geographic area defined as rural in the Rural Health Grants Eligibility Analyzer (yes/no)

Yes

School-Based Health Center (yes/no) No

High-level work plan See merit review criterion 2: Response

Discuss your overall work plan.

• Include the number and level (doctoral student, intern and/or resident) of trainees anticipated each year of the period of performance.

• Provide a timeline of the academic year and when key activities will occur.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 20 https://www.apa.org/workforce/data-tools/geographic-distribution https://data.hrsa.gov/tools/shortage-area/hpsa-find https://data.hrsa.gov/tools/rural-health

• Identify how and when key stakeholders, including experiential training sites, will help plan, design, and carry out all activities. Include letters of agreement and memoranda of understanding in Attachment 4. Only include this documentation from individuals and organizations who will actively support your project.

• You will also include a more detailed work plan in your Standardized Work Plan (SWP). See other required forms. The SWP will be used to monitor the progress of your project each quarter throughout the period of performance. Ensure that each program requirement is addressed within the objectives of the SWP. Activities should clearly demonstrate how each objective will be met.

Resolving challenges See merit review criterion 2: Response

• Discuss challenges that you are likely to encounter in designing and carrying out the activities in the work plan. Address challenges related to recruitment, retention, education, training, job placement, and career development of trainees in high need and high demand areas.

• Discuss the anticipated challenges of identifying and collaborating with experiential sites.

• Explain approaches that you’ll use to resolve them.

Performance reporting and evaluation See merit review criterion 3: Impact

• Outcomes: Describe the expected outcomes (desired results) of the funded activities.

• Performance Measurement and Reporting. See GPE’s Reporting Manual for performance measure requirements and examples of reporting forms.

◦ Describe how you will collect and report required performance data accurately and on time.

◦ Describe how you will manage and securely store data.

▪ Include how you will collect and report National Provider Identifier (NPI) numbers for participants. Project trainees in eligible disciplines must apply for and report on an NPI.

▪ Describe your process to track trainees after program completion for up to 1 year.

◦ Describe how you will monitor and analyze performance data to support continuous quality improvement.

• Program Evaluation. The evaluation should examine processes and progress towards goals, program objectives, and expected outcomes. Evaluations must

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 21 https://grants4.hrsa.gov/WebBPMHExternal/Interface/ProgramManualhtmL.aspx?FormCode=1&IsPM=True&EHBActivityCode=D40 follow the HHS Evaluation Policy, as well as the standards and best practices described in OMB Memorandum M-20-12. Describe your plan to evaluate the project. Include:

◦ The evaluation questions, methods, data to be collected, and timeline for implementation.

◦ The evaluation barriers and your plan to address them.

◦ The evaluation capacity of your organization and staff. Include experience, skills, and knowledge.

◦ How your program will:

▪ disseminate results,

▪ assess the effectiveness of your dissemination plan,

▪ determine whether the program results are national in scope,

▪ And ascertain the probability of potential program replication.

See Reporting for more information.

Sustainability See merit review criterion 3: Impact

• We expect you to sustain key project elements that improve practices and outcomes for the target population. Propose a plan for project sustainability after the period of federal funding ends. Include:

◦ Consequences and challenges without federal funding.

◦ Key project elements that will be sustained and how.

◦ Other approaches to sustainability and potential sources of funding, including a potential timeline.

Organizational information See merit review criterion 4: Resources and capabilities

Briefly describe your mission, structure, and the scope of your current activities.

Explain how they support your ability to carry out the program requirements. Include a project organization chart in Attachment 5. Describe:

• The academic, administrative and structural capacity of your organization to carry out the didactic and experiential training of your project. Include details of current or prior training supported by GPE funds, if applicable.

• How you will follow the approved plan, account for federal funds, and record all costs to avoid audit findings.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 22 https://aspe.hhs.gov/sites/default/files/migrated_legacy_files/200386/hhs-evaluation-policy.pdf https://www.whitehouse.gov/wp-content/uploads/2020/03/M-20-12.pdf

• How your organization maintains staff competencies, and approaches to outreach, collaboration, communication, information sharing and efforts to involve communities.

• Your staffing plan and job descriptions for key faculty and staff in Attachment 6.

Include biographical sketches for key staff using the Research & Related Senior/ Key Person Profile form. See Other required standard forms. There can only be one Project Director (PD). The PD must be employed by the awarded applicant organization. The PD should expect to dedicate at least 20 percent of their time to project activities.

Budget and budget narrative See merit review criterion 5: Support requested

Your budget should follow the instructions in section 3.1.4 of the R&R Application Guide and any specific instructions listed in this section.

HHS now uses the definitions for equipment and supplies in 2 CFR 200.1. The new definitions change the threshold for equipment to the lesser of the recipient’s capitalization level or $10,000 and the threshold for supplies to below that amount.

Reminder: Indirect costs for training awards cannot exceed 8% of modified total direct costs. The total project or program costs are all allowable (direct and indirect) costs incurred for the HRSA award activity or project. This includes costs charged to the award and non-federal funds used to satisfy any matching or cost sharing requirement (which may include maintenance of effort, if applicable).

Funds under this notice may not be used for purposes specified in HRSA’s R&R Application Guide. In addition, grant funds may not be used for the following:

• Fringe benefits for trainees (such as liability insurance, unemployment insurance, life insurance, taxes, fees, and retirement plans) with the exception of health insurance.

• Accreditation costs, such as renewals and annual fees.

• Trainee licensure exams, registration, and administration fees. (However, funds may be used for licensure preparation training materials.)

• Construction

• Foreign travel

The budget narrative supports the information you provide in the Research and Related Budget Form. See other required forms. Your budget should show a well-organized plan. The merit review committee reviews both.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 23 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=1 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Supplies) https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf

The budget narrative includes an itemized breakdown and clear justification of the requested costs. As you develop your budget, consider:

• If the costs are reasonable and consistent with your project’s purpose and activities.

• The restrictions on spending funds. See funding policies and limitations.

To create your budget narrative, see detailed instructions in section 3.1.5 of the R&R Application Guide. Follow these additional instructions specific to this NOFO.

Include Maintenance of Effort information in Attachment 7.

Participant and trainee support costs You must include the following trainee support costs:

• At least 50 percent of your total requested budget (direct and indirect costs) per year must be in the Participant/Trainee Costs budget category. The items within this category are:

◦ Stipends

◦ Tuition

◦ Health insurance

◦ Training supplies and materials

◦ Attendance at a professional conference(s)

◦ Travel related expenses for training purposes

• All other costs related to program management must be budgeted out of the remaining 50 percent or less.

• Stipend amounts that are charged to the award are fixed for each trainee level and are stated in Table 1: Student Stipends. You cannot provide stipends less than the amounts shown in the table. You may choose to provide higher stipend amounts by adding funds from non-federal sources.

• Trainees who receive stipend support must sign a student commitment letter as described in the template in Attachment 2.

• Only students, interns, and post-doctoral residents who receive stipends under this funding opportunity can receive the other trainee support listed under Participant/Trainee Costs.

• Trainees can decide how to use their stipend to help with cost-of-living expenses during their training experience. Stipends are not provided as a condition of employment, or for tuition, fees, health insurance, or other trainee support costs.

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Step 3: Prepare Your Application 24

• No more than 1 year of stipend support is allowed per full-time trainee. Part-time trainees are allowed to receive a stipend prorated at one-half of the fixed amount over 2 years.

• Stipends must be prorated if a trainee ends their participation with the program before the end of their 1 year. You must contact HRSA to talk about options for the leftover stipend funds.

Table: Table 1 Student Stipends

Training level Additional details Enrollment status

Annual fixed stipend/ trainee

Max eligibility for support

Doctoral students

Accredited doctoral schools and programs in health service psychology in practica for 10 or more hours per week, per academic semester

Part-Time $16,250 2 years (24 months) ($32,500 total)

Full-Time $32,500 1 year (12 months)

Doctoral Interns

Part-Time $18,250 2 years (24 months) ($36,500 total)

Full-Time $36,500 1 year (12 months)

Post- Doctoral Residents

Part-Time $30,000 2 years (24 months)

($60,000 total)

Full-Time $60,000 1 year (12 months)

Be sure to

• List stipends, tuition, fees, health insurance, training supplies and materials, attendance at a professional conference(s), and travel-related expenses for training. Separate out these costs from others so we can identify them easily.

• Identify the number of trainees, as well as the level of training they are participating in. Please see Table 1 for training level list.

Step 3: Prepare Your Application 25

• Include a subtotal entitled “Total Participant and Trainee Support Costs” with the summary of these costs.

Consultant services Identify each consultant, the services they will perform, the total number of days, travel costs, and the total estimated costs.

Subawards/Contractual Requires a separate SF-424 R&R Budget Form.

Attachments Place your PDF attachments in order in the Attachments form.

Attachment 1: Accreditation documentation Required- Counts toward page limit.

You must provide documentation of your accreditation. Please do not provide only the web link to the accreditation body’s website. HRSA will not open any links included in the application.

Attachment 2: Student commitment letter Required-Counts toward page limit.

Provide a copy of a student commitment letter template, through which students will commit to completing experiential training. Students receiving support through the GPE program should be informed in advance of the institution’s financial aid policies.

At a minimum, the letter must include:

• The student’s willingness to report information to the award recipient, including confirming their NPI number, along with employment status and practice location 1-year after their training is complete.

• A stipend disbursement plan that outlines the amount of stipend support, frequency of disbursement, and length of time receiving support. Discuss any impact this may have on the student’s financial aid award if applicable.

The letter may also ask students for a plan to voluntarily pursue employment working with persons in high-need, high-demand areas.

Step 3: Prepare Your Application 26

Attachment 3: Experiential Training Site Documentation Required-Counts toward page limit.

Provide the training sites information depicted in Table 2 in the Approach section, including the number of hours each trainee will participate per week/rotation.

In addition, for each training site in Table 2, determine if it is located in a high-need, high-demand area and/or is a school-based health center using the following resources only. You may receive points for the location or type of training site. Include supporting documentation indicating the highlighted criteria below for applicable training sites:

1. County with a Low concentration of licensed psychologists as documented in CWS Data Tool.

2. Mental Health Professional Shortage Area Discipline with a score of 16 or above as found in HPSA Find Tool.

3. Geographical area considered Rural as defined by the HRSA Federal Office of Rural Health Policy (FORHP) as found in the Rural Health Grants Eligibility Analyzer.

4. A school-based health center. Provide the following for:

a. HRSA-funded: The health center H80, H2E or LAL grant number and include a copy of the most recent Form 5B – Service Sites, or snapshot of relevant sections, showing the school-based site details, or

b. Non-HRSA funded: Verifiable information, such as a readout from the School-Based Health Alliance Child Health and Education Mapping Tool, clearly showing the school-based site details.

All data must be appropriately cited as valid at the time of application and is subject to verification.

Documentation of partnerships with the listed training sites must be included in Attachment 4. Any experiential training sites listed in Attachment 3 without supporting documentation in Attachment 4 will not be considered. Supporting documentation must be signed and dated by the relevant authority of the associated organization or department to be considered.

Attachment 4: Letters of agreement, memoranda of understanding, and contracts Required -Counts toward page limit.

Provide letters of agreement, memoranda of understanding, and/or contracts as applicable for each organization or department actively involved in your proposed project. Documentation* must be from someone who holds the authority to speak for

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 27 https://www.apa.org/workforce/data-tools/geographic-distribution https://www.apa.org/workforce/data-tools/geographic-distribution https://data.hrsa.gov/tools/shortage-area/hpsa-find https://data.sbh4all.org/sbhadb/maps/ the organization or department (such as a CEO or chair), must be signed and dated, and must specifically indicate understanding of the project, and a commitment to the project, including any resource commitments like in-kind services, dollars, staff, space, equipment, and so on.

Provide any other documents that describe working relationships between your organization and other organizations and programs you cite in the proposal.

Documents that confirm actual or pending contractual or other agreements should clearly describe the roles of the contractors and partners and any deliverables. For lengthy legal documents, the first two pages as well as a signature page will meet this requirement. If awarded, the full document may be requested as a condition of award.

*Documents must be signed and dated by the relevant authority of the associated organization or department to be considered.

Attachment 5: Project organizational chart Required-Counts toward page limit.

Provide a one-page diagram that shows the full project’s organizational structure.

Include all aspects, not just the applicant organization.

Attachment 6: Staffing plan and job descriptions Required-Counts toward page limit.

See Section 3.1.7 of the R&R Application Guide.

Include a staffing plan that shows the staff positions that will support the project and key information about each. Justify your staffing choices, including education and experience qualifications, and your reasons for the amount of time you request for each staff position.

For key personnel, attach a one-page job description. It must include the role, responsibilities, and qualifications.

Attachment 7: Maintenance of effort documentation Required-Counts toward page limit.

Specify the non-federal funds that support proposed activities. These include cash, in-kind, or other contributions. Do not include any federal funds. See Maintenance of Effort requirement.

Use the following sample format to provide the Maintenance of Effort documentation.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 28

FY Before Application:

Actual Non-Federal Expenditures

First FY of Award:

Estimated Non-Federal Expenditures

Attachment 8: Funding preference and/or priority documentation As Applicable-Counts toward page limit.

To receive a funding preference and/or funding priority, include a statement that you are eligible for the funding preference and/or funding priority, identify the preference or priority, and provide supporting documentation.

See Selection Process for information about how these apply.

Attachment 9: Letters of support As applicable-Counts toward the page limit.

You may provide letters of support from other organizations or departments involved in the proposed project.

Letters of support can also be from individuals within your institution who hold the authority to speak for the organization or department such as a CEO or chair.

Recommenders should indicate an understanding of and commitment to the project, and what their contribution to the project will be. You should reference letters of support in the applicable section of the project narrative.

Recommenders must sign and date their letter of support for the document to be considered.

Attachments 10 to 15: Other relevant documents As applicable- Counts toward page limit.

Other required standard forms You will need to complete some other forms. Upload the forms listed below at Grants.gov. You can find them in the NOFO application package or review them and any available instructions at Grants.gov Forms. See the application checklist for a full list of all application requirements.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 29 https://www.grants.gov/forms

Forms Submission Requirement

SF-424 R & R (Application for Federal Assistance) form

Yes, with application.

Research and Related Other Project Information

Yes, with application.

Standardized Work Plan (SWP) form Yes, with application.

Research and Related Senior/Key Person Profile (Expanded) form

Yes, with application.

Research and Related Budget form Yes, with application.

R & R Subaward Budget Attachment(s) Form Yes, with application.

Project/Performance Site Locations(s) form Yes, with application.

Disclosure of Lobbying Activities (SF-LLL) Form If applicable, with the application or before the award.

BHW Program Specific Data Form (B) [V1.0] Yes, with application.

Form instructions SF-424 R&R form Does not count toward the page limit.

Follow the instructions for Application for Federal Assistance in section 3.1.1 of the R&R Application Guide.

Research and Related Other Project Information form Only the project narrative counts toward the page limit.

In addition to the requirements in the project narrative section, you will provide some additional information in this form.

• Complete sections 1 through 6.

• Upload a blank document in item 7: Project Summary/Abstract to avoid a cross-form error with your Project Abstract Summary Form.

• Upload your project narrative in item 8.

• Leave items 9, 10, and 11 blank.

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Step 3: Prepare Your Application 30

• If you have more than 10 subawards, you may use item 12 to add subaward budgets that could not fit in your R&R Subaward Budget Attachment(s) Form.

Standardized Work Plan form Does not count toward the page limit.

In addition to the requirements in project narrative, high-level work plan, follow these instructions:

• Submit your work plan through the SWP Form. Provide a detailed work plan that demonstrates your experience or ability implementing a project of the proposed scope.

• Follow the instructions in the SWP form.

• Select your organizational priorities that best fit the objective.

• Write Health Equity in the “Other Priority Linkage” if your objective or sub-objectives align with this priority.

The program goal and objectives as specified in Step 1 must be stated in the SWP form.

You may include additional objectives if they further support your proposed project. All program requirements must be addressed by the objectives.

Research and Related Senior/Key Person Profile (Expanded) form Does not count toward the page limit. The attached biographical sketches also do not count toward the page limit.

In addition to the requirements in Project Narrative, Organizational Information, follow these instructions.

• Include biographical sketches for people who will hold the key positions.

• Try to use no more than two pages per person. These sketches count toward the page limit.

• Do not include non-public personally identifiable information.

• If you include someone you have not hired yet, include a letter of commitment from that person with their biographical sketch.

• Upload sketches in this form.

• Include:

◦ Name and title

◦ Education and training. For each entry include Institution and location, degree and date earned, if any, and field of study.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare…