HRSA-25-075_final.pdf

Bureau of Health Workforce

Notice of Funding Opportunity

Application due March 18, 2025

Postdoctoral Training in General, Pediatric, and Public Health Dentistry Opportunity number: HRSA-25-075

Contents Before you begin 3

Step 1: Review the Opportunity 4

Basic information 5

Eligibility 7

Program description 9

Award information 14

Step 2: Get Ready to Apply 17

Get registered 18

Find the application package 18

Application writing help 18

Step 3: Prepare Your Application 20

Application contents and format 21

Step 4: Learn About Review and Award 36

Application review 37

Selection process 41

Award notices 46

Step 5: Submit Your Application 47

Application submission and deadlines 48

Application checklist 49

Step 6: Learn What Happens After Award 51

Post-award requirements and administration 52

Contacts and Support 56

Endnotes 59

Contents 2

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 March 18, 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 3 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 5

Eligibility 7

Program description 9

Award information 14

Basic information Health Resources and Services Administration (HRSA)

Bureau of Health Workforce

Division of Medicine and Dentistry

Empowering dentists, transforming communities: a commitment to improving oral health for the rural and underserved.

Have questions?

Go to Contacts and Support.

Key facts

Opportunity name:

Postdoctoral Training in General, Pediatric, and Public Health Dentistry

Opportunity number:

HRSA-25-075

Announcement version:

New

Federal assistance listing:

93.059

Statutory authority:

42 U.S.C. § 293k-2 (Title VII, Sec. 748 of the Public Health Service Act)

Key dates

NOFO issue date:

December 19, 2024

Informational webinar:

Specifics will be posted on the program webpage once available.

Application deadline:

March 18, 2025

Expected award date is by: July 1, 2025

Expected start date:

July 1, 2025

Summary The purpose of the Postdoctoral Training in General, Pediatric, and Public Health Dentistry program is to improve access to and delivery of oral health care services in rural and underserved communities.

This program has four objectives:

• To increase the number of postdoctoral trained primary care dentists (general, pediatric, and public health dentists) who choose to practice in rural or underserved areas in community-based organizations.

• To prepare dentists to address the oral health needs of people from disadvantaged backgrounds with complex dental conditions.

• To increase the number of dentists trained to manage oral health programs, evaluate systems of care, and design surveillance systems to measure oral health status.

• To evaluate the program, including examination of processes and progress toward goals, program objectives, and expected outcome(s).

Funding details Application Type: Competing continuation, New

Expected total available funding in FY 2025: $12,500,000

Expected number and type of awards: 27 grants

Funding range per award: Up to $450,000

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

Step 1: Review the Opportunity 5 https://uscode.house.gov/view.xhtml?hl=false&edition=prelim&req=granuleid%3AUSC-prelim-title42-section293k-2&f=treesort&num=0&saved=%7CKHRpdGxlOjQyIHNlY3Rpb246MjkzayBlZGl0aW9uOnByZWxpbSkgT1IgKGdyYW51bGVpZDpVU0MtcHJlbGltLXRpdGxlNDItc2VjdGlvbjI5M2sp%7CdHJlZXNvcnQ%3D%7C%7C0%7Cfalse%7Cprelim https://bhw.hrsa.gov/programs/postdoctoral-training-general-pediatric-public-health-dentistry-pdd-program https://www.grants.gov/learn-grants/grant-terminology#g

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. We plan to fund awards in five 12-month budget periods for a total five-year period of performance from July 1, 2025, to June 30, 2030.

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.

Step 1: Review the Opportunity 6

Eligibility Who can apply You can apply if you are an entity that has:

• An accredited dental or dental hygiene program or

• An approved residency or advanced education program in general, pediatric, or public health dentistry.

• If you are eligible, you may partner with a school of public health to provide a master’s degree in public health to dental students, residents, and dental hygiene students.

Individuals and for-profit entities are not eligible applicants under this NOFO.

Other eligibility criteria Programs in general dentistry, pediatric dentistry, and dental public health residency must be accredited or initially accredited by the Commission on Dental Accreditation (CODA) by July 1, 2026. Affiliated sites of accredited programs are not eligible.

Applications can include combined primary care dentistry disciplines. Primary care disciplines are general dentistry, pediatric dentistry, and dental public health.

The program that sends in the application must be designated as the primary residency.

Fellowships in geriatric, pediatric, or general dentistry that are accredited by a recognized body approved for such a purpose by the Secretary of Education will also meet this accreditation requirement.

You must provide documentation of your CODA accreditation, or proof of submission of application to CODA for accreditation, such as CODA’s email “Acknowledgment of application submission,” in attachment 1. You must maintain active accreditation throughout the period of performance and notify us of any change in status.

Your program must include at least eight weeks of postgraduate training in general dentistry, pediatric dentistry, or dental public health at a community-based organization.

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

• A U.S. citizen or noncitizen national.

• A U.S. permanent resident.

Step 1: Review the Opportunity 7

• 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.

Additionally, the trainee must:

• Demonstrate need for support, and

• Plan to work in the practice of general dentistry, pediatric dentistry, or dental public health.

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.

• Is not complete.

Application limits 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.

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

Step 1: Review the Opportunity 8 https://www.ssa.gov/OP_Home/comp2/F104-193.html https://www.ssa.gov/OP_Home/comp2/F104-193.html

Program description Purpose The purpose of the Postdoctoral Training in General, Pediatric, and Public Health Dentistry (PDD) program is to improve access to and delivery of oral health care services in rural and underserved communities. If you receive this grant, you will support innovative postdoctoral dental residency and fellowship training programs at community-based organizations (CBOs) to prepare general, pediatric, and public health dentists to practice and lead new models of oral health care delivery. A community-based organization is a community-based, ambulatory patient care center that operates a primary care dentistry training program. Funded grant training activities must start by the beginning of the second budget period, July 1, 2026. You must conduct your project in one or more of the following three focus areas:

• Rural training sites.

• Underserved populations.

• A dental public health residency program.

Background According to HRSA’s 2022 Health Center Patient Survey, the number of dental visits at health centers has increased since 2020. But of the more than 30.5 million health center patients, only 1.7 million received any kind of restorative dental service and only 69% received the dental health care they needed.[1],[2] There simply aren’t enough dentists practicing in safety net settings. 2020-21 data reveals that few postdoctoral oral health graduates practice in medically underserved communities, primary care settings, or rural areas. Of the over 200,000 active dentists in the United States in 2023, only 5,167 were employed in community health centers.[3],[4]

However, dental residents who participate in community-based training programs are more likely to practice in a health center or serve people with Medicaid. One of six general dentistry residents, one of four pediatric dentistry residents, and one of three dental public health residents are trained in a HRSA-supported residency program. By training at CBOs, including health centers, trainees learn clinical and patient management skills not taught in dental school, which enhances their ability to care for patients, understand the environment of people seeking care at CBOs, and recognize how the social determinants of health affect patients’ health and health-promoting behaviors. Training programs at CBOs increase the number of dentists in community-based dental clinics, improve health outcomes for members of rural and underserved

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

Step 1: Review the Opportunity 9 https://www.cdc.gov/public-health-gateway/php/about/social-determinants-of-health.html communities, expand oral health care access in rural and underserved areas, and increase the number of providers who will continue to care for the underserved.

The dental public health (DPH) specialty focuses on preventing and controlling dental diseases and promoting dental health through organized community efforts. Rather than treating individuals, the community is the patient. DPH programs increase the number of dentists trained to manage oral health programs, evaluate systems of care, and design surveillance systems to measure oral health. DPH is a small but vital specialty: these dentists play important roles in public health dentistry as leaders in the U.S. Public Health Service Commission Corps; federal, state, and local government agencies; health insurance companies, and health systems; and dental schools.

Program goal The goal of this program is to increase the number of primary care dentists working in community-based organizations serving rural and/or underserved communities.

Program objectives This program has four objectives:

• To increase the number of postdoctoral trained primary care dentists (general, pediatric, and public health dentists) who choose to practice in rural or underserved areas in CBOs.

• To prepare dentists to address the oral health needs of people from disadvantaged backgrounds with complex dental conditions.

• To increase the number of dentists trained to manage oral health programs, evaluate systems of care, and design surveillance systems to measure oral health status.

• To evaluate the program including examination of processes and progress toward goals, program objectives, and expected outcome(s).

Program requirements and expectations Focus areas You must use this funding to plan, develop, and implement projects in CBOs that focus on one or more of the following three areas.

Focus area 1: Rural training sites You’ll prepare dentists to provide care in rural communities by developing and implementing new training and delivery models in CBOs or enhancing existing ones.

Examples include:

Step 1: Review the Opportunity 10

• Developing or enhancing primary care dental residencies within rural CBOs through formal partnerships between rural or tribal health clinics and hospitals, CBOs, and/or academic centers.

• Developing sustainable rural or tribal primary care dental residencies that are eligible for graduate medical education.

• Developing or enhancing primary care dental rural rotation sites through formal partnerships between rural or tribal health clinics and hospitals, CBOs, and/or dental schools.

Focus area 2: Underserved populations You’ll prepare dentists to provide care to underserved communities by developing and implementing new training and delivery models in CBOs or enhancing existing ones.

This should include an emphasis on serving people with complex oral health needs.

Examples include:

• Developing or enhancing integrated oral and primary care clinical training.

• Developing or enhancing training to prepare residents to enter and lead CBOs.

• Developing and implementing clinical training to care for underserved communities or populations with significant health disparities.

Focus area 3: Dental public health You’ll develop and test new or enhanced training in dental public health residency programs, including didactic and experiential training to provide dentists with the skills to manage oral health programs, evaluate systems of care, and design surveillance systems to measure oral health status. Examples include:

• Using data to develop sustainable models of accessible oral health services for underserved populations.

• Assessing the needs of populations experiencing health disparities within a community; formulating and implementing policy or programmatic changes; and evaluating these changes to determine their impact.

• Developing or enhancing a dental public health residency program that combines clinical exposure and business management with research.

General requirements These requirements apply to all funding recipients, regardless of focus area.

Your program must include at least eight weeks of postgraduate training in general dentistry, pediatric dentistry, or dental public health at a CBO. This can consist of one eight-week or two four-week periods within an academic year. The longitudinal rotations must be at least 20 hours per week per trainee.

Step 1: Review the Opportunity 11

• If you are not a CBO, you must already have established eight weeks of general, pediatric, or dental public health training with the CBO.

• Multiyear training programs must have an average of at least eight weeks per year of community-based longitudinal rotations.

• Your program must include mentored professional experiences in addition to an educational curriculum that:

◦ Is designed to fit the oral health needs of rural, underserved, and health disparity populations.

◦ Includes training in quality assessment/quality improvement systems and risk management processes.

◦ Includes training in assessing risk so people who need the most care get priority for treatment and prevention.

You must be able to train your trainees (primary care dentists, residents, or fellows) to practice in and meet the clinical needs of rural and underserved communities. These should include population health strategies.

We encourage you to include educational activities in cultural competency and oral health literacy. Include strategies 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. As described in the funding priorities section, your application may propose to establish:

• An oral health care education center for special populations.

• A didactic and clinical education training program for dentists, dental health professionals, and dental hygienists who plan to teach oral health care for people with developmental disabilities, cognitive impairment, complex medical problems, and significant physical limitations, and vulnerable elderly people.

You are encouraged to develop or enhance training for postdoctoral dental trainees in integrated health care delivery systems.

Your project may include some faculty development to prepare people who complete your program for roles as community-based clinician educators and mentors.

To increase the number of dentists trained to manage oral health programs, evaluate systems of care, and design surveillance systems to measure oral health status, you may partner with schools of public health to provide dental residents with a master’s year or a certificate in public health. Programs must identify residents who will be enrolled in a Master of Public Health program prior to acceptance into the residency program. Programs may use dedicated match or non-match slots.

• The Master of Public Health programs must either be:

Step 1: Review the Opportunity 12

◦ Completed by the trainee after acceptance to the residency program, but prior to the actual specialty residency training, or

◦ Demonstrate a well-integrated Master of Public Health curriculum within the residency program curriculum.

• Proposals may include training, including a master’s degree in public health, to enhance the population health knowledge and skills of faculty who teach residents.

• You may use a planning year.

• If you are proposing a new track within rural or underserved areas, you are encouraged to partner with a school of public health.

Program management requirements You are required to participate in federally designed evaluations to assess program effectiveness and efficiency upon request.

You must require all trainees to obtain National Provider Identifier (NPI) numbers and report these numbers to HRSA.

You must collect trainees’ employment and practice details 1 year after their completion of the program.

You must provide a training chart that details the number of primary trainees and other health care trainees you plan to train every year. You are encouraged to provide program participants with information on the National Health Service Corps (NHSC) Loan Repayment Program (LRP). You are encouraged to strongly consider participants in the NHSC Scholarship Program and NHSC Students to Service (S2S) LRP for your program.

Trainees You can provide support to trainees to encourage participation from racial and ethnic populations that are underrepresented in the dental profession, veterans or people from a rural or disadvantaged background.

You can provide support for trainees to address barriers to their success in your program including for those with learning disparities or from disadvantaged backgrounds.

Primary trainees are residents and/or fellows who are being trained through the proposed project in general or pediatric dentistry, or dental public health.

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

Step 1: Review the Opportunity 13 https://www.evaluation.gov/

Other health care trainees are in other health care professions (such as medical residents or nursing students) who will train alongside or be trained by the primary trainees as part of the interprofessional training.

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.

◦ 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. Sec. 797(b) of the Public Health Service Act (42 U.S.C.

295n-2) requires this. We will enforce these statutory requirements through all available mechanisms. You must provide supporting documentation in your attachments.

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 75.400(g).

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

Step 1: Review the Opportunity 14 https://uscode.house.gov/view.xhtml?hl=false&edition=prelim&req=granuleid%3AUSC-prelim-title42-section295n-2&f=treesort&num=0&saved=%7CKHRpdGxlOjQyIHNlY3Rpb246MjkzayBlZGl0aW9uOnByZWxpbSkgT1IgKGdyYW51bGVpZDpVU0MtcHJlbGltLXRpdGxlNDItc2VjdGlvbjI5M2sp%7CdHJlZXNvcnQ%3D%7C%7C0%7Cfalse%7Cprelim https://uscode.house.gov/view.xhtml?hl=false&edition=prelim&req=granuleid%3AUSC-prelim-title42-section295n-2&f=treesort&num=0&saved=%7CKHRpdGxlOjQyIHNlY3Rpb246MjkzayBlZGl0aW9uOnByZWxpbSkgT1IgKGdyYW51bGVpZDpVU0MtcHJlbGltLXRpdGxlNDItc2VjdGlvbjI5M2sp%7CdHJlZXNvcnQ%3D%7C%7C0%7Cfalse%7Cprelim https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=15 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)

• Congress’s 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.

Program-specific statutory or regulatory limitations

• You cannot use grant funds:

◦ To buy real property, or for construction.

◦ To pay for equipment costs not related directly to the purposes of this award.

Funding for reasonable equipment purchases is allowed.

◦ For foreign travel or training.

◦ For specialty board certification exam fees.

◦ For fringe benefits for trainees.

◦ For accreditation costs and fees.

◦ For financial assistance to other health care trainees.

You must have policies, procedures, and financial controls in place. You must comply with legal requirements and restrictions, including those that limit specific uses of funding.

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% of modified total direct costs. To calculate this, 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 per 2 CFR 200.1.

State or local governments and federally recognized Indian tribes can charge their negotiated rate or use their state cost allocation plans. For the purpose of calculating indirect costs, we do not consider state universities or hospitals as government agencies.

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

Step 1: Review the Opportunity 15 https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-A/subject-group-ECFR2a6a0087862fd2c/section-200.1

Program income Program income is money earned as a result of your award-supported project activities. Program income must be added to the total project costs. 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 16 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 18

Find the application package 18

Application writing help 18

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-25-075.

After you select the opportunity, we recommend that you click 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.

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

Step 2: Get Ready to Apply 18 https://sam.gov/content/entity-registration https://sam.gov/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 https://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/support.html 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

Join the webinar We will hold a pre-application technical assistance webinar. The webinar will provide an overview of pertinent information in the NOFO and an opportunity for you 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 19 https://bhw.hrsa.gov/fundingopportunities/default.aspx

Step 3:

Prepare Your Application

In this step

Application contents and format 21

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

Application page limit: 60 pages.

Submit your information in English and express 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 Use the Research and Related Other Project Information form.

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 standard forms section.

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

Required format You must format your narratives and attachments using our required formats for fonts, size, margins, etc. 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.

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

Step 3: Prepare Your Application 21 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf

If applicable, identify if you are requesting a funding priority.

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 section headers and the order that follow.

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

Briefly describe the purpose of your project.

• Include the efforts you will make to address the non-academic barriers to trainees’ access to education and success in your program. These barriers might include physical health, psychological health, physical environment, social environment, and economic stability. Trainees include residents, fellows, and program participants.

• Propose an actionable framework that targets learning disparities and expands learning opportunities to support trainees from disadvantaged backgrounds. This framework may include recruiting trainees from rural or underserved areas, or areas with health disparities.

• Include population health strategies you will use to identify successful approaches to reducing oral diseases in the population you are serving. Such approaches should include understanding the environment of individuals seeking care at CBOs and how the social determinants of health affect their health and health-promoting behaviors.

Need See merit review criterion 1: Purpose and need

Describe the trainees and their unmet needs this program will address. These should address the gaps and training needs of the oral health workforce for your targeted community.

• Use and cite demographic data as part of the descriptions and explanations above, as applicable.

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

Step 3: Prepare Your Application 22 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=14

Approach See merit review criterion 2: Response

• Tell us how you’ll address your stated needs and meet the program requirements and expectations described in this NOFO.

• Describe how you will provide training in practice efficiencies, quality, and risk reduction to provide trainees with increased quality of the services they provide, a wider skillset, and the speed needed to succeed in CBO practice environments.

• Explain how you will provide professional mentorship along with an educational curriculum designed to fit the oral health needs of rural, underserved, and/or health disparity patient populations.

• Describe how you will include training in quality assessment/quality improvement systems and risk management processes appropriate for CBOs.

• Describe how you will provide and promote staff training, teamwork, and information sharing.

• Describe strategies for outreach to and collaboration with patients, families, and communities.

• If you plan to use subawards or contracts, describe how you will document your spending and make sure funds are used appropriately.

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

• Describe how you will achieve each of the objectives during the period of performance.

• Provide a timeline that includes each activity and identifies who is responsible for each.

• As needed, identify how key stakeholders will help plan, design, and carry out all activities.

◦ Include the extent to which these stakeholders address the needs of the populations and communities served.

◦ Include a more detailed work plan in your Standardized Work Plan (SWP). See the other required standard forms.

◦ Provide a chart of primary trainees and other health care trainees in attachment 7.

◦ Describe your plans for trainee recruitment, retention and placement in community-based settings in underserved areas.

Step 3: Prepare Your Application 23

◦ Explain your strategies to improve trainees’ cultural competence to meet the needs of underserved communities.

◦ Include strategies 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.

◦ If it applies, include a plan to distribute reports, products, or project outputs to target audiences.

◦ Describe activities that will address trainees’ training in population health and cultural competence including CLAS.

◦ If you propose a master’s of public health for trainees, include details about how this will operate.

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. Include potential challenges recruiting trainees and faculty.

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

Performance reporting and evaluation See merit review criteria 3: Impact and 4: Resources and capabilities

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

• Performance measurement and reporting. See HRSA’s Postdoctoral Training in General, Pediatric and Public Health Dentistry 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. Describe how you will monitor and analyze performance data to support continuous quality improvement.

◦ Tracking program participants. Include how you will collect and report participants’ NPI numbers.

◦ Describe your process to track trainees after program completion for up to 1 year. This includes trainees’ employment; whether they practice general dentistry, pediatric dentistry, or dental public health; and if they practice in a setting serving rural, underserved, and/or health disparity populations.

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

Step 3: Prepare Your Application 24 https://grants4.hrsa.gov/WebBPMHExternal/Interface/ProgramManualhtmL.aspx?FormCode=1&IsPM=True&EHBActivityCode=D88 https://grants4.hrsa.gov/WebBPMHExternal/Interface/ProgramManualhtmL.aspx?FormCode=1&IsPM=True&EHBActivityCode=D88

• Program evaluation. Describe your plan to evaluate the program. The evaluation should examine processes and progress toward goals, program objectives, and expected outcomes. Evaluations must follow the HHS Evaluation Policy, as well as the standards and best practices described in OMB Memorandum M-20-12.

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 you will disseminate results and assess whether your dissemination plan is effective.

◦ How you will assess whether the results are national in scope, and whether the program can be replicated in other settings.

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.

• Describe the actions you’ll take to:

◦ Highlight key elements of your project with invested stakeholders. Examples include training methods or strategies that have been effective in improving practices.

◦ Obtain future sources of funding.

◦ Determine the timing to become self-sufficient.

• Discuss challenges that you’ll likely encounter in sustaining the program. Include how you will resolve these challenges.

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 organizational chart as attachment 2.

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

Step 3: Prepare Your Application 25 https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//200386/hhs-evaluation-policy.pdf https://aspe.hhs.gov/topics/policy-regulation/evaluation/evaluation-policy https://www.evaluation.gov/assets/resources/Program-Evaluation-Practices.pdf https://www.evaluation.gov/assets/resources/Program-Evaluation-Practices.pdf

• Discuss how you’ll follow the HRSA-approved plan, account for federal funds, and record all costs to avoid audit findings.

• Describe how you’ll assess the unique needs of the trainees you serve.

• Describe any organizations you will partner with to fulfill the program goals and meet the training objectives. Include key agreements in attachment 3 and letters of support in attachment 8.

Include a staffing plan and job descriptions for key faculty and staff in attachment 4.

You will also include biographical sketches for key staff using the Research & Related Senior/Key Person Profile form. See the other required standard forms.

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 supply 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.

The total project or program costs are all allowable (direct and indirect) costs used for the HRSA 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).

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

Reminder: Indirect costs for training awards cannot exceed 8% of modified total direct costs.

The budget narrative includes an itemized breakdown and a 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 the funding policies and limitations.

Your budget should also include travel support for the project director and, optionally, one other person from your organization to attend up to four grantee meetings (approximately one per year in project years 1 through 4), each held over two days in the Washington, DC, area.

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

Step 3: Prepare Your Application 26 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=15 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=15 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(Supply)

To create your budget justification narrative, see detailed instructions in section 3.1.5 of the Application Guide .

Follow these additional instructions specific to this NOFO.

Participant and trainee support costs Participant or trainee support costs:

• List tuition, fees, health insurance, stipends, travel, and other costs.

• Identify the number of trainees.

• Separate these costs from others so we can identify them easily.

• Include a subtotal titled “Total trainee support costs” with the summary of these costs.

Preceptor costs Preceptors can be either your employees, contractors, or consultants. Preceptor costs are unique and different than trainee costs, which are for your students. Allowable preceptor costs may include:

• Stipends (other than to employees).

• Percent of salary (for employees).

• Continuing education, other trainings, and related fees.

• Travel.

Note: You cannot require students to pay for preceptor costs.

Other preceptor requirements include:

• If the preceptor is an employee, specify those costs under Section B, Other Personnel; Section D, Travel; and Section F, Other Direct Costs.

• If the preceptor is a consultant or contractor, list those costs under Section F, Other Direct Costs. Include the number of preceptors in your budget narrative.

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

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

Step 3: Prepare Your Application 27 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=18

Attachments Place your PDF attachments in order in the Other Attachments form. All attachments count toward the page limit.

Attachment 1: Accreditation documentation Required.

You must provide documentation of your CODA accreditation, probationary accreditation, or other program approval. 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: Project organizational chart Required.

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

Include all aspects, not just the applicant organization.

Attachment 3: Letters of agreement, memoranda of understanding, and contracts If applicable.

Provide any 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. Make sure any letters of agreement are signed and dated.

Attachment 4: Staffing plan and job descriptions Required.

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.

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

Step 3: Prepare Your Application 28 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf%22%20/l%20%22page=22

Attachment 5: Maintenance of effort documentation Required.

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

Use the sample format below to provide the maintenance of effort documentation.

FY Before Application:

Actual Non-Federal Expenditures

First FY of Award:

Estimated Non-Federal Expenditures

Attachment 6: Funding priority documentation If applicable.

Provide documents that prove you qualify for your chosen funding priorities.

See Selection process for information about how these apply.

Attachment 7: Training chart Required.

Provide a training chart that details the number of primary trainees and other health care trainees you plan to train every year:

• The number of primary trainees in general dentistry, pediatric dentistry, and dental public health you propose to train each year.

• The number of primary trainees you expect to complete the program each year.

• The number of primary trainees who are underrepresented minorities you propose to train each year, if applicable.

• The number of primary trainees from rural or disadvantaged backgrounds you propose to train each year, if applicable.

• The number of veterans you propose to train each year, if applicable.

• The estimated number of primary trainees receiving public health training each year.

• The estimated number of primary trainees you will train each year to work collaboratively with other health professionals.

Step 3: Prepare Your Application 29

• The estimated number of other health professions trainees, by discipline, that will receive training alongside your primary trainees each year.

• The number and disciplines of other health professionals trained by your primary trainees each year to address oral health needs.

Attachment 8: Letters of support If applicable.

You may provide letters of support from organizations or departments involved in the proposed project. Please include letters describing in-kind contributions in this attachment.

Letters of support can also be from people within your institution who can speak for the organization or department, such as a CEO or chair.

The writers of these letters should indicate an understanding of and commitment to the project.

The writers should sign and date their letters of support.

Attachment 9: Progress report for competing continuation applications If applicable. Not scored during merit review.

If your application is to request continued funding for a project that is in the final budget period of a period of performance, you must include a progress report as an attachment. If you do not receive an award under this NOFO, you will still need to submit the report through the usual processes.

Your progress report should briefly present your accomplishments related to the program objectives during the current period of performance. Include:

• The period covered.

• Specific project objectives.

• The program activities conducted for each objective.

• Positive or negative results or technical problems.

• A table showing the number of primary trainees slots available and the number of trainee slots filled for the last four years of the program.

Here is a sample template.

Step 3: Prepare Your Application 30

Year Number of Primary Trainees Slots Available

Number of Primary Trainee Slots Filled

Year 1

Year 2

Year 3

Year 4

Attachment 10: Documentation of clinical longitudinal rotations If applicable.

• Provide a table showing the clinical training site names and the average number of trainees who will train at each site in each year of the program. Here is a sample template.

Rotation Site

Name

Rotation Site Address

(Street, town, state, extended zip code)

Average Number of Trainees Per Location Per Year

Year 1

Year 2

Year 3

Year 4

Year 5

Attachments 11 to 15: Other relevant documents If you have additional material to submit, such as explanations of mandatory disclosures.

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 31 https://www.grants.gov/forms

Only what you attach to these forms counts against the page limit. The forms themselves do not count

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 Location(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 Yes, with application.

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

This is your application for federal assistance. Follow the instructions in Section 3.1.1 of the R&R Application Guide.

Research and Related Other Project Information 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.

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

Step 3: Prepare Your Application 32 https://www.hrsa.gov/sites/default/files/hrsa/grants/research-related-application-guide.pdf#page=8

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…