HRSA-26-101 Final.pdf

Notice of Funding Opportunity

Application due 07/13/2026

HIV/AIDS Bureau

Supporting Interventions with Technical Assistance

HRSA-26-101

Table of Contents

Before You Begin

Step 1: Review the Opportunity

Basic information

Funding details

Eligibility

Program description

Award information

Step 2: Get Ready to Apply

Get registered

Find the application package

Application writing help

Step 3: Build Your Application

Application checklist

Application contents and format

Step 4: Understand Review, Selection, and Award

Application review

Selection process

Award notices

Step 5: Submit Your Application

Application submission and deadlines

Other submissions

Step 6: Learn What Happens After Award

Post-award requirements and administration

Reporting

Contacts and Support

Agency contacts

Help with systems

Before You Begin

Health Resources and Services Administration

HIV/AIDS Bureau

Division of Policy and Data

Supporting Interventions with Technical Assistance

HRSA-26-101

All activities proposed in your application and budget narrative must align with applicable law, including but not limited to statutes, executive orders, federal regulations and applicable judicial holdings. Accordingly, discretionary awards shall not be used to fund, promote, encourage, subsidize, or facilitate racial preferences or other forms of racial discrimination by the recipient, including activities where race or intentional proxies for race will be used as a selection criterion for employment or program participation; denial by the recipient of the sex binary in humans, or the belief that sex is a chosen or mutable characteristic; illegal immigration; or any other initiatives that compromise public safety. If an application does not align, the application will not receive funding to the extent permitted by law and applicable court orders.

Step 1: Review the Opportunity

Basic information

Summary

The Health Resources and Services Administration (HRSA) will fund one organization to provide and evaluate tailored technical assistance (TA) to Ryan White HIV/AIDS Program

(RWHAP) recipients. The purpose of this initiative is to support the uptake of interventions by providing tailored, needs-based TA to RWHAP recipients and providers by addressing barriers to intervention start-up. By providing tailored TA and small one-time funding to cover start-up costs, RWHAP recipients and providers will adopt and integrate new interventions in their settings to improve HIV health outcomes and reduce transmission of HIV. This funding opportunity is supported by the HRSA RWHAP Part F: Special Projects of National Significance

(SPNS) Program.

Have questions? Go to Contacts and Support.

Key facts

Opportunity name: Supporting Interventions with Technical Assistance

Opportunity number: HRSA-26-101

Announcement version: initial

Federal assistance listing: 93.928

Key dates

NOFO issue date: 6/11/2026

Application deadline: 07/13/2026

Expected award date is by: 09/01/2026

Expected start date: 09/01/2026

See other submissions for other time frames that may apply to this NOFO.

Funding details

Application Types: New

Expected total available funding in FY: 2026: $1,500,000

Expected number and type of awards: 1 CA (Cooperative Agreement)

Funding range per award: amount varies.

You can request up to $1,500,000 (year 1) and up to $2,000,000 each year (years 2-3).

We plan to fund awards in three (3) 12-month budget periods for a total 3- year period of performance from 09/01/2026 to 08/31/2029.

Eligibility

You can apply if you are eligible for funding under Ryan White HIV/AIDS Program Parts A – F of Title XXVI of the Public Health Service (PHS) Act. These entities include:

Types of eligible organizations

These types of *domestic organizations may apply:

State governments

County governments

City or township governments

Special district governments

Independent school districts

Public and State controlled institutions of higher education

Native American tribal governments (Federally recognized)

Native American tribal organizations (other than Federally recognized tribal governments)

Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education

Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education

Private institutions of higher education

Faith-based organizations

Individuals are not eligible applicants under this NOFO.

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.

Application limits

You may not submit more than one application. If you submit more than one application, we will only accept the last on-time submission.

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. Recipients agree that once committed, cost sharing amounts are enforceable and subject to reporting and auditing requirements under 2 CFR 200.

https://ryanwhite.hrsa.gov/about/parts-and-initiatives https://ryanwhite.hrsa.gov/about/parts-and-initiatives

Post-award requirements

Before you apply, make sure you understand the requirements that come with an award.

See Step 6: Learn What Happens After Award for information on regulations that apply, reporting, and more.

Program description

Purpose

The purpose of this initiative, “Supporting Interventions with Technical Assistance,” is to support the uptake of interventions by providing tailored, needs-based TA to RWHAP recipients and providers by addressing barriers to intervention start-up, such as not knowing how to adapt interventions to fit their organizational structure or client populations. By providing tailored TA and small one-time funding to cover start-up costs, RWHAP recipients and providers will be able to address these barriers and strengthen their ability to integrate and sustain innovative HIV care models.

The recipient will identify a minimum of 20 RWHAP recipient and provider sites divided into two (2) phases) to receive short-term, tailored TA to jump start efforts to adapt or replicate existing interventions. The recipient will work with the sites to understand their specific needs and organizational structure and use this information to develop tailored resources and deliver

TA to adapt or replicate selected emerging, evidence-informed, and evidence-based interventions and other HIV care innovations. In addition to providing tailored TA, the recipient will develop and implement a structured application and review process to award the one-time funding to support start-up costs. The recipient will also monitor the use of funds and provide ongoing guidance to ensure alignment with program goals.

The recipient will deliver TA to the sites at one of the three following levels of support, based on site needs and organizational capacity:

• Level 1 – Minimal Support

This level is designed to provide broad, low-intensity support, including access to existing implementation toolkits, guidance documents, peer learning opportunities from sites that have implemented the intervention, and startup cost planning. This level supports independent implementation, but support is available as challenges arise.

• Level 2 – Moderate Support

This level is designed to provide moderate, structured assistance for organizations requiring focused support in specific areas, including topic-specific coaching sessions, workflow reviews, monitoring guidance, data-to-action support, and startup cost planning. Support will align with identified gaps.

• Level 3 – Intensive Support

This level is designed to provide intense support to organizations experiencing or anticipating significant implementation challenges or capacity limitations, including comprehensive action planning, ongoing performance monitoring, workforce coaching, systems integration planning, examining the main factors contributing to implementation issues, and startup cost planning. Engagement is frequent and proactive.

As a major focus of this initiative, the recipient will work with the sites to identify resources to sustain the interventions beyond this short-term funding period as well as strategies to integrate the interventions into routine practice.

Additionally, the recipient will create an evaluation plan to evaluate the effectiveness of the tailored TA provided (including implementation processes and service outcomes) to assess the level of support required for RWHAP recipients to adapt or replicate the interventions. The evaluation will also include a comprehensive startup cost analysis that clearly identifies, categorizes, and documents all startup cost components. This will inform other RWHAP recipients and providers as well as planning councils as they plan and implement interventions with an emphasis on sustainability. The evaluation will document the delivery of tailored TA, assess barriers and facilitators to intervention implementation, and capture lessons learned across sites. Findings from the first phase should inform the design, intensity, and cost considerations of tailored TA for the second phase.

Finally, the recipient will develop and implement a communications and dissemination plan to ensure that the tools and resources from this initiative are shared with the RWHAP community and other providers through social media, federally supported websites (i.e., HRSA), and various federally approved regional and national outlets.

The objectives of this initiative are to:

• Provide technical assistance and tools to expand the reach of effective HIV care interventions to improve outcomes for RWHAP clients, especially for individuals who are undiagnosed or out of care.

• Evaluate the effectiveness of tailored TA in facilitating the uptake of interventions, including a cost analysis of this approach.

• Develop and disseminate user-friendly, multimedia technical assistance resources, toolkits, and other public-facing materials, when relevant and necessary, to facilitate intervention implementation.

Funding Opportunity Goals

• Reduce the new HIV infections in the U.S. by focusing on HIV care and treatment strategies so that people with HIV reach viral suppression and therefore do not sexually transmit HIV.

• Reach people with HIV who are out of care by leveraging partnerships, focusing interventions, and engaging communities.

Background

The Ryan White HI/AIDS Program

The Ryan White HIV/AIDS Program (RWHAP) has five statutorily defined Parts that provide grants to states, cities, counties, local clinics, and community-based organizations. The grants fund medical care, medication, and essential support services, to meet the needs of people with

HIV and family members affected by HIV. Together these grants provide a comprehensive system of care to ensure low-income people with HIV have access to services for early diagnosis of HIV, linkage to care, medically appropriate treatment, retention in care, and sustained viral suppression (a very low or undetectable amount of HIV in the blood).

For nearly four decades, the RWHAP has funded services to provide HIV primary health care, medication, and essential support services, including mental health care, transportation, case management, nutrition, and housing. These services support clients to enter and remain in care, access medications, and reach viral suppression, reducing transmission and lowering health care costs.

Ending the HIV Epidemic

Launched in 2020, the Ending the HIV Epidemic in the U.S. (EHE) initiative further expands federal efforts to reduce HIV transmission. For the RWHAP, the EHE initiative expands the program’s ability to meet the needs of clients, specifically focusing on linking people with HIV who are either newly diagnosed, diagnosed but currently not in care, or are diagnosed and in care but not yet virally suppressed, to the essential HIV care, treatment, and support services needed to help them reach viral suppression.

Making America Healthy Again

The Ryan White HIV/AIDS Program helps advance the Making America Healthy Again

(MAHA) priorities by:

• Expanding access to primary care for people with HIV, particularly those with low incomes, and by strengthening the health workforce.

• Fighting the chronic disease epidemic by providing HIV medical care, treatment, and support services to people with HIV.

• Supporting improved nutrition by providing patient-centered focused medical nutrition therapy and food services.

• Supporting disease prevention through HIV care and treatment services that help people reach viral suppression so they live longer, healthier lives and do not transmit

HIV.

Key accomplishments

• Nearly 602,000 people with HIV in the U.S. received life-saving care, medication, and essential support services in 2024, through the RWHAP, representing over half of all diagnosed with HIV in the U.S. This is an increase of nearly 26,000 clients since 2023.

• More than 91 percent% of Ryan White HIV/AIDS Program patients receiving HIV medical care were virally suppressed in 2024. This is up from 69.5% of patients virally suppressed in 2010 and significantly higher than the 67.2% virally suppressed nationally among all people with diagnosed HIV.

• More than 47 percent% of Ryan White HIV/AIDS Program clients are aged 50 years and older, demonstrating the program’s success in supporting older clients and its commitment to addressing the unique needs of people aging with HIV.

Program requirements and expectations

To achieve the objectives stated in the purpose section, you are encouraged to propose new or improved approaches through key partnerships and collaborations to address the following:

https://www.hhs.gov/maha/index.html https://www.hhs.gov/maha/index.html

As the funded recipient, you will be responsible for implementing the activities outlined below, organized into three areas: Site Support to Adapt or Replicate Interventions (tailored TA), Evaluation, and Communication and Dissemination.

1. Site Support to Adapt or Replicate Interventions (tailored TA)

You will provide tailored TA to a minimum of 20 sites to receive short-term, tailored TA to adapt or replicate emerging, evidence-informed, and evidence-based interventions using existing materials and provide small one-time funds to support start-up as needed.

Specifically, you will:

• Develop and implement a continuous TA application process to identify and select

RWHAP recipients interested in receiving support, allowing application to be submitted and reviewed on an ongoing basis throughout the project.

• Develop, release, and strategically promote a funding opportunity for sites.

• Develop and implement a generalized TA plan to guide sites. Depending on site needs, the TA plan may include but not be limited to:

o Level 1 – Minimal Support

This level is designed to provide broad, low-intensity support, including access to existing implementation toolkits, guidance documents, peer learning opportunities from sites that have implemented the intervention, and startup cost planning. This level supports independent implementation, but support is available as challenges arise.

o Level 2 – Moderate Support

This level is designed to provide moderate, structured assistance for organizations requiring focused support in specific areas, including topic-specific coaching sessions, workflow reviews, monitoring guidance, data-to-action support, and startup cost planning. Support will align with identified gaps.

o Level 3 – Intensive Support

This level is designed to provide intense support to organizations experiencing or anticipating significant implementation challenges or capacity limitations, including comprehensive action planning, ongoing performance monitoring, workforce coaching, systems integration planning, examining the main factors contributing to implementation issues, and startup cost planning. Engagement is frequent and proactive.

• Provide fiscal oversight and management of subawards to a minimum of 20 sites during the performance period. You will also monitor site compliance with federal regulations.

• Collaborate with each site to select an intervention that meets their specific needs.

• Provide tailored TA and resources to address site-specific needs, barriers, and contexts, offering practical guidance and best practices to replicate or adapt the intervention.

• Collaborate with HAB and HAB-designated partners to develop a workplan to support development of a TA plan to guide implementation sites.

• Assist sites with developing sustainability plans by helping sites identify funding sources (e.g., RWHAP funds, program income, or other sources) after the funding period ends. You will also work with the sites to identify risks to sustainability and mitigation strategies to address the risks if they occur.

• Monitor site progress through check-ins, which should also serve as an opportunity to systematically collect and document detailed information on strategies used to adapt or replicate interventions, implementation barriers and facilitators, and startup costs.

• Complete handoff (ending TA) in alignment with program timelines, terminating site-level TA.

2. Evaluation

You will design and conduct an evaluation to assess the level and type of support required for

RWHAP recipients to adapt or replicate interventions. Outcomes should include implementation processes and service outcomes (i.e., no client-level clinical outcomes). The evaluation should also include a cost analysis examining startup costs to implement interventions, especially with tailored TA.

Specifically, you will:

• Develop and implement a mixed-methods evaluation (qualitative and quantitative) to assess the effectiveness of tailored TA at each site.

• Systematically track and measure TA delivery, barriers, facilitators, associated costs, and the impact of TA on intervention uptake and integration.

• Provide training and ongoing support to implementation sites to ensure high-quality data collection and monitoring during the provision of TA.

• Produce two evaluation reports (one interim report at the end of phase 1 and one final report at the end of the initiative).

• Present findings to HRSA HAB twice a year.

3. Communication and Dissemination

• You will develop and implement a communications and dissemination plan to share implementation tools and products, findings, and lessons learned that will be released after each phase and at key project milestones, ensuring materials released have utility and relevance beyond the scope of this project.

Specifically, you will:

• Develop a dissemination work plan and timeline. The timeline will include developing and disseminating materials throughout the period of performance and not just at the end of the project. The goal is to promote real-time learning and dissemination. The timeline should incorporate the time needed for federal and subject matter expert review. This should include an outline of methods and processes that will be used to create, review, promote, and distribute materials and strategies that advance replication/adaptation of successful interventions from this project.

• Develop and disseminate user-friendly, multimedia technical assistance resources, toolkits, and other public-facing materials for adapted interventions.

• Collaborate with HRSA HAB and HAB-designated partners to develop and maintain a web-based TA page through the HIV Resource Hub. This webpage will serve as the request portal for the tailored TA, facilitate recipient engagement with the project, and offer access to relevant materials. In addition to the TA webpage, you will create a secure, password-protected shared location (e.g., SharePoint) to host the project’s working files for use by implementation sites during the project.

• Present and exhibit at one National Ryan White Conference on HIV Care and

Treatment (NRWC).

Statutory authority

42 U.S.C. § 300ff-101 (section 2691 of the Public Health Service (PHS) Act)

Award information

Cooperative agreement terms

Our responsibilities Aside from monitoring and technical assistance, we also get involved in these ways:

• Assisting with the coordination of efforts to plan, develop, and implement the various phases of the project.

• Collaborating, reviewing, and providing feedback on the activities, documentation, procedures, measures, and tools established and implemented for accomplishing the goals of the cooperative agreement throughout the duration of the project.

• Participating in the planning and development of project activities, including in-person or virtual meetings, during the period of performance.

• Facilitating the availability and expertise of other appropriate offices within HRSA, as well as other relevant federal agencies in the planning, development, and implementation of the project.

• Participate in the dissemination of project activities, products, findings, best practices, evaluation data, and other information developed as part of this project for the broader health care community. This includes dissemination of results (e.g., formal or informal presentations to internal and external partners, presentations at national or regional conferences).

Your responsibilities You must follow all relevant laws and policies. Your other responsibilities will include:

• Providing ongoing, timely communication and collaboration with the HRSA project officer, to include reviewing your activities, work plans, procedures, budget items, contracts, interagency agreements information, and products.

• Providing the HRSA project officer with adequate time to review, provide input, and clear project products, as needed. This includes information and materials to support the activities conducted through the cooperative agreement, including the review of drafts and final products prior to submission for publication or public circulation.

• Obtaining appropriate public-use intellectual property rights in all existing training and other materials, which reserves for the government a royalty-free, non-exclusive, and irrevocable right to reproduce, publish, or otherwise use the work for Federal purposes, and to authorize others to do so.

• Independently developing and administering the subaward application/selection process.

The recipient will have the discretion on awarding, administering, and evaluating the https://uscode.house.gov/view.xhtml?req=(title:42%20section:300ff-101%20edition:prelim)%20OR%20(granuleid:USC-prelim-title42-section300ff-101)&f=treesort&edition=prelim&num=0&jumpTo=true subawards. HRSA will not direct or require that the recipient use specific forms or collect specific information under this cooperative agreement.

• Providing monitoring and oversight of subrecipients in accordance with 2 CFR 200.

• Providing HRSA with a complete, updated, and accessible copy of all federally supported materials, including online content, prepared under this cooperative agreement in an electronic zip file format on an annual basis for the duration of the period of performance.

• Assisting HRSA with information dissemination to HAB stakeholders, upon request.

• Responding timely to requests made by HRSA for information related to project activities.

Funding policies and limitations

Changes in HHS regulations As of October 1, 2025, HHS has adopted 2 CFR Part 200, with some modifications included in 2

CFR Part 300. These regulations replace those in 45 CFR Part 75.

Policies

• To make an award, funding must be available and allocated for this program and purpose, at which point we will move forward with the review and award process.

• Have clear policies and good financial practices to avoid spending HRSA funds on unallowable activities. Like other award rules, we may audit your policies, procedures, and controls.

• Support beyond the first budget year will depend on:

o Appropriation of funds.

o Your satisfactory progress in meeting the project’s objectives.

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

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

o Fund more applicants from the rank order list.

o Extend the period of performance.

o Award supplemental funding.

General limitations

• For guidance on some types of costs we do not allow or restrict, see o 2 CFR Part 200 Subpart E - General Provisions for Selected Items of Cost.

o Allowable and Unallowable Costs and Activities in the HHS Grants Policy

Statement.

o All costs must be reasonable, necessary, allocable to the award, and adequately documented (2 CFR 200.403).

o You cannot earn profit from the federal award. See 2 CFR § 200.400(g).

Current appropriations law includes a salary limit of $228,000 as of January 2026 that applies to this program. You may pay salaries at a higher rate if the rate beyond the salary rate limit

(Executive Level II) is paid with non-HHS funds. For help calculating salaries under this limit, read more at “salary rate limitation” in the Application Guide.

https://www.ecfr.gov/current/title-2/part-200 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRea20080eff2ea53/section-200.404 https://www.ecfr.gov/current/title-2/section-200.405 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRea20080eff2ea53/section-200.403 https://www.ecfr.gov/current/title-2/part-200#p-200.400(g)

Program-specific statutory or regulatory limitations

You cannot use funds under this notice for the following:

• Charges that are billable to third party payers (e.g., private health insurance, prepaid health plans, Medicaid, Medicare);

• To directly provide medical or support services (e.g., HIV care, counseling and testing) that supplant existing services;

• Cash payments to intended recipients of RWHAP services;

• Purchase, construction, or major alterations or renovations on any building or other facility (see 2 CFR 200 – subpart A Definitions). Purchase or improvement to land;

• Fundraising expenses or lobbying activities and expenses;

• Development of materials designed to directly promote or encourage intravenous drug use or sexual activity, whether homosexual or heterosexual.

• PrEP or nPEP medications or the related medical services. As outlined in the updated

November 16, 2021 RWHAP and PrEP program letter [PDF].

• International travel.

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.

To incur indirect costs, you can select one of two methods:

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency at the time of award.

Method 2 – De minimis rate. Per 2 CFR § 200.414(f), if you do not have a current negotiated indirect cost rate, you may elect to charge a de minimis rate. If you choose this method, costs included in the indirect cost pool must not be charged as direct costs.

This rate is up to 15% of modified total direct costs (MTDC). See 2 CFR § 200.1 for the definition of MTDC. You can use this rate indefinitely for all your federal awards or until you choose to receive a negotiated rate.

Consider your indirect costs when developing your budget.

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 2 CFR 200.307.

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

o Fund more applicants from the rank order list.

o Extend the period of performance.

o Award supplemental funding.

https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200 https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/hiv-care/prep-dcl-november-2021-508.pdf https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-2/section-200.414 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-2/section-200.307

Step 2: Get Ready to Apply

Get registered

SAM.gov

You must have an active account with SAM.gov to apply. 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 for the information you will need to register.

• You must agree to the financial assistance general certifications and representations specifically. Those for contracts are different.

When you register, you will also receive your required Unique Entity Identifier (UEI).

Once you register:

• You will have to maintain your registration throughout the life of any award.

• If your organization has multiple UEIs, use the one associated with your physical location.

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 and How to Apply for Grants.

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-26-101.

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.

See Apply for a Grant for other help and resources.

FAQs will be posted on our TA webpage after the webinar.

Join the webinar

For more information about this opportunity, join the webinar. More information on the HRSA-

26-101 webinar will be posted at a later date to the documents tab in Grants.gov.

We recommend that you “Subscribe” to the NOFO on Grants.gov to receive updates when we post documents.

We will record the webinar.

Have questions? Go to Contacts and Support.

https://sam.gov/content/entity-registration https://www.hhs.gov/sites/default/files/financial-assistance-general-certification-representations.pdf https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/applicants/grant-applications/how-to-apply-for-grants https://www.grants.gov/search-grants 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 https://www.hrsa.gov/grants/apply-for-a-grant

Step 3: Build Your Application

Application checklist

There are two types of forms in Grants.gov.

• Some forms allow you to upload components of your application to the form. These include components like your project narrative, budget and budget narrative, and attachments, as applicable.

• Other forms are more typical, fill-in-the-blank forms.

Make sure that you have everything you need to apply.

Narratives

Component Grants.gov form Included in page limit*?

◻ Project narrative

Use the Project Narrative Attachment form.

Project Narrative Attachment form.

Yes

◻ Budget narrative

Use the Budget Narrative Attachment form.

Budget Narrative Attachment form.

Yes

Attachments

Insert each in the Attachments Form in this order.

Component Included in page limit*?

◻ 1. Work plan Yes

◻ 2. Staffing plan and job descriptions Yes

◻ 3. Biographical sketches No

◻ 4. Agreements with other entities Yes

◻ 5. Project organizational chart Yes

◻ 6. Other relevant document Yes

◻ 7. Other relevant document Yes

◻ 8. Other relevant document Yes

◻ 9. Other relevant document Yes

◻ 10. Other relevant document Yes

◻ 11. Other relevant document Yes

◻ 12. Other relevant document Yes

◻ 13. Other relevant document Yes

◻ 14. Other relevant document Yes

◻ 15. Other relevant document Yes

Other required forms

Upload using each required form in Grants.gov.

Forms Submission requirement

Application for Federal Assistance (SF-424) With application.

Project Abstract Summary Form With application.

Grants.gov Lobbying Form With application.

Disclosure of Lobbying Activities (SF-LLL), optional With application.

Project/Performance Site Location(s) With application.

Budget Information for Non-Construction Programs (SF 424A) With application.

Key Contacts With application.

*Only what you attach in these forms counts toward the page limit. The forms themselves do not count.

Application contents and format

This section includes guidance on each component found in the application checklist.

Application page limit: 60 pages

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

Required format

Required format for project summary, project narrative, budget narrative, and attachments.

Font: A readable font like Arial, Courier, CG Times, or Times New Roman

File format: We only accept the following document formats:

• .PDF - Adobe Portable Document Format

• .DOC/.DOCX - Microsoft Word

• .RTF - Rich Text Format o .TXT - Text

• .WPD - Word Perfect Document

• .XLS/.XLSX - Microsoft Excel

• .VSD - Microsoft Visio

Size: 12-point font

Footnotes, charts, graphics, and budget tables may be 10-point or higher.

Ink color: Black

Spacing: Single-spaced, including all text and tables

Alignment: Left

Headings: Bold all headings and align left.

Size: 8.5 x 11 (Make sure the print area is set and allows printing to 8.5 x 11.)

Margins: 1-inch on all sides

Footer: On each page as the footer, include your organization’s name and page numbers. If a competing continuation or competing supplement, also include your 10-digit award number.

Page numbering:

• Do not number the standard OMB-approved forms.

• Number each attachment page sequentially (that is, 1, 2, 3).

• Reset the numbering for each attachment.

• Treat each attachment as a separate section.

File names: You can find guidance for naming your files in the Application Guide.

Project narrative

Introduction See merit review criterion 1: Need

• Briefly describe the purpose of your project and explain how it aligns with the goals and objectives in the NOFO.

• Provide a clear and succinct description of your ability to successfully meet and carry out program requirements and expectations.

• Describe your experience with the RWHAP.

• Describe the barriers, gaps, and challenges that recipients and potential implementation sites face in adapting, implementing, and sustaining interventions.

• Discuss how this project will address the identified needs and contribute to improving outcomes under the interventions (i.e., why tailored TA and one-time funding is needed).

• Describe how your project will support long-term solutions to HIV, including but not limited to strategies to optimize the delivery, uptake and adoption of novel long-acting therapeutic options, interventions to achieve viral suppression, and practices that integrate and sustain evidence-based HIV prevention and care in a variety of settings.

• Briefly summarize the following areas of your proposal:

o TA services and associated products that you will provide to the sites.

o Your plan to evaluate the effectiveness of the TA provided, including a cost analysis plan.

o Your plan for dissemination and communication activities.

• When appropriate, cite literature and publications.

Need See merit review criterion 1: Need

• Describe the need to conduct a project to provide technical assistance to support recipients to adapt or replicate interventions to improve HIV health outcomes.

• Describe challenges associated with providing TA for intervention implementation start-up across different types of settings.

https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=26

Approach

See merit review criteria 2: Response and 4: Impact

Site support

• Describe how you will develop and implement an application process for the three tiers of TA that will be conducted on a continuous, rolling basis, outlining eligibility criteria, application requirements, review and selection procedures, and how the one-time funds will be integrated and awarded.

• Describe how you will develop and implement a process to identify, select, and award subrecipients.

• Describe how you will assess sites’ organizational capacity, level of TA needed, and address gaps in capacity through TA.

• Explain your plan to assess the TA and training needs of sites, triage the level of TA needed, and deliver TA and trainings that are tailored to the selected intervention and site.

• Describe how you will work with each site to select an appropriate intervention. At a minimum, your description should address:

o Sources for interventions. Explain how you will prioritize interventions drawn from HRSA HAB-supported resources, including the RWHAP or SPNS-funded interventions, and under what circumstances, if any, sites may propose other evidence-informed or emerging interventions.

o Selection criteria and decision process. Describe the criteria and structured process you will use with sites to select interventions, such as alignment with the site’s needs, fit with existing service models and workflows, feasibility within available resources, and consistency with the site’s strategic priorities.

o Staffing and infrastructure readiness. Explain how you will assess each site’s staffing mix, leadership support, data capacity, and other infrastructure to determine readiness to adapt or replicate the selected intervention, and how you will use this assessment to guide TA content, sequencing, and intensity.

o Documentation of decisions. Describe how you will document intervention selection decisions, including rationale, readiness assessments, and any adaptations planned at the site, to inform ongoing TA and the evaluation.

Describe your process for identifying risks early and how you will implement corrective actions.

▪ Tell us how you will conduct all fiscal, administrative, and programmatic monitoring to ensure sites remain on track with implementation activities and compliant with federal regulations and program expectations.

▪ Describe how you will use findings and lessons learned from phase 1 to inform the design and delivery of TA for phase 2, and how you will review and respond to ongoing evaluation results to refine, adapt, or modify TA. Describe how you will assist sites with developing sustainability plans, including budget projections for continued program integration and ongoing activities after the funding period ends.

Communications and dissemination

• Describe your plan to create and disseminate user-friendly, accessible, and engaging multimedia technical assistance resources, toolkits, and other public-facing materials.

• Describe how your plan will ensure that materials reflect consideration of diverse audiences (e.g., clinicians, administrators, community partners) and varied learning preferences.

• Tell us what you will do to disseminate products and implementation materials according to your plan, making sure materials and reports are disseminated in real-time, throughout the project lifecycle.

• Describe how you will collaborate with HRSA to develop and maintain project-specific webpages.

• Describe your understanding of HRSA communication requirements and processes.

• Explain steps you will take to create user-friendly tools, multimedia dissemination materials that have utility and relevance beyond this project.

• Describe how the proposed strategies will support broader national dissemination and uptake of successful practices beyond the implementation sites, including how products and lessons learned will be shared with relevant audiences and the likely impact on people with HIV and the organizations that serve them.

• Describe how you will exhibit and plan and coordinate a presentation, possibly with the implementation sites, in collaboration with HRSA HAB, at the biennial National Ryan

White HIV/AIDS Conference (NRWC).

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

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

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

The timeline should include the provision of tailored TA, evaluation, and dissemination.

• Describe how key stakeholders, including subrecipients and people with HIV, will help plan, design, and carry out these activities.

You will also include a more detailed work plan in attachment 1.

Please note that goals for the work plan are to be written for the entire proposed three-year period of performance, but objectives and action steps are required only for the goals set for year one. At a minimum, first-year objectives should describe key action steps or activities that you will undertake.

Resolving challenges See merit review criterion 2: Response

• Describe potential implementation challenges or risks (e.g. staffing, data collection, coordination with subrecipients, site readiness) could affect project success and how you propose to mitigate them.

• Describe how you will monitor progress, including that of subrecipients, to identify implementation issues early and how will TA be adjusted to resolve issues.

Performance management

See merit review criterion 3: Performance reporting and evaluation Evaluation

• Describe the methodology that you will use to guide your evaluation.

• Describe the framework you will use to assess implementation processes outcomes, services outcomes, and cost analysis. Provide the rationale for the selection and the methodology and analysis plan.

• Discuss your anticipated evaluation questions, data collection methods, and analysis plan to evaluate the effectiveness of tailored TA in the adaptation or replication of interventions, inclusive of as well as barriers, facilitators, and costs (inclusive of labor, training, structural, and other relevant costs associated with intervention startup with tailored TA).

• Describe any other data measures you propose that are relevant to the evaluation of tailored TA. Specify their sources and cite references in the literature to support their validation.

• Describe your plan to analyze all outcome data while ensuring the security, confidentiality, and integrity of data, including processes to protect against cybersecurity threats, breaches, or loss of data.

• Describe your plan to collect and manage data accurately, completely, and on time, consistent with program expectations.

• Describe how you will rapidly assess, document, and share implementation strategies, barriers and facilitators to implementation, and intervention adaptations from implementation of the first phase to facilitate implementation among the second phase.

• Describe how you will rapidly assess, document, and share these items from the second phase and integrate them into public-facing dissemination resources.

See the reporting section for more information.

Sustainability See merit review criterion 4: Impact

Propose a plan to support the sites in developing a sustainability plan, which should include identifying allowable RWHAP funds, future program income, and other sources to sustain the intervention beyond the TA.

• Discuss how you will support sites in identifying which elements are most critical to continue improving practices and outcomes.

• Discuss how you will assist sites in identifying and leveraging allowable RWHAP funds, program income, and other sources to sustain the intervention.

• Address challenges that you may encounter when assisting sites to develop a sustainability plan. Include how you will resolve these challenges.

Organizational information See merit review criterion 5: Resources and capabilities

Briefly describe your mission, structure, and the scope of your current activities. Explain how they will help you carry out the program requirements. You’ll include a project organizational chart in your attachments.

• Discuss how you’ll follow the approved project workplan, keep track of all federal funds, and record all costs to avoid issues during the project audit.

• Describe your organizational profile, budget, partners, key processes, and your key staff’s experience, skills, and knowledge.

o Include a staffing plan for proposed project staff and brief job descriptions to include the roles and responsibilities, and qualifications, including who will manage/oversee the various project activities, and include it as Attachment 2. See also Section 4.1. of HRSA’s SF-424 Application Guide for additional information. Include short biographical sketches of key project staff as

Attachment 3. See also Section 4.1. of HRSA’s SF-424 Application Guide for information on the content for the sketches.

• Describe your organization’s experience with RWHAP and how people with HIV are meaningfully involved in informing your programs or services.

• Describe your organization’s capacity, expertise, and past work with similar projects, to include work in the following areas:

o Providing HIV-related TA on to HIV care and treatment organizations.

o Selecting, funding, and monitoring subrecipient awards.

o Evaluating implementation and process outcomes and costs.

o Developing and disseminating implementation products.

o Collaborating with partners, including people with HIV.

o Managing a federal award.

• Describe any other resources and infrastructure (e.g., trainings, data collection and reporting systems, protocols, tools) you will use in your approach to adapt implementation materials, deliver TA, and evaluate the tailored TA and costs.

• Explain how you will manage communication with any partners and subrecipients.

Budget and budget narrative

See merit review criterion 6: Support requested

Your budget should follow the instructions in budget narrative: detailed instructions section of the Application Guide and the instructions listed in this section. Your budget should show a well-organized plan.

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 award activity or project. This includes costs charged to the award and non-federal funds used to https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1(Supply) satisfy a matching or cost-sharing requirement (which may include maintenance of effort, if applicable).

The budget narrative supports the information you provide in Standard Form 424-A. It includes an itemized breakdown and a clear justification of the costs you request. The merit review committee reviews both.

As you develop your budget, consider:

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

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

• Including travel to the biennial National Ryan White Conference on HIV Care and

Treatment, to be held in the Washington, DC metropolitan area.

▪ For the NRWC, each site is responsible for its own travel costs, ground transportation, per diem, and hotel accommodations.

• Including travel to the Washington, DC metropolitan area for the biennial Division of

Policy and Data Administrative Reverse Site Visit.

To create your budget narrative, see budget narrative detailed instructions in the Application

Guide.

Attachments

Place your attachments in this order in the Attachments Form. See application checklist to determine if they count toward the page limit.

Unless the instructions below require it, do not submit organizational brochures or other promotional materials (for example, slides, films, clips).

Attachment 1: Work Plan Attach the project’s work plan. Make sure it includes everything required in the project narrative section.

Attachment 2: Staffing plan and job descriptions See Section 3.1.7 of the 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 their education and experience.

Explain your reasons for the proportion of time you request for each staff position.

For each key staff member, attach a one-page job description. It must include their role, responsibilities, and qualifications.

Attachment 3: Biographical sketches Include biographical sketches for people who will hold the key positions you describe in

Attachment 2.

Each biographical sketch should be no more than two pages. Do not include non-public, personally identifiable information. If you include someone you have not hired yet, provide a letter of commitment from that person along with the biographical sketch.

https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=21 https://grants.gov/learn-grants/grant-terminology#p

Attachment 4: Agreements with other entities Provide any documents that describe working relationships between your organization and others you mention in your project narrative. If you include documents that confirm actual or pending contracts or agreements, the documents should clearly describe the roles of subrecipients and contractors and any deliverables. It is not necessary to include the entire contents of lengthy agreements, so long as the portions you include describe the working relationship between you and the other organization. Make sure letters of agreement are signed and dated.

Attachment 5: Project organizational chart Provide a one-page diagram that shows the full project’s organizational structure.

Attachment 6-15:…