HRSA-26-108 FINAL.pdf

Notice of Funding Opportunity

Application due 07/13/2026

HIV/AIDS Bureau

National HIV Clinical Training for Residents Program

HRSA-26-108

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

Office of Program Support

National HIV Clinical Training for Residents Program

HRSA-26-108

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

Tagline: Expanding the HIV clinical workforce by training the next generation of providers to prevent, diagnose, and treat HIV.

Summary

The purpose of the National HIV Clinical Training for Residents Program is to expand the HIV workforce by training residents from clinical disciplines to prevent, diagnose, treat, and link individuals with HIV to care. The funds will go to one recipient who will partner with up to eight (8) geographically dispersed residency programs to provide education, training, and technical assistance to residents to enhance their capacity to provide HIV care and treatment within the health care delivery system.

Have questions? Go to Contacts and Support.

Key facts

Opportunity name:

National HIV Clinical Training for Residents Program

Opportunity number:

HRSA-26-108

Announcement version:

initial

Federal assistance listing:

93.145

Key dates

NOFO issue date:

06/11/2026

Informational webinar:

See Join the Webinar

Application deadline:

07/13/2026

Expected award date is by:

09/30/2026

Expected start date:

09/30/2026

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: $3,500,000

Expected number and type of awards:

1 CA (Cooperative Agreement)

Funding range per award:

$0 - $3,500,000

The program and awards depend on the approval of funds from the U.S. Department of Health and Human Services’ Minority HIV/AIDS Fund (MHAF) and are subject to change based on the availability and amount of the award.

We plan to fund awards in four 12-month budget periods for a total 4- year period of performance from 09/30/2026 to 09/29/2030.

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.

Types of eligible organizations

These types of domestic organizations may apply:

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

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

Faith-based organizations

Private institutions of higher education

Additional information on eligibility

Individuals are not eligible applicants under this NOFO.

Other eligibility criteria Organizations are allowed to apply for this opportunity in partnership with other organizations

(s) that meet the eligibility criteria stated above.

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.

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

According to the HRSA 2024 State of the U.S. Health Workforce Report, there is a projected shortage of 187,130 full-time equivalent (FTE) physicians in 2037 across all physician specialties. Non-metropolitan areas will experience greater shortages of physicians than metro areas.

Now that HIV treatment strategies are more simplified and accessible, increasing the expertise and confidence of primary care providers who can deliver HIV diagnosis, care, and treatment is an important strategy to increase the number of health professionals who can provide medical care to people with HIV.

The National HIV Clinical Training for Residents Program will expand the HIV workforce by training residents from various medical disciplines to diagnose, treat, and link people with HIV to care. The awarded recipient will fund and collaborate with at least eight (8) geographically dispersed residency programs located in EHE jurisdictions or areas with high incidence of HIV diagnosis1 to provide education, training, and technical assistance to enhance the capacity of health care delivery systems to reduce the number of HIV infections in the United States.

Residency settings can include the following:

• Internal medicine,

• Family medicine,

• Emergency medicine,

• Obstetrics-gynecology,

• Pediatrics,

• Psychiatry,

• Preventive medicine,

• Hospital medicine,

• Nurse practitioner and physician associate programs, and

• Other specialties that serve communities disproportionately affected by HIV.

The objectives of this program are to:

• Increase the number of providers in clinical settings who have the expertise to deliver patient-centered care for individuals with HIV.

• Provide didactic, experiential, and blended training to residents to develop expertise in

HIV care and treatment, equipping them with the knowledge and experience to train other health care providers.

1 Ending the HIV Epidemic in the U.S. initiative focuses federal resources in the geographic areas where HIV transmission occurs most frequently; see HRSA: Ending the HIV Epidemic in the U.S., https://www.hrsa.gov/ending-hiv-epidemic (accessed March 4, 2026).

https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/state-of-the-health-workforce-report-2024.pdf https://www.hrsa.gov/ending-hiv-epidemic

• Establish and maintain an online collaborative learning community of HIV providers for residents and faculty.

• Develop training(s) to incorporate the necessary knowledge, skills, and competencies to manage HIV as a chronic disease and prevent its spread in the U.S., directly supporting and promoting the HHS strategic priorities.

• Increase the clinical competency of residents to practice in EHE jurisdictions or communities with high incidence of HIV diagnosis.

• Use the National HIV Curriculum (NHC) as part of the training modality for the eight (8) geographically dispersed residency programs.

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 HIV/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:

https://www.hiv.uw.edu/ https://www.hhs.gov/maha/index.html https://www.hhs.gov/maha/index.html

• 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% 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% 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 innovative strategies through key partnerships and collaborations to address the following:

Residency Program Partnerships and Recruitment

The recipient should:

• Develop recruitment processes and selection criteria of residency programs in various residency programs from various medical disciplines.

• Establish and maintain partnerships with at least eight (8) geographically dispersed residency programs located in or near EHE jurisdictions to provide education, training, and technical assistance to enhance the capacity of health care delivery systems.

Training Curriculum

The recipient should:

• Use the National HIV Curriculum (NHC) as part of the training modality for the eight (8) geographically dispersed residency programs.

Workforce Expansion

The recipient should:

• Implement structured mentorship and career development pathways to encourage residents to pursue HIV-centered practice.

• Increase the clinical competency of residents to practice in EHE jurisdictions or in communities with a high incidence of HIV diagnosis.

• Develop strategies to increase the number of residency graduates who practice in HIV primary care or related specialties in EHE jurisdictions or in communities with a high incidence of HIV diagnosis

Technical Assistance and Capacity Building

The recipient should:

• Provide education, training, and technical assistance to residency programs to establish referral pathways or provide HIV care.

• Develop and sustain an online learning collaborative to train and mentor residents interested in providing HIV care and treatment.

Performance and Evaluation

The recipient should develop and implement an evaluation plan that will include but not be limited to the following:

• Document the number of residency programs participating in the initiative.

• Track and report the total number of residents enrolled across participating programs.

• Track enrollment by resident discipline to assess program reach and representation.

• Report the number of didactic, experiential, and blended training sessions delivered to residents.

• Measure and report participant training completion rates.

• Assess and document improvements in resident clinical competency in HIV prevention and treatment.

• Track the number of program graduates practicing in the EHE jurisdictions.

Statutory authority

Consolidated Appropriations Act, 2026, Pub. L. 119-75, Division B, title II.

Award information

Cooperative agreement terms

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

• Collaborate with federally funded and academic training programs throughout the program.

• Provide information resources, including technical assistance resource centers and other entities of relevance to the program.

• Review activities, procedures, measures, and tools to be implemented for accomplishing the overall goals and objectives of this program on an on-going basis.

• Participate in the design and implementation of evaluation tools, evaluation plans, and curriculum.

• Review and disseminate program activities, products, findings, best practices, evaluation data, and other information developed as part of this program to AIDS Education and

Training Center (AETC) recipients, federal partners, stakeholders, and the broader health care community.

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

• Collaborate with assigned HRSA project officers and other HRSA staff as necessary to plan, execute, and evaluate program activities.

• Participate in site visits as requested by HAB during the period of performance.

• Provide data through OMB approved AETC evaluation collection tools.

• Provide a briefing to HRSA staff and leadership on the data, findings, accomplishments, and recommendations on the feasibility and sustainability of the program.

• Follow HRSA clearance and approval requirements for all dissemination materials (i.e., manuscripts/papers, concept proposals, conference abstracts, conference presentations, technical assistance resources, toolkits, and other public-facing materials).

• Participate in the biennial National Ryan White HIV/AIDS Conference on Care and

Treatment during program's period of performance.

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 Project Budget Information in the Application Guide.

o 2 CFR Part 200 Subpart E - General Provisions for Selected Items of Cost.

https://www.ecfr.gov/current/title-2/part-200 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 o Allowable and Unallowable Costs and Activities in the HHS Grants Policy

Statement.

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

• 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.

Program-specific statutory or regulatory limitations

You cannot use funds under this notice for the following:

• Funding restrictions included in PCN 16-02.

• Services that must be paid for by other sources, when available, consistent with the

RWHAP payor of last resort requirement in PCN 21-02.

• Payments for clinical research.

• Payment for inpatient hospitals, nursing homes, and other long-term care facilities.

• Cash payments to intended clients of RWHAP services.

• Purchase of, or improvement to land.

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

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

November 16, 2021 RWHAP and PrEP program letter.

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

• Research.

• Foreign 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.

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) https://hab.hrsa.gov/sites/default/files/hab/Global/service_category_pcn_16-02_final.pdf https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/grants/pcn-21-02-determining-eligibility-polr.pdf 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))

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.

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.

If you need additional information about user roles in SAM.gov, see “Get registered: SAM.gov user roles” in the Application Guide.

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-26-108.

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

https://www.ecfr.gov/current/title-2/section-200.307 https://sam.gov/content/entity-registration https://www.hhs.gov/sites/default/files/financial-assistance-general-certification-representations.pdf https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=4 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

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

Webinar information will be posted to the Related Documents tab on Grants.gov. We recommend you “Subscribe” to the NOFO on Grants.gov to receive updates when documents are posted.

Have questions? Go to Contacts and Support.

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 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

◻ 4. Agreements with other entities Yes

◻ 5. Project organizational chart Yes

◻ 6. Tables and charts 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

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 plan to meet the objectives of the program as outlined in the purpose.

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

• Summarize how you plan to establish, fund and collaborate with at least eight (8) geographically dispersed residency programs in EHE jurisdictions or areas with high incidence of HIV diagnosis to provide education, training, and technical assistance to enhance the capacity of health care delivery systems.

Need See merit review criterion 1: Need

• Describe the needs assessment process for determining proposed residency programs.

• Discuss any relevant barriers you hope to overcome in the service area.

• Use and cite demographic data whenever possible.

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

Approach See merit review criterion 2: Response

• Explain how your program will address the needs and meet all requirements in this

NOFO.

• Briefly outline your proposed collaboration with eight (8) geographically dispersed residency programs, including:

o Criteria for selecting residency programs, including process for ensuring geographic distribution across EHE jurisdictions or areas with high incidence of

HIV diagnosis.

o Estimated budget amounts for each program.

• Describe how you plan to implement didactic, hands-on clinical, and blended training to prepare residents to provide optimal HIV care and treatment.

• Describe your plans to train or implement activities that result in the training of health professionals who will provide treatment for individuals who are at high risk of contracting such disease.

• Describe your plans to train or implement activities that result in the training of health professionals and allied health professionals to provide treatment for hepatitis B or C co-infected individuals.

• Summarize strategies to increase the number of graduates who go on to practice HIV care.

• Describe how you will implement structured mentorship and career development pathways to encourage residents to pursue HIV-centered practice.

• Describe how you will develop and sustain an online learning collaborative to train and mentor residents interested in providing HIV care and treatment.

• Provide a brief plan for distributing reports, products, outputs, and information to all stakeholder groups.

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

• Describe the plan to achieve each of the objectives during the period of performance.

• Provide an activity timeline and responsible staff that will help plan, design, and carry out these activities.

• You will also include a more detailed work plan in your attachments.

Resolving challenges See merit review criterion 2: Response

• Discuss possible challenges you may face in designing and carrying out the activities in the workplan during the period of performance.

• Explain the approaches you will use to resolve the challenges described above and actions you will take to mitigate risks to complete the program activities.

Performance management See merit review criteria 3: Performance reporting and evaluation and 5: Resources and capabilities

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

• Performance measurement and reporting.

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

o Describe how you will manage and securely store data, including how you will protect data against cybersecurity threats, breaches, or other loss of data integrity.

o Describe how you will monitor and analyze performance data to continually improve your program.

• Program evaluation. If applicable:

• Describe how you will evaluate your residency programs. The evaluation should examine processes and progress towards 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. In the description of your evaluation, include:

▪ The evaluation questions, methods, data you will collect, and timeline for evaluating the program.

▪ Challenges in evaluating your program and how you will address them.

▪ How you will share results, assess the effectiveness of those efforts, determine if your results are national in scope, and evaluate if your program can be replicated by other organizations.

See the reporting section for more information.

Sustainability See merit review criterion 4: Impact

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

• Highlight key elements of your activities. Examples include training methods or strategies that have been effective in improving practices.

• Describe the actions taken to 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 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 will follow the approved program, keep track of all federal funds, and record all costs to avoid issues during the program audit.

• Describe your organization’s experience with developing relationships with residency programs.

https://aspe.hhs.gov/reports/department-health-human-services-evaluation-policy https://www.whitehouse.gov/wp-content/uploads/2020/03/M-20-12.pdf

• Describe your experience with HIV workforce development and capacity building.

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

• Describe the capacity of your organization and staff to evaluate the program.

• Include staffing plan and job descriptions that clearly show how your organization is structured, as Attachment 2.

• Include a project organizational chart as Attachment 5. The chart should be a one-page figure that depicts the program structure of the program.

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 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.

• In addition to the instructions above, you must include the following:

• A separate line-item budget for each year of the four-year period of performance, using the Section B Budget Categories of the SF-424A and breaking down sub-categorical costs as appropriate.

• The National HIV Clinical Training for Residents Program will be responsible for a collaborative learning community of HIV providers for residents and faculty and may travel to participating residency programs. Please include the costs for these activities in the budget, including travel.

• Key personnel include the Principal Investigator, Project Director, and Evaluator.

List each of these positions on the budget.

• For all staff listed on the budget identify what percentage of the FTE you will allocate to this award, the full salary amount, and all other funding sources leverages to account for the full salary. For subsequent budget years, the 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) justification narrative should highlight the changes from year one or clearly indicate that there are no substantive budget changes during the project period.

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 program’s work plan. Make sure it includes everything required in the project narrative section.

Attachment 2: Staffing plan and job descriptions Include a staffing plan that shows the staff positions that will support the program, and key information about each. Justify your staffing choices, including their education and experience.

Explain your reasons for the amount 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.

Attachment 4: Agreements with other entities Provide any documents that describe working relationships between your organization and proposed residency programs 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: Tables and charts Provide tables or charts that give more detail about the proposal. These might be Gantt, PERT, or flow charts.

Attachment 7-15: other relevant documents You may use attachments 7 through 15 to add other relevant documents.

https://grants.gov/learn-grants/grant-terminology#p

Other required forms

You will need to complete some other forms. Upload the following forms at Grants.gov. You can find them in the NOFO application package or review them and any available instructions at

Grants.gov Forms.

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.

Form instructions The application guide has detailed instructions for:

• The Application for Federal Assistance (SF-424).

• The Budget Information for Non-Construction Programs (SF-424A).

Project abstract summary form instructions Complete the information in the Project Abstract Summary form. Include a short description of your proposed program. Include the needs you plan to address, the proposed services, and the population groups you plan to serve. For more information, see Section 3.1.2 of the Application

Guide.

Important: Public information

When filling out your SF-424 form, pay attention to Box 15: Descriptive Title of Applicant’s

Project.

We share what you put there with USAspending. This is where the public goes to learn how the federal government spends their money.

Instead of just a title, insert a short description of your project and what it will do.

See instructions and examples.

Step 4: Understand Review, Selection, and Award https://grants.gov/forms/forms-repository/sf-424-family https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=8 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.usaspending.gov/ https://www.hhs.gov/sites/default/files/hhs-writing-award-descriptions.pdf

Application review

Initial review

We will review your application to make sure that it meets eligibility criteria, and the requirements in this NOFO. If your application does not meet eligibility criteria, it will not be funded. If your application does not meet other criteria, we will not fund it.

Merit review

A panel reviews all applications that pass the initial review. You can find more about the merit review process in the Application Guide. The members use these criteria.

Criterion Total number of points = 100

1. Need 10 points

2. Response 30 points

3. Performance reporting and evaluation 10 points

4. Impact 20 points

5. Resources and capabilities 25 points

6. Support requested 5 points

Criterion 1: Need (10 points) See the project narrative Introduction and Need sections.

The panel will review your application for:

Introduction

• How well you describe your program plan and how proposed activities will achieve the objectives outlined in the program purpose, including measurable outcomes and anticipated impact.

• How well you demonstrate the organization’s capacity, experience, and infrastructure to successfully implement and sustain all program requirements and expectations.

• How well you describe the methods for funding and collaborating with at least eight (8) geographically dispersed residency programs located in EHE jurisdictions or areas with high incidence of HIV diagnosis, to provide education, training, and technical assistance to enhance the capacity of health care delivery systems.

Need

• How well you describe the needs assessment process for determining proposed residency programs.

• How well you describe the use and citing of demographic data when possible.

Criterion 2: Response (30 points) The panel will review your application for:

Approach (15 points) https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=32

• How well you respond to the needs and requirements in the NOFO.

• How well you outline activities for eight (8) geographically dispersed residency programs, including criteria for selecting residency programs, process for ensuring geographic distribution across EHE jurisdictions or areas with high incidence of HIV diagnosis, and estimated budget amounts for each program.

• How well do you describe implementation of didactic, experiential, and blending training to prepare residents to provide optimal HIV care and treatment.

• How well you describe the strategies to increase the number of residents who go on to practice HIV care.

• How well you describe the implementation of structured mentorship and career development pathways to encourage residents to pursue HIV-centered practice.

• How well you describe the plan for development and sustainability of an online learning collaborative to train and mentor residents interested in providing HIV care and treatment.

• How well you describe the plan for distributing reports, products, and outputs to all stakeholder groups.

• How well you describe plans to train, or result in the training of, health professionals who will provide treatment for individuals who are at high risk of contracting such disease.

• How well you describe plans to train, or result in the training of, health professionals and allied health professionals to provide treatment for hepatitis B or C co-infected individuals.

High-level work plan (5 points)

• How well you describe the plan to achieve each objective during the period of performance.

• How well you describe the program activity timeline along with the roles and responsibilities of key personnel and partners that will carry out activities.

Resolving Challenges (10 points)

• How well you describe possible design and implementation challenges of the program.

• How well you describe the approach to resolve challenges that may impact program design and implementation activities .

Criterion 3: Performance reporting and evaluation (10 points) See the project narrative Performance reporting and evaluation section.

The panel will review your application for:

Evaluation

• How well you define outcomes (desired results) of the funded activities.

• How well you describe the overall approach and methodology to evaluate program results against goals and objectives and gain insights into program outcomes and impact.

• How well you evaluate the residency program with eight (8) geographically dispersed residency programs that include criteria for selecting residency programs, process for ensuring geographic distribution across EHE jurisdictions or areas with high incidence of

HIV diagnosis.

Performance measurement

• How well you collect and report performance data accurately and on time.

• How well the program manages and securely stores data, including how you will protect data against cybersecurity threats, breaches, or others loss of data integrity.

• How well the program monitor and analyzes performance data to continually improve program performance.

Criterion 4: Impact (20 points) The panel will review your application for:

Sustainability

• How well you describe the plan for program sustainability after the period of federal funding ends.

• How well you highlight key elements of activities that have been effective in improving performance.

• How well you describe the actions taken to obtain future sources of funding.

• How well you describe the challenges encountered in sustaining the programs and how you will resolve those challenges.

Criterion 5: Resources and capabilities (25 points) See the project narrative Organizational information and Performance reporting and evaluation sections.

The panel will review your application for:

Organizational information (10 points)

• How well you describe the mission, structure, and the scope of your current activities and how to carry out program requirements.

• How well you describe the methods to track all federal funds and record all costs during the program audit.

• How well you describe program strategies with eight (8) geographically dispersed residency programs that include criteria for selecting residency programs, process for ensuring geographic distribution across EHE jurisdictions or areas with high incidence of

HIV diagnosis.

• How clearly you describe the organizational profile, budget, partners, and key processes of program to carry out project activities.

• How well you describe the staffing plan and job descriptions for the organizations, as in

Attachment 2.

• How well you describe the project organizational chart as Attachment 5.

Performance reporting and evaluation (15 points)

• How well you define outcomes (desired results) of the funded activities.

• How well you describe the overall approach and methodology to evaluate program results against goals and objectives and gain insights into program outcomes and impact.

• How well you collect and report performance data accurately and on time.

• How well the program manages and securely stores data, including how you will protect data against cybersecurity threats, breaches, or others loss of data integrity.

• How well the program monitors and analyzes performance data to continually improve program performance.

• How well you evaluate the residency program with eight (8) geographically dispersed residency programs that include criteria for selecting residency programs, process for ensuring geographic distribution across EHE jurisdictions or areas with high incidence of

HIV diagnosis.

Criterion 6: Support requested (5 points) See the Budget and budget narrative section.

The panel will review your application for:

• How reasonable the proposed budget is for each year of the period of performance.

• How reasonable costs are and how well they align with the program scope of work.

• How sufficient the time is for key staff to spend on the program to achieve program objectives.

• How well the application describes the justification and cost effectiveness of proposed costs that align budget and scope of work.

We do not consider voluntary cost sharing during merit review.

Risk review

Before making an award, we review your award history to assess risk. We need to ensure all prior awards were managed well and demonstrated sound business practices. We:

• Review any applicable past performance.

• Review audit reports and findings.

• Analyze the budget.

• Assess your management systems.

• Ensure you continue to be eligible.

• Make sure you comply with any public policies.

We may ask you to submit additional information.

As part of this review, we use SAM.gov Entity Information Responsibility/Qualification to check your history for all awards likely to be more than $250,000 over the period of performance. You can comment on your organization's information in SAM.gov. We'll consider your comments before making a decision about your level of risk.

If we find a significant risk, we may choose not to fund your application or to place specific conditions on the award.

For more details, see 2 CFR 200.206.

https://sam.gov/content/entity-information…