MCHB-HRSA-25-097-(H4B)-PCC-Supp-final.pdf

Notice of Funding Opportunity

Application due April 22, 2025

Maternal and Child Health Bureau Division of Child Adolescent and Family Health

Poison Control Program Competitive Supplement Opportunity number: HRSA-25-097

Modified on 1/28/25 Updated TA Webinar information

Contents Before you begin 4

Step 1: Review the Opportunity 5

Basic information 6

Eligibility 7

Program description 9

Award information 11

Step 2: Get Ready to Apply 14

Get registered 15

Find the application package 15

Application writing help 15

Step 3: Prepare Your Application 17

Application contents and format 18

Step 4: Learn About Review and Award 25

Application review 26

Selection process 29

Award notices 29

Step 5: Submit Your Application 30

Application submission and deadlines 31

Application checklist 32

Step 6: Learn What Happens After Award 34

Post-award requirements and administration 35

Contacts and Support 39

Contents 2

Endnotes 42

Contents 3

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

SAM.gov registration (this can take several weeks)

You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days)

You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by the application due date

Applications are due by 11:59 p.m. Eastern Time on April 22, 2025.

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

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

Jump to a step

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

Step 1:

Review the Opportunity

In this step

Basic information 6

Eligibility 7

Program description 9

Award information 11

Basic information Health Resources and Services Administration (HRSA)

Maternal and Child Health Bureau

Division of Child Adolescent and Family Health

Have questions?

Go to Contacts and Support.

Key facts Opportunity name: Poison Control Program Competitive Supplement

Opportunity number:

HRSA-25-097

Announcement version:

Modification #1

Federal assistance listing:

93.253

Statutory authority: 42 U.S.C. § 300d-73 (Title XII, § 1273 of the Public Health Service Act)

Key dates NOFO issue date: January 17, 2025

Informational webinar:

See Webinar section

Application deadline: April 22, 2025

Expected award date is by:

August 1, 2025

Expected start date:

September 1, 2025

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

Summary The purpose of this funding opportunity is to provide coverage of calls to the Poison Help Line originating from Puerto Rico. The Poison Control Program’s goal is to reduce poisonings and the harms resulting from poisonings by ensuring that individuals across the United States and territories can connect to a Poison Control Center and obtain expert consultation on preventing and managing poisonings.

Funding details Application Types: Competitive Supplement

Expected total available funding in FY 25: $265,188

Expected number and type of awards: 1 grant

Funding range per award: $265,188

We plan to fund one award in four, 12-month budget periods for a total 4-year period of performance from September 1, 2025, to August 31, 2029.

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

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

Step 1: Review the Opportunity 6 https://www.grants.gov/learn-grants/grant-terminology#g

Eligibility Who can apply You can apply if your organization is in the United States, territory, or compact of free association and is accredited by either a professional organization in the field of poison control, and complying with the operational requirements needed to sustain accreditation; or accredited by a state government that has standards for accreditation that reasonably provide for the protection of the public health with respect to poisoning; or granted a waiver by the Secretary if the center can reasonably demonstrate that the center will obtain such an accreditation within a reasonable time, as determined appropriate by the Secretary.

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

• Public institutions of higher education

• Private institutions of higher education

• Non-profits with or without a 501(c)(3) IRS status

• For-profit organizations, including small businesses

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

• Independent school districts

• Native American tribal governments

• Native American tribal organizations

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

Individuals are not eligible applicants under this NOFO.

Other eligibility criteria 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:

Step 1: Review the Opportunity 7

• 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 We will only review one eligible application from your organization. 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. We will hold you accountable for any funds you add, including through reporting.

Step 1: Review the Opportunity 8

Program description Purpose This notice announces the opportunity to apply for funding under the Poison Control Centers (PCC) Program for coverage of calls to the Poison Help Line originating from Puerto Rico.

The goal of the Poison Control Centers program is to reduce poisonings and the harms resulting from poisonings by ensuring that individuals can connect to a Poison Control Center and obtain expert consultation on preventing and managing poisonings.

The objectives of this program are to:

1. Support poisoning prevention activities;

2. Provide high-quality guidance and information to callers to the Poison Help Line;

3. Provide treatment recommendations when poisonings occur;

4. Collect data related to poisonings and poisoning outcomes; and

5. Use data to inform public health and emergency preparedness responses.

These will be accomplished by:

1. Maintaining the number of calls[1] received by the Poison Help Line.

2. Maintaining the percentage of human exposure poisoning case calls from health care facilities and practitioners.

3. Increasing the percentage of human exposure poisoning cases with a completed follow-up contact.

4. Increasing national data on poisonings available in the National Poison Data System (NPDS) for toxic exposure surveillance purposes.

Background The Poison Control Centers Program is authorized by 42 U.S.C. § 300d-73 (Title XII, § 1273 of the Public Health Service Act). The Program is statutorily mandated to support three inter-related activities, including funding to: (1) supplement accredited poison centers; (2) establish and maintain a single, national toll-free number (established in 2002) that connects callers with the poison center serving their area; and (3) implement a national media campaign to educate the public and health care providers about local poison center services and the toll-free number 1-800-222-1222.

This competitive supplement will support an accredited poison center to provide coverage of calls to the toll-free Poison Help line originating from Puerto Rico. The

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

Step 1: Review the Opportunity 9 https://www.aapcc.org/national-poison-data-system#:~:text=The%20National%20Poison%20Data%20System%20%28NPDS%29%20is%20the,poison%20exposure%20management%20and%20information%20services%20to%20callers.

https://www.aapcc.org/national-poison-data-system#:~:text=The%20National%20Poison%20Data%20System%20%28NPDS%29%20is%20the,poison%20exposure%20management%20and%20information%20services%20to%20callers.

Poison Control Program ensures that individuals can call a national toll-free Poison Help line (1-800-222-1222) to connect to a local poison control center in a poisoning emergency. As required by statute, calls to the Poison Help line must be directed to poison control centers that are accredited. In the most recent Notice of Funding Opportunity, HRSA-24-045, no application was received to respond to calls from Puerto Rico. To ensure uninterrupted poison control center coverage for Puerto Rico, the New York City Poison Control Center (NYCPCC) is providing temporary coverage for Puerto Rico’s calls from September 1, 2024, through August 31, 2025. Funds from this competitive supplement will be used for project activities within the scope of the current award (as announced in HRSA-24-045) to provide coverage to calls to the Poison Help line originating from Puerto Rico from September 1, 2025, through August 31, 2029. Activities funded under this NOFO are directed towards providing uninterrupted coverage of calls from Puerto Rico to the Poison Help line.

Program requirements and expectations Recipients are required to:

• Prevent, and provide treatment recommendations for poisonings, and as able prevent future poisonings; and

• Comply with the operational requirements needed to sustain the accreditation of the center.

Recipients will also be expected to:

• Provide high-quality, guidance informed by local poisoning risks and treatment recommendations when poisonings occur;

• Ensure that human exposure poisoning cases receive a completed follow-up contact, when indicated;

• Develop and follow procedures to collect high-quality data related to all calls;

• Enter these data in National Poison Database System (NPDS) for toxic exposure surveillance purposes;

• Use data to inform public health preparedness and response; and

• Communicate with the Poison Help Desk about any changes to or problems with the call routing service and copy HRSA as soon as possible about routing problems.

Recipients are encouraged to:

• Support poisoning prevention activities to include developing and providing educational resources to the public, tailored to the prevention of poisonings and toxic exposures specific to the local area;

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

Step 1: Review the Opportunity 10 https://poisoncenters.org/national-poison-data-system

• Provide assistance and guidance to local Emergency Medical Services, and coordinate with HRSA-funded Emergency Medical Services for Children (EMSC) Programs and other relevant programs;[2]

• Share data and provide education on community poisoning trends with local crisis centers;[3] and

• Develop a quality improvement plan to assess and strengthen the quality of data (for example, consistency, completeness, detail, follow-up information) reported into NPDS to support public health and emergency preparedness surveillance activities.

Performance Management

Recipients will be expected to conduct the performance management activities outlined in the Reporting section. HRSA will collect the following performance measures from NPDS:

• Number of encounters;

• Number of encounters that are human exposure poisoning cases;

• Percentage of human exposure poisoning cases with a completed follow-up contact; and

• Percentage of encounters initiated by health care facilities or providers.

Award information Funding policies and limitations Policies

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

• Support beyond the first budget year will depend on:

◦ Appropriation of funds.

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

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

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

◦ Extend the period of performance.

◦ Award supplemental funding.

Step 1: Review the Opportunity 11

Maintenance of effort You must agree to maintain non-federal funding for your proposed activities under this award. Federal funds should add to, not replace, any existing non-federal funds for your proposed activities. If you receive an award, you will have to spend at least as much as you spent in the last fiscal year before the award per 42 U.S.C. § 300d-73(f) which requires this. We will enforce these statutory requirements through all available mechanisms. You are expected to provide supporting documentation of your maintenance of effort in your attachments.

General limitations

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

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

• You cannot earn profit from the federal award. See 45 CFR 75.400(g).

• Congress’s current appropriations act includes a salary limitation, which applies to this program. As of January 2025, the salary rate limitation is $225,700. This limitation may be updated.

Program-specific statutory or regulatory limitations

• Accredited PCCs must provide a copy of their most recent accreditation letter from the Association or state government. Provide a date of re-accreditation if it is due in FY 2025.

• Unaccredited PCCs seeking a waiver must provide a letter from the Association, state government, or Secretary providing the status of the applicant’s likelihood to meet the accreditation requirements. Additionally, address the following questions in the letter:

◦ What is the pending application accreditation date and the date or approximate date the decision will be made to grant or deny accreditation for this applicant?

◦ To date, what accreditation criteria has the applicant met and what outstanding criteria has the applicant not met?

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).

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

Step 1: Review the Opportunity 12 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=14 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#75.400 https://www.hrsa.gov/grants/manage-your-grant

Indirect costs are limited to 10% of allowable total indirect cost for this program, regardless of your negotiated indirect cost rate. To claim indirect costs, you must include an indirect cost rate agreement in your application. See Federal Register:

August 7, 2007; Volume 72, Number 151.

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

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

Step 1: Review the Opportunity 13 https://www.govinfo.gov/content/pkg/FR-2007-08-07/pdf/E7-15352.pdf https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 15

Find the application package 15

Application writing help 15

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

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

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

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

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-097.

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.

Frequently Asked Questions (FAQs) will be posted on our TA webpage after the webinar.

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

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

Join the webinar More information on this NOFO's webinar will be posted at a later date to the related documents tab here.

We recommend you “Subscribe” to the NOFO on Grants.gov to receive updates when documents are posted.

The Webinar will be recorded.

Have questions? Go to Contacts and Support.

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

Step 2: Get Ready to Apply 16 https://grants.gov/search-results-detail/358299

Step 3:

Prepare Your Application

In this step

Application contents and format 18

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

Application page limit: 40 pages.

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

Make sure you include each of these:

Components Submission format

Project abstract Use the Project Abstract Summary form.

Project narrative Use the Project Narrative Attachment form.

Budget narrative Use the Budget Narrative Attachment form.

Attachments Insert each in the Attachments form.

Other required forms Upload using each required form.

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

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

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

Use the section headers and the order listed.

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

Step 3: Prepare Your Application 18 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=25 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13

Introduction See merit review criterion 1: Need

Briefly describe the purpose of your project.

Need See merit review criterion 1: Need

• Describe the unique needs of Poison Help Line callers from Puerto Rico seeking information and guidance on poisoning and toxic exposures through the Poison help Line.

• Discuss any relevant barriers in responding to calls from Puerto Rico.

• Describe how you will consider the unique needs of the populations and communities served by the Poison Help Line in Puerto Rico.

Approach See merit review criterion 2: Response

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

• Include a plan to distribute educational materials, reports, products, or project outputs to target audiences.

• If you propose to use funds to improve data quality, which is an option but not a requirement of the award, clearly state what aspects of data quality will be addressed and the specific planned activities for improvement.

• Describe how you will provide high quality guidance and treatment recommendations for poisonings and toxic exposures in Puerto Rico;

• Describe how you will collect case toxic exposure surveillance data from Puerto Rico; and

• Describe how you will contribute to public health preparedness and response as indicated by the surveillance data from Puerto Rico.

High-level work plan See merit review criteria 2: Response and 4: Impact

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

Step 3: Prepare Your Application 19

• Describe how you will consider the diversity of the populations and communities served in the planning and implementation of all activities.

• Unaccredited PCCs should also include a timeline for attaining accreditation and the anticipated date for the accreditation review.

• If you are due for re-accreditation during this award cycle, include the date when the accreditation application is due.

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 work plan. Explain how you’ll resolve them.

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

• Provide a performance management plan. This plan should include the following:

◦ Monitoring: how you will track project-related progress and use data to identify and overcome challenges.

◦ Performance Measurement: your plan for timely measuring, tracking, and reporting program goals and objectives.

• If your project includes a proposal for a quality improvement plan for data reported into NPDS, then your performance management plan should also include the following:

◦ How you will describe your plans for using quality improvement to inform and improve processes and outcomes.

◦ How you will describe your capacity to collect and manage data to accurately and timely monitor progress, measure performance, and evaluate impact.

See the reporting section for more information.

Organizational information See merit review criterion 5: Resources and capabilities

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

Step 3: Prepare Your Application 20

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

Budget and budget narrative See merit review criterion 6: Support requested

Your budget should follow the instructions in Section 3.1.4 Project Budget Information

– Non-Construction Programs (SF-424A) 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.

See other required forms. 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 and consistent with your project’s purpose and activities.

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

• When submitting a budget requesting salary support, include the individual(s): 1) name; 2) title; 3) total salary; 4) percent of full-time employment (FTE) charged to the grant; and 4) salary amount requested.

• Indirect costs limitation

To create your budget narrative, see detailed instructions in Section 3.1.5 of 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.

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

Step 3: Prepare Your Application 21 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=14 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Supply) https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=18

Attachment 1: Work plan Attach the project’s work plan. Make sure it includes everything required in the project narrative section. If you’ll make subawards or spend funds on contracts, describe how your organization will document funds.

Attachment 2: Staffing plan and job descriptions See Section 3.1.7 of the Application Guide.

Keep each job description to one page as much as possible. Include the role, responsibilities, and qualifications of proposed project staff. Describe your organization’s timekeeping process. This ensures that you’ll comply with federal standards related to recording personnel costs.

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 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: Maintenance of effort documentation Amounts made available to a Poison Control Center shall be used to supplement and not supplant other federal, state or local funds provided. The maintenance of effort documentation ensures that federal grant monies are being made to supplement the recipient’s funding. The Poison Control Center should maintain the expenditures at a level not less than the level of expenditures for the previous fiscal year. Provide a baseline total cost for the prior fiscal year. Provide an estimate for the next fiscal year using a table like the one below. Specify the nonfederal funds that support your

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

Step 3: Prepare Your Application 22 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=21 https://grants.gov/learn-grants/grant-terminology#p proposed activities. These include cash, in-kind, or other contributions. Do not include any federal funds. See maintenance of effort requirement.

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

FY before application:

Actual nonfederal expenditures

First FY of award:

Estimated nonfederal expenditures

Attachment 6: Project organizational chart Provide a one-page diagram that shows the full project’s organizational structure.

Attachment 7: Designation and commitments Include a current letter of designation from the territory, declaring that the PCC is authorized to provide services to the territory of Puerto Rico. Submit the designation letter on Puerto Rico Health Department letterhead.

Also, include documentation to indicate the following: 1) a commitment to using and promoting the national toll-free poison number (1-800-222-1222); 2) a commitment to assist in promotion of HRSA’s Poison Help Campaign; and 3) a commitment to maintain back up mechanisms for the toll-free number outside of your state or territory in case of an emergency where telephone lines within your state/territory are not functional.

Attachment 8: PCC accreditation status Include any other documents pertaining to PCC accreditation status that are relevant to the application including letters of support.

Attachment 9-15: other relevant documents You may use attachments 9 through 15 to add other relevant documents.

Step 3: Prepare Your Application 23

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.

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

With application.

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

Budget Narrative Attachment Form With application.

Project/Performance Site Location(s) With application.

Grants.gov Lobbying Form With application.

Key Contacts With application.

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

Step 3: Prepare Your Application 24 https://grants.gov/forms/forms-repository/sf-424-family

Step 4:

Learn About Review and Award

In this step

Application review 26

Selection process 29

Award notices 29

Application review Initial review We will review your application to make sure that it meets eligibility criteria, including the completeness and responsiveness criteria. If your application does not meet these criteria, it will not be funded.

We will not review any pages that exceed the page limit.

Merit review A panel reviews all applications that pass the initial review. The members use these criteria.

Criterion Total number of points = 100

1. Need 20 points

2. Response 20 points

3. Performance reporting and evaluation 15 points

4. Impact 20 points

5. Resources and capabilities 15 points

6. Support requested 10 points

Criterion 1: Need (20 points) See the project narrative Introduction and Need sections.

The panel will review your application for how well it:

• Describes the problem and its contributing factors.

• Identifies the barriers the project aims to overcome to reach and address the needs of Poison Help Line callers in Puerto Rico.

Criterion 2: Response (20 points) See the project narrative Approach, High-level work plan, and Resolving challenges sections.

The panel will review your application for:

• How well it responds to the program’s purpose, and proposes to meet the program requirements and expectations.

Step 4: Learn About Review and Award 26

• The strength of the proposed goals and objectives and how well they relate to the project.

• How well the activities described will address the problem and meet project objectives.

Criterion 3: Performance reporting and evaluation (15 points) See the project narrative Performance reporting and evaluation section.

The panel will review your application for:

Evaluation

• How well the applicant describes clear monitoring procedures and how performance management and measurement will be incorporated into planning, implementation, and reporting of project activities.

Performance measurement

• The ability to collect and report data on the measures specified by HRSA in the

Program Requirements and Expectations section of the NOFO.

• The adequacy of the plan to assess performance and progress towards the program goals and objectives of the NOFO.

Criterion 4: Impact (20 points) See the project narrative High-level work plan and Sustainability sections.

The panel will review your application for:

• How effective the proposed project will be in addressing the program objectives.

• How strong a public health impact it is likely to have in Puerto Rico, and how it will impact public health and emergency preparedness surveillance.

• How effective your plans for sharing project results are likely to be.

• What the likely impact on Puerto Rico will be.

• The extent to which project activities will achieve the goals found in Section 1’s Purpose

Step 4: Learn About Review and Award 27

Criterion 5: Resources and capabilities (15 points) See the project narrative Organizational information and Performance reporting and evaluation sections.

The panel will review your application to determine the extent to which:

• Project staff have the training or experience to carry out the project.

• You have the capabilities to fulfill the needs of the project.

Criterion 6: Support requested (10 points) See the Budget and budget narrative section.

The panel will review your application to determine:

• 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 project’s scope.

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

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.

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

Step 4: Learn About Review and Award 28 https://sam.gov/content/entity-information

For more details, see 45 CFR 75.205.

Selection process When making funding decisions, we consider:

• The amount of available funds.

• Assessed risk.

• Merit review results. These are key in making decisions but are not the only factor.

• The larger portfolio of HRSA-funded projects, including the diversity of project types and geographic distribution.

We may:

• Fund applications in whole or in part.

• Fund applications at a lower amount than requested.

• Fund out of rank order.

• Decide not to allow a recipient to subaward if they may not be able to monitor and manage subrecipients properly.

• Choose to fund no applications under this NOFO.

Award notices We issue Notices of Award (NOA) on or around the start date listed in the NOFO. See Section 4 of the Application Guide for more information.

By drawing down funds, you accept the terms and conditions of the award.

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

Step 4: Learn About Review and Award 29 https://www.ecfr.gov/current/title-45/section-75.205 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=32

Step 5:

Submit Your Application

In this step

Application submission and deadlines 31

Application checklist 32

Application submission and deadlines Your organization’s authorized official must certify your application. See the section on finding the application package to make sure you have everything you need.

Make sure you are current with SAM.gov and UEI requirements. When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations, and specifically with regard to grants.

Make sure that your SAM.gov registration is accurate for both contracts and grants, as these registrations differ. See information on getting registered. You will have to maintain your registration throughout the life of any award.

Deadlines Application You must submit your application by April 22, 2025, at 11:59 p.m. ET.

Grants.gov creates a date and time record when it receives applications.

Submission method Grants.gov You must submit your application through Grants.gov. You may do so using Grants.gov Workspace. This is the preferred method. For alternative online methods, see Applicant System-to-System.

For instructions on how to submit in Grants.gov, see the Quick Start Guide for Applicants. Make sure that your application passes the Grants.gov validation checks, or we may not get it. Do not encrypt, zip, or password protect any files.

Have questions? Go to Contacts and Support.

Other submissions Intergovernmental review This NOFO is not subject to Executive Order 12372, Intergovernmental Review of Federal Programs. No action is needed.

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

Step 5: Submit Your Application 31 https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.grants.gov/system-to-system/applicant-system-to-system/ https://www.grants.gov/system-to-system/applicant-system-to-system/ http://www.grants.gov/quick-start-guide/applicants http://www.grants.gov/quick-start-guide/applicants https://www.archives.gov/federal-register/codification/executive-order/12372.html

Application checklist Make sure that you have everything you need to apply:

Component How to upload Included in page limit*?

Project abstract Use the Project Abstract Summary Form. No

Project narrative Use the Project Narrative Attachment form. Yes

Budget narrative Use the Budget Narrative Attachment form. Yes

Attachments Insert each in the Attachments Form in this order.

1. Work plan Yes

2. Staffing plan and job descriptions Yes

3. Biographical sketches No

4. Agreements with other entities Yes

5. Maintenance of effort documentation Yes

6. Project organizational chart No

7. Designation and commitments Yes

8. PCC accreditation status 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.

Application for Federal Assistance

(SF-424)

No

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

No

Step 5: Submit Your Application 32

Component How to upload Included in page limit*?

Disclosure of Lobbying Activities (SF-LLL), optional

No

Project/Performance Site Location(s) No

Grants.gov Lobbying Form No

Key Contacts No

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

Step 5: Submit Your Application 33

Step 6:

Learn What Happens After Award

In this step

Post-award requirements and administration 35

Post-award requirements and administration Administrative and national policy requirements There are important rules you need to know if you get an award. You must follow:

• All terms and conditions in the Notice of Award (NOA). We incorporate this NOFO by reference.

• The regulations at 45 CFR part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards, and any superseding regulations. Effective October 1, 2024, HHS adopted the following superseding provisions:

◦ 2 CFR 200.1, Definitions, Modified Total Direct Cost.

◦ 2 CFR 200.1, Definitions, Equipment.

◦ 2 CFR 200.1, Definitions, Supply.

◦ 2 CFR 200.313(e), Equipment, Disposition.

◦ 2 CFR 200.314(a), Supplies.

◦ 2 CFR 200.320, Methods of procurement to be followed.

◦ 2 CFR 200.333, Fixed amount subawards.

◦ 2 CFR 200.344, Closeout.

◦ 2 CFR 200.414(f), Indirect (F&A) costs.

◦ 2 CFR 200.501, Audit requirements.

• The HHS Grants Policy Statement (GPS). Your NOA will reference this document. If there are any exceptions to the GPS, they’ll be listed in your NOA.

• All federal statutes and regulations relevant to federal financial assistance, including those highlighted in HHS Administrative and National Policy Requirements.

• The requirements for performance management in 2 CFR 200.301.

Non-discrimination legal requirements If you receive an award, you must follow all applicable nondiscrimination laws. You agree to this when you register in SAM.gov. You must also submit an Assurance of Compliance (HHS-690). To learn more, see the Laws and Regulations Enforced by the HHS Office for Civil Rights.

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

Step 6: Learn What Happens After Award 35 https://www.ecfr.gov/current/title-45/part-75 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/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Supply) https://www.ecfr.gov/current/title-2/part-200#p-200.313(e) https://www.ecfr.gov/current/title-2/part-200#p-200.314(a) https://www.ecfr.gov/current/title-2/section-200.320 https://www.ecfr.gov/current/title-2/section-200.333 https://www.ecfr.gov/current/title-2/section-200.344 https://www.ecfr.gov/current/title-2/part-200#p-200.414(f) https://www.ecfr.gov/current/title-2/section-200.501 https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf https://www.hhs.gov/sites/default/files/hhs-administrative-national-policy-requirements.pdf https://www.hhs.gov/sites/default/files/hhs-administrative-national-policy-requirements.pdf https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-D/section-200.301 https://www.hhs.gov/sites/default/files/form-hhs690.pdf https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html

Contact the HHS Office for Civil Rights for more information about obligations and prohibitions under federal civil rights laws or call 1-800-368-1019 or TDD 1-800-537-7697.

The HRSA Office of Civil Rights, Diversity, and Inclusion (OCRDI) offers technical assistance, individual consultations, trainings, and plain language materials to supplement OCR guidance. Visit OCRDI’s website to learn more about how federal civil rights laws and accessibility requirements apply to your programs, or contact OCRDI directly at HRSACivilRights@hrsa.gov.

Executive order on worker organizing and empowerment Executive Order on Worker Organizing and Empowerment (E.O. 14025) encourages worker organizing and collective bargaining and promotes equality of bargaining power between employers and employees.

You can support these goals by developing policies and practices that you could use to promote worker power.

Cybersecurity You must create a cybersecurity plan if your project involves both of the following conditions:

• You have ongoing access to HHS information or technology systems.

• You handle personal identifiable information (PII) or personal health information (PHI) from HHS.

You must base the plan based on the NIST Cybersecurity Framework. Your plan should include the following steps:

Identify:

• List all assets and accounts with access to HHS systems or PII/PHI.

Protect:

• Limit access to only those who need it for award activities.

• Ensure all staff complete annual cybersecurity and privacy training. Free training is available at 405(d): Knowledge on Demand (hhs.gov).

• Use multi-factor authentication for all users accessing HHS systems.

• Regularly backup and test sensitive data.

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

Step 6: Learn What Happens After Award 36 https://www.hhs.gov/ocr/about-us/contact-us/index.html https://www.hrsa.gov/about/organization/bureaus/ocrdi#recipients mailto:HRSACivilRights@hrsa.gov https://www.whitehouse.gov/briefing-room/presidential-actions/2021/04/26/executive-order-on-worker-organizing-and-empowerment/ https://www.nist.gov/cyberframework https://405d.hhs.gov/knowledgeondemand

Detect:

• Install antivirus or anti-malware software on all devices connected to HHS systems.

Respond:

• Create an incident response plan. See Incident-Response-Plan-Basics_508c.pdf (cisa.gov) for guidance.

• Have procedures to report cybersecurity incidents to HHS within 48 hours. A cybersecurity incident is:

◦ Any unplanned interruption or reduction of quality, or

◦ An event that could actually or potentially jeopardize confidentiality, integrity, or availability of the system and its information.

Recover:

• Investigate and fix security gaps after any incident.

Reporting If you are funded, you will have to follow the reporting requirements in Section 4 of the Application Guide. The NOA will provide specific details.

You must also follow these program-specific reporting requirements:

• Progress reports each year

• Annual performance reports through Electronic Handbooks within 90 days of the end of the budget period that describes the center’s progress, including:

◦ Qualitative and/or quantitative data to demonstrate programmatic progress;

◦ Successes, challenges, and changes made to the program activities;

organizational resources; and/or poison center operations;

◦ Updates or changes to collaborations, partnerships, and coordinated activities, including coordination with HRSA recipients and relevant partners;

◦ Barriers in providing services to underserved communities, and efforts to overcome these barriers;

◦ Evaluation of quality improvement activities;

◦ Emerging issues and how the center has shared prevention messaging regarding these issues to the public, care providers, and service area;

◦ Descriptions of how you will share surveillance data, rather than listing the number of outreach effects and resources distributed;

◦ Numbers and types of encounters or contacts not captured in NPDS, if any (for example, text/SMS messages or in-person consultations).

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

Step 6: Learn What Happens After Award 37 https://www.cisa.gov/sites/default/files/publications/Incident-Response-Plan-Basics_508c.pdf https://www.cisa.gov/sites/default/files/publications/Incident-Response-Plan-Basics_508c.pdf https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=34 https://grants.hrsa.gov/EAuthNS/external/account/SignIn

◦ A final performance report should be submitted within 120 days after the end of the period of performance. The final performance report should be cumulative and report on all award activities during the entire period of performance.

Step 6: Learn What Happens After Award 38

Contacts and Support

In this step

Agency contacts 40

Grants.gov 40

SAM.gov 40

Helpful websites 41

Agency contacts Program and eligibility Maureen Perkins Senior Public Health Analyst, Division of Child, Adolescent, and Family Health

Attn: Poison Control Centers Program Maternal and Child Health Bureau Health Resources and Services Administration Email your questions to : mperkins@hrsa.gov Call: 301-633-9727

Financial and budget Angela Love Grants Management Specialist

Division of Grants Management Operations, OFAAM Health Resources and Services Administration Email your questions to: alove1@hrsa.gov Call: 301-443-4285

HRSA Contact Center Open Monday – Friday, 7 a.m. – 8 p.m. ET, except for federal holidays.

Call: 877-464-4772 / 877-Go4-HRSA

TTY: 877-897-9910

Electronic Handbooks Contact Center

Grants.gov Grants.gov provides 24/7 support. You can call 800-518-4726, search the Grants.gov Knowledge Base, or email Grants.gov for support. Hold on to your ticket number.

SAM.gov If you need help, you can call 866-606-8220 or live chat with the Federal Service Desk.

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

Contacts and Support 40 mailto:mperkins@hrsa.gov mailto:alove1@hrsa.gov https://hrsacm.my.salesforce-sites.com/EHBExternalForm https://gditshared.servicenowservices.com/hhs_grants?pt=Grants https://gditshared.servicenowservices.com/hhs_grants?pt=Grants mailto:support@grants.gov https://www.fsd.gov/gsafsd_sp

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