NOFO HRSA-22-046 D87 DFLRP_Final.pdf

U.S. Department of Health and Human Services

Bureau of Health Workforce

Division of Medicine and Dentistry

Dental Faculty Loan Repayment Program

Funding Opportunity Number: HRSA-22-046

Funding Opportunity Type(s): Competing Continuation, New

Assistance Listings (AL/CFDA) Number: 93.059

NOTICE OF FUNDING OPPORTUNITY

Fiscal Year 2022

Application Due Date: March 22, 2022 Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately!

HRSA will not approve deadline extensions for lack of registration.

Registration in all systems may take up to 1 month to complete.

Issuance Date: December 22, 2021

Oksana Cobb Project Officer, Oral Health Branch Telephone: (301) 945-0279 Email: OCobb@hrsa.gov

See Section VII for a complete list of agency contacts.

Authority: 42 U.S.C. § 293k–2 (Section 748 of the Public Health Service Act) mailto:OCobb@hrsa.gov

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508 COMPLIANCE DISCLAIMER

Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email or call one of the HRSA staff listed in Section VII.

Agency Contacts.

EXECUTIVE SUMMARY

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2022 Dental Faculty Loan Repayment Program. The purpose of this program is to increase the number of dental and dental hygiene faculty in the workforce by assisting dental and dental hygiene training programs to attract and retain faculty through loan repayment. Preference in making grant awards will be given to applicants providing loan repayment to pediatric dentistry faculty supervising dental students or residents and providing clinical services in dental clinics located in dental schools, hospitals, and community-based affiliated sites.

Funding Opportunity Title: Dental Faculty Loan Repayment Program

Funding Opportunity Number: HRSA-22-046

Due Date for Applications: March 22, 2022

Anticipated Total Annual Available

FY 2022 Funding:

Year 1: $ 800,000 Year 2: $ 1,200,000 Year 3: $ 1,600,000 Year 4: $ 2,000,000 Year 5: $ 2,400,000

Estimated Number and Type of Award(s): Up to eight grants

Estimated Annual Award Amount:

Up to $100,000 – Year 1 Up to $150,000 – Year 2 Up to $200,000 – Year 3 Up to $250,000 – Year 4 Up to $300,000 – Year 5 Subject to the availability of appropriated funds

Cost Sharing/Match Required: No

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Period of Performance:

September 1, 2022 through August 31, 2027 (5 years)

Eligible Applicants: Eligible entities are programs of general, pediatric, or public health dentistry in public or private nonprofit dental or dental hygiene schools, or approved residency or advanced education programs in the practice of general, pediatric, or public health dentistry.

See Section III.1 of this notice of funding opportunity (NOFO) for complete eligibility information.

Application Guide

You (the applicant organization/agency) are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide, available online at http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf, except where instructed in this NOFO to do otherwise.

Technical Assistance HRSA will hold a pre-application technical assistance (TA) webinar for applicants seeking funding through this opportunity. The webinar will provide an overview of pertinent information in the NOFO and an opportunity for applicants to ask questions.

Visit the HRSA Bureau of Health Workforce’s open opportunities website at https://bhw.hrsa.gov/fundingopportunities/default.aspx to learn more about the resources available for this funding opportunity.

http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf https://bhw.hrsa.gov/fundingopportunities/default.aspx

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Table of Contents

I. PROGRAM FUNDING OPPORTUNITY DESCRIPTION

1. PURPOSE

2. BACKGROUND

II. AWARD INFORMATION

1. TYPE OF APPLICATION AND AWARD

2. SUMMARY OF FUNDING

III. ELIGIBILITY INFORMATION

1. ELIGIBLE APPLICANTS

2. COST SHARING/MATCHING

3. OTHER

IV. APPLICATION AND SUBMISSION INFORMATION

1. ADDRESS TO REQUEST APPLICATION PACKAGE

2. CONTENT AND FORM OF APPLICATION SUBMISSION

i. Project Abstract

ii. Project Narrative

iii. Budget

iv. Budget Justification Narrative

v. Standardized Work Plan (SWP) Form

vi. Attachments

3. DUN AND BRADSTREET DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER TRANSITION

TO THE UNIQUE ENTITY IDENTIFIER (UEI) AND SYSTEM FOR AWARD MANAGEMENT (SAM)

4. SUBMISSION DATES AND TIMES

5. INTERGOVERNMENTAL REVIEW

6. FUNDING RESTRICTIONS

V. APPLICATION REVIEW INFORMATION

1. REVIEW CRITERIA

2. REVIEW AND SELECTION PROCESS

3. ASSESSMENT OF RISK

VI. AWARD ADMINISTRATION INFORMATION

1. AWARD NOTICES

2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS

3. REPORTING

VII. AGENCY CONTACTS

VIII. OTHER INFORMATION

HRSA-22-046 1

I. Program Funding Opportunity Description

1. Purpose

This notice announces the opportunity to apply for funding under the Dental Faculty Loan Repayment Program.

The purpose of this program is to increase the number of dental and dental hygiene faculty in the workforce by assisting dental and dental hygiene training programs to attract and retain dental and dental hygiene faculty through the operation of a loan repayment program.

Program Requirements Award recipients must plan, develop, or operate a loan repayment program for individuals who agree to serve full-time as faculty members within the disciplines of general dentistry, pediatric dentistry, dental public health, or dental hygiene.

Recipients must create a Selection Committee to identify and determine the individual loan repayment recipient(s). The Selection Committee is encouraged to include, as part of its review/scoring process, consideration for individual loan repayment recipients from a rural or disadvantaged background or from underrepresented minorities. To support the repayment of student debt, applicants are encouraged to identify and select potential faculty who are willing to pursue scholarly activity, precept students and faculty in community based sites, and have an interest in formal training in teaching methodologies to ensure their long-term commitment and engagement in an academic career.

Recipients must select loan repayment recipient(s) prior to the end of the first budget period of the award (September 1, 2022 - August 31, 2023). No member on the Selection Committee, or the Project Director (PD), is eligible for loan repayment through this program.

The recipient’s loan repayment program will pay an amount equal to 10 percent after year one of service, 15 percent after year two, 20 percent after year three, 25 percent after year four, and 30 percent after year five, of the individual’s student loan balance, as calculated based on principal and interest owed at the initiation of the agreement.

Loan repayments are to be obligated at the start of an individual’s year of service, but paid only upon completion of each year of service and may not be prorated.

Applicants may not request more than the following amounts through this NOFO (see Section II.2: Summary of Funding for additional details):

Up to $100,000 – Year 1 Up to $150,000 – Year 2 Up to $200,000 – Year 3 Up to $250,000 – Year 4 Up to $300,000 – Year 5

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Direct and indirect costs associated with the creation and management of the loan repayment program at the institution must be paid for out of these above-listed amounts or absorbed by the institution. Indirect costs are limited to eight percent of modified total direct costs. Please note that subsequent funding increases are contingent on the appropriation of funds.

Funding Priorities 42 U.S.C. § 293k–2(c) (Section 748(c) of the Public Health Service (PHS) Act) provides funding priorities for the Dental Faculty Loan Repayment Program. The approval of a funding priority adds points to an applicant’s score. Up to seven points are available across seven funding priorities for applicants that qualify. Applicants are permitted to apply for more than one priority, but no applicant can receive more than seven priority points. Refer to Section V.2 of this NOFO for detailed information on qualifying for the funding priorities.

General Emergency Preparedness Statement Eligible entities must be ready to continue programmatic activities in the event of a public health emergency – both those that are expected and unexpected. A training-focused emergency preparedness plan is critical for HRSA-funded projects and helps ensure that recipients are able to continue programmatic activities, can coordinate effectively, and can implement recovery plans when emergencies disrupt project activities. You must develop and maintain a flexible training-focused emergency preparedness plan in case of public health emergencies to ensure continuation of programmatic and training activities, including but not limited to operating the Dental Faculty Loan Repayment Program.

2. Background

Dental Faculty Loan Repayment Program is authorized by 42 U.S.C. § 293k–2 (section 748 of the Public Health Service Act).

According to the Bureau of Labor Statistics, the demand for dentists is projected to grow 8 percent from 2020 to 2030.1 However, even if the number of oral health providers grows, significant unmet need exists for vulnerable and underserved populations particularly for primary care dentists. Demand for general dentists is predicted to exceed supply by 2030.2 There are 6,578 Dental Health Professional Shortage Areas (HPSAs)3 and HRSA estimates that over 10,964 additional dental providers would be needed to remove those shortage designations4.

1 Bureau of Labor Statistics. Job Outlook. Available at:

https://www.bls.gov/ooh/healthcare/dentists.htm#tab-6 2 HRSA’s Oral Health Workforce Projections 2017-2030. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf 3 HRSA’s Health Professions Shortage Areas (HPSA) Dashboard. National Summary. Dental Health.

https://data.hrsa.gov/topics/health-workforce/shortage-areas Data as of 09/09/2021.

4 HRSA’s Oral Health Workforce Projections 2017-2030. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf https://www.bls.gov/ooh/healthcare/dentists.htm#tab-6 https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf https://data.hrsa.gov/topics/health-workforce/shortage-areas https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/oral-health-2017-2030.pdf

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The recruitment and retention of faculty to train future dental health professionals is critical to address the dental health professional shortages. In academic year (AY) 2018-19, there were 280 vacant full-time positions at dental schools, the majority in general dentistry.5 Sixteen percent of faculty positions have been vacant for more than 12 months6. Of the full-time faculty who separated from U.S. dental schools, 39 percent retired, up from 31 percent in AY 2013-147. Eighteen percent of faculty left to go into private practice, and another 18 percent went to another dental school8. Salary and budget limitations influence the ability for dental schools to fill vacant positions, as student debt continues to rise9.

According to the American Dental Association, “five out of six dental school graduates (83%) reported having educational debt [in 2019]. Average educational debt among dental school graduates has grown from $157,327 to $292,169 (adjusted for inflation) from 2000 to 2019, for those graduates who had debt.”10

Diversity is still an issue among dental faculty. Only 11 percent of full-time and part-time faculty in dental schools are of historically underrepresented and marginalized (HURM)11 background. Representative faculty role models are particularly important to encourage trainees from underrepresented groups, improve the diversity of the health workforce and address health inequities. Promoting equity is essential to the Department of Health and Human Service’s mission of protecting the health of Americans and providing essential human services.12 Studies have shown that trainees from underrepresented groups are more likely to provide health care services in underserved communities.13,14,15

5 American Dental Education Association’s table “Number of Vacant Budgeted Faculty Positions at U.S. Dental Schools, 2000-01 through 2018-19” https://www.adea.org/data/Faculty/2018-2019-Survey/ 6 American Dental Education Association’s table “Length of Time Dental School Faculty Positions Were Vacant, 2018-19 Academic Year” https://www.adea.org/data/Faculty/2018-2019-Survey/ 7 Wanchek T, Cook BJ, Slapar F, & Valachovic RW. Dental School Vacant Budgeted Faculty Positions, Academic Years 2015-16. Journal of Dental Education. August 2017. 81(8):1033-43.

8 American Dental Education Association’s table “Reasons for Faculty Separation by Status of Position, 2018- 19 Academic Year” https://www.adea.org/data/Faculty/2018-2019-Survey/ 9 American Dental Education Association’s table “Factors Influencing the Ability to Fill Vacancies, 2018-19 Academic Year” https://www.adea.org/data/Faculty/2018-2019-Survey/ 10 New Dentists News. Health Policy Institute: Educational debt in numbers. February 20, 2020. American Dental Association. https://www.ada.org/en/publications/new-dentist-news/2020-archive/february/health-policy-institute-educational-debt-in-numbers 11 ADEA Trends in Dental Education 2020-21. https://www.adea.org/WorkArea/DownloadAsset.aspx?id=43750 12 Executive Order (E.O.) 13985 entitled Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Jan. 20, 2021) 13 Walker KO, Moreno G, Grumbach K. 2012. The Association Among Specialty, Race, Ethnicity, and Practice Location Among California Physicians. J Nat Med Assoc. 104(1-2):46-51.

14 Xierali IM, Nivet MA. The Racial and Ethnic Composition and Distribution of Primary Care Physicians. J Health Care Poor Underserved. 2018;29(1):556-570.

15Amah G, Jura M, Mertz E. Practice Patterns of Post-Graduate Dental residency Completers from Select HRSA Funded Primary Dental Care Training Programs. AcademyHealth 2019 Annual Research Meeting, Washington, DC. Retrieved from:

https://academyhealth.confex.com/academyhealth/2019arm/mediafile/Presentation/Paper31007/Academ yHealth%20PGD%20Survey%202019.pdf https://www.adea.org/data/Faculty/2018-2019-Survey/ https://www.adea.org/data/Faculty/2018-2019-Survey/ https://www.adea.org/data/Faculty/2018-2019-Survey/ https://www.adea.org/data/Faculty/2018-2019-Survey/ https://www.ada.org/en/publications/new-dentist-news/2020-archive/february/health-policy-institute-educational-debt-in-numbers https://www.ada.org/en/publications/new-dentist-news/2020-archive/february/health-policy-institute-educational-debt-in-numbers https://www.adea.org/WorkArea/DownloadAsset.aspx?id=43750 https://academyhealth.confex.com/academyhealth/2019arm/mediafile/Presentation/Paper31007/AcademyHealth%20PGD%20Survey%202019.pdf https://academyhealth.confex.com/academyhealth/2019arm/mediafile/Presentation/Paper31007/AcademyHealth%20PGD%20Survey%202019.pdf

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Program Definitions A glossary containing general definitions for terms used throughout the Bureau of Health Workforce NOFOs can be located at the HRSA Health Workforce Glossary.

In addition, the following definition applies to the Dental Faculty Loan Repayment Program for Fiscal Year 2022:

Equity - [T]he consistent and systematic fair, just, and impartial treatment of all individuals, including individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons;

persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. Addressing issues of equity should include an understanding of intersectionality and how multiple forms of discrimination impact individuals’ lived experiences. Individuals and communities often belong to more than one group that has been historically underserved, marginalized, or adversely affected by persistent poverty and inequality. Individuals at the nexus of multiple identities often experience unique forms of discrimination or systemic disadvantages, including in their access to needed services.

For latest poverty guidelines to determine environmentally disadvantaged background refer to ‘‘Low Income Levels’’ Used for Various Health Professions and Nursing Programs Authorized in Titles III, VII, and VIII of the Public Health Service Act:

https://www.federalregister.gov/documents/2021/03/04/2021-04446/low-income-levels-used-for-various-health-professions-and-nursing-programs-authorized-in-titles-iii.

Pediatric Dentistry Faculty, for the purposes of this NOFO, are individuals who have completed a pediatric dental residency, have an appointment in a division or department of pediatric dentistry, and who teach in the field of pediatric dentistry at either the predoctoral or postdoctoral residency level.

Primary Care Dentistry, for the purposes of this NOFO, is defined as general dentistry, pediatric dentistry, dental public health or dental hygiene.

Underserved Communities - [The] populations sharing a particular characteristic, as well as geographic communities, that have been systematically denied a full opportunity to participate in aspects of economic, social, and civic life, as exemplified by the list in the preceding definition of ‘equity’.

II. Award Information

1. Type of Application and Award

Type(s) of applications sought: Competing Continuation, New

HRSA will provide funding in the form of a grant.

https://bhw.hrsa.gov/grants/resourcecenter/glossary https://www.federalregister.gov/documents/2021/03/04/2021-04446/low-income-levels-used-for-various-health-professions-and-nursing-programs-authorized-in-titles-iii https://www.federalregister.gov/documents/2021/03/04/2021-04446/low-income-levels-used-for-various-health-professions-and-nursing-programs-authorized-in-titles-iii

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2. Summary of Funding

HRSA estimates approximately $800,000 to be available in FY 2022 to fund eight recipients. The actual amount available will not be determined until enactment of the final FY 2022 federal appropriation. You may apply for a ceiling amount (including both direct and indirect, facilities and administrative costs) of up to in:

• Year 1: $ 100,000

• Year 2: $ 150,000

• Year 3: $ 200,000

• Year 4: $ 250,000

• Year 5: $ 300,000

This program notice is subject to the appropriation of funds, and is a contingency action taken to ensure that, should funds become available for this purpose, HRSA can process applications and award funds appropriately.

Staffing, administrative, and other basic operating costs (e.g., personnel costs, supplies, other) paid with grant funds are limited to $10,000 for year 1 and $5,000 (per year) for Years 2, 3, 4, and 5. Examples of operating costs include, but are not limited to activities associated with selection committee creation, faculty application development, development of the loan repayment contract, final processing of selected faculty into the program, etc. Administrative operating costs may be supplemented by in-kind contributions in addition to Dental Faculty Loan Repayment Program award funding toward the reduction of participants’ debt. Any faculty contracts that offer loan repayment in excess of the HRSA annual budget must be paid using recipient’s in-kind funds.

The period of performance is September 1, 2022 through August 31, 2027 (5 years).

Funding beyond the first year is subject to the availability of appropriated funds for Dental Faculty Loan Repayment Program in subsequent fiscal years, satisfactory progress, and a decision that continued funding is in the best interest of the Federal Government.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75.

Limitations on indirect cost rates Indirect costs under training awards to organizations other than state or local governments or federally recognized Indian tribes, will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. Direct cost amounts for equipment, tuition and fees, as otherwise allowable, and subawards and subcontracts in excess of $25,000 are excluded from the direct cost base for purposes of this calculation.

http://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=4d52364ec83fab994c665943dadf9cf7&ty=HTML&h=L&r=PART&n=pt45.1.75

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III. Eligibility Information

1. Eligible Applicants

Eligible entities are programs of general, pediatric, or public health dentistry in public or private nonprofit dental or dental hygiene schools, or approved residency or advanced education programs in the practice of general, pediatric, or public health dentistry.

You must submit accreditation documentation for the relevant training program in Attachment 7, as identified in Section IV.5 of this NOFO.

Current recipients of awards under the 2018 Dental Faculty Loan Repayment Program (HRSA-18-120) and the 2021 Dental Faculty Loan Repayment Program (HRSA-21-019) are not eligible to apply for this NOFO.

Entities outside the United States and its territories are not eligible to apply for this

NOFO.

2. Cost Sharing/Matching

Cost sharing/matching is not required for this program.

3. Other

HRSA may not consider an application for funding if it contains any of the non-responsive criteria below:

• Exceeds the ceiling amount

• Fails to satisfy the deadline requirements referenced in Section IV.4

Maintenance of Effort (MOE) The recipient must agree to maintain non-federal funding for award activities at a level that is not less than expenditures for such activities maintained by the entity for the fiscal year preceding the fiscal year for which the entity receives the award, as required by 42 U.S.C. § 295n-2(b) (section 797(b) of the Public Health Service Act). Such federal funds are intended to supplement, not supplant, existing non-federal expenditures for such activities. Complete the Maintenance of Effort information and submit as Attachment 5.

HRSA will enforce statutory MOE requirements through all available mechanisms.

NOTE: Multiple applications from an organization are not allowable. An organization is defined by having a valid Data Universal Numbering System (DUNS) number or Unique Entity Identifier (UEI).

HRSA will only accept your last validated electronic submission, under the correct funding opportunity number, before the Grants.gov application due date as the final and only acceptable application.

https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-information-kit/unique-entity-identifier-update https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-information-kit/unique-entity-identifier-update

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Failure to include all required documents as part of the application may result in an application being considered incomplete or non-responsive.

Restrictions on Loan Repayment Awards Every person receiving support from award funds must be employed in the United States or territories.

Every person receiving loan repayment through the Dental Faculty Loan Repayment Program must be a citizen, U.S. national, or permanent resident of the United States.

Recipients of award funds cannot receive financial support from another federally-funded program requiring the fulfillment of a service commitment that would run concurrently with the contracted Dental Faculty Loan Repayment Program commitment.

This includes, but is not limited to, scholarship and loan repayment programs through the National Health Service Corps (NHSC), the Indian Health Service (IHS), HRSA’s Faculty Loan Repayment Program, and the Armed Forces Health Professions Scholarship Programs. The Public Service Loan Forgiveness Program is not considered a service obligation. In addition to the listed examples, a more complete list can be found on page 12 of the NHSC guidelines. Those listed programs include qualifying and non-qualifying educational loans: https://nhsc.hrsa.gov/sites/default/files/NHSC/loan-repayment/nhsc-students2service-LRP-application-program-guidance.pdf

Loan repayment is taxable income and must be reported to the Internal Revenue Service. Loan repayment recipients are ultimately responsible for paying the federal, state, and local tax liabilities associated with the loan repayment funds provided through this program. However, it is the award recipients’ responsibility to verify that program participants apply the payments to their loans.

To assist loan repayment recipients, the awardee institutions may elect to withhold applicable taxes utilizing their existing payroll or payment systems. However, Dental Faculty Loan Repayment funds cannot be considered additional salary for the purposes of calculating the faculty’s fringe benefits.

Faculty who have previously participated in a HRSA Dental Faculty Loan Repayment Program may still participate but cannot:

• Exceed 5 years of participation, including prior history of participation AND

• Deviate from the statutorily prescribed repayment structure and receive more than a total of 100 percent repayment (payments from previous program cycles need to be taken into account).

https://nhsc.hrsa.gov/sites/default/files/NHSC/loan-repayment/nhsc-students2service-LRP-application-program-guidance.pdf https://nhsc.hrsa.gov/sites/default/files/NHSC/loan-repayment/nhsc-students2service-LRP-application-program-guidance.pdf

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IV. Application and Submission Information

1. Address to Request Application Package

HRSA requires you to apply electronically. HRSA encourages you to apply through Grants.gov using the SF-424 Research and Related (R&R) workspace application package associated with this notice of funding opportunity (NOFO) following the directions provided at http://www.grants.gov/applicants/apply-for-grants.html.

Form Alert: For the Project Abstract Summary, applicants using the SF-424 R&R Application Package are encountering a “Cross-Form Error” associated with the Project Summary/Abstract field in the “Research and Related Other Project Information” form, Box 7. To avoid the “Cross-Form Error,” you must attach a blank document in Box 7 of the “Research and Related Other Project Information” form, and use the Project Abstract Summary Form 2.0 in workspace to complete the Project Abstract Summary.

See Section IV.2.i Project Abstract for content information.

The NOFO is also known as “Instructions” on Grants.gov. You must select “Subscribe” and provide your email address for HRSA-22-046 in order to receive notifications including modifications, clarifications, and/or republications of the NOFO on Grants.gov.

You will also receive notifications of documents placed in the RELATED DOCUMENTS tab on Grants.gov that may affect the NOFO and your application. You are ultimately responsible for reviewing the For Applicants page for all information relevant to this

NOFO.

2. Content and Form of Application Submission

Application Format Requirements Section 4 of HRSA’s SF-424 R&R Application Guide provides general instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, etc. You must submit the information outlined in the HRSA SF-424 R&R Application Guide in addition to the program-specific information below. You are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide except where instructed in the NOFO to do otherwise. You must submit the application in the English language and in the terms of U.S. dollars (45 CFR § 75.111(a)).

See Section 8.5 of the HRSA SF-424 R&R Application Guide for the Application Completeness Checklist.

Application Page Limitation The total size of all uploaded files included in the page limit shall not exceed the equivalent of 60 pages when printed by HRSA. The page limit includes project and budget narratives, attachments including biographical sketches (biosketches), and letters of commitment and support required in HRSA’s SF-424 R&R Application Guide and this NOFO. Please note: Effective April 22, 2021, the abstract is no longer an https://www.grants.gov/ http://www.grants.gov/applicants/apply-for-grants.html https://www.grants.gov/web/grants/applicants.html http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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attachment that counts in the page limit. The abstract is the standard form (SF) "Project Abstract Summary.”

Standard OMB-approved forms that are included in the workspace application package, including the Standardized Work Plan (SWP), do not count in the page limit.

Biographical sketches do count in the page limitation. Note: If you use an OMB-approved form that is not included in the workspace application package for HRSA-22- 046, it may count against the page limit. Therefore, we strongly recommend you only use Grants.gov workspace forms associated with this NOFO to avoid exceeding the page limit. Indirect Cost Rate Agreement and proof of non-profit status (if applicable) do not count in the page limit. It is therefore important to take appropriate measures to ensure your application does not exceed the specified page limit. Any application exceeding the page limit of 60 pages will not be read, evaluated, or considered for funding.

Applications must be complete, within the maximum specified page limit, and validated by Grants.gov under HRSA-22-046 prior to the deadline.

Debarment, Suspension, Ineligibility, and Voluntary Exclusion Certification

1) You certify on behalf of the applicant organization, by submission of your proposal, that neither you nor your principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

2) Failure to make required disclosures can result in any of the remedies described in 45 CFR § 75.371, including suspension or debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C. § 3354).

3) If you are unable to attest to the statements in this certification, you must include an explanation in Attachment 9: Other Relevant Documents.

See Section 4.1 viii of HRSA’s SF-424 R&R Application Guide for additional information on all certifications.

Program-Specific Instructions In addition to application requirements and instructions in Section 4 of HRSA’s SF-424 R&R Application Guide (including the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract), include the following:

i. Project Abstract Use the Standard OMB-approved Project Abstract Summary Form 2.0 that is included in the workspace application package. Do not upload the abstract as an attachment or it will count toward the page limitation. See Form Alert in Section IV.1 Application Package. Please use the guidance below. It is most current and differs slightly from that in Section 4.1.ix of HRSA’s SF-424 R&R Application Guide.

Provide a summary of the application in the Project Abstract box of the Project Abstract Summary Form using 4,000 characters or less.

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=4d52364ec83fab994c665943dadf9cf7&ty=HTML&h=L&r=PART&n=pt45.1.75#se45.1.75_1371 http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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Address Project Director Name Contact Phone Numbers (Voice, Fax) Email Address Website Address, if applicable List all grant program funds requested in the application, if applicable If requesting a funding preference, priority, or special consideration as outlined in Section V. 2. of the program-specific NOFO, indicate here.

Because the abstract is often distributed to provide information to the public and Congress, prepare this so that it is clear, accurate, concise, and without reference to other parts of the application. It must include a brief description of the proposed project including the needs to be addressed, the proposed services, and the population group(s) to be served. If the application is funded, your project abstract information (as submitted) will be made available to public websites and/or databases including USAspending.gov.

The Abstract must also include:

1. A brief overview of the project as a whole;

2. Specific, measurable objectives that the project will accomplish;

3. Which of the clinical priorities will be addressed by the project, if applicable;

and

4. How the proposed project for which funding is requested will be accomplished, i.e., the "who, what, when, where, why, and how" of a project.

NARRATIVE GUIDANCE

To ensure that you fully address the review criteria, the table below provides a crosswalk between the narrative language and where each section falls within the review criteria. Any forms or attachments referenced in a narrative section may be considered during the objective review.

Narrative Section Review Criteria

Purpose and Need (1) Purpose and Need

Response to Program Purpose:

(a) Work Plan

(b) Methodology/Approach

(c) Resolution of Challenges

(2) Response to Program Purpose

(a) Work Plan

(b) Methodology/Approach

(c) Resolution of Challenges http://www.usaspending.gov/

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Narrative Section Review Criteria

Impact:

(a) Evaluation and Technical Support Capacity

(b) Project Sustainability

(3) Impact:

(a) Evaluation and Technical Support Capacity

(b) Project Sustainability

Organizational Information, Resources, and Capabilities

(4) Organizational Information, Resources, and Capabilities

Budget and Budget Justification Narrative

(5) Support Requested

ii. Project Narrative This section provides a comprehensive description of all aspects of the proposed project. It should be succinct, self-explanatory, consistent with forms and attachments, and organized in alignment with the sections and format below so that reviewers can understand the proposed project.

Use the following section headers for the narrative:

PURPOSE AND NEED -- Corresponds to Section V’s Review Criterion 1

Provide a brief statement of the purpose of the proposed project. Describe gaps in the current oral health workforce and explain how the proposed project will address those gaps. Specifically, address the following:

• Describe the site(s) in which the full-time dental faculty who are expected to receive loan repayment will teach and provide oral health care:

o Describe the training that occurs in these sites, including disciplines, levels of trainees, and descriptions of training rotations.

o Describe the interprofessional, integrated oral health and primary care health care delivery models implemented in these sites.

o Describe the community/communities that are served by these sites.

• Describe your organization’s current need for dental faculty and any challenges your organization has faced in recruiting and retaining dental faculty.

RESPONSE TO PROGRAM PURPOSE -- This section includes three sub-sections

— (a) Work Plan; (b) Methodology/Approach; and (c) Resolution of Challenges—all of which correspond to Section V’s Review Criteria 2 (a), (b), and (c).

(a) WORK PLAN -- Corresponds to Section V’s Review Criterion 2 (a)

• Provide a detailed work plan and a projected number of faculty planned to become potential program participants within the proposed scope. Your work

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plan must be submitted through the Standardized Work Plan (SWP) Form located in the Grants.gov workspace. The SWP form is organized by budget period and must include all activities and deliverables for each objective and program goal. The program goals for this NOFO must be entered in the Program Goals section of the SWP form. For example, Goal 1 in the Purpose section of the NOFO will need to be entered as Goal 1 in the SWP form.

Objectives and sub-objectives can be tailored to your project needs. Objectives may be tagged with organizational priorities by selecting applicable priorities on the SWP form. For the purpose of this NOFO, please write in COVID-19 or Health Equity in the “Other Priority Linkage” if your objective or sub-objectives align with those priorities. Form instructions are provided along with the SWP form, and are included in the application package found on Grants.gov.

You must complete the Standardized Work Plan (SWP) mandatory form in the Application Package. A work plan is an “action” guide with a time line used during program implementation; the work plan provides the “how to” steps. Describe the activities or steps you will use to achieve each of the objectives proposed during the entire period of performance identified in the Methodology section.

• Describe the timeframes, deliverables, and key partners required during the grant period of performance to address each of the needs described in the Purpose and Need section.

• Explain how the work plan is appropriate for the program design and how the targets fit into the overall timeline of award implementation.

• Identify meaningful support and collaboration with key stakeholders in planning, designing, and implementing all activities, including development of the application and, further, the extent to which these contributors address populations and communities served.

(b) METHODOLOGY/APPROACH -- Corresponds to Section V’s Review Criterion 2

(b)

• Describe, in detail, your proposed plan to establish, maintain, or improve a dental faculty loan repayment program for selected dental or dental hygiene faculty who agree to serve as full-time faculty members within the disciplines of general dentistry, pediatric dentistry, dental public health or dental hygiene, including written rules that govern the program. If applicable, describe your recruitment plan for hiring new dental faculty in your institution.

• Describe how you will determine and document participant eligibility, student loan balance at the initiation of the agreement, completion of each year of full-time faculty service, and payments. Describe how you will establish and implement a Selection Committee to identify and determine individual loan repayment recipient(s), including likely committee members and a description of the review/scoring process. Consideration for the rural or disadvantaged background

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status of individual loan repayment recipients is encouraged to be part of the review/scoring process.

• Describe how you will develop a contract that includes full-time service requirements and annual payments that reflect that, upon completion by an individual of each of the first, second, third, fourth, and fifth years of services, the program shall pay an amount equal to 10, 15, 20, 25, and 30 percent, respectively, of the individual’s student loan balance as calculated based on principal and interest owed at the initiation of the agreement. Specify the logistics your institution will use to make the required annual loan repayments. State your planned method to make annual payment to the dental faculty (e.g., pay the dental faculty directly or pay the faculty’s educational loan lender(s)).

• Describe how you will manage your loan repayment program ensuring adherence to the 10, 15, 20, 25, and 30 percent annual repayment schedule over the five year period and other requirements outlined in Section I.1, while staying within your annual budget. State any fiscal staff or department responsible for supporting or co-administering the loan repayment program.

• Describe the approach used to identify potential faculty participants who are willing to pursue scholarly activity, precept students and faculty in community based sites, and have an interest in formal training in teaching methodologies, etc., to ensure their long-term commitment and engagement in an academic career.

(c) RESOLUTION OF CHALLENGES -- Corresponds to Section V’s Review

Criterion 2 (c)

• Discuss challenges that you are likely to encounter in designing and implementing the activities described in the work plan, and approaches that you will use to resolve such challenges. Be sure to address any anticipated challenges in the fiscal administration of a loan repayment program (e.g., incorrect amount of payment distribution, inclusion on unallowable deductions, earlier payments due to improper tracking of anniversary service date, etc.) at your institution and steps you can take to mitigate such challenges.

• Discuss the plan with steps you will take if a faculty participant must leave the program due to extenuating circumstances before they are able to complete required time in service.

IMPACT -- This section includes two sub-sections— (a) Evaluation and Technical

Support Capacity; and (b) Project Sustainability—both of which correspond to Section V’s Review Criteria 3 (a) and (b).

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(a) EVALUATION AND TECHNICAL SUPPORT CAPACITY -- Corresponds to Section V’s Review Criterion) 3 (a)

• Describe the plan for program performance evaluation that will contribute to continuous quality improvement. The program performance evaluation must monitor ongoing processes and progress toward meeting goals and objectives of the project. Include descriptions of the inputs (e.g., key evaluation personnel and organizational support, collaborative partners, budget, and other resources); key processes; variables to be measured; expected outcomes of the funded activities; and a description of how all key evaluative measures will be reported.

Demonstrate evidence that the evaluative measures selected will be able to assess: 1) the extent to which the program objectives have been met, and 2) the extent to which these can be attributed to the project. The evaluation plan must include an assessment of the impact of faculty loan repayment recipients on the patient services and/or training provided.

• Describe the systems and processes that will support your organization's collection of HRSA’s performance management requirements through effective tracking of performance outcomes, including a description of how the organization will collect and manage data (e.g., assigned skilled staff, data management software) in a way that allows for accurate and timely reporting of performance outcomes. At the following link, you will find the required data forms for this program (see “Oral Health Workforce Development Grants” section):

http://bhw.hrsa.gov/grants/reporting/index.html. Document the procedure for assuring the data collection, management, storage, and reporting of National Provider Identifier (NPI) numbers for individuals participating in the Program.

• Describe current budgeting experience, skills, and knowledge, including individuals on staff, materials published, and previous work of a similar nature.

As appropriate, describe the data collection strategy to accurately collect, analyze and track data to measure process and impact/outcomes, and explain how the data will be used to inform program development and service delivery.

Describe any potential obstacles for implementing the program performance evaluation and your plan to address those obstacles.

• Describe any potential obstacles for implementing the program performance evaluation and meeting HRSA’s performance measurement requirements and your plan to address those obstacles. The evaluation and reporting plan also should indicate the feasibility and effectiveness of plans for dissemination of project results, the extent to which project results may be national in scope, and the degree to which the project activities are replicable.

http://bhw.hrsa.gov/grants/reporting/index.html

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(b) PROJECT SUSTAINABILITY -- Corresponds to Section V’s Review Criterion 3 (b)

• Propose a clear plan for project sustainability after the period of federal funding ends, including a description of specific actions you will take, to, at a minimum, ensure the retention of loan repayment recipients at your institution including:

a) Any existing retention efforts and resources at your institution.

b) Key elements of your retention plan, such as dedicated full-time equivalent

(FTE) slots or faculty development activities.

c) Efforts to obtain future sources of funding for retention activities.

• Include a timetable for implementing your retention plan.

• Discuss challenges that are likely to be encountered in sustaining the program and approaches that will be used to resolve such challenges.

ORGANIZATIONAL INFORMATION, RESOURCES, AND CAPABILITIES --

Corresponds to Section V’s Review Criterion 4

• Succinctly describe your capacity to effectively manage the programmatic, fiscal, and administrative aspects of the proposed project.

• Provide information on your organization’s current mission, structure, and scope of current activities, and how these elements all contribute to the organization’s ability to implement the program requirements and meet program expectations.

Include a project organizational chart (requested in Section IV.2.v., Attachment 3.)

• Discuss how the organization will follow the approved plan, as outlined in the application, properly account for the federal funds, and document all costs to avoid audit findings. Provide letters of agreement in Attachment 2 when appropriate.

Faculty development activities are not funded through this loan repayment program.

However, the applying institution may include a description of additional faculty development or other enhancement activities supported by outside sources from which their loan repayment recipients will benefit.

The staffing plan and job descriptions for key faculty/staff must be included in Attachment 1 (Staffing Plan and Job Descriptions for Key Personnel). However, the biographical sketches must be uploaded in the SF-424 RESEARCH & RELATED Senior Key Person Profile (Expanded) form that can be accessed in the Application Package under “Mandatory.” Include biographical sketches for persons occupying the key positions, not to exceed TWO pages in length each. In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter

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of commitment from that person with the biographical sketch. When applicable, biographical sketches should include training, language fluency, and experience working with diverse populations that are served by their programs.

Biographical sketches, not exceeding two pages per person, should include the following information:

• Senior/key personnel name

• Position Title

• Education/Training - beginning with baccalaureate or other initial professional education, such as nursing, including postdoctoral training and residency training if applicable:

o Institution and location o Degree (if applicable) o Date of degree (MM/YY) o Field of study

• Section A (required) Personal Statement. Briefly describe why the individual’s experience and qualifications make them particularly well-suited for their role (e.g., PD/PI) in the project that is the subject of the award.

• Section B (required) Positions and Honors. List in chronological order previous positions, concluding with the present position. List any honors. Include present membership on any federal government public advisory committee.

• Section C (optional) Peer-reviewed publications or manuscripts in press (in chronological order). You are encouraged to limit the list of selected peer-reviewed publications or manuscripts in press to no more than 15. Do not include manuscripts submitted or in preparation. The individual may choose to include selected publications based on date, importance to the field, and/or relevance to the proposed research. Citations that are publicly available in a free, online format may include URLs along with the full reference (note that copies of publicly available publications are not acceptable as appendix material).

• Section D (optional) Other Support. List both selected ongoing and completed (during the last 3 years) projects (federal or non-federal support). Begin with any projects relevant to the project proposed in this application. Briefly indicate the overall goals of the projects and responsibilities of the Senior/Key Person identified on the Biographical Sketch.

iii. Budget The directions offered in the SF-424 R&R Application Guide may differ from those offered by Grants.gov. Follow the instructions in Section 4.1.iv of HRSA’s SF-424 R&R Application Guide and the additional budget instructions provided below. A budget that follows the R&R Application Guide will ensure that, if HRSA selects your application for http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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funding, you will have a well-organized plan and, by carefully following the approved plan, may avoid audit issues during the implementation phase.

Subawards/subcontracts A detailed line-item budget form is required for each subaward and should be uploaded to the R&R Subaward Budget Attachment(s) Form.

The R&R Subaward Budget Attachment Form limits the number of attachments for subawards to 10. If you need to include additional line-item budget forms, upload the attachment in R&R Other Project Information Form, block 12 “Other Attachments.”

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