PA-FPT-26-001 Family Planning NTC.pdf

U.S. Department of Health and Human Services

Office of Population Affairs

Notice of Funding Opportunity National Training Center for Family Planning

Opportunity Number

PA-FPT-26-001

Application Due Date

August 5, 2026

Technical Assistance Webinar Date

July 10, 2026

Table of Contents

SUMMARY

A. ELIGIBILITY INFORMATION

1. Eligible Applicants

B. PROGRAM DESCRIPTION

1. Purpose of this Opportunity

2. Federal Involvement in the Project

3. Eligibility criteria for project participants

C. AWARD INFORMATION

D. APPLICATION CONTENTS AND FORMAT

E. SUBMISSION REQUIREMENTS AND DATES

1. Obtaining an Application Package

2. Required Registrations

3. Submission Instructions

4. Other Submission Requirements

F. APPLICATION REVIEW INFORMATION

1. Responsiveness Review

2. Merit Review Criteria

3. Merit Review and Selection Process

4. Review of Risk Posed by Applicant

G. AWARD NOTICES

H. AWARD REQUIREMENTS AND ADMINISTRATION

I. CONTACTS

J. OTHER INFORMATION

1. Application Checklist

2. Acronyms

3. Glossary

4. Object Class Descriptions and Required Justifications

5. Considerations in Recipient Plans for Oversight of Federal Funds

6. Financial Assistance General Certifications and Representations

7. Protections for Healthcare Entities under Weldon and Other Conscience Protection Statutes APPENDIX A - Subject Matter Expertise Appendix B - Measuring Training and Technical Assistance

BASIC INFORMATION

Opportunity Title National Training Center for Family Planning

Program Office Office of Population Affairs Application Submission and Format

Electronic application submitted via Grants.gov ONLY.

Opportunity Number

PA-FPT-26-001

Award Type CA (Cooperative Agreement)

Application Deadline 8/5/2026

Announcement Type Initial

Technical Assistance Webinar Date 7/10/2026

Assistance Listing

93.260 (Family Planning)

Technical Assistance Webinar Details visit the OPA website at https://opa.hhs.gov/grant-programs/funding-opportunities for details

Eligible Applicants (see Section A.1 for full details) Executive Order 12372 does apply to this NOFO (see section E.3.D)

Estimated Total Funding Available $3,000,000

Estimated Period of Performance (months)

• 12-month first budget period

• 12-month second budget period

• Optional competitive third year to support sustainability Estimated Number of Awards

Anticipated Award Date 09/30/2026

Anticipated Award Funding Range up to $3,000,000 per budget period

Anticipated Project Start Date 09/30/2026

QUESTIONS?

Additional contact information in Section I https://opa.hhs.gov/grant-programs/funding-opportunities https://opa.hhs.gov/grant-programs/funding-opportunities

SUMMARY

The Office of Population Affairs announces the anticipated availability of funds for Fiscal Year (FY) 2026 under the authority of 42 U.S.C. § 300a–1 (Section 1003 of the Public Health Service Act), and Division B, Title II of the Consolidated Appropriations Act, 2026 (Public Law No.

119–75).

This notice solicits applications for projects to establish and operate a National Training Center (NTC) for family planning to provide training and technical assistance (TTA) to all OPA-funded Title X family planning service delivery grant recipients. The training center will allocate equal time and effort to supporting Title X grant recipients’ implementation of Title X administrative, clinical, and fiscal requirements and will ensure that all three areas are robustly addressed each year of the project period. OPA intends to make available approximately $3 million for one grant award for a period of two (2) years with an optional competitive third year to support sustainability. The actual amount available will not be determined until enactment of the FY 2027 federal budget.

The NTC will be expected to:

1. Develop and implement an effective training and technical assistance (TTA) plan for Title X grant recipients that results in increased knowledge and skills, transfer of skills to job performance, and improved outcomes for Title X-funded projects.

2. Provide Title X grant recipients with instruction and guidance on issues, especially:

a. Addressing the chronic disease epidemic and strengthening reproductive health outcomes by addressing conditions that affect women, such as hormonal imbalances, polyendocrine metabolic ovarian syndrome (PMOS), endometriosis, and uterine fibroids, as well as conditions that affect men, including low sperm count, low sperm motility, low testosterone levels, and erectile dysfunction;

b. Reducing overmedicalization in health care and increasing focus on optimal health through evidence-based practices that promote health literacy, fertility awareness, and reproductive health without unnecessary medicalization or symptom suppression;

c. Promoting body and health literacy as foundational to reproductive health counseling;

d. Advancing reproductive goals counseling to support individuals in making informed decisions for the future

3. Raise awareness about and increase use of the NTC, its resources, and TTA services among Title X grant recipients.

4. Engage with stakeholders to enhance efficiency and effectiveness of TTA, improve grant recipient satisfaction and motivation to apply TTA learnings, and better align TTA with Title X grant recipients and OASH priorities.

5. Monitor, evaluate, and continuously improve the quality and effectiveness of TTA provided to Title X grant recipients to ensure project goals are being met and OASH priorities are being adhered to.

6. Conduct an annual convening to provide clinical updates and TTA for Title X clinical service providers.

Only one application will be selected for award as a cooperative agreement to constitute the National Training Center (NTC).

OPA encourages applicants to review all program requirements, eligibility information, application format and submission information, evaluation criteria, OASH Priorities, and other information in this funding announcement to ensure that their application complies with all requirements and instructions.

The Office of the Assistant Secretary for Health (OASH) Grants and Acquisitions Management Division (GAM) will administer this competition.

A. ELIGIBILITY INFORMATION

1. Eligible Applicants Any public or private nonprofit entity is eligible to apply.

You must meet all of the eligibility requirements in order for us to review your application.

a. Eligible Entities

Any public or private nonprofit entity is eligible to apply.

Additional examples of eligible organizations include:

Any public or private nonprofit entity located in a State (which includes one of the 50 United States, District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the U.S. Outlaying Islands (Midway, Wake, et al.), the Marshall Islands, the Federated State of Micronesia, and the Republic of Palau (hereafter, States)) is eligible to apply for a grant under this announcement. Faith-based organizations and American Indian/Alaska Native/Native American (AI/AN/NA) organizations are eligible to apply. Examples of eligible Organizations include:

• State Governments

• U.S. territories

• County Governments

• City or township governments

• Special district governments

• Independent school districts

• Public and State controlled institutions of higher education

• Native American tribal governments (Federally recognized)

• Public Housing authorities/Indian housing authorities

• Native American tribal organizations (other than federally recognized tribal governments)

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

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

• Non-profit private institutions of higher education

b. PD/PI Eligibility

There is no restriction on an individual’s eligibility to be Project Director (PD)/Principal Investigator (PI) on an application. However, we will not make an award with a PD/PI who has an active government-wide exclusion, suspension, or debarment recorded in SAM.gov.

We expect that throughout the period of performance the PD/PI will be involved in, and have substantial knowledge about, all aspects of the project. Although your organization may recognize co-PD/PIs on team-managed projects, we recognize only a single PD/PI who will be responsible for the programmatic aspects of the project.

c. Other Considerations Submitting Multiple Applications

You may submit more than one application, but each application must be for a distinctly different project.

If you submit multiple applications for the same project, we will accept only the last application submitted a Grants.gov timestamp that is before the due date and time. We will disqualify all other versions of the application. See Section F.1.b for all disqualification factors.

Submitting an Application as a Group or Consortium

For any given project, we will only make an award to a single eligible entity. More than one entity may choose to work together on a project under this opportunity, but only one entity may submit the application. If awarded, that entity will be the award recipient and will be responsible for conducting the project.

The other entities may participate in the project, if awarded, and would be responsible to the recipient for their respective roles, typically as subrecipients.

Groups may form a consortium, partnership, or other legally recognized entity for the purpose of applying for this opportunity and carrying out any awarded project. The resulting entity must exist and be legally recognized when it applies and must have an active registration in SAM.gov.

We will conduct a risk assessment on the applying entity (Section F.4) prior to making any award.

Eligibility Documentation

We do not require you to submit documentation of your eligibility (e.g., proof of 501(c)(3) status as determined by the Internal Revenue Service or an authorizing tribal resolution) when you submit your application. It is important that your organization is correctly classified in your SAM registration (Section E.2.a).

During our review of your application, we might request additional documentation to support your eligibility. This request means only that your application is under review and not that you will receive an award.

More specific information on the type of documentation that we might request specific to this opportunity appears in Section E.4.b.

Application Disqualification

We will disqualify applications that fail to meet the eligibility, responsiveness, formatting, and submission requirements (Sections F.1.b) prior to conducting merit review. Disqualified applications will not undergo further review.

We will notify disqualified applicants at the end of the competition when we announce the award recipients.

2. Application Responsiveness Criteria

We will review your application to determine whether it meets the responsiveness criteria below.

If your application does not meet the responsiveness criteria, we will disqualify it from the competition; we will not review it beyond the initial screening.

• The grant applicant clearly includes the required Title X Assurances (42 C.F.R. part 59, subpart C (59.205) as an Appendix in their application. Includes assurance that (1) No portion of the Federal funds will be used to train personnel for programs where abortion is a method of family planning; (2) No portion of the Federal funds will be used to provide professional training to any student as part of his/her education in pursuit of an academic degree; and (3) No project personnel or trainees shall on the grounds of race, color, national origin, religion, sex, disability, age, or another protected characteristic be excluded from participation in, be denied the benefits of, or be subjected to discrimination under the project.

3. Cost Sharing or Matching

You are not required to provide cost sharing or matching in your proposed budget.

B. PROGRAM DESCRIPTION

Office of Population Affairs anticipates making award(s) for Fiscal Year (FY) 2026 under the authority of 42 U.S.C. § 300a–1 (Section 1003 of the Public Health Service Act), and Division B, Title II of the Further Consolidated Appropriations Act, 2026 (Public Law No. 119–75).

The primary focus of OASH is to lead Americans toward healthier lives by promoting health and well-being across the lifespan. This includes the reproductive lifespan, supported through innovative, evidence-based programs, services, partnerships, and research that strengthens family formation and assists people in achieving healthy pregnancies.

Under this funding opportunity (PA-FPT-26-001), the cooperative agreement award will be given to one organization to serve as the National Training Center (NTC) for Family Planning.

The goal of the NTC is to ensure Title X grant recipients have the training and technical assistance (TTA) support needed to effectively meet the expectations and goals of the Title X program. The primary audience for the training center is OPA-funded Title X grant recipients.

Many of these grant recipients rely on sub-recipients and partners to deliver services, therefore OPA expects the funded training center to provide TTA to the grant recipient as well as their sub-recipients and service sites to best support grant recipients and the efforts of their network.

Required Alignment with OASH Mission and Agency Priorities

Consistent with OASH’s mission, in carrying out any project that is funded under this NOFO, recipients must align program design and activities with agency priorities where consistent with program authority and the scope of the award (“Priorities of the Office of the Assistant Secretary for Health,” available online at: https://health.gov/priorities), and when authorized by law according to the TPP statute, regulations, legislative mandates, and additional program guidance. Funded activities must advance and support OASH’s mission to improve the health and well-being of Americans.

In addition, the recipient is required to administer any project that is awarded under this NOFO in accordance with the following objectives in the TPP program that are authorized to advance them:

1. Promote body and health literacy to reduce teen pregnancy

The recipients must demonstrate ongoing compliance with these priorities, in all programs that are authorized to advance them, through program design, implementation, reporting, and evaluation. Failure to meaningfully align funded activities with the applicable requirements may result in corrective action, additional reporting requirements, or other actions consistent with federal grant regulations found at 2 C.F.R.

Part 200 and the terms and conditions of this award (including termination pursuant to 2 C.F.R. 200.340(a)(4) for no longer effectuating program goals or agency priorities).

1. Purpose of this Opportunity

a. Background https://health.gov/priorities

The goal of this funding opportunity is to establish and operate a national training center (NTC) for Title X grant recipients that will provide TTA to build their capacity to effectively meet Title X requirements, deliver high quality Title X services, and address OASH priorities. While the TTA materials developed in this project are developed for OPA grant recipients and their networks, the materials also may be of use to others who, though not funded by OPA, aim to deliver high quality programs, care, and services in a manner which mirrors the overarching goals and objectives of Title X-funded projects.

Title X Family Planning Program

Established in 1970, the Title X Family Planning Program is the only domestic federal program dedicated solely to family planning and related preventive health services. Title X services are guided by the requirements of the Title X statute, regulations, and legislative mandates (see https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates). FY2027 Title X service priorities are also described in the NOFO here:

https://files.simpler.grants.gov/opportunities/770eae58-b245-4431-a4b8- 7b1aca9e917f/attachments/5e3ac609-8998-466a-a8b6-c3d7d49a2e6c/2027_Title_X_Services_NOFO_PA-FPH-27-001_PDF.pdf.

Title X is implemented through competitively awarded grants to a network of public and private nonprofit health and community-based clinics. The Title X network consists of approximately 82 Title X grant recipients and their approximately 1,600 sub-recipients who operate more than 3,800 service sites every year. To learn more about the Title X program, please visit the OPA website https://www.opa.hhs.gov/grant-programs/title-x-service-grants.

Title X grant recipients receive support from Federal Project Officers (PO) and OPA-funded TTA providers. The POs conduct regular monitoring calls and review annual progress reports and performance measure data to assess grant recipients’ progress in meeting program expectations. POs conduct program reviews, a virtual or onsite visit to a grant recipient and their service sites, to ensure recipient compliance, provision of high-quality clinical care, and program integrity. POs work closely with OPA-funded organizations to provide TTA so that grant recipients not only meet program expectations but can deliver the highest quality family planning services.

The Clinical Training Center for Sexual and Reproductive Health (CTC SRH) and the Reproductive Health National Training Center (RHNTC) cooperative agreements ended in FY25, and this NOFO is the competitive announcement to fund the next iteration of TTA for Title X grant recipients.

2. Expectations for Recipients

We will fund one applicant that meets this NOFO’s goals and provides objective measurements for success. We expect the funded applicant, which will be referred to as the NTC from here forward, to:

1. Develop and implement an annual Training and Technical Assistance (TTA) plan within 30 days of award that:

https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates https://files.simpler.grants.gov/opportunities/770eae58-b245-4431-a4b8-7b1aca9e917f/attachments/5e3ac609-8998-466a-a8b6-c3d7d49a2e6c/2027_Title_X_Services_NOFO_PA-FPH-27-001_PDF.pdf https://files.simpler.grants.gov/opportunities/770eae58-b245-4431-a4b8-7b1aca9e917f/attachments/5e3ac609-8998-466a-a8b6-c3d7d49a2e6c/2027_Title_X_Services_NOFO_PA-FPH-27-001_PDF.pdf https://files.simpler.grants.gov/opportunities/770eae58-b245-4431-a4b8-7b1aca9e917f/attachments/5e3ac609-8998-466a-a8b6-c3d7d49a2e6c/2027_Title_X_Services_NOFO_PA-FPH-27-001_PDF.pdf https://www.opa.hhs.gov/grant-programs/title-x-service-grants o Addresses administrative, clinical, and fiscal Title X requirements with equal emphasis each year of the project period;

o Responds to identified needs of Title X grant recipients;

o Incorporates OPA guidance and OASH priorities; and o Includes measurable objectives and improved outcomes.

OPA expects that, in addition to developing new materials, the funded recipient will review, update, and use previously developed TTA products that are aligned with OASH Priorities, and will continually update and enhance publicly available products to ensure compliance with current Federal regulations, nationally recognized standards of care, and evidence-based practices to best meet grant recipient needs.

2. Deliver high-quality TTA using a range of approaches, including training, consultation, coaching, and technical assistance. TTA must be evidence-informed, tailored to audience needs, and designed to improve knowledge, skills, and organizational performance.

3. Maintain a national resource center that provides timely access to training materials, tools, and other resources for Title X grant recipients. A publicly accessible website and knowledge management system must be operational within 90 days of award. The website should include a training tracking system to help Title X project staff demonstrate compliance with mandatory training expectations as required by the Title X statute, regulations, and other legislative mandates (see https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates).

4. Communicate regularly with Title X grant recipients and OPA to promote awareness and use of available TTA resources and services. The NTC is expected to begin to develop and execute a communications strategy within one month of funding, with updates as needed.

5. Coordinate with OPA, Title X grant recipients, and relevant partners to identify emerging needs, avoid duplication of effort, and ensure TTA activities remain aligned with Title X and OASH priorities where applicable. OPA assigns project officers to work directly with a portfolio of Title X grant recipients to monitor their progress and provide support to help grant recipients meet and exceed OPA expectations. OPA expects the NTC to communicate and collaborate with the OPA project officers. This is to ensure that project officers have an opportunity to provide input into the final TTA plan for their assigned grant recipients. Additional benefits of communicating and collaborating with project officers include increasing the awareness of training, instructional material, and technical assistance offerings among the project officers, which they in turn can promote widely to their grant recipients increasing the uptake and utilization of resources and opportunities. OPA also expects that the NTC will keep project officers informed of the results of TTA for their grant recipients so that they can reinforce the key messages through their continued communication with grant recipients.

https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regulations-and-legislative-mandates

6. Monitor and evaluate TTA activities and use findings to improve services. The recipient must implement an evaluation plan within 60 days of award and regularly report results to OPA. The evaluation plan should be reviewed annually and updated as needed.

The Office of the Assistant Secretary for Planning and Evaluation developed resources on Measuring T/TA Effectiveness. These resources should be utilized to support the execution of this expectation. Please see “Appendix B - Measuring Training and Technical Assistance” for more information.

7. Maintain sufficient staffing and subject matter expertise to provide administrative, clinical, and fiscal support to Title X grant recipients throughout the project period.

8. Conduct at least one annual convening for Title X clinical service providers to provide updates, training, and opportunities for information sharing.

Recipients are expected to work closely with OPA throughout the project period and to adapt activities as needed to address emerging program needs and priorities.

2. Federal Involvement in the Project

If you receive an award, we will encourage you to seek the advice and opinion of federal staff when problems arise. However, you would be responsible for making sound programmatic and administrative judgments. The responsibility for operating decisions will be yours and does not shift to HHS, OASH, or Office of Population Affairs.

Under a grant, the program office’s involvement may include routine monitoring and technical assistance such as monthly conference calls, occasional site visits, ongoing review of plans and progress, participation in relevant meetings, provision of training and technical assistance.

Awards will be in the form of cooperative agreements with the recipient. Cooperative agreements are a form of assistance that allows for substantial involvement between federal program office and the recipient during the project period. Substantial programmatic involvement from OPA may include:

a. Identification of organizations with whom the funded training center may be asked to coordinate and collaborate.

b. Assisting the funded training center to establish, review, and update priorities for activities conducted under the auspices of the cooperative agreement.

c. Reviewing and providing input on the proposed plan for training and technical assistance for Title X grant recipients.

d. Reviewing and providing input on TTA products and materials to confirm that they are consistent with OPA and OASH priorities and expectations for Title X grant recipients.

e. Facilitating communication with OPA-funded Title X grant recipients and other OPA-funded organizations.

f. Keeping the funded training center abreast of important Federal initiatives that could potentially influence the direction or implementation of a given strategy.

g. Translation and dissemination of lessons learned through publications, meetings, and other means.

3. Eligibility criteria for project participants You must not restrict participation in the project on the basis of race, color, national origin, religion, sex, disability, age, or another protected characteristic (See Section H.5).

C. AWARD INFORMATION

OPA intends to award a cooperative agreement to one applicant under this announcement.

Budget period(s)

We expect to fund awards in 12-month budget periods for a total period of performance of 24 month(s) with an optional competitive third year to support sustainability. However, we may approve shorter periods of performance. Budget periods may vary from the estimated 12 months because of the timing of award issuance or other administrative factors.

For multi-year projects, recipients must submit a non-competing continuation (NCC) application for each budget period after the first. We anticipate offering a competing continuation for a third year for the purpose of providing funding to support selected recipients as they transition projects to sustainability. We will provide guidance generally 3 months prior to the end of the active budget period. Continuation funding is contingent upon the availability of funds, satisfactory progress of the project, appropriate stewardship of federal funds, and the best interests of the government. Funding for all approved budget periods after the first is generally the same as the initial award amount and may be subject to any offset with funds unused in a previous budget period.

D. APPLICATION CONTENTS AND FORMAT

1.Format of the Application

You must prepare your application using the forms and information described in this NOFO.

The official online application package on Grants.gov contains all necessary forms and guidance for preparing an application. This package includes but is not limited to:

• Full Text of the NOFO

• Standard forms (required) and their instructions o SF-424 Application for Federal Assistance o SF-424A Budget Information for Non-Construction Programs o SF-LLL Disclosure of Lobbying Activities o Project Abstract Summary

• Sample templates, if available.

In addition to the four standard forms in the application package, your application will consist of 3 sections of materials you prepare:

1. Project Narrative

2. Appendices to the Project Narrative

3. Budget Package.

We strongly encourage you to read all instructions for the application format and content to avoid disqualification of your application. An application checklist is available in Section J.1.

a. Project Narrative – Formatting Following the formatting instructions below will help ensure that your application is readable for review process. Acceptable electronic file formats are in Section E.3.a.

Names of Individuals

We encourage you to use individuals’ full names (first, middle, last) on the standard forms and any other documents such as résumés/curricula vitae/biographical sketches to distinguish them for verification in the SAM exclusion records. Delays may result in award processing if full names are not provided.

You should avoid submitting personally identifiable information such as personal contact information (e.g., home address and telephone number) on résumés/curricula vitae/biographical sketches. Do not submit social security numbers.

If you receive an award, only one Project Director/Principal Investigator (PD/PI) will be named on the award documents. (Section A.1.b) Avoid using a placeholder or honorary PD/PI. If you have not hired an individual to be the PD/PI, you should name an interim PD/PI, and your application should clearly identify that person as such.

We typically expect the PD/PI to be named on the SF-424 in box 8.f. Avoid naming grant writers in box 8.f unless they have the expertise to respond to technical questions about the proposed project in a timely manner.

Identify other personnel who are essential or key to the execution of the proposed project clearly in your project narrative.

If you receive an award, a request for a change in PD/PI or key personnel under any circumstance requires prior approval of the grants management officer before becoming effective. We may disallow any costs incurred as a result of that change prior to our approval. See Section H.1.c.

Page Formatting

If you submit documents that do not conform to the following instructions, GAM will disqualify your application during the review process (SectionF.1.b).

Use an easily readable typeface, such as Times New Roman or Arial.

Use a 12-point font.

Use an 8.5” X 11” page size. Any other size page (e.g., A4, legal) will disqualify your application.

You must double-space the Project Narrative pages or we will disqualify your application. You may single-space tables or use alternate fonts, but you must ensure the tables are easy to read.

Do not number pages or include a table of contents. Our grants management system will generate page numbers once your application is complete.

You must submit your application in the English language and in terms of U.S. dollars (2 C.F.R. 200.111).

Page Limits

Your project narrative and appendices must adhere to these page limits.

The page limits do not include the budget package (Section D.2.c)

The page limits do not include the required forms (SF-424, SF-424A, SF-LLL, and the Project Abstract Summary)

If your application exceeds the specified page limits when printed on 8.5” X 11” page, we will not review your application further.

We encourage you to print out your application before submitting it to ensure that it is within the page limits and is easy to read. Do not reduce pages to fit multiple pages on a single sheet to avoid exceeding the page limitation.

Do not hyperlink to documents or sites outside of your application to augment your application. Reviewers will not be permitted to follow links to external content during their assessment of your application. The one exception to this is a link to your internal controls as part of your budget package (Section D.2.c.3).

Page Limit

Project Narrative _____50____

Project Narrative plus Appendices ____100_____

Labeling Proprietary Information

Proprietary information includes patentable ideas, trade secrets, privileged or confidential commercial or financial information, the disclosure of which may harm the applicant.

You should include proprietary information in your application only to the extent that it is essential to the reviewers’ understanding of the project. Proprietary information should not appear in your Project Abstract Summary.

If your application contains proprietary information, you should clearly label the top of the first page of the project narrative. For example, https://www.ecfr.gov/current/title-2/section-200.111

Contains proprietary or confidential information that [Your Organization Name] requests not be released to persons outside the government, except for purposes of review and evaluation.

Awarded applications are subject to release under the Freedom of Information Act (FOIA) with redactions as the FOIA statute permits.

b. Appendices to the Project Narrative – Formatting Your appendices should include any specific items outlined in Section D.2.b. Your documents should be easy to read.

You should use the same formatting specified for the Project Narrative. However, documents such as résumés/curricula vitae/biographical sketches, organizational charts, tables, Memoranda of Agreement (MOAs) or Letters of Commitment (LOCs) may have formatting common to those documents, so long as the pages are easy to read. For example, resumes, MOAs and LOCs may be single-spaced.

You must upload all of your appendices as a single, consolidated file in the Attachments section of your Grants.gov application. You must use an acceptable file format (Section E.3.a). We strongly encourage you to convert your file(s) to PDF format before uploading and review them to ensure accurate conversion.

Your Project Narrative plus the Appendices may not exceed the total number of pages for the application (Section D.1.a).

c. Budget Package - Formatting The budget narrative should use the formatting required of the project narrative for the explanatory text. Budget tables may be single-spaced but should be laid out in an easily readable format and within the printable margins of an 8.5” x 11” page. You must use an acceptable file format (Section E.3.a). We do not accept Excel or other similar spreadsheet formats.

The application page limit does not include the SF-424A or the budget narrative (including budget tables).

We recommend you present budget amounts and computations in a columnar format: first column, object class categories; second column, federal funds requested; third column, non-federal resources; and last column, total budget.

Object Class Federal Funds Requested

Non-Federal Resources Total Budget

Personnel $100,000 $25,000 $125,000

2. Content

a. Project Narrative - Content The Project Narrative is the most important part of your application. We will use it as the primary basis to determine whether your project merits an award. The project narrative should provide a clear and concise description of your project. We recommend that your project narrative include the following components with the requested information. Labeling the sections accordingly will help the reviewers find information quickly.

You must clearly describe the administrative, management, and clinical capability of the applicant organization and plans for delivering family planning services that meet the expectations outlined in the NOFO. You should include all services to be provided by the project as part of the program plan. Proposed projects must adhere to all requirements of the Title X statute; applicable regulations, including regulations regarding sterilization of persons in federally assisted family planning projects; and legislative mandates.

Successful proposals should include the following:

Project Significance

Applicants must demonstrate a thorough understanding of the Title X Family Planning Program, the purpose of this funding opportunity, and the role of the National Training Center in supporting Title X grant recipients.

Applicants must describe:

• Their understanding of the administrative, clinical, and fiscal requirements of the Title X program and the challenges Title X grant recipients face in meeting those requirements.

• Their understanding of the expectations and goals of the Title X program and OASH priorities, including promoting body and health literacy, fertility awareness, and reproductive health without unnecessary medicalization or symptom suppression

• Their understanding of the roles and responsibilities of Title X grant recipients, subrecipients, service sites, and other key stakeholders within the Title X network.

• The current and emerging training and technical assistance needs of Title X grant recipients and how those needs affect program performance, service quality, compliance, and organizational capacity.

• How a national training and technical assistance center can strengthen the capacity of Title X grant recipients to meet Title X requirements, improve service delivery, and achieve measurable improvements in organizational performance and client outcomes.

• How the proposed project will improve the knowledge, skills, and performance of Title X grant recipients and contribute to improved implementation of the Title X program nationwide.

Organizational Capacity and Experience

Applicants must demonstrate:

• Experience providing training and technical assistance at a national or large regional scale.

• Expertise in Title X administrative, clinical, and fiscal requirements (1) on topics of importance for Title X and family planning, (2) at varying levels of intensity (universal, selected, targeted), (3) at different organizational levels of a project (grant recipient, subrecipient, service site), (4) for a variety of new and seasoned providers and other services providers (novice to expert), and (5) using diverse strategies and approaches.

• Expertise in reproductive health and preventive health services, clinical service delivery aligned with nationally recognized standards of care, health care systems, health care facility management, patient-centered care and counseling, third-party billing (e.g., public and private insurance), sliding fee scales, 340b program, electronic health records, and using data to drive quality improvement.

• Experience supporting healthcare organizations, service providers, or grant recipients in improving performance and outcomes.

• A documented record of achieving measurable results through training and technical assistance.

• Sufficient staffing, infrastructure, project management systems, and subject matter expertise to operate a national training center (to support over 80 Title X grant recipients and their approximately 1,600 sub-recipients and more than 3,800 service sites every year).

o Appendix must include:

For existing staff, provide position descriptions, qualifications for performing the role, and FTE of the position. Include an abbreviated résumé (as an appendix) for all staff.

For staff to be hired, provide position descriptions and desired qualifications for each position. Include a timeline for when the position will be staffed, FTE of the position(s), and the methods to be used for recruiting qualified applicants.

Technical Approach

Applicants must describe:

• How they will assess training and technical assistance needs across the Title X network.

• How they will develop and implement an annual TTA plan aligned with Title X requirements and OASH priorities where applicable.

• How they will provide universal, selected, and targeted TTA.

• How they will maintain a website, knowledge management system, and communications strategy.

• How they will ensure resources and services are evidence-informed, responsive to recipient needs, and consistent with OASH priorities.

• Their plans for conducting an annual convening to provide clinical updates and TTA for

Title X clinical service providers.

Collaboration and Stakeholder Engagement

Applicants must describe:

• Their approach to working with OPA, Title X grant recipients, and other relevant partners.

• Their strategy for obtaining and incorporating stakeholder feedback.

• Their experience collaborating with federal agencies, national organizations, and other partners to achieve program goals. If available, include signed Memoranda of Understanding (MOUs), Letters of Commitment, or Letters of Support as an appendix.

• How partnerships will strengthen the project's ability to advance OASH priorities.

Project Monitoring and Evaluation

Applicants must describe:

• Their plan for project management.

• How project performance and outcomes will be monitored.

• How the effectiveness of TTA activities will be measured and evaluated.

• How findings will be used for continuous quality improvement.

• How evaluation results will demonstrate progress toward both project objectives and

OASH priorities as applicable.

b. Appendices to the Project Narrative – Content All items described in this section will count toward the total page limit of your application. You must submit them as a single electronic file uploaded to the Attachments section of your Grants.gov application.

Samples and optional forms/templates for some of these items are located under the Related Documents tab for this NOFO on Grants.gov.

Your application should include the following appendices:

1) Work Plan

Your work plan should reflect, and be consistent with, the Project Narrative and Budget Narrative, and must cover all years of the period of performance. However, each year’s activities should be fully attainable in one budget year. You may propose multi-year activities, as well as activities that build upon each other, but each phase of the project must be discreet and attainable within a single budget year.

Your work plan should include a statement of the project’s overall goal. It should then use the expectations outlined in this NOFO as subgoals with anticipated outcome(s), key objectives, and the major tasks, action steps, or products that will be pursued or developed to achieve the expectation and outcome(s). For each major task of each year, action step, or product, your work plan should identify the timeframes involved (including start and end dates), and the lead person responsible for completing the task.

The work plan should also reflect the following deliverables:

• Within 1 month of funding - TTA plan and its execution for the budget year and communication strategy

• Within 2 months of funding - Evaluation plan

• Within 3 months of funding – a fully functioning user-friendly website and knowledge management system that is accessible by Title X grant recipients.

2) Title X Assurances Required by 42 C.F.R. part 59, subpart C (§59.205).

Include assurance that (1) No portion of the Federal funds will be used to train personnel for programs where abortion is a method of family planning; (2) No portion of the Federal funds will be used to provide professional training to any student as part of his/her education in pursuit of an academic degree; and (3) No project personnel or trainees shall on the grounds of race, color, national origin, religion, sex, disability, age, or another protected characteristic be excluded from participation in, be denied the benefits of, or be subjected to discrimination under the project.

3) Sample TTA Plan for Year One of the Project

Include a sample TTA plan for the first year of the project. The sample plan should demonstrate your organization's understanding of the TTA needs of Title X grant recipients and your capacity to develop a realistic, actionable plan to begin addressing those needs at the start of the award.

The plan should address each of the three subject matter areas outlined in the Organizational Capacity and Expertise section of this NOFO: (1) administrative, clinical, and fiscal Title X requirements, (2) Title X service delivery subject matter expertise, and (3) OASH priorities.

The sample plan should include, at minimum, the proposed TTA activities, target audience(s), intensity level (universal, selected, or targeted), delivery modality, and anticipated timeline for each activity.

Note that this sample plan represents your best thinking at the time of application. OPA expects that the plan will be refined collaboratively with OPA following award and prior to implementation.

4) Formal written agreements (e.g., Memorandum of Understandings or

Agreements (MOUs/MOAs), etc.)

If possible, include formal, written agreements such as MOUs, MOAs, contract, etc. for organizations and entities that have been specifically named as a subrecipient or partner to carry out any aspect of the project. Note: Signed agreements will be required prior to issuance of any award under this announcement. The signed agreements should detail the specific role and resources that will be provided, or activities that will be undertaken, in support of the applicant; demonstrate current commitment from the partners to the project being proposed in the application; and describe the organization’s expertise, experience, and access to the selected population(s). Formal agreements are not the same as letters of support. See below for more information on letters of support.

5) Letters of Commitment or Letters of Support https://gbc-word-edit.officeapps.live.com/we/wordeditorframe.aspx?ui=en-US&rs=en-US&actnavid=eyJjIjoxMjI2NTAzODA0fQ&wopisrc=https%3A%2F%2Fhhsgov.sharepoint.com%2Fsites%2FOPAProgramDivisionOASH%2F_vti_bin%2Fwopi.ashx%2Ffiles%2F9fb1b4a1dbe44243b1f032603a13bc78&wdlor=cA3DBAECF-40D5-4E22-B79E-D31546D86C5C&wdenableroaming=1&mscc=1&hid=0FA7FEA1-F0C5-B000-F9C8-5BE85890133B.0&uih=sharepointcom&wdlcid=en-US&jsapi=1&jsapiver=v2&corrid=f1c17632-014c-77f2-f1d6-f6dcbc0c65f1&usid=f1c17632-014c-77f2-f1d6-f6dcbc0c65f1&newsession=1&sftc=1&uihit=docaspx&muv=1&ats=PairwiseBroker&cac=1&sams=1&mtf=1&sfp=1&sdp=1&hch=1&hwfh=1&dchat=1&sc=%7B%22pmo%22%3A%22https%3A%2F%2Fhhsgov.sharepoint.com%22%2C%22pmshare%22%3Atrue%7D&ctp=LeastProtected&rct=Normal&wdorigin=BrowserReload&csiro=1&instantedit=1&wopicomplete=1&wdredirectionreason=Unified_SingleFlush#_a._Project_Narrative https://gbc-word-edit.officeapps.live.com/we/wordeditorframe.aspx?ui=en-US&rs=en-US&actnavid=eyJjIjoxMjI2NTAzODA0fQ&wopisrc=https%3A%2F%2Fhhsgov.sharepoint.com%2Fsites%2FOPAProgramDivisionOASH%2F_vti_bin%2Fwopi.ashx%2Ffiles%2F9fb1b4a1dbe44243b1f032603a13bc78&wdlor=cA3DBAECF-40D5-4E22-B79E-D31546D86C5C&wdenableroaming=1&mscc=1&hid=0FA7FEA1-F0C5-B000-F9C8-5BE85890133B.0&uih=sharepointcom&wdlcid=en-US&jsapi=1&jsapiver=v2&corrid=f1c17632-014c-77f2-f1d6-f6dcbc0c65f1&usid=f1c17632-014c-77f2-f1d6-f6dcbc0c65f1&newsession=1&sftc=1&uihit=docaspx&muv=1&ats=PairwiseBroker&cac=1&sams=1&mtf=1&sfp=1&sdp=1&hch=1&hwfh=1&dchat=1&sc=%7B%22pmo%22%3A%22https%3A%2F%2Fhhsgov.sharepoint.com%22%2C%22pmshare%22%3Atrue%7D&ctp=LeastProtected&rct=Normal&wdorigin=BrowserReload&csiro=1&instantedit=1&wopicomplete=1&wdredirectionreason=Unified_SingleFlush#_a._Project_Narrative

You may include signed Letters of Commitment for the organizations that have been specifically named to carry out any aspects of the project. The signed letters of commitment should include the specific role and resources that will be provided (if any), or activities that will be undertaken, in support of the applicant. The entity’s expertise, experience, and access to the targeted population(s) should also be described in the letter of commitment.

Letters of support are letters that are general in nature that speak to the writer’s belief in the capability of an applicant to accomplish a goal/task. Letters of support also may indicate an intent or interest to work together in the future, but they lack specificity.

6) Curriculum Vitae/Resume for Key Project Personnel

You must submit with your application curriculum vitae and/or resumes of all key personnel. Key Personnel includes those individuals who will oversee the technical, professional, and managerial functions and/or assume responsibility for assuring the validity and quality of your organization’s program. This includes at a minimum the Project Director and Program Manager/Coordinator. We encourage individuals to use their full name (first, middle, last) on these documents to distinguish them for verification in the System for Award Management exclusion records.

7) Organizational Chart

Include an organizational chart that reflects the management structure for the project and demonstrates where the project resides within the greater organization.

c. Budget Package – Content A complete budget package consists of the following required components:

• SF-424A “Budget Information Non-Construction Programs”

• Budget narrative with detailed justification by cost category/object class, and

• Plan for oversight of federal funds.

You should include supporting documentation for your budget (e.g., a copy of your approved indirect cost rate) as part of the budget package, not as part of your appendices to the project narrative. There is no page limit for the budget package contents. If you are recommended for an award, you may be asked to provide additional information about your budget package.

Throughout your budget package, “Federal resources” refers only to the funds you are requesting from the program office for this project. “Non-federal resources” are all other non-HHS/OASH federal and non-federal resources. Funds from federal grant programs typically are not eligible as cost share for other federal grants. It is your responsibility to confirm with other federal agencies whether funds you receive from them are eligible resources to apply to your proposed project.

1. Standard Form SF-424A

You must enter the project budget according to the directions provided with the standard form.

You must provide costs by object class category for the first 12 months (i.e., first budget period) of the proposed project using Section B, box 6 of SF-424A. If the estimated period of performance is 12 months or less, this will be your total budget request for the entire project.

"Federal resources" refers only to the funds for which you are applying under this NOFO. "Non-federal resources" are all other resources (federal and non-federal).

Do not include costs beyond the first budget period in the object class budget in box 6 of SF- 424A or box 18 of SF-424. The amounts entered in these sections should only reflect the first budget period.

If there is a discrepancy between your SF-424A and budget narrative and justification, we will rely on the narrative and justification to determine the final amounts.

2. Budget Narrative with Justification

Your budget narrative must include a detailed line-item budget and must include calculations for all costs and activities by the “object class categories” identified on SF-424A. You must provide a detailed justification for the costs by object class. The object class budget organizes your proposed costs into a set of defined categories.

Use the guidelines in Section J.4 for preparing the detailed object class budget.

Budget Periods

Your budget narrative must describe the first budget period in detail. For each proposed cost for the first budget period, provide a justification that includes explanatory text and line-item…