U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Bureau of Primary Health Care
School-Based Health Center Capital (SBHCC) Program
Announcement Type: New Competitive
Announcement Number: HRSA-10-276
Catalog of Federal Domestic Assistance (CFDA) No. 93.501
FUNDING OPPORTUNITY ANNOUNCEMENT
Fiscal Year 2010
Application Due Date (Grants.gov and HRSA EHBs) July 30, 2010
Date of Issuance: June 30, 2010
Date of Release: June 30, 2010
Bureau of Primary Health Care
Office of Policy and Program Development
Telephone: 301-594-4300
Fax: 301-594-4997
Email: [email protected]
Technical Assistance Resources: http://www.hrsa.gov/grants/apply/assistance/sbhcc
Legislative Authority: Patient Protection and Affordable Care Act (P.L. 111-148), Title IV, Section
4101(a)
Executive Summary
The Health Resources and Services Administration (HRSA) administers the School-Based
Health Center Capital (SBHCC) Program, as authorized by the Patient Protection and Affordable
Care Act (ACA) ((P.L. 111-148), Title IV, Section 4101(a)).
School-based health centers (SBHC) are a major component of the nation’s health care safety
net. SBHCs not only enable children with acute or chronic illnesses to attend school, but also
improve their overall health and wellness through health screenings, health promotion, and
disease prevention activities.
This funding opportunity announcement details the eligibility requirements, review criteria, and
awarding factors for organizations seeking a SBHCC Equipment grant in fiscal year (FY) 2010
for the purchase of moveable equipment1. The SBHCC Equipment grants will address
significant and pressing equipment needs to support the expansion of services at SBHCs.
Applicants must demonstrate how their proposal will lead to improvements in access to health
services for children at a SBHC.
HRSA expects to award approximately $50 million for an estimated 1,000 SBHCC Equipment
grants in FY 2010. All applicants requesting funding for a SBHCC Equipment grant must
use this announcement. This funding opportunity announcement should be reviewed thoroughly
prior to making a decision to apply.
1. Eligible Applicants (please refer to Section III for additional information on eligibility
requirements)
School-based health center or a sponsoring facility of school-based health centers eligible to
apply includes any of the following: a hospital, a public health department, a community health
center, a nonprofit health care agency, a local educational agency, or a program administered by
the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a
tribal organization.
2. Application Submission Process
For FY 2010, HRSA will use a two-part submission process for SBHCC Equipment applications
via Grants.gov and HRSA’s Electronic Handbooks (EHB). Please see the following discussion
and chart for detailed information on the application process. The following are deadlines for
each part:
1
Moveable equipment is a non-expendable item with a useful life of more than one year and a unit cost of
$5,000 or more (or equal to the applicant’s capitalization, if less than the $5,000 threshold) that is not
permanently affixed and can be easily moved (e.g., medical exam tables, dental chairs, x-ray equipment,
computers, modular workstations, autoclaves, and freezers). Trailers or modular units set up on portable
chassis for temporary use may also be considered moveable equipment. Office supplies (paper, pencils,
toner, and the like); medical supplies (syringes, blood tubes, plastic gloves, etc.), and educational supplies
(pamphlets, educational videotapes, etc.) are not moveable equipment.
ii
Part 1 - Grants.gov
Part 2 - HRSA’s EHB
5:00 PM ET on July 30, 2010
5:00 PM ET on July 30, 2010.
Note: Applicants can begin the application process for Part 1 in Grants.gov and Part 2 in
HRSA’s EHBs concurrently. Applicants do not need to submit to Grants.gov and wait for
notification prior to entering the HRSA EHBs. Applicants MUST, however, submit the
appropriate application materials through both Grants.gov and the HRSA EHBs prior to
the deadline in order to be considered eligible for the funding opportunity.
It is the responsibility of the applicant to ensure that the complete application is submitted
electronically by the published due date and time. Applications will be considered as having
been formally submitted and having met the deadline if: (1) the application has been successfully
transmitted electronically by your organization’s Authorized Organization Representative (AOR)
through Grants.gov and it has been successfully validated by Grants.gov on or before the
deadline date and time; and (2) the AOR has submitted the additional information in the HRSA
EHBs on or before the deadline date and time. Applications which do not meet the criteria above
are considered late applications and will not be considered in the current competition.
Part 1 - Grants.gov
Part 1 - Grants.gov: Application must be completed and successfully submitted via Grants.gov
by 5:00 PM ET on July 30, 2010.
To ensure adequate time to follow procedures and successfully submit the application, HRSA
recommends that applicants register immediately in Grants.gov and HRSA’s EHBs, if currently
unregistered. The registration process can take up to one month. For Grants.gov technical
assistance, please refer to http://www.grants.gov or call the Grants.gov Contact Center 24 hours
a day, 7 days a week (excluding Federal holidays) at 1-800-518-4726 for information on
registering. Applicants are strongly encouraged to register multiple authorizing organization
representative(s) (AOR).
Part 2 - HRSA’s EHBs
Part 2 - HRSA’s EHBs: Application must be completed and successfully submitted by 5:00 PM
ET on July 30, 2010.
For information on registering in HRSA’s EHBs, please refer to
http://www.hrsa.gov/grants/userguide.htm or call the HRSA Call Center at 1-877-464-4772. If
this registration process is not complete, you will be unable to submit an application. HRSA
recommends that applications be submitted in Grants.gov and HRSA’s EHB as soon as possible,
to ensure that maximum time is available for completing the application within both systems.
iii
FY 2010 SCHCC Equipment Application Submission Process
Part
Due Dates
Helpful Hints
Submit by 5:00
PM ET on July
30, 2010
Refer to
http://www.hrsa.gov/grants/userguide.htm for
detailed application and submission
instructions.
Part 1: Grants.gov
Please complete and submit
the following by the
Grants.gov deadline (all
forms are available in the
Grants.gov application
package):
–
–
–
–
Registration in Grants.gov is required. As
registration may take up to a month, start the
process as soon as possible.
SF-424 Face Page
Project
Summary/Abstract
(uploaded on line 15 of
the SF-424 Face Page)
PHS-5161 HHS checklist
SF-424 LLL Disclosure
of Lobbying Activities
The Central Contractor Registry (CCR)
registration is an annual process. Verify the
organization’s CCR registration prior to
Grants.gov submission, well in advance of the
application deadline.
The Grants.gov registration process involves
three basic steps:
– Register the organization
– Register an individual as the Authorized
Organization Representative (AOR) for the
organization
– Get authorized as an AOR by the applicant
organization
Please visit the Grants.gov website at
http://www.grants.gov/applicants/get_registere
d.jsp or call the Grants.gov Contact Center at
1-800-518-4726 24 hours a day, 7 days a week
(excluding Federal holidays) for additional
technical assistance on the registration
process.
Part 2: HRSA’s EHBs
Complete and submit the
following by the HRSA
EHBs deadline (forms may
be found online at
Registration in HRSA’s EHB is required.
Submit by 5:00
PM ET on July
30, 2010
Refer to
http://www.hrsa.gov/grants/userguide.htm for
iv
Part
Due Dates
Helpful Hints
http://www.hrsa.gov/grants/a
pply/assistance/sbhcc):
process instructions, and frequently-asked
questions.
Forms
– Proposal Cover Page
– SF-424 Face Page
– Budget Form (SF-424C)
– Equipment List
– Equipment Location
The Authorizing Official (AO) must complete
submission of the application.
Please refer to
http://www.hrsa.gov/grants/userguide.htm for
information on registering in EHBs or call the
HRSA Call Center at 1-877-464-4772.
Attachments
– Proposal Narrative
– Budget Justification
– Capitalization Threshold
Certification for
Sponsoring Authority
– SF-424D Assurances
Construction Programs
– Letters of Support (as
applicable)
– Other Documents (as
applicable)
For more information and technical assistance
refer to
http://www.hrsa.gov/grants/apply/assistance/s
bhcc.
All applicants must submit using the two-part submission process for SBHCC Equipment
applications, unless the applicant is granted a written exemption from this requirement in
advance by the Director of HRSA’s Division of Grants Policy or designee. To request an
exemption, applicants must submit a request in writing from [email protected], and
provide details as to why they are technologically unable to submit electronically though the
Grants.gov portal and/or the HRSA EHBs. When requesting a waiver, be sure to specify the
announcement number HRSA-10-276 and include specific information, including any tracking
numbers or anecdotal information received from Grants.gov and/or the HRSA Call Center, in the
justification request. HRSA and its Grants Application Center (GAC) will only accept paper
applications from applicants that received prior written approval. For those applicants that have
been approved to submit paper applications, blank Program Specific Forms are available at
http://www.hrsa.gov/grants/apply/assistance/sbhcc. The application must be received by the
application deadline.
The SF-424 face page, included in the required application package, must be electronically
submitted by the applicant’s authorized representative (e.g., Executive Director, Program
Director, or Board Chair). This form certifies that all data/content in the application (including
the program specific forms) are true and correct and that the document has been duly reviewed
and authorized by the governing board of the applicant. It also certifies that the applicant will
comply with the attached assurances if the assistance is awarded.
v
The “electronic signature” in Grants.gov is the official signature when applying for a grant or
cooperative agreement and is considered “binding.” Selection of the responsible person should
be consistent with responsibilities authorized by the organization’s bylaws. Authorized
representatives who submit the SF-424 face page electronically are reminded that HRSA
requires that a copy of the governing body’s authorization permitting them to submit the
application as an official representative must be on file in the applicant’s office.
Application Contact
If you have questions regarding the FY 2010 SBHCC Equipment application and/or the review
process described in this application guidance, please contact


Beth Tchinski: 301-443-1389
Matt Kozar:
301-443-1034
in the Bureau of Primary Health Care’s (BPHC) Office of Policy and Program Development or
e-mail [email protected].
The BPHC will conduct a pre-application technical assistance (TA) conference call for the
SBHCC Equipment funding opportunity on July 7, 2010 at 1:30 p.m. ET. The call will be
recorded and will remain available until after the closing date of July 30, 2010. The call will offer
applicants an opportunity to ask questions pertaining to the SBHCC Equipment program
requirements. Please visit http://www.hrsa.gov/grants/apply/assistance/sbhcc for the call
information and additional resources.
vi
Table of Contents
I.
Funding Opportunity Description .................................................................. 1
1. Purpose.............................................................................................................................. 1
2. Background ....................................................................................................................... 2
II.
Award Information........................................................................................... 2
1. Type of Award .................................................................................................................. 2
2. Summary of Funding ........................................................................................................ 2
III.
Eligibility Information ..................................................................................... 2
1. Eligible Applicants............................................................................................................ 2
2. Cost Sharing/Matching ..................................................................................................... 3
3. Other ................................................................................................................................. 3
IV.
Application and Submission Information ...................................................... 3
1. Application Materials and Required Electronic Submission Information ........................ 3
2. Content and Form of Application Submission.................................................................. 4
Application Format ........................................................................................................... 8
i. Application Face Page (SF-424) – Grants.gov ............................................................ 8
ii. Table of Contents ......................................................................................................... 9
iii. Application Checklist (Grants.gov) ............................................................................ 9
iv. Budget (EHBs) ............................................................................................................ 9
v. Budget Justification (EHBs) ......................................................................................... 9
vi. Assurances (EHBs) ................................................................................................... 10
vii. Certifications (Grants.gov) ...................................................................................... 10
viii. Project Abstract (Grants.gov)................................................................................. 10
ix. Funding Preference Request (EHBs) ........................................................................ 11
x. Program Narrative (EHBs) ........................................................................................ 11
xi. Attachments (EHBs) .................................................................................................. 13
3. Submission Dates and Times .......................................................................................... 14
4. Intergovernmental Review .............................................................................................. 14
5. Funding Restrictions ....................................................................................................... 14
6. Other Submission Requirements..................................................................................... 15
V.
Application Review Information ................................................................... 16
1. Review Criteria ............................................................................................................... 16
2. Review and Selection Process ........................................................................................ 18
3. Anticipated Announcement and Award Dates ................................................................ 18
vii
VI.
Award Administration Information ............................................................. 19
1. Award Notices ................................................................................................................ 19
2. Administrative and National Policy Requirements......................................................... 19
3. Reporting......................................................................................................................... 21
VII. Agency Contacts.............................................................................................. 22
VIII. Other Information .......................................................................................... 23
IX.
Tips for Writing a Strong Application ......................................................... 23
Appendix A: SF-424C Budget Information—Construction Programs .............. 24
Appendix B: Federal Procurement Requirements ............................................... 27
viii
I.
Funding Opportunity Description
1. Purpose
The Health Resources and Services Administration (HRSA) administers the School-Based
Health Center Capital (SCHCC) Program, authorized by the Patient Protection and Affordable
Care Act (ACA) ((P.L. 111-148), Title IV, Section 4101).
This announcement solicits fiscal year 2010 applications for the SBHCC Equipment Program
that will address significant and pressing equipment needs to support the expansion of services at
school-based health centers (SBHCs). The announcement details the eligibility requirements,
review criteria and awarding factors for eligible applicants seeking a grant for the purchase of
moveable equipment2 to be used in SBHCs, such as, but not limited to:




Telehealth equipment (i.e., video cameras, TVs)
Equipment to support an EHR system3 (i.e., hardware, servers, licenses)
Medical equipment (i.e., exam tables, nebulizers, AEDs)
Office equipment (i.e., computers, desks, chairs, file cabinets).
It is expected that the equipment purchased will support the SBHC in providing effective,
efficient, and quality care. Applicants must also demonstrate how their proposal will lead to
improvements in access to health services for children at a SBHC.
A funding preference will be used for this announcement. In order to be eligible for the funding
preference, applicants must certify that the school-based health center site(s) serves a large
population of children eligible for medical assistance under the State Medicaid plan under title
XIX of the Social Security Act or under a waiver of such plan or children eligible for child health
assistance under the State child health plan under title XXI of that Act (42 U.S.C. 1397aa et seq.).
An eligible applicant may submit one application to purchase moveable equipment for multiple
school-based health center facilities. Applicants may not request SBHCC funds to support the
provision of health services or personnel; expenses related to the acquisition or improvement of
land; acquisition, construction, expansion, replacement, or other improvement to any building or
other facility; or any other facility related expenses.
2
Moveable equipment is a non-expendable item with a useful life of more than one year and a unit cost of
$5,000 or more (or equal to the applicant’s capitalization threshold, if less than the $5,000 threshold) that
is not permanently affixed and can be easily moved (e.g., medical exam tables, dental chairs, x-ray
equipment, computers, modular workstations, autoclaves, and freezers). Trailers or modular units set up
on portable chassis for temporary use may also be considered moveable equipment. Office supplies
(paper, pencils, toner, and the like); medical supplies (syringes, blood tubes, plastic gloves, etc.), and
educational supplies (pamphlets, educational videotapes, etc.) are not moveable equipment.
3
SBHCCs may purchase equipment only for EHRs that are certified by an organization recognized by the
Secretary of Health and Human Services (HHS).
HRSA-10-276
1
All applicants requesting funding for a SBHCC Equipment grant must use the guidance
provided in this funding opportunity announcement. It should be reviewed thoroughly prior to
making a decision to apply.
2. Background
A SBHC is often operated as a partnership between the school and a community health
organization, such as a community health center, hospital, or local health department that serves
as the sponsoring facility for the SBHC. In general, services provided by the SBHC are
determined locally through a collaborative approach between the families and students, the
community, the school district, and associated health providers. Typically, a SBHC provides a
combination of primary care, mental health care, substance abuse counseling, case management,
dental health, nutrition education, health education, and health promotion. An overall emphasis
is placed on the services being age appropriate, with a particular focus on prevention and early
intervention.
There are currently an estimated 1,910 SBHCs nationwide, as identified in a 2007-2008 census
survey conducted by the National Assembly on School-Based Health Care. Although various
service models exist, the typical SBHC is open every school day and staffed by a team of health
providers. These health providers would also work closely with the school nurse and other
community service providers.
II. Award Information
1. Type of Award
Funding will be provided in the form of a grant.
2. Summary of Funding
HRSA anticipates awarding approximately $50 million for an estimated 1,000 SBHCC
Equipment grants in FY 2010. Applicants may request funding up to $50,000 for a one-year
project/budget period. $50,000 is the maximum amount of one-time SBHCC funding that can
be requested by a sponsoring facility for a SBHCC Equipment grant application for the purchase
of moveable equipment in FY 2010.
III. Eligibility Information
1. Eligible Applicants
For this funding opportunity, eligible applicants must be a school-based health center or a
sponsoring facility of a school-based health center that comply with all of the following
requirements:
a. Meets the definition of a school-based health center under section 2110(c)(9)(A) of the
HRSA-10-276
2
Social Security Act and is administered by a sponsoring facility (as defined in section
2110(c)(9)(B) of the Social Security Act); and
b. Provides, at a minimum, comprehensive primary health services during school hours to
children and adolescents by health professionals in accordance with established
standards, community practice, reporting laws, and other State laws, including parental
consent and notification laws that are not inconsistent with Federal law; and
c. Does not perform abortion services.
An eligible sponsoring facility of school-based health centers is defined as a: hospital, public
health department, community health center, nonprofit health care agency, local educational
agency, or program administered by the Indian Health Service or the Bureau of Indian Affairs or
operated by an Indian tribe or a tribal organization.
2. Cost Sharing/Matching
Cost sharing/matching is not a requirement for this program.
3. Other
Applications that exceed the ceiling amount will be considered non-responsive and will not be
considered for funding under this announcement.
Any application that fails to satisfy the deadline requirements referenced in Section IV.3 will be
considered non-responsive and will not be considered for funding under this announcement.
While eligible applicants may only submit one application, the application may request Federal
financial assistance under the SBHCC Equipment funding opportunity to purchase moveable
equipment for multiple school-based health center facilities. If more than one application is
submitted, HRSA will accept the applicant’s last electronic submission validated by Grants.gov
and/or EHB on or before the deadline date as the final and only acceptable application. HRSA
will not allow applicants to edit their materials and add new information or attachments and
resubmit their application through Grants.gov or the EHBs after the deadline.
IV.
Application and Submission Information
1. Application Materials and Required Electronic Submission Information
Application Materials
HRSA requires applicants for this funding opportunity to apply electronically through
Grants.gov and EHB. All applicants must submit in this manner unless the applicant is granted a
written exemption from this requirement in advance by the Director of HRSA’s Division of
Grants Policy or designee. Applicants must request an exemption in writing from
[email protected] and provide details as to why they are technologically unable to submit
electronically though the Grants.gov and EHB portal. Applicants must identify the
announcement number and indicate specific information, including any tracking number or
HRSA-10-276
3
anecdotal information received from the HRSA Call Center, in the justification request. As
indicated in this guidance, HRSA and its Grants Application Center (GAC) will only accept
paper applications from applicants that received prior written approval. For those applicants that
have been approved to submit paper applications, blank Program Specific Forms are available
online at http://www.hrsa.gov/grants/apply/assistance/sbhcc.
Applicants must submit proposals according to the instructions in HRSA’s Electronic
Submission User Guide, available online at http://www.hrsa.gov/grants/apply/userguide.pdf,
using this guidance in conjunction with Application Forms SF-424. Applicants must use SF424C budget and SF-424D for this funding opportunity. These forms contain additional general
information and instructions for grant applications, proposal narratives, and budgets. These
forms may be obtained from the following sites by:
1) Downloading from http://www.hrsa.gov/grants/forms.htm,
OR
2) Contacting the HRSA Grants Application Center at:
910 Clopper Road
Suite 155 South
Gaithersburg, MD 20878
Telephone: 877-477-2123
[email protected]
Instructions for preparing portions of the application that must accompany SF-424 appear in the
“Application Format” section below. Note that the SF-424 is a compilation of forms that are
used primarily for the competitive application process.
2. Content and Form of Application Submission
The total size of the SBHCC Equipment grant application including all uploaded files, may not
exceed the equivalent of 20 pages (or a total file size of 10 MB) when printed by HRSA. This
20-page limit includes the abstract, proposal narrative, budget justification, letters of support, and
other applicable documents. The standard forms are NOT included in the page limit.
Applications that exceed the specified limits (10 MB, or that exceed 20 pages when printed by
HRSA) will be deemed non-compliant and will not be considered under this funding opportunity
announcement.
The following chart details the forms and documents (see column labeled, Form Type) that are
required submissions for this funding opportunity and the order in which they must be submitted.
“Forms” refer to those documents that are completed online in the system and that do not require
any downloading or uploading. “Documents” are those requirements that must follow the
template provided, are completed, and then uploaded into the system.
Application Format Applications for SBHCC Equipment funding must consist of the following
documents in the following order:
HRSA-10-276
4
SF-424 Application Kit – Table of Contents





It is mandatory to follow the instructions provided in this section to ensure that your application can be printed efficiently and consistently for
review.
Failure to follow the instructions may make your application non-compliant. Non-compliant applications will not be given any consideration
and those particular applicants will be notified.
For electronic submissions, applicants only have to number the electronic attachment pages sequentially, resetting the numbering for each
attachment, i.e., start at page 1 for each attachment. Do not attempt to number standard OMB approved form pages.
For electronic submissions no table of contents is required for the entire application. HRSA will construct an electronic table of contents in the
order specified.
When providing any electronic attachment with several pages, add table of content page specific to the attachment. Such page will not be
counted towards the page limit.
Application Section
Type
Grant.gov Submission (http://www.grants.gov/)
Application for Federal Assistance Form
(SF-424) (Required)
Project Summary/Abstract
Document
(Required)
Additional Congressional District
Document
HHS Checklist Form PHS-5161
(Required)
SF-424 LLL Disclosure of
Lobbying Activities (Required)
Instruction
Complete pages 1, 2 & 3 of the SF-424 face page. See detailed
instructions in the Application Format section of this guidance.
Type the title of the funding opportunity and upload the project
abstract on page 2 of SF-424 - Box 15
If applicable, grantees serving multiple districts can upload a list of all
districts served on page 2 of SF-424 - Box 16
Form
Complete pages 1 & 2 of the HHS checklist.
Form
Complete this form online per the instructions embedded in the form.
HRSA/Program
Guidelines
Not counted in the
page limit
Counted in the page
limit
As applicable to
HRSA; not counted
in the page limit
Not counted in the
page limit
Not counted in the
page limit
Note the following specific information related to your submission. Understand that for your SBHCC Equipment application, only the
forms mentioned in the Table of Contents listed above are submitted through Grants.gov. All supplemental information will be
submitted through the HRSA EHBs.
To create your application in the HRSA EHBs, go to https://grants.hrsa.gov/webexternal/home.asp, and log in using your username
and password. (Refer to HRSA’s Electronic Submission User Guide, which can be found at
HRSA-10-276
5
http://www.hrsa.gov/grants/userguide.htm, for information on registering in the HRSA EHBs.) Click the “Funding Opportunity” link
on the left side of the menu. Enter the SBHCC Equipment funding opportunity number “HRSA-10-276” in the “HRSA Preview
Announcement Number Like” field. Click the “Search” button. The SBHCC funding opportunity will appear on the results page.
Click the “Go” button to begin the application.
Application Section
Type
Instruction
HRSA EHBs Submission (https://grants.hrsa.gov/webexternal/home.asp)
Proposal Cover Page
Form
Complete this form electronically online.
Face Page
Form
SF-424C Budget Information for
Construction Programs
Form
Equipment List
Form
Equipment Location
Form
Attachment 1: Proposal Narrative
(Required)
Attachment 2: Budget Justification
(Required)
Document
Attachment 3: SF-424D –
Assurances for Construction
Programs (Required)
Attachment 4: Capitalization
Threshold Certification For
Sponsoring Authority (Required)
Document
HRSA-10-276
Complete this form electronically online. Information provided
must be consistent with the information provided in the Grants.gov
Application for Federal Assistance (SF-424)
Complete Line 10 of Column A-Total Cost. Indicate the total cost
of the project for the SBHCC Equipment project. Do not enter
data in Column B-Costs Not Allowable for Participation. Column
C-Total Allowable Costs: Enter amount from Column A.
Complete this form electronically online.
Provide the SBHC site(s) name, physical address and location
setting electronically online.
Applicants must upload a proposal narrative as outlined in the
Grant Application Proposal Narrative section.
Applicants must provide a budget justification (see Appendix A).
Sample budget justifications are available at
http://www.hrsa.gov/grants/apply/assistance/sbhcc.
Applicants will upload a digitally signed assurances document.
Document
Document
Moveable equipment is an individual item with a useful life of one
year or more, and a unit cost of either $5,000 or greater, or equal or
greater than the capitalization threshold that the applicant uses for
its own accounting records. Supplies and items immediately
expensed in the applicant’s accounting system are not eligible
costs. The applicant must submit with the application a signed and
6
HRSA/Program
Guidelines
Not counted in the
page limit
Not counted in the
page limit
Not counted in the
page limit
Not counted in the
page limit
Not counted in the
page limit
Included in page
limit
Included in page
limit
Not counted in the
page limit
Included in page
limit
Application Section
Type
Instruction
HRSA/Program
Guidelines
HRSA EHBs Submission (https://grants.hrsa.gov/webexternal/home.asp)
dated statement from the head of its Accounting Department that
states:
“I affirm that all items listed as equipment in the application
are being treated as capital items under [Organization’s name]
accounting system.”
Attachment 5: Letters of Support
(as applicable)
Document
Attachment 6: Other Relevant
Documents (as applicable)
Document
Please note that equipment must be maintained, tracked, and
disposed of in accordance with the grant regulations at 45 CFR
Parts 74 and 92 and records must be maintained in accordance with
74.53(b)(2) and 92.42(c)(2). The Federal government retains
interest in the equipment purchased with Federal funds in
accordance with 2 CFR 215.34.
Upload any dated letters of support as appropriate to demonstrate
support of and commitment to the proposed SBHCC Equipment
grant. Support from local community stakeholders, patients, and
collaborating organizations are as important as letters of support
from elected officials. As necessary, applicants should also
include a one-page list of all additional support letters that are not
included in the application, but are available onsite. Merge various
letters into a single document and upload it here.
Applicants may include other relevant documents to support the
proposed project plan such as floor plans or organizational
brochures, etc. Merge all additional documents into a single
document and upload it here.
Included in page
limit
Included in page
limit
Applicants are reminded that failure to include all required documents as part of the SBHCC Equipment application may result in an
application being considered as incomplete and non-responsive. All non-responsive applications will not be reviewed.
HRSA-10-276
7
Application Format
i. Application Face Page (SF-424) – Grants.gov
Complete Application Form SF-424. Prepare according to instructions provided in the form
itself. For more information on completing each section of SF-424, activate the “Help Mode”
function available at top of the electronic form. The Catalog of Federal Domestic Assistance
(CFDA) number is 93.501.
Please be sure to complete the SF-424 Face Page as follows:
 Box 4 Applicant Identifier: Not applicable-leave blank.
 Box 5a Federal Entity Identifier: No action needed.
 Box 5b Federal Award Identifier: No action needed.
 Box 8b Employer Identification Number (EIN): Enter the applicant’s nine-digit IRS
taxpayer identification number used to submit the organization’s payroll taxes to the IRS.
 Box 8c Applicant organization’s DUNS number.
 Box 12 Funding Opportunity Number and Title: HRSA-10-276 and School-Based Health
Center Capital Program, respectively.
 Box 15 Descriptive Title of Applicant’s Project: Type the title of the funding opportunity
and upload the Project Abstract here.
 Box 16 Congressional Districts: Upload any additional congressional districts as
applicable for the HRSA grant. Not counted in the page limit.
 Box 17 Proposed Project Start and End Date: Provide the start and end dates for the
proposed project period (1-year project period).
 Box 18 Estimated Funding: Complete the required information based on the funding
request for the project. This information should be consistent with the total provided in
the applicant’s SF-424C Budget for Construction Programs plus the total provided in the
SF-424C Budget Information for Construction Programs (if applicable).
DUNS Number
All applicant organizations are required to have a Data Universal Numbering System (DUNS)
number to apply for an award from the Federal Government. The DUNS number is a unique
nine-character identification number provided by the commercial company, Dun and Bradstreet.
There is no charge to obtain a DUNS number. Information about obtaining DUNS number can
be found at http://www.hrsa.gov/grants/dunsccr.htm or by calling 866-705-5711. Include the
DUNS number in item 8c on the application face page. The application will not be reviewed
without a DUNS number. Note: A missing or incorrect DUNS number is the primary reason for
an application to be “Rejected for Errors” by Grants.gov.
Additionally, the applicant organization is required to register annually with the Federal
Government’s Central Contractor Registry (CCR) in order to do electronic business with the
Federal Government. Information about registering with the CCR can be found at
http://www.ccr.gov.
HRSA-10-276
8
ii. Table of Contents
The application should be presented in the order of the Table of Contents provided in Section IV,
Application and Submission Information. For electronic applications no table of contents is
necessary, as it will be generated by the system. (Note: the Table of Contents will not be
counted in the page limit.)
iii. Application Checklist (Grants.gov)
Complete the HHS Application Checklist Form PHS 5161. Instructions can be found at
http://www.hhs.gov/forms/PHS-5161-1.doc.
iv. Budget (EHBs)
A complete budget presentation will include the following items:

Standard Form SF-424C Budget Information for Construction Programs: Applicants
requesting Federal funding for the purchase of moveable equipment must complete the
SF-424C as presented.
– Complete Line 10 of Column A (Total Cost). Indicate the total cost of the project for
the SBHCC Equipment project.
– Do not enter data in Column B (Costs Not Allowable for Participation).
– In Column C (Total Allowable Costs) enter amount from Column A.
See instructions in Appendix A for further details on completing the SF-424C.

Equipment List: Applicants must include all moveable equipment to be purchased with
SBHCC Equipment funds. Non-expendable equipment items must be capitalized based
on the organization’s accounting practices. Equipment type will be categorized as
clinical, non-clinical, or EHR. Please note that equipment must be maintained, tracked,
and disposed of in accordance with 45 CFR Parts 74 and 92. While title to the equipment
vests with the grantee, the Federal government retains interest in the equipment
purchased with Federal funds in accordance with 2 CFR 215.34.
v. Budget Justification (EHBs)
Provide a narrative that justifies the amounts requested for each equipment item in the budget.
This announcement is inviting applications for project/budget periods up to one year. The budget
justification should specifically describe how each item being purchased will support the
achievement of proposed objectives. The budget justification MUST be concise. Do NOT use
the justification to expand the program narrative. If applicable, provide an extensive justification
and a detailed status of current equipment when requesting funds for the purchase of computers
and furniture items that will supplement existing items. Since the SBHCC Equipment grants
only funds equipment purchases, the entire budget justification should be based on funds
requested under line item 10.
Include the following in the Budget Justification narrative:
HRSA-10-276
9


Equipment: List equipment costs and provide justification under the program’s goals.
Applicants may only request Federal funding for moveable equipment. If applicable,
provide an extensive justification and a detailed status of current equipment when
requesting funds for the purchase of computers and furniture items that will supplement
existing items. Moveable equipment is a non-expendable item with a useful life of more
than one year and a unit cost of $5,000 or more (or equal to the applicant’s capitalization
threshold, if less than the $5,000 threshold) that is not permanently affixed and can be
easily moved (e.g., medical exam tables, dental chairs, x-ray equipment, computers,
modular workstations, autoclaves, and freezers). Trailers or modular units set up on
portable chassis for temporary use may also be considered moveable equipment. Office
supplies (paper, pencils, toner, and the like); medical supplies (syringes, blood tubes,
plastic gloves, etc.), and educational supplies (pamphlets, educational videotapes, etc.)
are not moveable equipment. HRSA reserves the right to request additional information
for trailer or modular units.
Equipment Location: Provide the SBHC site(s) name, physical address, and location
setting.
vi. Assurances (EHBs)
Complete the SF-424D Assurances for Construction Programs provided with the application
package.
vii. Certifications (Grants.gov)
Complete the Certifications and Disclosure of Lobbying Activities Application Form provided
with the application package.
viii. Project Abstract (Grants.gov)
Provide a summary of the application. 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 grant project including the needs to be addressed, the proposed services, and the
population group(s) to be served.
The project abstract must be single-spaced and limited to one page in length. Place the following
at the top of the abstract for the application:
 Project title
 Applicant organization name
 Program applying under, including funding opportunity number
 Project Director
 Address
 Congressional district(s) served
 Project Director phone numbers (phone and fax)
 Email address
 Organizational Website address, if applicable
 Type of equipment to be purchased
 Projected date for equipment to be purchased
HRSA-10-276
10
The abstract narrative should include:
 A brief history of the applicant organization’s administration of the SBHC(s);
 A brief description of the populations served by the SBHC(s);
 A brief description of the need for the moveable equipment;
 A brief description of any other relevant information; and
 Summary of need and goals for the SBHCC Equipment grant.
All information provided in the abstract should be consistent with data included in the
application.
ix. Funding Preference Request (EHBs)
Applicants requesting consideration of a funding preference must do so within the proposal
cover page within the EHBs.
x. Program Narrative (EHBs)
The Program Narrative provides a comprehensive framework and description of all aspects of
the SBHCC Equipment project. It should be succinct, self-explanatory, and well organized so
that reviewers can understand the proposed project. The following provides a framework for the
Program Narrative. The Program Narrative should be organized using the following section
headers. All applicants should ensure that all of the specific elements in the Program Narrative
are completely addressed (see Section V of this document for the corresponding Review
Criteria).
NEED
i. Identify and describe the deficiencies or the needs to be addressed with the proposal (e.g.,
outdated/ineffective equipment) both for current equipment and the SBHC facility.
ii. Describe the population(s) that will benefit, have improved access to care, and/or reduced
health disparities as a result of this equipment.
iii. Identify each SBHC that will receive equipment with funds from this proposal including:
a. Facility name
b. Address
c. Service area zip codes
d. Telephone number
e. Census tracts
RESPONSE
i. Explain how the proposal will appropriately address the SBHC’s immediate needs and
how it will enhance the SBHC’s effectiveness, efficiency, quality of care, and patient
outcomes.
ii. Discuss how the project is appropriate given the proposed number of staff and patients,
and the current state of the existing facility.
iii. Discuss the importance of this proposal to the organization’s mission and the population
it serves.
HRSA-10-276
11
iv. Describe the ongoing commitment of the school to maintaining the operation of the
SBHC. Explain how the SBHC will maintain the improved access/services resulting
from the project within its existing operational budget/grant support in the long-term.
v. Indicate the timeframe for implementing the project by identifying the start and end
dates.
vi. Discuss how the equipment purchased will be immediately and effectively utilized by the
staff of the SBHC.
vii. Explain potential challenges or difficulties and how the organization will manage any
unexpected difficulties and/or challenges that may arise (i.e., lack of operational support).
viii. Describe the applicant’s and the SBHC’s financial management and internal control
policies and procedures.
IMPACT
i. Describe the impact of the purchase of the moveable equipment on the SBHC’s
effectiveness, efficiency, quality of care, and patient outcomes. Forecast the following
outcomes, as a result of the completed project:
a. Total number of patients to be served.
b. Total number of additional, unduplicated patients served.
c. Total number of additional visits.
d. Total number of uninsured patients to be served.
ii. Describe the overarching impact of the proposal on the operational budget.
iii. Describe how the proposal will promote the sustainability or expansion of the services
provided by the SBHC once the project has been completed.
iv. Describe how the equipment will enhance the quality of care and patient outcomes.
RESOURCES/CAPABILITIES
i. Discuss why the applicant is the appropriate entity to receive the SBHCC Equipment
funding (e.g., prior experience, project management capabilities).
ii. Identify the unique characteristics and significant accomplishments of the organization in
administering the SBHC.
iii. Identify the administrative structure and oversight for the proposal, including the Key
Staff who will be responsible for managing this project and the individuals (name and
title) who comprise the Project Team.
iv. Describe how the Project Team has the expertise and experience necessary to
successfully manage the project within the timeline outlined and achieve the goals and
objectives established for this project.
v. Discuss the applicant’s acquisition strategy, policies, and procedures.
SUPPORT REQUESTED
i. Provide a complete and reasonable budget (SF-424C).
ii. Discuss how the proposed equipment contributes to the goals and objectives of the
proposal.
iii. Describe the equipment to be purchased including the number, type, and the itemized
cost of the equipment to be purchased and how the costs contribute to the goals and
objectives of the project.
HRSA-10-276
12
xi. Attachments (EHBs)
These and any other required application attachments must be included with their SBHCC
Equipment application, as applicable. Attachments are supplementary in nature and are not
intended to be a continuation of the program narrative. Attachment should be clearly labeled and
attached in the appropriate section. Refer to the Required Attachments Table for a complete
listing of all required attachments (Content and Form of Application Submission). Applicants
will be prompted to upload the following attachments as appropriate for each section of the
SBHCC Equipment application in the EHB:

Attachment 1 — Proposal Narrative (Required): Applicants must upload a proposal
narrative as outlined in the Grant Application Proposal Narrative section.

Attachment 2 — Budget Justification (Required): The Budget Justification must provide
a written description of each line item under Columns A, B, and C of the Budget Page
(SF-424C). The budget justification must clearly describe each cost element and explain
how each cost contributes to meeting the project’s objectives/goals. The budget
justification MUST be concise. Do NOT use the budget justification to expand the
project narrative. A sample budget justification is available in Appendix A.

Attachment 3 — SF-424D Assurances for Construction Programs (Required): Applicants
will upload a digitally signed assurances document.

Attachment 4 — Capitalization Threshold Certification for Sponsoring Authority
(Required): Moveable equipment is a non-expendable item that is not permanently
affixed and can be easily moved, with a useful life of more than one year and a unit cost
of $5,000 or more (or equal to the capitalization threshold used by the applicant for its
own accounting records, if less than the $5,000 threshold).Supplies and items
immediately expensed in the applicant’s accounting system are not eligible costs. The
applicant must submit with the application a signed and dated statement from the head of
its Accounting Department that states:
“I affirm that all items listed as equipment in the application are being treated as
capital items under [Organization’s name] accounting system.”
Note that while title to the equipment vests with the grantee, the Federal government
retains interest in equipment purchased in full or in part with grant funds in accordance
with 2 CFR 215.34. These items must be maintained, tracked, and disposed of in
accordance with the grant regulations at 45 CFR in accordance with 45 CFR Parts 74.34
and 92.32, and records must be maintained in accordance with 74.53(b)(2) and
92.42(c)(2).

Attachment 5 — Letters of Support (as applicable): Upload any dated letters of support
as appropriate to demonstrate support of and commitment to the proposed SBHCC
Equipment grant. Support from local community stakeholders, patients, and
collaborating organizations are as important as letters of support from elected officials.
HRSA-10-276
13
As necessary, applicants should also include a one-page list of all additional support
letters that are not included in the application, but are available onsite. Merge various
letters into a single document and upload it here.

Attachment 6 — Other Relevant Documents (as applicable): Applicants may include
other relevant documents to support the proposed project plan such as floor plans or
organizational brochures, etc. Merge all additional documents into a single document
and upload it here.
3. Submission Dates and Times
Application Due Date
The due date for applications under HRSA-10-276 is July 30, 2010 at 5:00 PM ET.
Applications will be considered as having been formally submitted and having met the deadline
if: (1) the application has been successfully transmitted electronically by your organization’s
Authorized Organization Representative (AOR) through Grants.gov and it has been
successfully validated by Grants.gov on or before the deadline date and time; and (2) the AOR
has submitted the additional information in the HRSA EHBs on or before the deadline date and
time.
The Chief Grants Management Officer (CGMO) or designee may authorize an extension of
published deadlines when justified by circumstances such as natural disasters (e.g., floods or
hurricanes) or other disruptions of services, such as a prolonged blackout. The CGMO or
designee will determine the affected geographical area(s).
Applications must be submitted in both Grants.gov and the HRSA EHBs. To ensure adequate
time to follow procedures and successfully submit the full application, HRSA recommends
registering immediately in Grants.gov and the HRSA EHBs and completing the forms as
soon as possible.
Late Applications
Applications which do not meet the criteria above are considered late applications will not be
considered in the current competition.
4. Intergovernmental Review
The SBHC program is not a program subject to the provisions of Executive Order 12372, as
implemented by 45 CFR Part 100.
5. Funding Restrictions
Applicants may submit one application for financial assistance to support the purchase of
moveable equipment project for use in a SBHC(s). Funds awarded through SBHCC Equipment
grants must be fully obligated by the end of the one-year project/budget period.
HRSA-10-276
14
The following uses of grant funds are examples of costs that are NOT allowable under SBHCC
Equipment grants:
 Costs incurred prior to March 23, 2010.
 Operating costs (e.g., funding direct services, clinical full-time equivalents, rent,
mortgage payments, refinanced credit facilities).
 Construction, alteration, renovation, repair costs (e.g., any work that will improve a
structure, expand the current square footage of a structure, or equipment that requires
installation).
 Relocation costs.
 EHR software, however associated equipment is an allowable cost (e.g., server and
computers).
 Expenditures for personnel.
 The provision of health care services.
6. Other Submission Requirements
As stated above in Section IV.1, except in rare cases HRSA will no longer accept applications
for grant opportunities in paper form. Applicants submitting for this funding opportunity are
required to submit electronically through the Grants.gov and EHB.
It is essential that the applicant organization immediately register in Grants.gov and become
familiar with the Grants.gov site application process. If applicants do not complete the
registration process they will be unable to submit an application.
To be able to successfully register in Grants.gov, it is necessary that all of the following required
actions are completed:
 Obtain an organizational Data Universal Number System (DUNS) number.
 Register the organization with Central Contractor Registry (CCR).
 Identify the organization’s E-Business Point of Contact (E-Biz POC).
 Confirm the organization’s CCR “Marketing Partner ID Number (M-PIN)” password
 Register an Authorized Organization Representative (AOR). HRSA recommends
registering multiple AORs.
 Obtain a username and password from the Grants.gov Credential Provider.
Please note that requests for a paper waiver due to applicant failure to complete timely
registration prior to the application deadline will not be considered.
Step-by-step instructions on registering and applying, tutorials and FAQs are available on the
Grants.gov web site at http://www.grants.gov/. Assistance is also available 24 hours a day,
seven days a week (excluding Federal holidays) from the Grants.gov help desk at
[email protected] or by phone at 1-800-518-4726.
It is incumbent on applicants to ensure that the Authorizing Official is available to submit
the application to HRSA by the application due date. HRSA will not accept submission or
re-submission of incomplete, rejected, or otherwise delayed applications after the deadline.
HRSA-10-276
15
V.
Application Review Information
1. Review Criteria
Procedures for assessing the technical merit of grant applications have been instituted to provide
for an objective review of applications and to assist the applicant in understanding the standards
against which each application will be judged. Critical indicators have been developed for each
review criterion to assist the applicant in presenting pertinent information related to that criterion
and to provide the reviewer with a standard for evaluation. Review criteria are outlined below
with specific detail and scoring points.
Review Criteria are used to review and rank applications. The SBHCC Equipment
application has five (5) review criteria. All applicants should ensure the review criteria are
fully addressed within the Proposal Narrative and supported by other supplementary
information in the other sections of the application as appropriate.
Criterion 1: Need (25 points)
1. The extent to which the applicant demonstrates a clear need for the SBHC services in the
community including the significant barriers to health care (e.g., lack of transportation,
language, etc.) and addresses health disparities for students in the school/community
(e.g., life expectancy rate, infant mortality, etc.).
2. The extent to which the proposal identifies the SBHC’s current equipment deficiencies
that inhibit the efficient and effective provision of comprehensive primary health services
for the target population including quality of care, and patient outcomes.
3. The extent to which the applicant provides a justification of the need for the equipment as
it supports the goals of the SBHC.
Criterion 2: Response (20 points)
1. The extent to which the proposal meets the SBHC’s immediate needs for equipment to
address deficiencies that inhibit the efficient and effective provision of comprehensive
primary health services for the target population including quality of care, and patient
outcomes.
2. The appropriateness of the equipment to be purchased including the number, type, and
cost of the equipment to be purchased.
3. The extent to which the equipment purchased will be immediately and effectively utilized
by the staff.
4. The extent to which the project is appropriate given the proposed number of staff and
patients, and the current state of the existing facility.
5. The reasonableness of the applicant’s proposed timeframe for implementing the project
during the project period.
6. The strength of the ongoing commitment of the school to maintain the operation of the
SBHC including how the SBHC will maintain the improved access/services resulting
from the project within its existing operational budget/grant support in the long-term.
7. The extent to which the applicant describes any potential issues or barriers to the
management and implementation of the project as well as realistic solutions to the
HRSA-10-276
16
potential challenges.
8. The strength of the applicant’s and the SBHC’s financial management and internal
control policies and procedures.
Criterion 3: Impact (15 points)
1. The extent to which the application demonstrates the impact of the purchase of the
moveable equipment on the SBHC’s effectiveness and efficiency including:
a. Total number of patients to be served.
b. Total number of additional, unduplicated patients served.
c. Total number of additional visits.
d. Total number of uninsured patients to be served.
2. The extent to which the applicant describes the overarching impact of the proposal on the
operational budget.
3. The extent to which the proposal will promote the sustainability or expansion of the
services provided by the SBHC once the project has been completed.
4. The extent to which the equipment will enhance the quality of care and patient outcomes.
Criterion 4: Resources/Capabilities (15 points)
1. The extent to which the applicant demonstrates it is the appropriate entity to receive the
SBHCC Equipment funding (e.g., prior experience, project management capabilities).
2. The extent to which the applicant demonstrates staff capability, or planned training
activities, to utilize the proposed equipment.
3. The extent to which the applicant identifies the administrative structure and oversight for
the proposal, including the key staff who will be responsible for managing this project
and the individuals (name and title) who comprise the Project Team.
4. The extent to which the applicant demonstrates the Project Team has the expertise and
experience necessary to successfully manage the project within the timeline outlined and
achieve the goals and objectives established for this project.
5. The strength of the applicant’s acquisition strategy, policies, and procedures.
6. The extent to which the applicant will be able to complete the project on time (within the
1-year project period) and within budget.
Criterion 5: Support Requested (25 points)
1. The extent to which the application provides a complete and reasonable budget (SF424C).
2. The extent to which the budget justification provides a clear, narrative description for
each line item.
3. The extent to which the budget justification shows how the costs contribute to the goals
and objectives of the proposal.
4. The extent to which the application provides a complete and reasonable equipment list
that demonstrates how the costs contribute to the goals and objectives of the project.
5. The extent to which the proposed project is appropriate given the proposed number of
staff and patients, and the current state of the existing facility.
HRSA-10-276
17
2. Review and Selection Process
The Division of Independent Review is responsible for managing objective reviews within
HRSA. Applications competing for Federal funds receive an objective and independent review
performed by a committee of experts qualified by training and experience in particular fields or
disciplines related to the program being reviewed. In selecting review committee members,
other factors in addition to training and experience may be considered to improve the balance of
the committee, e.g., geographic distribution. Each reviewer is screened to avoid conflicts of
interest and is responsible for providing an objective, unbiased evaluation based on the review
criteria noted above. The committee provides expert advice on the merits of each application to
program officials responsible for final selections for award.
Applications that pass the initial HRSA eligibility screening will be reviewed and rated by a
panel based on the program elements and review criteria presented in relevant sections of this
program announcement. The review criteria are designed to enable the review panel to assess
the quality of a proposed project and determine the likelihood of its success. The criteria are
closely related to each other and are considered as a whole in judging the overall quality of an
application.
Funding Preference
A funding preference is an objective factor that is used to place a grant application ahead of others,
without the preference, on a list of applicants recommended for funding by a review committee. It
is not the same as a review criterion. Applications that do not receive a funding preference will be
given full and equitable consideration during the review process. However, applicants receiving
the preference will be placed in a more competitive position among applications that can be
funded. The SBHCC Equipment funding opportunity, HRSA-10-276, has one preference [Section
4101(a)(3)]:
“the Secretary shall give preference to awarding grants for school-based health centers
that serve a large population of children eligible for medical assistance under the State
Medicaid plan under title XIX of the Social Security Act or under a waiver of such plan
or children eligible for child health assistance under the State child health plan under title
XXI of that Act.”
Applicant must certify that eligible school-based health center site(s) serves a large population of
children eligible for medical assistance under the State Medicaid plan under title XIX of the
Social Security Act or under a waiver of such plan or children eligible for child health assistance
under the State child health plan under title XXI of that Act. (Applicants requesting
consideration of a funding preference must do so within the proposal cover page within the
EHBs.)
3. Anticipated Announcement and Award Dates
All funding determinations will be completed in a timely manner to enable HRSA to make
awards by the September 30, 2010 project start date.
HRSA-10-276
18
VI.
Award Administration Information
1. Award Notices
All applicants will be notified in writing of the actions taken on their application. If the
application is approved and funds are available, a Notice of Award (NOA) is issued. This
document, which includes the Specifics of Award, Conditions of Award, and Approved Budget,
indicates the amount of Federal funds awarded, types of expenditures authorized, project
description, award conditions, and other necessary information. Once signed by the Grants
Management Officer, it is sent to the applicant agency’s Authorized Representative and reflects
the only authorizing document. It will be sent prior to the start date of September 30, 2010.
Each applicant will receive written notification of the outcome of the objective review process,
including a summary of the expert committee’s assessment of the application’s merits and
weaknesses, and whether the application was selected for funding. Applicants who are selected
for funding may be required to respond in a satisfactory manner to Conditions placed on their
application before funding can proceed. Letters of notification do not provide authorization to
begin performance.
2. Administrative and National Policy Requirements
Successful applicants must comply with the administrative requirements outlined in 45 CFR Part
74 Uniform Administrative Requirements for Awards and Subawards to Institutions of Higher
Education, Hospitals, Other Nonprofit Organizations, and Commercial Organizations or 45 CFR
Part 92 Uniform Administrative Requirements For Grants And Cooperative Agreements to State,
Local, and Tribal Governments, as appropriate.
HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS)
that are applicable based on recipient type and purpose of award. This includes, as applicable,
any requirements in Parts I and II of the HHS GPS that apply to the award. The HHS GPS is
available at http://www.hrsa.gov/grants/. The general terms and conditions in the HHS GPS will
apply as indicated unless there are statutory, regulatory, or award-specific requirements to the
contrary (as specified in the Notice of Award).
Trafficking in Persons
Awards issued under this guidance are subject to the requirements of section 106 (g) of the
Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104). For the full text of
the award term, go to http://www.hrsa.gov/grants/trafficking.htm or contact the appropriate
Grants Management Specialist to obtain a copy of this term.
National Environmental Policy Act (NEPA) Compliance
The National Environmental Policy Act (NEPA), 42 U. S. C. §4321-4370d requires, among other
things, that Federal agencies consider the environmental impacts of any Federal action. While
HRSA-10-276
19
the purchase of most equipment supporting social services or training is usually Categorically
Excluded under NEPA, equipment containing or using mercury, radioactive sources, ozone
depleting or other hazardous substances or materials constitute extraordinary circumstances and
require specific environmental review because of the potential to cause a significant
environmental effect.
Should any extraordinary circumstances be found, the HRSA may determine that an
Environmental Assessment (EA) is necessary. The grantee will be allowed to utilize grant
funding to develop a draft EA, which the HRSA will review and may adopt in final. It is advised
that if the applicant does not possess in-house expertise in environmental compliance, that the
service a consultant with the appropriate expertise be secured. Requirements on the contents of
an EA can be found in regulations promulgated by the Council on Environmental Quality (CEQ)
at 40 CFR Part 1508 (and may be found on the web at
http://ceq.eh.doe.gov/nepa/regs/ceq/toc_ceq.htm). Note that 40 CFR § 1508.9 indicates that the
EA is a concise document. It is the HRSA’s intention to adhere strongly to this instruction and
to require only enough analysis to accomplish the objectives specified by the regulation.
Grantees will be required to complete and submit a draft EA and receive HRSA approval prior to
commencing grant funded work.
Sustainability/Mitigation: It is strongly recommended that grantees employ the following
standards, where practicable, in the procurement of IT equipment. Following these standards
will mitigate many of the negative effects on human health and the environment from the
proliferation, rapid obsolescence, low recycling rate, high energy consumption, and potential to
contain hazardous materials, and increased liability from improper disposal.


Electronic Product Environmental Assessment Tool (EPEAT) - Silver Rated products,
http://www.epeat.net.
When EPEAT registered products are not available, the following environmental criteria
should be considered:
o Energy Star features, http://www.energystar.gov.
 Computer Power Management – Enable CPU’s to go into power save mode after
an appropriate time period (e.g., 15-60 minutes).
 Monitor Power Management – Enable monitors to go into power save mode after
an appropriate time period (e.g., 15-60 minutes).
 Establishment of a four year or higher replacement cycle (refresh rate) for desktop
computers and laptops.
 Establishment of default setting to double sided printing for printers and print
driver software.
o Recycled content, reduced packaging.
o Reduced toxic constituents in the product and in the manufacturing process.
o Designed for recycle/reuse including upgradeability considerations.
o Vendor provided take-back service.
o Vendor demonstration of corporate environmental responsibility.
HRSA-10-276
20
HEALTHY PEOPLE 2020
HP 2010 Objectives: Describe how the project will address emerging health problems and
practice issues, such as those outlined in Healthy People 2010 National Health Promotion and
Disease Prevention Objectives (http://www.healthypeople.gov/), and the forthcoming Healthy
People 2020 National Objectives which are currently being developed. Refer to the website for
new conceptual frameworks guiding the Healthy People 2020 Objectives process
http://www.healthypeople.gov/HP2020/advisory/PhaseI/default.htm.
HRSA Guidance on Preparations for the 2nd Phase of the Novel H1N1 Influenza
HRSA has been working with HHS, other Federal agency partners, grantees and grantee
associations to get ready for the upcoming flu season. “H1N1 Guidance for HRSA Grantees,”
which can be found at http://www.hrsa.gov/h1n1/, is voluntary guidance intended primarily for
HRSA-funded direct service grantees and their sub grantees and contractors, although other
HRSA grantees may also find the information useful. This guidance may also be of interest to
eligible 340B entities and HRSA’s cooperative agreement partners.
HRSA is providing this to help HRSA–funded programs plan how to best protect their workforce
and serve their communities. HRSA will continue to monitor evolving pandemic preparedness
efforts and work to provide guidance and information to grantees and grantee associations as it
becomes available. Products and updates in support of H1N1 pandemic response efforts will be
posted to http://www.hrsa.gov/h1n1/ as soon as they are released.
Smoke-Free Workplace
The Public Health Service strongly encourages all award recipients to provide a smoke-free
workplace and to promote the non-use of all tobacco products. Further, Public Law 103-227, the
Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion
of a facility) in which regular or routine education, library, day care, health care, or early
childhood development services are provided to children.
3. Reporting
The successful applicant under this guidance must comply with the following reporting and
review activities.
a. Audit Requirements
Comply with audit requirements of OMB Circular A-133. Information on the scope,
frequency, and other aspects of the audits can be found at
http://www.whitehouse.gov/omb/circulars.
b. Payment Management Requirements
Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report (SF425) via the Payment Management System. The report identifies cash expenditures against
the authorized funds for the grant. The FFR Cash Transaction Reports must be filed within
30 days of the end of each quarter. Failure to submit the report may result in the inability to
access award funds. Go to http://www.dpm.psc.gov/ for additional information.
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c. Status Reports
1. Submit a Financial Report. The Federal Financial Report (FFR) SF-425 is required
within 90 days of the end of each budget period. The report is an accounting of
expenditures under the project for that year. More specific information will be included
in the award notice.
2. Submit a Closeout Report. A closeout report is required within 90 days of the completion
of the SBHCC Equipment project. The report must include the following items:
 A letter stating that the project was completed in accordance with all applicable
Federal statutes and regulations.
 Identify sites that received equipment.
 Tangible Personal Property Report.
 Final budget.
3. Ad Hoc Submissions. Throughout the project period, HRSA may determine that a
project requires additional information to be submitted beyond the standard deliverables.
This information may include, but is not limited to, the following:
 Purchase orders.
 Contracts.
VII. Agency Contacts
Applicants may obtain additional information regarding business, administrative, or fiscal issues
related to this funding opportunity announcement by contacting:
Frances Woodburn, Telephone: 301-443-3268; Email: [email protected]
Additional information related to the overall program issues and/or technical assistance
regarding this funding announcement may be obtained by contacting
Matt Kozar, Telephone: 301-443-1034
Beth Tchinski, Telephone: 301-443-1389
Bureau of Primary Health Care, HRSA
5600 Fishers Lane, Room 17C-26
Rockville, MD 20857
Email: [email protected]
Applicants may need assistance when working online to submit their application forms
electronically. For assistance with submitting the application in Grants.gov, contact Grants.gov
24 hours a day, 7 days a week, excluding Federal holidays at:
Grants.gov Contact Center
Phone: 1-800-518-4726
Email: [email protected]
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Applicants may need assistance when working online to submit the remainder of their
information electronically through HRSA’s Electronic Handbooks (EHBs). For assistance with
submitting the remaining information in HRSA’s EHBs, contact the HRSA Call Center,
Monday-Friday, 9:00 AM to 5:30 PM ET:
HRSA Call Center
Phone: 877-Go4-HRSA or 877-464-4772
TTY: 877-897-9910
Fax: 301-998-7377
Email: [email protected]
BPHC Help Desk—electronic reporting questions
[email protected] or 301-443-7356
VIII. Other Information
Applicants are strongly encouraged to refer to the SBHCC Equipment’s technical assistance
resources available at http://www.hrsa.gov/grants/apply/assistance/sbhcc.
Pre-Application Conference Call
HRSA will hold a pre-application conference call for all SBHCC Equipment applicants on July 7,
2010 at 1:30 p.m. ET to provide clarity and technical assistance on this funding opportunity. The
conference call will provide an overview of this program guidance and will include an opportunity
for organizations to ask questions regarding the FY 2010 SBHCC Equipment funding opportunity
and the requirements for SBHCC Equipment applications. For the call information, please visit the
SBHCC website at http://www.hrsa.gov/grants/apply/assistance/sbhcc.
IX.
Tips for Writing a Strong Application
A concise resource offering tips for writing proposals for HHS grants and cooperative
agreements can be accessed online at http://www.hhs.gov/asrt/og/grantinformation/apptips.html.
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Appendix A: SF-424C Budget Information—Construction Programs
Complete the SF-424C — Construction Programs (see example on next page). ALL
APPLICANTS MUST USE THIS FORM. Do NOT use the non-construction forms, SF-424A
or SF-424B.
Column A—Total Cost: Indicate the total cost of the project as defined for each individual
SBHCC Equipment project. For all SBHCC Equipment projects, the entire cost of the project
should be shown in this column.
Column B—Costs Not Allowable for Participation: Not Applicable for this funding opportunity.
Column C—Total Allowable Costs: Enter amount from Column A.
Line 10 Equipment
MOVEABLE EQUIPMENT - Moveable equipment is a non-expendable
item with a useful life of more than one year and a unit cost of $5,000 or
more (or equal to the applicant’s capitalization threshold, if less than the
$5,000 threshold) that is not permanently affixed and can be easily moved
(e.g., medical exam tables, dental chairs, x-ray equipment, computers,
modular workstations, autoclaves, and freezers). Trailers or modular
units set up on portable chassis for temporary use may also be considered
moveable equipment. Office supplies (paper, pencils, toner, and the like);
medical supplies (syringes, blood tubes, plastic gloves, etc.), and
educational supplies (pamphlets, educational videotapes, etc.) are not
moveable equipment.
Line 12 –
SUBTOTAL
Enter the sum of Line 10.
Line 16 –
TOTAL
PROJECT
COSTS
Enter the amount from Line 12.
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Sample Budget Justification
Healthy Kids Health Center
This budget is for the purchase of equipment at the following locations:
Anywhere High School
123 Main Street
Anywhere, USA 00000
All Star Middle School
456 Oak Road
Hereville, USA 11111
Little People Elementary School
789 Barney Boulevard
This City, USA 22222
Total Request: $19,832
Anywhere High School serves 3,053 students. Total equipment costs for this site are $14,248.
Equipment will be acquired for 1 administrative area, 1 waiting area, 1 restroom, 1 telehealth room, and 2
patient rooms.
2 EHR license for XYZ System
3 Dell Desktop computers
1Dell laptop
3 desks
3 desk Chairs
1 heavy weight scale
1 wheel chair
2 waiting area chairs
@ $3,000
@ $700
@ $699
@ $1,000
@ $400
@ $349
@$300
@ $300
= $6,000
= $2,100
= $699
= $3,000
= $1,200
= $349
= $300
=$600
Total:
$14,248
All Star Middle School serves 983 students. The total equipment costs for this site are $2,600
Equipment will be acquired for 1 new administrative area.
1 medical cabinet
3 Dell Desktop computers
@ $500
@700
=$500
=$2,100
Total:
$ 2,600
Little People Elementary School serves 1,247 students. The total equipment costs for this site are $2,984
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Medical equipment will be acquired for 1 exam room.
1 automatic external defibrillator
1 physician’s scale with height rod
1 pure tone audiometer
@ $1,200
@ $350
@ 1,434
= $1,200
= $350
= $1,434
Total
$2,984
*The capitalization threshold for the sponsoring organization is $300.
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Appendix B: Federal Procurement Requirements
A SBHCC Equipment grantee may acquire a variety of commercially available goods or services
in connection with a grant-supported project or program. Grantees can use their own
procurement procedures that reflect applicable state and local laws and regulations, as long as
those procedures conform to the following applicable U.S. Department of Health and Human
Services (HHS) regulations:




HHS regulations at 45 CFR § 74.40 through § 74.48, Procurement Requirements for
Institutions of Higher Education, Hospitals, Other Nonprofit Organizations, and
Commercial Organizations
http://www.access.gpo.gov/nara/cfr/waisidx_07/45cfr74_07.html.
HHS regulations at 45 CFR Part §92.36, Procurement Requirements for State, Local and
Tribal Governments http://www.hhs.gov/opa/grants/toolsdocs/45cfr92.html.
States must follow the requirements at Title 45 Code of Federal Regulations (CFR) §
92.36 (a). Generally, States must follow the same policies and procedures they use for
procurements from non-Federal funds
http://www.hhs.gov/opa/grants/toolsdocs/45cfr92.html.
Local and Tribal governments must follow the requirements at 45 CFR § 92.36 (b)
through (i) http://www.hhs.gov/opa/grants/toolsdocs/45cfr92.html.
Responsibility
The primary grantee is responsible for the settlement and satisfaction of all contractual and
administrative issues related to contracts entered into in support of an award. This includes
disputes, claims, protests of award, source evaluation, or other issues of a contractual nature.
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