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Teenage Pregnancy Prevention: Research and
Demonstration Programs and Personal Responsibility
Education Program (PREP)U.S. Department of Health and Human Services
Office of Adolescent Health & Administration on Children, Youth
and FamiliesApril 23, 2010
1:00-3:00pm ET
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Agenda for Today’s Call Welcome and Introductions Overview of the Funding Announcement Program Expectations Application Contents Application Submission Instructions Review and Selection Criteria
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Asking Questions During the Webinar
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Printing the Webinar Slides
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Purpose of Today’s Call Review the Teenage Pregnancy Prevention:
Research and Demonstration Programs and Personal Responsibility Education Program (PREP) Funding Opportunity Announcement, including the purpose, eligibility requirements, and how to apply for funds
Will not be answering questions specific to individual applications
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IntroductionsOffice of Adolescent Health Evelyn Kappeler, Acting Director Alice Bettencourt, Acting Deputy Director Allison Roper, Public Health Analyst Amy Margolis, Public Health Analyst Jennifer Gannon, Management Analyst Miryam Gerdine, Public Health Analyst
Administration on Children, Youth and Families Debbie Powell, Acting Associate Commissioner Stan Chappell, Director, Division of Research and Evaluation Seth Chamberlain, Social Science Research Analyst
Office of Grants Management Karen Campbell, Director
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Overview of theOffice of Adolescent
Health & Administration on
Children, Youth and Families
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Office of Adolescent Health (OAH)
Consolidated Appropriations Act, 2010 directed that a new OAH be established
Responsible for implementing and administering new grant program to support evidence-based teen pregnancy prevention approaches
Coordinates adolescent health programs and initiatives across the U.S. Department of Health and Human Services
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Administration on Children, Youth, and Families (ACYF)
Administers the major Federal programs that support: Social services that promote positive growth
and development of children and youth and their families
Protective services and shelter for children and youth in at-risk situations
Foster Care, Child Abuse/Neglect Prevention, and Adoption Assistance programs
Manages the Personal Responsibility Education Program
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Role of Grants Management
Official signatory for obligating federal grant funds
Official signatory for all grant business
Monitor all business/financial transactions on grants for compliance to Federal Regulations (including interpretation of Federal Regulations)
Maintain official grant files
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U.S. Department of Health and Human Services
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Office of Public Health and Science
ASSISTANT SECRETARY FOR HEALTHHoward Koh, MD, MPH
Principal Deputy AssistantSecretary for Health
Wanda Jones, DrPH
Senior Advisor to the ASHRosemarie Henson, MPH, MSW
Regional HealthAdministratorsRegions I-X
National Vaccine Program Office
Deputy Assistant SecretaryBruce Gellin, MD, MPH
Deputy AssistantSecretary for Health(Healthcare Quality)
Don Wright, MD, MPH
Office of the Surgeon GeneralSurgeon General
Regina Benjamin, MD, MBAVADM, USPHS
Office of Disease Prevention and Health Promotion
Deputy Assistant SecretaryPenelope Slade-Sawyer, PT, MSW
RADM, USPHS
Office of Population AffairsDirector
Susan Moskosky(Acting)
Office on Women’s HealthDirector
Frances Ashe-Goins, RN, MPH(Acting)
President’s Council on Physical Fitness & Sports
Executive DirectorShellie Y. Pfohl, MS
Office of Research IntegrityDirector
Don Wright, MD, MPH(Acting)
Office of HIV/AIDS PolicyDirector
Christopher Bates, MPA
Office of Minority HealthDeputy Assistant Secretary
Garth Graham, MD, MPHLCDR, USPHS
Office of Commissioned Corps Force Management
DirectorDenise Canton, JD, RN
RADM, USPHS
Deputy AssistantSecretary for Health
(Science and Medicine)Anand Parekh, MD,
MPH
Office of CommunicationsDori Salcido
Office of Adolescent HealthDirector
Evelyn Kappeler(Acting)
Office for HumanResearch Protections
Director Jerry Menikoff, MD, JD
Office of Public Health and Science
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Administration on Children and Families
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Teenage Pregnancy Prevention Initiative Consolidated Appropriations Act, 2010 (Public
Law 111-117)- $110 million
$75 million - replicate program models proven effective through rigorous evaluation (Tier 1)
$25 million - research and demonstration grants to develop, replicate, refine, and test additional models and innovative strategies (Tier 2)
$10 million - training and technical assistance, evaluation, outreach, and additional program support activities
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Personal Responsibility Education Program (PREP)
Patient Protection and Affordable Care Act (Public Law 111-148) - $10 million
Implement innovative youth pregnancy prevention strategies, and
Target services to high-risk, vulnerable, and culturally under-represented youth populations, including:
Youth in foster care, homeless youth, youth with HIV/AIDS, pregnant and parenting women who are under 21 years of age and their partners, and youth residing in areas with high birth rates for youth
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Tier 2 Review & Award Process
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OAH & ACYF Jointly
Announce Availability of FundsReview Applications
Select Successful Grantees
OAH
Awards and Monitors TPP Funds
($15 - $25 million)
ACYF
Awards and Monitors PREP Funds
($10 million)
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Introduction to TPP: Research and
Demonstration Programs and PREP
Funding Announcement
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Purpose of Funding Announcement
To support research and demonstration programs that will develop, replicate, and test additional models and innovative strategies for preventing teenage pregnancy and target services to identified populations
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Target Populations Youth ages 10-19 at program entry
PREP projects should and TPP projects may target high-risk, vulnerable and culturally under-represented youth populations
Pregnant women and mothers under age 21 and their partners (PREP only)
All Applicants: Are encouraged to serve specific priority populations as
long as there is a sound rationale with supporting data Should clearly define target populations by age groups and
priority populations, when appropriate, within geographic areas with high teen birth rates
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Who’s eligible to apply? “Funds made available … shall be for making
competitive contracts and grants to public and private entities” (Consolidated Appropriations Bill, 2010) Nonprofit organizations For-profit organizations Small, minority, and women-owned businesses Universities and colleges Research institutions Hospitals Community-based organizations Faith-based organizations Federally recognized or state-recognized
tribal governments State and local governments State and local school districts Political subdivisions of States
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Funding Ranges
Range A - $400,000 to $600,000 per yr Range B - $600,000 to $1,000,000 per yr
* Applicants may only apply for one funding range under this announcement.
* Applicants may choose to opt out of consideration for funding from a specific funding stream (TPP or PREP)
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Cost-Sharing or Matching Neither cost-sharing nor matching are required
Funded programs should build on, but not duplicate, current Federal, state, local, or community programs and coordinate with existing programs and resources in the community
While not required, applicants are welcome to supplement this effort with additional or non-federal resources
Any written commitment of institutional support from the applicant and its collaborators may demonstrate a greater potential of success and sustainability of the project
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Award Information Number of awards: Up to 45
Type of Award: Cooperative Agreements
Funding Range: $400,000 - $1,000,000
Project Period: Up to 5 years
Start Date: September 2010
Applicants may only submit one application for consideration
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Any Questions?
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Asking Questions & Printing the Slides
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Program Expectations
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Overview of Program Expectations
Implement a program intervention likely to demonstrate a change in sexual behaviors
Explain potential to provide evidence of results and how the intervention could be replicated
Address the target population Ensure age-appropriateness, and scientific and medical
accuracy Engage in phased-in implementation period Collect and report performance measurement data Adhere to evaluation expectations
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Program Interventions Focus on interventions most likely to demonstrate
change in sexual behaviors
Interest in applications that propose to address gaps in the field of teenage pregnancy prevention Programs with some evidence of effectiveness Significant adaptations to an evidence-based program
identified as eligible for Tier 1 TPP funding (Appendix A) Innovative programs for 18-19 year olds Program approaches for priority populations Programs to reduce repeat-pregnancies and target pregnant
and parenting women ages 21 and under Other innovative program models, including use of new social
media
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Significant Adaptations to Tier 1 Program Models
Significant adaptations are changes to the program or curriculum activities that alter one or more core components of the program, including but not limited to: Changing sequence of activities Adding activities Addressing additional risk and protective factors Replacing videos Modifying instructional activities Using other models/tools that cover same ground
Such changes are sought in applications under this funding announcement
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Document the Potential to Demonstrate Evidence
Identify the evidence or research base Document the intervention using a logic model and
identify the core components Document significant adaptations (if modifying an
existing model in Appendix A) Document the program/curriculum in a manual,
including staff training Document changes made for quality improvement
based on piloting Document any adjustments made during
implementation Include plan for disseminating intervention findings
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Medical Accuracy & Age-Appropriateness
Funded programs will need to ensure that information provided is age appropriate, and scientifically and medically accurate
Materials will be reviewed by OAH or ACYF prior to implementation to ensure medical accuracy
Full curricula should NOT be submitted with the application. The review and approval process will occur during the planning phase of the first grant year
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Phased-In Implementation Period
Funded recipients will engage in a planning, piloting, and readiness period for the first 6 to 12 months of funding
During this period, grantees will: Continue to assess needs and resources Finalize goals, objectives, and logic model Assess program fit Build organizational capacity Finalize implementation plans Pilot test program
The length of the phased-in implementation may vary by grantee depending on implementation readiness
OAH or ACYF approval is required before full-scale implementation
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Evaluation Strategies Monitoring and reporting on program
implementation and outcomes through performance measures
Rigorous independent grantee-level evaluation design unique to grantee project
Federal evaluation of a subset of all grantees
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Performance Measures Developed by OAH and ACYF during first year of
program All grantees will be expected to collect and report
on common set of performance measures to assess program implementation and outcomes
Training and technical assistance will be provided Anticipated categories for measures:
Output measures Fidelity/adaptation Implementation and capacity building Outcome measures Community data
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Grantee-level Evaluation Rigorous independent grantee-level evaluation design
unique to proposed program intervention Use either random assignment or quasi-experimental
design HHS will review and assess proposed evaluation designs HHS approval required before implementing evaluation
plan HHS will provide training & TA on evaluation – general &
project specific.
See Appendix C in the FOA for detailed guidance
Budget 20-25% to support evaluation activities
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Federal-level Evaluation of TPP
Funded grantees will be required to participate in Federal evaluation, if selected, and agree to follow all evaluation protocols established by HHS or its designee
Selected grantees will no longer be expected to have a grantee-level evaluation and will be required to redirect their evaluation budget to support activities related to the Federal level evaluation
Decisions regarding participation in Federal evaluation expected by end of planning year Anticipate selecting approximately 12 grantees across TPP
(Tiers 1&2) and PREP
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Access to Health Care and Other Services
As appropriate and allowable, applicants may provide teenage pregnancy prevention related health care services and/or make use of referral arrangements with other providers
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Items Requiring OAH or ACYF Approval
Approval required for: Medical accuracy of curricula and program
materials Evaluation plans Full-scale implementation
Full curricula should NOT be submitted with the application. Program materials will be submitted for review and approval during the phased-in implementation period of the first grant year.
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Any Questions?
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Asking Questions During the Webinar
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Application Contents
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Contents of Application Submission
Abstract (one-page)
Project Narrative (no more than 50 pages) Organizational Capability Statement Project Management Need Statement Intervention to be Tested and Project Approach Target Population Program Goal(s), Objectives, and Activities Work plan and Timetable Collaborations and Description of MOUs Performance Measurement Evaluation
Appendices
Budget Narrative/Justification
No more than
100 pgs
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Project Abstract (1 page) Clear, concise description of the project that
can be understood without reference to other parts of the application. Should include: Project title Applicant contact information Type of organization applying Overarching goal(s) Description of intervention to be implemented Geographic area to be served Target population
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Project Narrative Formatting
Double-spaced 8 ½ x 11 inch (letter-size) pages 1-inch or larger margins on top, bottom, and
both sides At least 12 point font All pages, charts, figures, and tables should
be numbered Maximum length for Project Narrative = 50
pages
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Project Narrative:Organizational Capability
Current capability to organize and operate effectively and efficiently
Decision-making authority and structure Past experience in implementing teen pregnancy
prevention programs Past experience and accomplishments in creating
partnerships with organizations/agencies to implement programs or systems to address teen pregnancy prevention
How various sites and outside resources will be managed logistically and programmatically
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Project Narrative:Project Management
Plans to govern and manage the execution of the overall program
Governance structure, roles/responsibilities, operating procedures, composition of committees, workgroups, terms and associated leaders, and communications plans
How plans and decisions are developed and documented and issues/risks managed
Specify mechanisms to ensure accountability across community participants and incremental progress in achieving milestones
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Project Narrative:Need Statement
Geographic area to be served Benefit for the target population Incidence of teen births in the area Documentation of sexually transmitted disease
rates, socio-economic conditions including income levels, existing services and unmet needs in the service area
Unique challenges and barriers facing proposed population
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Project Narrative: Intervention to be Tested and Project
Approach Program intervention and appropriateness for
population to be served Rationale for choosing proposed intervention & how
approach is based upon previous experience and community needs
Implementation plans and site (s) Rationale for proposed adaptations to existing
evidence-based program model in Tier 1, if applicable Plans to provide directly, and/or by referral, teenage
pregnancy prevention related health or social services Coordination with existing services in the area Staff training and program management Request, if desired, to opt out of one of the funding
streams – TPP or PREP
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Project Narrative:Target Population
Describe target population using statistical data and other community factors
Provide realistic estimates of overall number of program participants and number participating in proposed project site(s)
Describe expected number of participants during first and second year of implementation; break out by age, race, and ethnicity
Describe age appropriateness of proposed intervention
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Project Narrative: Program Goal(s), Objectives, and
Activities Specific program goal(s) and up to 6 outcome
objectives
SMART objectives S – Specific M – Measurable A – Achievable R – Realistic T – Time-framed
Logic Model (5-year) – visual representation of relationships between proposed resources, planned activities, and desired outputs and outcomes
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Project Narrative:Work plan & Timetable
Detailed work plan and timetable for the five year project period
Work plan is a concise, easy-to-read overview of goals, strategies, objectives, measures, activities, timeline, and those responsible
Within the work plan include each activity associated with the implementation, the proposed time frame for the start and completion of each activity, and the responsible staff
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Project Narrative:Collaborations
Detail intent to coordinate with other community agencies and not duplicate existing efforts
Describe expertise and capabilities of other partnering agencies
Identify community stakeholders
Detail the specific nature of involvement and level of commitment of each stakeholder
Include MOUs from each participating site, stakeholders, and outside resources (if applicable) in the Appendices
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Project Narrative:Performance Measurement
Monitor progress on uniform set of process and outcome performance measures
Describe capability to implement monitoring and reporting systems to aid in internal data collection around metrics for successful achievement of performance measures
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Project Narrative:Evaluation
Demonstrate capability to conduct a rigorous local, independent evaluation
Provide clear and fully developed evaluation plan in accordance with criteria in Appendix C of the FOA
Describe program intervention to be tested; theory upon which intervention is based; experimental design; proposed evaluation questions; data collection instruments; and plans for sampling, data collection, and data analysis
Describe how data will be used for ongoing program improvements
Describe plans to ensure confidentiality of data Include a MOU and CV from the independent evaluator
in Appendices
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Project Narrative:Federal Evaluation
Successful applicants must agree, if selected, to participate in a Federal evaluation, conducted by an independent contractor through a separate competitive award process
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Appendices Resumes for Project Director and detailed position
descriptions Program logic model (see the Application Kit for
example) Memoranda of Understanding from all participating sites Memorandum of Understanding with independent
evaluator Curriculum Vitae of independent evaluator Memoranda of Understanding from all partners Organizational chart Applicant organization’s Federal-Wide Assurance Proof of nonprofit status, if applicable
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Budget Narrative/Justification
State the funding range requested
Outline proposed costs that support all project activities
Thoroughly describe how the proposed costs are derived Breakdown each line item and provide an
explanation of the costs Personnel should include salary per person and
percent of time each person will spend on grant
Specify the source of in-kind contributions (if applicable), and how the valuation of that contribution was determined
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Budget Information: Explanation of Line Items for
424aa. Personnelb. Fringe Benefits- based on bylaws of
organization; taxes; social security; insurance benefits; percent varies by organization
c. Travel- include an annual meeting & 3 regional trainings
d. Equipment- any items over $5,000 per unite. Supplies- items under $5,000 per unitf. Contractual- include independent evaluatorg. Construction – not allowed h. Other
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Funding Restrictions Funds may not be used:
For building alterations or renovations, construction, fundraising activities, political education or lobbying
To supplant/replace any non-Federal or other Federal funds that would otherwise be made available for the activity proposed in the application
To supplant on-going or usual activities of any organization involved in the project
To purchase or improve land, or to purchase, construct, or make permanent improvements to any building
To reimburse pre-award costs
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Other Required Application Forms
Application for Federal Assistance (SF 424) Budget Information for Non-Construction
Programs (SF-424a) Project Abstract Project Narrative Attachment Form Budget Narrative Attachment Form Assurances for Non-Construction Programs (SF-
424B) Disclosure of Lobbying Activities (SF-LLL) HHS Certifications (08-2007)
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Any Questions?
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Asking Questions During the Webinar
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Application Submission Instructions
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Opt-out Provision Applicants may only submit one application
under this FOA
Applicants will be considered for both the TPP and PREP funding unless the applicant specifies that it only wants to be considered for funding under one program
If you choose to opt out, do so in the Intervention to be Tested and Project Approach section of your application.
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Receipt Deadlines Letter of Intent – May 10, 2010
Include descriptive title, funding range, and contact information
Submit via fax to (240) 453-2801 or via email to [email protected]
Applications Electronic submission – June 8, 2010 by
11:00pm ET Paper submission – June 8, 2010 by 5:00pm ET
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Electronic Submissions Grants.gov- http://www.grants.gov/
GrantSolutions- https://www.grantsolutions.gov/
Register well in advance
Must be submitted no later than 11:00pm Eastern Time on June 8, 2010
All required hardcopy original signatures and mail-in items must be received by the Office of Grants Management Grant Application Center no later than 5:00pm Eastern Time on June 9, 2010
Applications are not considered valid until all electronic components, hardcopy original signatures, and mail-in items are received
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Paper Submissions Must be received no later than 5:00pm Eastern Time
on June 8,2010 Address all materials to:
Office of Grants ManagementOffice of Public Health and Science (OPHS)Department of Health and Human Services (DHHS) c/o Grant Application Center1515 Wilson Blvd., Suite 100Arlington, VA 22209 Attention: Office of Adolescent Health
Include the following on the lower left corner of your mailing envelope: “ATTENTION: OFFICE OF ADOLESCENT HEALTH – TIER 2 (NEW GRANT APPLICATION)”
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Application Tracking Form Applicants are strongly encouraged to
complete and submit this form at the time of application submission Fax to (240) 453-2801, or Email to [email protected]
Used by the OAH and ACYF to track grant applications
Form available in Appendix D of FOA or on the OAH website under “Current Grant Announcements” - “Application Kit”
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Application Tips If submitting a hardcopy by mail or hand
delivering… Do NOT staple or otherwise bind your application Do NOT send any extraneous materials such as
videos, books, etc. Do NOT send double-sided information/ pamphlets Do NOT submit the proposed curriculum or
educational materials DO double space on 8 ½ X 11 paper DO submit an original and two copies
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Application Tips Read the entire FOA and application kit BEFORE
writing Write the One Page Summary - AFTER the entire
narrative is complete Read the review criteria Read the application instructions Do NOT exceed the 50 page limit for the project
narrative OR the total page limit of 100 pages for the full application
Turn in application no later than 5pm ET (hard copies) or 11pm (electronic copies) on June 8, 2010 Allow time for any unforeseen difficulties with the
on-line application process, etc.
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Application Tips Remember that the FOA is the primary guide
to programmatic requirements
Follow what the FOA says
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Review & Selection Criteria
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The Application Review Process: Review Criteria
Project Approach and Work Plan (35 points) Organizational Capacity and Experience (25
points) Evaluation Plan and Performance
Measurement (20 points) Project Management and Staffing (15 points) Budget (5 points)
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Selection Process Objective Review Committee
Expert peer reviewers Federal Staff
Applications reviewed according to the published review criteria
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Final Award Decision Criteria
Score and rank order given by the Objective Review Committee
Availability of funds Representation of programs across communities,
including varied types of interventions and evidence-based strategies
Geographic distribution of projects Inclusion of communities of varying sizes Inclusion of populations disproportionately
affected by teenage pregnancy Feasibility of evaluation plan
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Notification of Funding Notice of Grant Award notifies successful
applicant of selection
Includes any conditions on the award
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Tier 2 Review & Award Process
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OAH & ACYF Jointly
Announce Availability of FundsReview Applications
Select Successful Grantees
OAH
Awards and Monitors TPP Funds
($15 - $25 million)
ACYF
Awards and Monitors PREP Funds
($10 million)
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Any Questions?
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Asking Questions During the Webinar
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Thank you! Office of Adolescent Health
Website - www.hhs.gov/ophs/oah Email – [email protected] Phone – (240) 453-2806
Administration on Children, Youth and Families Phone – (202) 205-8102
Office of Grants Management Email – [email protected] Phone – (240) 453-8822