Community Level Innovations for Improving Health Outcomes

Community Level Innovations for Improving Health Outcomes is sponsored by HHS Office of Minority Health (OMH). This program supports projects that demonstrate community-level innovations to reduce barriers related to social determinants of health (SDOH), increase the use of preventive health services, and make progress toward Leading Health Indicator (LHI) targets for racial and ethnic m…

Technical Assistance Webinar # Notice of Funding Opportunity: # Community Level Innovations for Improving Health # Outcomes (CLIIHO) Initiative > Opportunity Number: MP -CPI -24 -001 ## Technical Assistance Webinar Agenda I. Overview of the Notice of Funding Opportunity (NOFO) ▪ Community Level Innovations for Improving Health Outcomes (CLIIHO) Initiative, MP -CPI -24 -001 II.

Grants and Acquisition Management ▪ Competitive Application Requirements III. Question and Answer Session • The Notice of Funding Opportunity (NOFO) provides information and guidance related to applications • Read the entire funding announcement • Follow the NOFO carefully • The information provided in the NOFO takes precedence over any conflicting information in other documents ## Executive Summary (P.

2) • The Community Level Innovations for Improving Health Outcomes (CLIIHO) Initiative is intended to demonstrate that community level innovations that reduce barriers related to social determinants of health (SDOH) can increase use of preventive health services and make progress toward Leading Health Indicator (LHI) targets.

• OMH demonstration project grants support the advancement of effective and sustainable approaches for improving health outcomes through innovative models that improve health outcomes and reduce racial and > Read the entire NOFO to ensure the application complies > with all requirements and instructions ## Program Description (P.

5 -9) • Projects awarded will contribute to the following programmatic goals for this funding opportunity: ▪ Increase use of preventive health services through community level innovations ▪ Improve health outcomes as measured by progress toward LHIs ✓ LHIs are a subset of high priority Healthy People 2030 objectives selected to drive action toward improving health and well -being ▪ Reduce health disparities driven by SDOH ✓ SDOH are conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality -of -life outcomes Read the entire NOFO to ensure the application complies with all requirements and instructions Program Description (P.

5 -9) • There are 23 LHIs organized by life stage: • HP2030,organizes SDOH in five domains: Read the entire NOFO to ensure the application complies with all requirements and instructions ▪ Education Access and Quality ▪ Neighborhood and Built Environment ▪ Social and Community Context ▪ Health Care Access and Quality ▪ Children and Adolescents ▪ Adults and Older Adults ▪ All Ages Program Description (P.

5 -9) • We encourage applicants to: ▪ Incorporate collaborative community networks that are prepared to strengthen community support services, provide health resources, and help connect individuals to preventive health services ▪ Apply community level public health improvement models, such as the Community Readiness model or Community Organization model ▪ Include trained trusted messengers who work within the community of focus to help bridge gaps to health resources, promote the use of preventive health services, and encourage healthy choices Read the entire NOFO to ensure the application complies with all requirements and instructions Expectations for Funded Projects (P.

7 -9) I. Build or maintain a sustainable collaborative network.

▪ Engage organizations through planned and/or existing partnerships, including community -based organizations (CBOs) and medical organizations ▪ Network members should participate in project activities including ongoing strategic planning, implementation, quality improvement, data collection and analysis, and ▪ We encourage recipients to partner with institutions of higher education that have trusted relationships with the population(s) of focus to conduct evaluation activities (e.g., minority serving institutions) Read the entire NOFO to ensure the application complies with all requirements and instructions Expectations for Funded Projects (P.

7 -9) II. Implement community level innovations that impact up to two LHIs.

▪ Recipients should use available national and local data to develop community level ▪ Recipients should use community level public health improvement models to strengthen the proposed approach and processes ▪ Community level innovations should also incorporate the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Healthcare * Note: Costs of medical services are unallowable under this funding opportunity Read the entire NOFO to ensure the application complies with all requirements and instructions Expectations for Funded Projects (P.

7 -9) III. Evaluate project processes and outcomes.

▪ We expect recipients to evaluate processes and outcomes to assess project ✓ Describe changes over time in disparities among the population(s) of focus related to the selected LHI(s) and SDOH domains ✓ Describe the level of involvement of the population(s) experiencing health disparities ✓ Produce a profile of the health disparity in the first three months of the project ✓ Collect data on the effect of the community level innovations on selected LHI(s) ✓ Compare data collected to baseline data identified in the profile and include other relevant Read the entire NOFO to ensure the application complies with all requirements and instructions Expectations for Funded Projects (P.

7 -9) IV. Share information about the project and its findings with the public.

▪ We expect recipients to ✓ Document and share project findings and results (e.g., best practices, lessons learned) with the population(s) of focus, the public, and other interested parties ✓ Share project information with other OMH recipients within the period of performance ▪ Recipients should publish the findings and results in scholarly articles or brief reports.

▪ Recipients are encouraged to involve the partner network and population(s) of focus in the development of publications to ensure transparency and credibility of the results. Read the entire NOFO to ensure the application complies with all requirements and instructions APPLICATION CONTENT Pre -decisional draft - Do not copy or distribute Intended for direct recipients only Application Content (P.

16 -24) Successful applications will contain the following information Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P. 16 -19) We recommend that your project narrative includes the following components: 5) Organizational Capability Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) ▪ Describe the nature and scope of the specific health disparity( ies ) the project is designed to ▪ Use available national and local data to explain the two SDOH domains and at least one but no more than two LHIs of focus selected for the project (must be identified in the project ▪ Include in quantitative and qualitative terms the project’s population(s) and geographic area(s) of focus, and related gaps and barriers to affecting change ▪ Describe the significance of your proposed community level innovation on reducing health disparities for underserved and disadvantaged populations in the broader public health context ▪ Emphasize how your project will affect use of preventive health services Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) 2.

Proposed Approach: Goals, Objectives, and Outcomes ▪ Describe your project’s proposed goal(s) and major objectives associated with each goal ▪ Use baseline data and quantifiable time -frames to describe SMARTIE (specific, measurable, accurate, relevant, time -bound, inclusive, and equitable) objectives ▪ Identify specific, quantified, measurable outcomes expected to result from the project ▪ Connect proposed goals, objectives, and outcomes to the activities described in your work ▪ Outcomes should be reflected in your logic model ▪ Consider the benefits to the fields of SDOH, public health policy research, and preventive health strategies for underserved and disadvantaged populations Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) 2.

Proposed Approach: Project Plan ▪ Explain the rationale for your approach and activities ▪ Apply a community level public health improvement model to the planned approach and ▪ Detail the nature of the activities, why they were selected, and how they address your identified gaps and barriers ▪ Identify members of the collaborative network, explain your rationale and approach for engaging these partners, and describe how they will contribute to the project ▪ Identify any major barriers anticipated and how your project will be able to overcome those Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) 2.

Proposed Approach: Project Management ▪ Describe how you will monitor and track progress of the project to ensure timeliness ▪ Describe how you will oversee and maintain partner engagement to accomplish ▪ Explain your risk management, including a plan for managing key staff transitions ▪ Describe your organization leadership's role in oversight of the project Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) ▪ Describe the methods you will use to evaluate whether the project achieves its SMARTIE objectives and measurable outcome(s) ▪ Summarize your evaluation plan, identifying individuals/organizations responsible for ▪ Describe the validity and reliability of your proposed measures or indicators ▪ Align your evaluation plan with your logic model Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) ▪ Describe the method(s) you will use to disseminate the project's results and findings to the population(s) of focus, the public, and other parties interested in using the ▪ Include any innovative approaches as well as traditional forms of dissemination, such as scholarly articles in peer reviewed journals. ▪ Consider how your results may inform practice, service delivery, program development, and policymaking.

Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P. 16 -19) 5.

Organizational Capability: Applicant Organization Description ▪ Summarize your organization’s capability and capacity to successfully implement the ▪ Include your organization’s current mission, scope of activities, and readiness to demonstrate impact within the period of performance ▪ Describe your organization’s experience with successfully administering grant projects of similar size and scope ▪ Refer to the organizational chart in your appendices to show the relationship of the project to the overall organization Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) 5.

Organizational Capability: Community Level Expertise and Collaborative ▪ Describe your organization’s experience and capability to form a collaborative ▪ Describe the anticipated level of effort and responsibility for network members to complete programmatic activities and the role of trusted messengers ▪ Describe the network's ability to engage in community level strategies and public health improvement models ▪ Include information about the role(s) of any contractors and consultants that will be involved in implementing the project and achieving project goals Read the entire NOFO to ensure the application complies with all requirements and instructions Project Narrative Content (P.

16 -19) 5. Organizational Capability: Project Staff and Key Roles ▪ Identify the individual who will be the Project Director/Principal Investigator (PD/PI) and any additional key personnel whose contributions are essential to the project.

▪ Specify who would have day -to -day responsibility for key tasks, such as project leadership, monitoring the project’s ongoing progress, preparation of reports, and communicating with the collaborative network.

Read the entire NOFO to ensure the application complies with all requirements and instructions APPLICATION REVIEW INFORMATION Pre -decisional draft - Do not copy or distribute Intended for direct recipients only Application Review Information: Criteria (P. 30 -32) a.)

Project Significance (10 points) The degree to which the applicant: ▪ Demonstrates project significance through national and local data describing health disparities for the population(s) and geographic area(s) of focus, and two selected SDOH domains affecting the chosen LHI(s) ▪ Provides evidence for potential impact on the use of preventive health services for individuals within the population(s) of focus who experience health disparities ▪ Describes the extent to which the proposed innovation will impact underserved and disadvantaged populations Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) b.)

Proposed Approach: Goals, Objectives, and Outcomes (10 points) The degree to which the applicant: ▪ Demonstrates a strong and clear alignment of goals, objectives, and measurable outcomes to implement an innovative approach to increase the use of preventive health services by reducing SDOH -related barriers ▪ Clearly describes objectives that are each specific, measurable, achievable, realistic, time -bound, inclusive, and equitable (SMARTIE), using baseline data and including quantifiable timeframes for achievement ▪ Includes appropriate measurable outcome(s) expected from the proposed project Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) c.)

Proposed Approach: Project Plan (15 points) The degree to which the applicant: ▪ Provides a concise, well -supported description of and rationale for the approach; the nature of activities and why they were selected; and how activities will assist in achieving the overall project objectives ▪ Justifies engagement of planned and existing partnerships, including trusted messengers, and describes the anticipated contribution of partners to the project ▪ Adequately describes a community level public health improvement model ▪ Clearly summarizes proposed activities in a work plan Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) d.)

Proposed Approach: Project Management (10 points) The degree to which the applicant: ▪ Describes a feasible approach to monitor and track project progress at a task level ▪ Clearly illustrates how partners will be managed to accomplish proposed project ▪ Provides a feasible approach to risk management and a plan for managing key staff Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) e.)

Evaluation (15 points) The degree to which the applicant: ▪ Employs a process and outcome evaluation approach to analyze the goals and ▪ Presents reasonable methods for evaluating project achievement of SMARTIE objectives and measurable outcomes ▪ Describes how outcomes of the project will be monitored, documented, measured, ▪ Allows for the evaluation of the impact of the community level innovations Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) f.)

Dissemination (5 points) The degree to which the applicant: ▪ Proposes traditional and innovative methods to disseminate the results and findings of the demonstration project and its impact in a timely manner and at an appropriate scale (e.g., national, regional, local) ▪ Describes a feasible approach for disseminating project data and information to the population(s) of focus, the public, and other parties who may be interested in applying methodologies and lessons learned to their own work Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) g.) Organizational Capability: Applicant Organization Description (10 points) The degree to which the applicant: ▪ Demonstrates the capability, infrastructure, expertise, and readiness to successfully conduct project activities Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P. 30 -32) h.)

Organizational Capability: Community Level Expertise and Collaborative The degree to which the applicant: ▪ Demonstrates the ability to establish a collaborative network capable of participating in community level innovations that reduce SDOH -related barriers to using preventive ▪ Clearly illustrates the network's ability and readiness to engage in project activities Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) i.)

Organizational Capability: Project Staff and Key Roles (10 points) The degree to which the applicant: ▪ Adequately describes key personnel roles and responsibilities, including identification of the PD/PI, and describes their qualifications, competing time commitments, and level of involvement with the project Read the entire NOFO to ensure the application complies with all requirements and instructions Application Review Information: Criteria (P.

30 -32) j.)

Budget Reasonableness (5 points) The degree to which the applicant: ▪ Demonstrates a detailed, reasonable, adequate, and cost -efficient budget that aligns with the proposed technical approach and adequately supports proposed activities Read the entire NOFO to ensure the application complies with all requirements and instructions Community Level Innovations for Improving # Opportunity No: MP -CPI -24 -001 Competitive Application Deadline Due Date: Wednesday, May 15, 2024 Cutoff Time: 6:00 p.

m. ET Submission Dates and Times (Section D) Application is due by 6:00 p. m.

Eastern Time, Wednesday, May 15, ▪ Your submission time will be determined by the date and time stamp provided by Grants. gov when you complete your submission. ▪ Strongly encouraged to submit your application a minimum of 3 -5 days prior to the application closing date.

▪ Grants. gov may take up to 48 hours to notify you of a successful submission. ▪ If you fail to submit your application by the due date and time, we will not review it, and it will receive no further consideration.

## Eligible Applicants (NOFO, Section C.

1, page 10) Applicant eligibility for this NOFO is: • Any private nonprofit or public entity located in a State is eligible to apply for an • “State” includes, in addition to the several States, only the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, American Samoa, the Trust Territory of the Pacific Islands, and any agency or instrumentality thereof exclusive of local governments.

(42 U.S.C. § 201(f) (PHS Act, Section 2(f)), 45 C. F.

R. § 75. 2).

• Eligible entities include private nonprofit or public faith -based organizations, community -based organizations, and American Indian/Alaska Native/Native American (AI/AN/NA) organizations. ## Cost Sharing or Matching (Section C.

2, page 11) • You are not required to provide cost sharing or matching in your proposed • If you voluntarily include cost sharing in your application, you must include in your budget narrative a non -federal sources justification as described in Section H. 4 or your application will be disqualified (Section C. 4).

Voluntary cost sharing is not expected for research applications. During the merit review of an application, cost sharing will only be considered in the overall review of the adequacy of the total proposed budget (Federal and non -Federal share) to support the project proposed.

• Awarded applications including cost sharing or matching commitment, whether required or voluntary, will include the commitment on the notice of award at the level proposed in the application (Section D. 3. b).

Any change in the cost sharing or matching commitment will require prior approval of the grants management officer. ## Application Responsiveness Criteria (Section C. 3, Page 11) • We will review your application to determine whether it meets the responsiveness criteria below.

• If your application does not meet the responsiveness criteria, we will disqualify it from the competition; we will not review it beyond the initial • Responsiveness criteria: The Project Abstract Summary must state clearly two SDOH domains and at least one but no more than two LHIs (Section H. 8) that will be the focus of the innovation.

## Notice of Funding Opportunity (NOFO) Announcement • The Notice of Funding Opportunity (NOFO) provides information and guidance • Read the entire funding announcement. • Follow the NOFO carefully! • The information provided in the NOFO takes precedence over any conflicting information in other documents including this presentation .

## Address to Request Application Package ## (Section D. 1, Page 12) ▪ Obtain an application package electronically by accessing Grants. gov at http://www.

grants. gov/ . Find it by searching the Assistance Listing (formerly CFDA) Number found on page 1 of the NOFO.

▪ The Assistance Listing (CFDA) Number is 93. 137. notification of any updates to the NOFO or supporting documents.

## Application Submission • OASH requires that all applications be submitted electronically via Grants. gov unless an exemption has been granted by the grants management officer (Section D. 5).

• If you submit an application via any other electronic communication, it will not be accepted for review. are made available on www. Grants.

gov . • An application will not be considered valid until all application components are entered in Grants. gov and received by OASH Grants and Acquisitions Management Division according to the deadlines specified in the “Submission Dates and Times” section of the • Contact Grants.

gov with any questions or concerns regarding the electronic application process 1 -800 -518 -4726. ## Application Submission Applications must be submitted as three (3) files: File 1: The ENTIRE project narrative (Section D. 3.

a) File 2: The ENTIRE budget narrative, including supporting documentation described in the Budget Narrative content section File 3: All documents in the appendices section (Section D. 3. c) Note: required standard forms do not apply toward your page count limitations in the submission requirements as stated in Disqualification ## Application Submission (Section D.

2. a) Any files uploaded or attached to the Grants. gov application must be of the following file • Microsoft Word, PowerPoint, Adobe PDF, or image formats (JPG, GIF, TIFF, or BMP only).

• Microsoft Excel files will NOT be accepted. HHS/OASH strongly recommends that electronic applications be uploaded as Adobe PDF. • If you convert to PDF prior to submission, you may prevent any unintentional formatting that might occur with submission of an editable document.

• Check your page count of the PDF and/or print your file to ensure that the document does not exceed the page limit. ## Application Submission • Be complete and do not leave blanks on forms unless the information is clearly not applicable. • The individual submitting the application forms must have the legal authority to act on behalf of the organization.

## Application Submission (Section D. 8. a) • To ensure successful submission of your application, carefully follow the step -by - step instructions provided at http://www.

grants. gov/web/grants/applicants/apply -for -grants.

html • These instructions are kept up -to -date and also provide links to Frequently Asked Questions and other troubleshooting information ❑ Application for Federal Assistance (SF -424) ❑ Budget Information for Non -construction Programs (SF -424A) ❑ Disclosure of Lobbying Activities (SF -LLL) ❑ Project Abstract Summary ❑ Project Narrative – Submit all Project Narrative content as a single ❑ Budget Narrative – Submit all Budget Narrative content as a single ❑ Appendices – Submit all appendix content as a single acceptable file, in the Attachments section of your Grants.

gov application. ❑ Be sure to follow Project Narrative format instructions in the NOFO. Your application will be disqualified if it does not conform to the format requirements.

❑ You must double -space the Project Narrative pages. ❑ You must use 12 -point font. ❑ You should use an easily readable typeface, such as Times ❑ You may single -space tables or use alternate fonts but you must ensure the tables are easy to read.

❑ For Appendices and Budget Narrative, you should use the same formatting specified for the Project Narrative. ❑ Appendix documents such as résumés may use alternate formats common to such documents. ## System for Award Management (SAM) (Section D.

4) • If you are registering a new entity in SAM. gov, you need to create a login. gov account, if you don't already have one.

• If you are renewing you registration, your old SAM. gov username and password will not work anymore. You will need to create a login.

gov account if you do not already have • Minimum timeframe to complete an initial SAM registration online is 30 min. • Timeframe for applicant’s registration to become active is up to 10 days and may take longer depending on volume. • SAM registration must be renewed each year.

• Average timeframe for updates in SAM. gov to appear in Grants. gov is up to 72hrs.

• We strongly recommend applicants check for an active registration in SAM well before • If you are successful and receive an award, you must maintain an active SAM registration with current information at all times during the active award.

• If you have not complied with the SAM registration requirements, HHS/OASH ▪ May determine you are not qualified to receive an award; and ▪ May use that determination as a basis for making an award to another applicant. • Should you successfully compete and receive an award, all first -tier sub -award recipients must have a UEI number at the time you, the recipient, make a sub - ## Funding Restrictions (Section D.

7, page 25) • If you are successful and receive an award, by accepting the award, you agree that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

• Costs must be allowable, allocable, reasonable, and necessary direct expenses or indirect costs in accordance with regulations and current policy. • Indirect costs may be included per 45 CFR 75. 414.

Applicants should indicate which method or rate is used for this application. (Section • Pre -award costs are not allowed. (Section D.

7. a) • Current Salary Limitation: $212,100 effective January 2023 (Section D. 7.

b) ## Budget Narrative and Forms The Project Budget Information : Detailed Budget Justification ❑ Must be consistent with the requirements of the NOFO ❑ Budgeted costs must reflect proposed activities ❑ Budget line item descriptions and justification requirements are explained ❑ Suggested table formats in the NOFO ❑ Plan for Oversight of Federal Award Funds (Section D. 3. b.

3, page 22) Forms, narrative and detailed justification do not count toward page limit. ## Application Disqualification (Section C. 4) If you application does not meet the following requirements it will be disqualified and receive no further consideration: • Submitted electronically via www.

grants. gov by due date and time (unless an exemption was granted 2 business days • If you successfully submit multiple applications for the same project, we will only review the last application received by the deadline. • HHS/OASH/GAM deems your application eligible.

• Project Narrative must be double -spaced, on the equivalent of 8. 5” X 11” page size with 1” margins on all sides and font size not less than 12 points. • Project Narrative must not exceed 30 pages .

• The Total Application, including Project Narrative must not exceed 50 pages . 53 Application Disqualification Criteria (continued) > If you application does not meet the following requirements it will be disqualified and > receive no further consideration: • Your application must be in the English language and must be in terms of U.S. dollars (45 C. F.

R. 75. 111(a)) • Your Federal funds request including indirect costs does not exceed the maximum indicated in Award Ceiling (Section B).

• Your Federal funds request including indirect costs must not be below the minimum indicated in Award Floor (Section B). • If you have included voluntary cost sharing or matching, you must include in your budget narrative a non -federal sources • Application meets the Application Responsiveness Criteria (section C. 3).

54 Application Responsiveness Criterion (Section C. 3) The responsiveness criteria are: The Project Abstract Summary must state clearly two SDOH domains and at least one but no more than two LHIs (Section H. 8) that will be the focus of the innovation.

## Supporting Documentation and Disqualification • Applications that lack the required supporting documentation or submit additional appendix files will not be disqualified from competitive review; ▪ However, this may impact your application’s rating under the evaluation • Be sure to follow submission instructions carefully. ## Application Review Criteria (Section E.

1, pages 30 -31) ✓ Proposed Approach: Goals, Objectives, and Outcomes ✓ Proposed Approach: Project Plan ✓ Proposed Approach: Project Management ✓ Organizational Capability: Applicant Organization Description ✓ Organizational Capability: Community Level Expertise and Collaborative Partnerships ✓ Organizational Capability: Project Staff and Key Roles ## Application Merit Review • Eligible applications will be evaluated, commented on, and rated by a panel of independent reviewers with technical expertise in applicable fields according to the criteria listed in the NOFO.

• The Merit Review Panel process is formal and confidential. Federal staff are available for questions and to ensure the process is consistent and fair, but do not participate in discussion and scoring. • Applications are then also reviewed: > •By GAM staff for administrative & business compliance.

> •By OMH Program Office staff for programmatic compliance. ## Funding Decisions (Section E) • The Deputy Assistant Secretary for Minority Health will provide recommendations for funding to the Grants Management Officer for risk analysis. (Section E.

2) • In providing these recommendations, the Deputy Assistant Secretary for Minority Health will take into consideration the following additional factors(s): ✓ Balance of SDOH domains and chosen LHIs. ✓ Geographic distribution of projects. • Upon completion of risk analysis and concurrence of the Grants Management Officer, HHS/OASH will then issue Notices of Award.

(Section E. 4) • No award decision is final until a Notice of Award is issued.

• All award decisions, including level of funding, if an award is made, are final and • We are not obligated to make any Federal award as a result of this • Only the grants officer can bind the Federal government to the • If you receive communications to negotiate an award or request additional or clarifying information, this does not mean you will receive an award; it only means that your application is still under • All award decisions, including level of funding if an award is made, are final and you may not appeal.

## Funding Process – Review of Risk Posed by Applicant • HHS/OASH will evaluate each application in the fundable range for risks posed by the applicant before issuing an award in accordance with 45 CFR 75.

205 • OASH will use a risk -based approach and may consider any items such as the following as stated in the NOFO: • Applicant’s financial stability; • Quality of management systems and ability to meet the management standards prescribed in 45 CFR part 75; • History of performance – Applicant’s record in managing Federal awards including timeliness of compliance with applicable reporting requirement, and conformance to the terms and conditions of previous Federal awards; • Reports and findings from audits performed; and • The applicant’s ability to effectively implement statutory, regulatory, or other requirements imposed on non -Federal entities.

## Plan for Oversight of Federal Award Funds (Section D. 3. b.

3) • If your internal controls are available online, you may provide the link as