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Community Residential Services is a Request for Proposals from the Connecticut Department of Correction (RFP# DOC-RES-2026-CG) seeking qualified providers to deliver community residential support services for individuals transitioning out of incarceration.
The program contracts with private nonprofit agencies, state agencies, or units of local government to operate community-based residential programs that support reentry, reduce recidivism, and provide transitional housing and wraparound services. Eligible respondents include private nonprofits, state agencies, and local government units with capacity to operate residential reentry programs in Connecticut.
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STATE OF CONNECTICUT STANDARD RFP FOR POS PROCUREMENTS 7. 20. 21 Department of Correction Page 1 of 51 # STATE OF CONNECTICUT PROCUREMENT NOTICE # Request for Proposals (RFP) For # Community Residential Support Services # RFP Name: DOC-RES-2026-CG # Department of Correction The Request for Proposal is available in electronic format on the State Contracting Portal by filtering by Organization for Department of Correction https://portal.
ct. gov/DAS/CTSource/BidBoard or from the Agency’s Official Contact: Address: 24 Wolcott Hill Road, Hartford, CT 06109 The RFP is also available on the Department’s website at https://portal. ct.
gov/DOC # RESPONSES MUST BE RECEIVED NO LATER THAN The Department of Correction is an Equal Opportunity/Affirmative Action Employer. The Agency reserves the right to reject any and all submissions or cancel this procurement at any time if deemed in the best interest of the State of Connecticut (State). STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 2 of 51 Section I — GENERAL INFORMATION .
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. 51 STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 3 of 51 1. RFP Name and Number.
Community Residential Services RFP# DOC-RES-2026-CG 2. RFP Summary. CTDOC is seeking proposals for the potential procurement of the various Residential Release Programs for a minimum of three (“3”) years for males and females statewide and include populations supervised by CTDOC and the Judicial Branch Court Support Services Division (JBCSSD).
Specifically the CTDOC is seeking proposals for the following programs: a. Residential Work Release Programs for Males and Females across various locations in Connecticut; b. Transitional and Scattered-Site Supporting Housing Sites – Temporary and Supportive Housing Programs for Males and Females across various locations in Connecticut c.
Residential Mental Health Programs for Males in the New Haven area d. Residential Work Release Program for Women with Children in the Bridgeport area 3. RFP Purpose.
The Department of Correction Parole and Community Service Division and JBCSSD is in need of residential beds to serve the Parole population and at minimum needs to replace contracted beds coming to term. 4. Commodity Codes.
The services that the Agency wishes to procure through this RFP are as follows: 9314000 Community and Social Services 1. Official Contact. The Agency has designated the individual below as the Official Contact for purposes of this RFP.
The Official Contact is the only authorized contact for this procurement and, as such, handles all related communications on behalf of the Agency. Proposers, prospective proposers, and other interested parties are advised that any communication with any other Agency employee(s) (including appointed officials) or personnel under contract to the Agency about this RFP is strictly prohibited.
Proposers or prospective proposers who violate this instruction may risk disqualification from further consideration. Name: Cynthia Gentry, Grants & Contracts Specialist Address: 24 Wolcott Hill Road, Wethersfield, CT 06109 Please ensure that e-mail screening software (if used) recognizes and accepts e-mails from the Official Contact. STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 4 of 51 2.
Registering with State Contracting Portal. Respondents must register with the State of CT contracting portal at https://portal. ct.
gov/DAS/CTSource/Registration if not already registered. Respondents shall submit the following information pertaining to this application to this portal (on their supplier profile), which will be checked by the Agency contact. • Secretary of State recognition – Click on appropriate response • Non-profit status, if applicable • Notification to Bidders, Parts I-V • Campaign Contribution Certification (OPM Ethics Form 1): https://portal.
ct. gov/OPM/Fin-PSA/Forms/Ethics-Forms 3. RFP Information.
The RFP, amendments to the RFP, and other information associated with this procurement are available in electronic format from the Official Contact or from the Internet at the following locations: https://portal. ct. gov/DOC/Common-Elements/Common-Elements/RFP • State Contracting Portal (go to CTsource bid board, filter by “Department of Correction” https://portal.
ct. gov/DAS/CTSource/BidBoard It is strongly recommended that any proposer or prospective proposer interested in this procurement check the Bid Board for any solicitation changes. Interested proposers may receive additional e-mails from CTsource announcing addendums that are posted on the portal.
This service is provided as a courtesy to assist in monitoring activities associated with State procurements, including this RFP. 4. Procurement Schedule.
See below. Dates after the due date for proposals (“Proposals Due”) are non-binding target dates only (*). The Agency may amend the schedule as needed.
Any change to non-target dates will be made by means of an amendment to this RFP and will be posted on the State Contracting Portal and, if available, the Agency’s RFP Web Page. RFP Released: December 15, 2025 MANDATORY Letter of Intent Due: December 29, 2025 Deadline for RFP Questions: December 29, 2025 Answers Released: January 9, 2026 Electronic Proposals Due: February 8, 2026, 11:59 p. m.
EST (*) Proposer Selection March 16, 2026 (*) Start of Contract Negotiations March 30, 2026 (*) Start of Contract(s) July 1, 2026 5. Contract Awards. The award of any contract pursuant to this RFP is dependent upon the availability of funding to the Agency.
The Agency anticipates the following: • Total Funding Available: Confidential • Number of Awards: To be determined • Contract Cost: Confidential • Contract Term 3 year initial contract term with the option to extend for an additional 1-to-2-year period at the • Funding Source: CTDOC Community Service funding SID 16173 STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 5 of 51 6. Eligibility.
Pursuant to C. G. S.
SS 18-101i, the Department of Correction must offer Purchase of Service contracts only to private nonprofit organizations, state agencies or units of local government. 7. Minimum Qualifications of Proposers.
To qualify for a contract award, a proposer must have the following minimum qualifications: Proposers must have a minimum of three (“3”) years demonstrated experience providing the requested (or very similar) services to formerly incarcerated individuals. 8. Letter of Intent.
A Letter of Intent (LOI) is required by this RFP. The LOI is non-binding and does not obligate the sender to submit a proposal. The LOI must be submitted to the Official Contact by e-mail by the deadline established in the Procurement Schedule.
The LOI must clearly identify the sender, including name, postal address, telephone number, and e-mail address. It is the sender’s responsibility to confirm the Agency’s receipt of the LOI. Failure to submit the required LOI in accordance with the requirements set forth herein shall result in disqualification from further consideration.
Proposers must use the LOI form provided in the Appendix C . 9. Inquiry Procedures.
All questions regarding this RFP or the Agency’s procurement process must be directed, in writing, electronically, (e-mail) to the Official Contact before the deadline specified in the Procurement Schedule. The early submission of questions is encouraged. Questions will not be accepted or answered verbally – neither in person nor over the telephone.
All questions received before the deadline(s) will be answered. However, the Agency will not answer questions when the source is unknown (i.e., nuisance or anonymous questions). Questions deemed unrelated to the RFP or the procurement process will not be answered.
At its discretion, the Agency may or may not respond to questions received after the deadline. If this RFP requires a Letter of Intent, the Agency reserves the right to answer questions only from those who have submitted such a letter. The Agency may combine similar questions and give only one answer.
All questions and answers will be compiled into a written amendment to this RFP. If any answer to any question constitutes a material change to the RFP, the question and answer will be placed at the beginning of the amendment and duly noted as such. The agency will release the answers to questions on the date(s) established in the Procurement Schedule.
The Agency will publish any and all amendments to this RFP on the State Contracting Portal and, if available, on the Agency’s RFP Web Page. At its discretion, the Agency may distribute any amendments to this RFP to prospective proposers who submitted a Letter of Intent. 10.
RFP Conference. An RFP conference will not be held to answer questions from prospective proposers. All questions submitted will be answered in a written amendment to this RFP 11 .
Proposal Due Date and Time. The Official Contact is the only authorized recipient of proposals submitted in response to this RFP. Proposals must be received electronically by the Official Contact on or before the due date and time: Due Date: February 8, 2026 Time: 11:59 p.
m. Eastern Time Official Agency Contact email address for this procurement: DOC. RFP@ct.
gov STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 6 of 51 Proposals received after the due date and time will be ineligible and will not be evaluated.
An acceptable submission must include the following: • One (“1”) conforming electronic copy of the original proposal inclusive of budget and attachments • Electronic submissions must be in MS Word or searchable PDF format • All submissions must be uploaded to the CTSource Solicitation Board at https://portal. ct. gov/DAS/CTSource/BidBoard and e-mailed to the Official Agency Contact for this procurement.
The subject line of the email must read: • Proposed budget submitted as a separate Excel Spreadsheet using the format shown in Appendix F Unsigned proposals will not be evaluated. The proposal must be complete, properly formatted and outlined, and ready for evaluation by the Screening Committee. Required forms and appendices may be scanned and submitted as searchable PDFs at the end of the main proposal document.
Please ensure the entire email submission is less than 25MB as this reflects The Agency’s server limitations. Respondents should work to ensure there are no additional IT limitations from the provider’s side. If necessary, respondents may submit attachments in multiple e-mails.
12. Multiple Proposals. The submission of multiple proposals is an option for this procurement.
A proposer may submit separate proposals in response to the programs/beds requested in this RFP. II. PURPOSE OF RFP AND SCOPE OF SERVICES The Department of Correction strives to be a global leader in progressive correctional practices and partnered re-entry initiatives to support responsive evidence-based practices aligned to law-abiding and accountable behaviors.
The Division of Parole and Community Services (P&CS) enhances public safety by providing offenders with opportunities to successfully reintegrate into the community and be productive, accountable members of society. P&CS supervises and provides support services to approximately 3,000 offenders released to the community under the jurisdiction of both the Commissioner of Correction and the Board of Pardons and Paroles (BOPP) annually.
The Department operates a broad variety of community residential and non-residential programs to assist with the structured and supervised reintegration of formerly incarcerated individuals into the community through a network of contracted community service providers. The community service network is a comprehensive and integrated system of care provided via residential and non-residential programming to offenders.
Department staff work collaboratively with contracted providers to increase the likelihood of an individual’s successful reintegration into the community. CT DOC is seeking to contract with Providers for Residential Work Release, Mental Health Release, Transitional and Scattered-Site Supportive Housing and Women with Children Work Release program beds for offenders released to the community.
The STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 7 of 51 Mental Health programs shall include fourteen (“14”) beds and the Supporting Housing programs shall include twenty six (“26”) beds being procured on behalf of the Judicial Department Court Support Services Division (JBCSSD).
Residential Work Release Programs (WR): Programs designed to provide assistance to residents in obtaining meaningful employment. These programs provide 24/7 on-site supervision of residents. Target population is 18 years and older.
The goal upon completion of the program is for each resident to have stable, legal employment, an acceptable place to live, and sufficient savings to live independently. Residential Transitional Supportive Housing Programs (TH): Generally a 60-120 day program designed to provide safe and secure housing for residents awaiting transfer to transitional supervision status, as well as residents with less than 60 days left on their sentences.
Transitional Supportive Housing programs should provide on-site supervision and should include a case management and assessment component. After assessment, referrals will be made to non-residential services as needed. Transitional Supportive Housing programs also provide on-site housing and benefit specialists to assist residents with needed services.
Residential Scattered-Site Supportive Housing Programs (SSSH): Programs designed to enable eligible individuals to transition to independent living. Programs run 3-4 months in length and do not require on-site supervision. These programs generally consist of apartment-style living for 1-2 same gender residents.
Each program is responsible for providing an assessment and referral component. After assessment, referrals will be made to non-residential services as needed. Residential Mental Health Programs (MH): A 4-6 month program with a 30-45 day in-house initial orientation and intensive treatment component for residents with mental health needs.
The in-house component is followed by a period of treatment and supervision while residents seek employment. 24/7 on-site supervision of residents is required at all times. The goal upon completion of the program is for each resident to have completed the treatment component provided by the contractor, obtained stable, legal employment and made suitable living arrangements, if able.
Program staff are responsible for ensuring that upon release, residents who are unable to work or live independently have established community linkages and relationships with area providers. Residential Women and Children Programs (W&C): A female work release program with an on-site family reunification component. This includes availability of housing for female residents age 18 or older and their children.
In addition, the program provides childcare and early childhood learning services.
Residential Judicial Branch Court Support Services Division (JBCSSD) Mental Health Program : For the JBCCSD, this program is designed as a residential alternative to incarceration that provides supervision and interventions designed to address the characteristics associated with criminogenic risk and need for both pretrial and probation referrals with behavioral health disorders.
The program is 2-4 months in length, but this can be increased or decreased based on the individual needs of each referral and agreement with the referral source.
Beds are designated for offenders with moderate to severe mental health issues, clients that are not diagnosed with mental health issues, but are clearly identified as individuals with some mental health or cognitive issues, that have impaired their ability to comply with court ordered or probation conditions.
In some cases, these referrals will have moderate co-occurring disorders STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 8 of 51 (mental health and substance abuse disorder).
The program comprehensively assesses and addresses the client’s cognitive and behavioral skills deficits, substance abuse, mental health, and social needs, provides criminal justice supervision, intensive clinical case management, criminogenic interventions and behavioral health treatment.
The mental health treatment is primarily provided through collaboration with the Local Mental Health Authority (LMHA) system, JBCSSD contracted providers, or other community based programs. The program can provide these services on site if licensed to do so. # C.
SCOPE OF SERVICE DESCRIPTION 1. Organizational Expectations Pursuant to C. G.
S. § 18-101i, the Department must offer Purchase of Service contracts only to private nonprofit organizations, state agencies or units of local government. To be eligible to submit a response to this Request for Proposals a proposer must have a minimum of three (“3”) years demonstrated experience providing the requested services to formerly incarcerated individuals.
The Department reserves the right to reject the submission of any proposer in default of any current or prior contract. A responsive proposal must include the following information about the administrative and operational capabilities of the proposer. a.
Purpose/Mission/Philosophy. Briefly describe the purpose, mission, and philosophy of the organization and the proposed program. Describe how the program and organization will adhere to applicable state and federal laws, regulations, and policies governing alcohol or other drug abuse services.
b. Entity Type/Years of Operation. Provide a brief history of the organization and the proposed program.
The proposer must be established as a private, non-profit organization, state agency or unit of local government prior to submission of a proposal, and must provide proof such as a copy of the Internal Revenue Service (IRS) determination letter, in Section E. Attachments. c.
Administrative Office Location. Provide the location of the proposer’s administrative offices. d.
Qualifications/Certification/Licensure. Demonstrate the organization’s experience providing the requested services to formerly incarcerated individuals. If the proposer or proposed program holds any certifications or licensures, please detail the type and how long it has been held.
Provide proof of licensure in Section E Attachments. e. References.
If the proposer has not provided contracted services to the Department within the past three (“3”) years, provide three (“3”) letters of reference in Section E. Attachments. Letters must be from individuals or entities familiar with the proposer’s experience providing the requested services to formerly incarcerated individuals.
Letters cannot be from the proposer’s current employees or volunteers. Letters must include the organization name, contact name, mailing address, telephone number and e-mail address of the writer. Letters must also include the nature of the writer’s relationship with the proposer and detail the services provided by the proposer to the writer.
These are NOT Letters of Support. STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 9 of 51 Catchment Areas : Proposals sought for Residential Work Release, Mental Health, Transitional and Scattered-Site Supportive Housing and Women with Children Work Release programs.
The Agency at minimum seeks to replace its contracted beds coming to terms as listed below, but will consider proposals with capacities of up to an additional 10% over current with the exception of the Temporary and Transitional Supportive Housing programs as well as the JBCSSD Mental Health program. The Department will consider proposals for the following programs in the cities and surrounding areas as shown below.
(Bed counts shown represent current, but are not required to be Residential Work Release Programs: • New Haven – 188 Male / 15 Female Residential Mental Health Programs: • Hartford, New Haven, Waterbury, Middletown, Norwich and/or Bridgeport and surrounding areas – 15 Male (DOC); 14 Male (CSSD) Transitional Supportive and Scattered-Site Supportive Housing: • Statewide with preference in Hartford, New Haven, Waterbury, Middletown, Norwich and/or Bridgeport and surrounding areas – 298 Male / Female Residential Women with Children Work Release Program: • Hartford, New Haven, Waterbury, Middletown, Norwich and/or Bridgeport and surrounding areas – 5 Female Beds + children Location of Facilities : Respondent shall provide the location of the residential program.
CTDOC’s Parole and Community Service Division reserves the right to tour and be in support of the proposed facility location . Proposers are not required to obtain possession of physical space, zoning compliance or DPH licensure prior to submission of a proposal, although preference will be given to proposals indicating possession of space, zoning compliance, and DPH licensure.
The Department will require retention of space, proof of zoning compliance, and proof of licensure for all programs, in accordance with State and local regulations, prior to contract execution. If space, zoning, and licensure are not secured at the time of proposal submission, the proposer must affirm that they will be obtained by the proposed program start date.
The Department reserves the right to terminate any negotiations or subsequent contracts if the proposer fails to obtain space, zoning or licensure. Furthermore, the Department reserves the right to deem a proposed site as unsuitable for the operation of a residential program. Proposers shall ensure that zoning of the proposed program is in place, or is obtainable from the Municipality.
Such as the Municipality does not have a moratorium on such use. • Does the proposer currently control the site? If no, provide details of how and when the site will be available.
STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 10 of 51 • Has appropriate zoning been secured for the site? If yes, provide proof of zoning compliance in Section E Attachments. If no, indicate a timeline for obtaining such documentation or justification as to why zoning is not required.
• Is the site appropriately licensed by DPH? If yes, provide proof of licensure in Section E Attachments. If no, indicate a timeline for obtaining such documentation or justification as to why licensure is not required.
• Is the site fully compliant with the 2010 ADA Standards for Accessible Design including, but not limited to accessible to individuals who use wheelchairs? If no, describe the degree to which the site is compliant. • Does the program site share space with any other program, agency, business, residence, etc.?
Hours of Operation : 24 hours per day 7 days per week Target Population : Offenders age 18 and older under the supervision of Parole and Community Services or the Judicial Branch Court Support Services Division Date of Program Availability : Types of Clients : Offenders released to the community under the jurisdiction of both the Commissioner of Correction and the Board of Pardons and Paroles (BOPP) and/or under the supervision of JBCSSD for the 14 JBCSSD Mental Health and 26 Scattered-Site Supportive Housing program beds.
Capacity: Respondents shall detail gender and age of individuals that will be accepted into the program. Proposals shall include the total number of beds proposed, total number of beds in the program, and who utilizes beds not proposed for purchase by the Department, as well as gender of both. The Department will not allow congregate housing of both males and females, nor allow DOC and non-DOC residents to occupy the same bedrooms.
Preference will be given to proposals that do not house the supervised population with non-supervised populations. In the event there is a mixture of populations on the premises, the proposer shall describe how they will address Department client safety concerns and operational protocols, as well as, shall post signage that clearly identifies the bedrooms occupied by DOC residents.
In the event that DOC does not have the funding available and/or the need for all the beds offered in a program, proposals should also identify the minimum number of beds required in a program for the program to be sustainable.
Room and Board: Respondents shall describe the physical living space of residents, number of residents assigned per bedroom, and number of residents sharing a bathroom, as well as food and furnishing arrangements. Respondents shall provide the average length of stay needed to complete the program.
In addition, proposers shall describe how they will ensure that residents receive no fewer than three (“3”) nutritious meals per day and detail whether meals will be prepared on-site or procured from an external food service provider. All meals shall meet accepted nutritional standards. Proposers should also outline how special dietary needs and restrictions will be accommodated.
The Department has established an average length of stay of: STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 11 of 51 • Work Release Programs: ~120 days with ranges from short term (30 to 60 days) to long term (up to 6 months) • Mental Health Programs: ~120-180 days (DOC) • Residential Supportive Transitional Housing: ~60-120 Days • Scattered-Site Supportive Housing: ~150-180 Days (DOC / JBCSSD) • Women and Children’s Work Release Program: ~120 days with ranges from short term (30 to 60 days) to long term (up to 6 months) The proposed programs should be structured in such a way as to ensure that all components can be successfully completed within the specified timeframe.
The maximum length of stay shall be determined in consultation with the Agency based on the resident’s needs. Proposals should describe how programs will meet the Department’s definition of cleanliness and maintenance for residential living space.
The Department definition is as follows: Interior Maintenance - The interior of the facility should be maintained in good repair and in a safe, clean, orderly and sanitary condition, free from all accumulation of dirt, infectious agents, and other impurities.
Structural Maintenance – The foundations, floors, walls, doors, windows, ceilings, roofs, staircases, porches, chimneys, and other structural elements of the facility should be maintained so that the facility excludes wind, rain, and snow, and is rodent-proof, watertight and free from chronic dampness, weather tight, in good repair, and in every way fit for the use intended.
Further, every interior structural element should be maintained free from holes, cracks, loose plaster, or other defect which renders the area difficult to keep clean, or which constitutes an accident hazard or provides insect or rodent harborage.
In addition to the narrative above proposers are ask to complete and include the following table: Accountability: The Department requires the residential programs requested through this RFP to be supervised by on-site staff on a 24/7 basis. Proposals should describe the extent to which program staff will monitor residents.
Include any procedures for facility counts, community access, security policies, employment checks, etc. Client Eligibility / Exclusion : Respondents must clearly define all eligibility criteria and must identify and define any categories of individuals who would be excluded from the program.
All exclusions must be fully explained including > Total # of access ramps > Total # of Elevators STATE OF CONNECTICUT RFP# DOC-RES-2026-CG 12/12/25 > Department of Correction Page 12 of 51 rationale for exclusion. Release status is not an acceptable criterion for eligibility or exclusion. Individuals should be accepted into the program regardless of custody status and criminal history.
Preference will be given to proposers demonstrating the least restrictive eligibility and exclusionary criteria, especially with regard to individuals convicted of a sexual offense or arson. Client Evaluation /Referrals : Pursuant to C. G.
S. Sec. 18-86c, in the absence of exclusionary criteria it is understood that the Contractor shall accept all referrals.
The Department will utilize its web based Provider Data Management System (PDMS) to make program referrals. The eligibility determination should rely on the referral package received from the Department. Communication between the Department and the Provider can occur as needed.
Under normal circumstances, the contractor shall have a not to exceed period of three (“3”) calendar days to review referrals made by DOC. If the Contractor does not respond to the referral within three (“3”) calendar days, DOC shall consider the referral as accepted.
Proposals should delineate the maximum time period between referral acceptance and initial intake appointment, as well as the time period between initial intake appointment and first scheduled service. Intake/Orientation/Assessment : Respondents shall d escribe the process followed for each offender intake, as well as the topics covered during the orientation period. Orientation periods should not exceed one week, and should
Based on current listing details, eligibility includes: Private, non-profit agencies, state agencies, or units of local government. Applicants should confirm final requirements in the official notice before submission.
Current published award information indicates Varies Always verify allowable costs, matching requirements, and funding caps directly in the sponsor documentation.
The current target date is rolling deadlines or periodic funding windows. Build your timeline backwards from this date to cover registrations, approvals, attachments, and final submission checks.
Federal grant success rates typically range from 10-30%, varying by agency and program. Build a strong proposal with clear objectives, measurable outcomes, and a well-justified budget to improve your chances.
Requirements vary by sponsor, but typically include a project narrative, budget justification, organizational capability statement, and key personnel CVs. Check the official notice for the complete list of required attachments.
Yes — AI tools like Granted can help research funders, draft proposal sections, and check compliance. However, always review and customize AI-generated content to reflect your organization's unique strengths and the specific requirements of the solicitation.
Review timelines vary by funder. Federal agencies typically take 3-6 months from submission to award notification. Foundation grants may be faster, often 1-3 months. Check the program's timeline in the official solicitation for specific dates.
Many federal programs offer multi-year funding or allow competitive renewals. Check the official solicitation for continuation and renewal policies. Non-competing continuation applications are common for multi-year awards.