Infant-Toddler Court Program–State Awards (HRSA-22-073)

Infant-Toddler Court Program–State Awards (HRSA-22-073) is sponsored by Health Resources and Services Administration (HRSA). This opportunity supports mission-aligned projects and measurable outcomes.

U.S. Department of Health and Human Services ## Maternal and Child Health Bureau ## Division of Home Visiting and Early Childhood Systems ## Infant-Toddler Court Program – State Awards ## Funding Opportunity Number: HRSA-22-073 ## Funding Opportunity Type(s): New ## Infant-Toddler Court Program – National Resource Center ## Funding Opportunity Number: HRSA-22-074 ## Funding Opportunity Type(s): Competing Continuation, New ## Assistance Listings (AL/CFDA) Number: 93.

110 ## NOTICE OF FUNDING OPPORTUNITY # Application Due Date: May 4, 2022 # Modified March 25, 2022 to increase the Anticipated Available FY 2022 Funding for HRSA-22-073 Infant Toddler Court Program – State Awards, and the Estimated Number and Type of Award(s); and update the Appropriations Act in sections IV. iii and IV. 6.

> Ensure your SAM. gov and Grants. gov registrations and passwords are current immediately!

> HRSA will not approve deadline extensions for lack of registration. > Registration in all systems may take up to 1 month to complete. > Issuance Date: February 3, 2022 > Lynlee Tanner Stapleton / Ekaterina Zoubak > Maternal and Child Health Bureau > Telephone: (301) 443-5764 / (240) 475-8014 > Email: lstapleton@hrsa.

gov /ezoubak@hrsa. gov > See Section VII for a complete list of agency contacts. > Authority: 42 U.S.C.

§ 701(a)(2) (Title V, § 501(a)(2) of the Social Security Act) HRSA-22-073 and HRSA-22-074 ii # 508 Compliance Disclaimer Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email or call one of the HRSA staff above in Section VII.

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2022 Infant-Toddler Court Program (ITCP). The purpose of this program is to continue and expand research-based infant-toddler court (ITC) teams to change child welfare practices and improve the early developmental health and well-being of infants, toddlers, and their families.

This announcement includes instructions for two (2) distinct award opportunities: HRSA-22-073: Infant-Toddler Court Program – State Awards will support eligible entities in states, territories, or tribal nations to 1) initiate or expand implementation of the ITC approach, and 2) provide leadership, coordination, and quality improvement and assurance for local ITC sites.

HRSA-22-074: Infant-Toddler Court Program – National Resource Center will support a central entity to lead and coordinate improvements nationwide to policy and practice in child welfare and early childhood systems that advance early developmental health and well-being, using the ITC approach. Applicants may only receive an award under one funding announcement, but not both.

Funding Opportunity Titles: Infant-Toddler Court Program – State Infant-Toddler Court Program – National Funding Opportunity Numbers: HRSA -22 -073 Due Date for Applications: May 4, 2022 Anticipated Total Annual Available FY 2022 Funding: HRSA-22-073: Infant-Toddler Court Program – State Awards: up to HRSA-22-074: Infant-Toddler Court Program – National Resource Center: up to $5,000,000 HRSA-22-073 and HRSA-22-074 iii Estimated Number and Type of Award(s): HRSA-22-073: Infant-Toddler Court Program – State Awards: Up to 12 HRSA-22-074: Infant-Toddler Court Program – National Resource Center: Up to one cooperative agreement Estimated Annual Award Amount: HRSA-22-073: Infant-Toddler Court Program – State Awards: Up to $625,000 per award HRSA-22-074: Infant-Toddler Court Program – National Resource Center: Up to $5,000,000 per award Cost Sharing/Match Required: No Period of Performance: September 30, 2022 through Eligible Applicants: Any domestic public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C.

5304) (formerly cited as 25 U.S.C. 450b)) is eligible to apply. See 42 CFR § 51a.

3(a). Domestic faith-based and community-based organizations are also eligible to apply. See Section III.

1 of this notice of funding opportunity (NOFO) for complete eligibility information. You (the applicant organization/agency) are responsible for reading and complying with the instructions included in HRSA’s SF-424 Application Guide , available online, except where instructed in this NOFO to do otherwise.

## Technical Assistance HRSA-22-073 and HRSA-22-074 iv HRSA has scheduled the following technical assistance for anyone applying to either HRSA-22-073: Infant-Toddler Court Program – State Awards or HRSA-22-074: Infant-Toddler Court Program – National Resource Center. Day and Date: Tuesday, February 22, 2022 gov.zoomgov. com/s/1608716750?

pwd=S3RKZTZrZ20wMnE1U2I5K1ZqclJTQT09 Call-In Number: 1-833-568-8864 HRSA will record the webinar and make it available at: https://mchb. hrsa. gov/fundingopportunities/default.

aspx HRSA-22-073 and HRSA-22-074 v I. PROGRAM FUNDING OPPORTUNITY DESCRIPTION ................................ .........................

1 1. PURPOSE ................................................................................................ ..........................

1 2. BACKGROUND ................................................................................................ ....................

2 II. AWARD INFORMATION ................................................................................................ ........

6 1. T YPE OF APPLICATION AND AWARD ................................................................ .....................

6 2. SUMMARY OF FUNDING ................................................................................................ ......

9 III. ELIGIBILITY INFORMATION ................................................................................................ 9 1.

ELIGIBLE APPLICANTS ................................................................................................ ........ 9 2.

COST S HARING /M ATCHING ............................................................................................... 10 3. O THER ............................................................................................................................

10 IV. APPLICATION AND SUBMISSION INFORMATION........................................................... 10 1.

ADDRESS TO REQUEST A PPLICATION PACKAGE ................................................................. 10 2. CONTENT AND FORM OF A PPLICATION SUBMISSION ...........................................................

11 i. Project Abstract .................................................................................................... 21 ii.

Project Narrative ................................................................................................... 21 ii. Budget ...................................................................................................................

34 iii. Budget Narrative ................................................................................................... 34 iv.

Program-Specific Forms ...................................................................................... 35 v. Attachments ..........................................................................................................

35 3. DUN AND BRADSTREET D ATA UNIVERSAL NUMBERING S YSTEM (DUNS) NUMBER T RANSITION TO THE UNIQUE ENTITY I DENTIFIER (UEI) AND SYSTEM FOR AWARD MANAGEMENT (SAM) ....... 37 4.

SUBMISSION DATES AND T IMES ........................................................................................ 38 5. I NTERGOVERNMENTAL REVIEW .........................................................................................

38 6. FUNDING RESTRICTIONS .................................................................................................. 39 V.

APPLICATION REVIEW INFORMATION ............................................................................ 39 1. REVIEW CRITERIA ............................................................................................................

39 2. REVIEW AND SELECTION PROCESS ................................................................................... 44 3.

ASSESSMENT OF RISK ...................................................................................................... 45 VI. AWARD ADMINISTRATION INFORMATION .....................................................................

46 1. AWARD NOTICES ............................................................................................................. 46 2.

ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS ................................................... 46 3. REPORTING .....................................................................................................................

49 VII. AGENCY CONTACTS ....................................................................................................... 51 HRSA-22-073 and HRSA-22-074 vi VIII.

OTHER INFORMATION ................................................................................................... 52 APPENDIX A: GLOSSARY ......................................................................................................

54 APPENDIX B: EARLY CHILDHOOD AND CHILD WELFARE BEST PRACTICES AND RESOURCES .......................................................................................................................... 58 APPENDIX C: SELECTED CHILD WELFARE PROGRAMS, DATA, AND INITIATIVES FOR ALIGNMENT ............................................................................................................................

59 APPENDIX D: RECOMMENDED PARTNERSHIPS ................................................................ 61 HRSA-22-073 and HRSA-22-074 1 ## I.

Program Funding Opportunity Description The purpose of the Infant-Toddler Court Program (ITCP) is to continue and expand research-based infant-toddler court (ITC) teams to change child welfare practices and improve the early developmental health and well-being of infants, toddlers, and their families.

The program will do this by making awards under two distinct award opportunities detailed below: HRSA-22-073: Infant-Toddler Court Program–State Awards and HRSA-22-074: Infant-Toddler Court Program–National Resource Center . Applicants may only receive an award under one funding opportunity, but not both. Information provided applies to both award opportunities unless explicitly identified under a separate header.

Awards under both opportunities will advance the following objectives during the 1. Increase the spread, scale, and coordination of local ITC sites 1 across states, territories, jurisdictions, and tribal nations 2 2.

Increase the knowledge and use of policies and practices that: a) support the unique developmental health and well-being needs of very young children (under 3 years old) and their families who are involved, or are at risk for involvement, in the child welfare system (referred to as the “ priority population ” in this document), and b) prevent child maltreatment more broadly during the prenatal-to-3 (P–3) period; 3.

Increase timely access to prevention, early intervention, and therapeutic health and family support services for the priority population; and 4. Increase the use of evidence-driven strategies and data in ITC sites to reduce disparities associated with poverty, race/ethnicity, and rurality in early developmental health and well-being outcomes for the priority population.

HRSA-22-073: State Awards ITCP State Awards will support eligible entities in states, territories, or tribal nations to: 1) build capacity for or expand implementation of the ITC approach, 3 and 2) to provide > 1For the purposes of this NOFO, the term ‘sites’ refers to all ITC-related activities within a local or state/territorial/tribal jurisdiction.

ITC ‘teams’ refer to the organizations or individuals responsible for implementing or overseeing core ITC-related activities.

> 2This NOFO uses the terms ‘state’ and ‘state-level’ for brevity but is inclusive of each state of the United States, the District of Columbia, each territory or possession of the United States, and each Indian Tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. § 5304)). > 3See Appendix A for a description of the ITC approach and early developmental health and well-being.

HRSA-22-073 and HRSA-22-074 2 leadership, coordination, and quality improvement and assurance for local ITC sites. Primary goals are to: 1. Improve local and state/territorial/tribal policies and practices for advancing developmental health and well-being outcomes and health equity in the priority population, and 2.

Promote a community-driven and equitable approach to strengthening families, preventing child maltreatment, and advancing long-term health and development. Recipients under this award (referred to as “state award recipients” in this document) will accomplish these goals with support and collaboration from HRSA and the ITCP National Resource Center (see HRSA-22-074). For more details, see Program Requirements and Expectations .

HRSA-22-074: National Resource Center The ITCP National Resource Center will help lead and coordinate improvements nationwide to policy and practice in child welfare and early childhood systems 4 that advance early developmental health and well-being and health equity, using the ITC approach. Primary goals are to: 1.

Build the capacity, through training and technical assistance (T/TA), of state/territorial/tribal and local teams to implement the ITC approach and lead aligned community-driven efforts to prevent and respond to child maltreatment, and 2. Advance the evidence and national reach, impact, and sustainability of the ITC approach. For more details, see Program Requirements and Expectations .

> 4See Appendix A for a definition of early childhood systems.

HRSA-22-073 and HRSA-22-074 3 Goal 1: Assure access to high quality and equitable health services to optimize health and well-being for all MCH populations Goal 2: Achieve health equity for MCH populations Goal 3: Strengthen public health capacity and workforce for MCH Goal 4: Maximize impact through leadership, partnership, and stewardship The ITCP addresses MCHB’s goals to assure access to high quality and equitable health services to optimize health and well-being for all MCH populations and to achieve health equity for MCH populations .

Specifically, the program aims to ensure that all young children and their families can access a continuum of high-quality prevention, early intervention, and treatment services that improve early developmental health and well-being and address medical and social determinants of health.

The ITCP aims to strengthen state- and community-based systems of care for the P-3 population, and represents a targeted investment to address the unique needs of populations that have been historically marginalized or underserved in the child welfare system and excluded from high-quality systems of care. https://mchb. hrsa.

gov/about . MCHB is committed to promoting equity in health programs for mothers, children, and families. This includes addressing social determinants of health (SDoH), such as poverty and intimate partner violence, that affect a wide range of health, functioning, and quality-of-life outcomes and risks and can disproportionately affect underserved communities.

MCHB offers definitions of equity, health equity, SDoH, and underserved communities in Appendix A as a foundation for the development of programs that intend to improve access and equity among all communities.

Program Rationale and History Early childhood is a critical period for physical, cognitive, and social-emotional growth and development, and creates the foundation for health, academic success, and well-being into adolescence and adulthood.

As part of MCHB’s early childhood systems (ECS) portfolio , the ITCP aims to support states, tribes, and communities to build and sustain coordinated systems of care for families with young children, in order to ensure that all families have the full range of services and supports they need—especially during the P–3 period—to build a strong foundation for lifelong health.

Exposure to harsh parenting practices or maltreatment during the earliest years can HRSA-22-073 and HRSA-22-074 4 hinder the healthy development and lifelong well-being of children. 5 The youngest children are the most vulnerable to maltreatment. In federal fiscal year 2019, over one-quarter (28.

1 percent) of child maltreatment victims in the U.S. were younger than two years old. The maltreatment rate was highest for children under one year old (25. 7 per 1,000 children), and neglect was by far the most common type of maltreatment, affecting 75 percent of victims.

6 Parental substance use drives a significant proportion of foster care placements and child welfare involvement for infants. 7 Rates of maltreatment also vary by race and ethnicity. For fiscal year 2019, American-Indian or Alaska Native children had the highest rate of victimization (14.

8 per 1,000 children), 8 and African-American children had the second highest rate (13. 8 per 1,000 children), compared to an overall population rate of 8. 9 victims per 1,000 children.

7Behind these disparities are clear associations between poverty and risk of maltreatment or child welfare involvement, as well as bias and race-related discrimination in reporting and investigation. 9,10 ,11 Families in rural areas also face particular challenges that affect child maltreatment risk and child welfare involvement, including high rates of poverty, trauma, and substance use and limited treatment and enabling services.

12 Supports to families that reduce stress, strengthen life skills, and promote strong caregiver-child relationships 13 lead to positive health and well-being outcomes, reduce risks of toxic stress, and help lessen the impacts of adversity. 14 Child welfare and court systems can partner with birth and foster parents, extended family members, service providers, and leaders across multiple sectors to offer these supports.

These Wiggins, Fenichel, & Mann. (2007). Developmental Problems of Maltreated Children and Early Intervention Options for Maltreated Children.

Available at https://aspe. hhs. gov/report/developmental-problems-maltreated-children-and-early-intervention-options- U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau.

(2021). Child Maltreatment 2019 . Available from https://www.

acf. hhs. gov/cb/report/child-maltreatment- Patrick, Frank, McNeer & Stein.

(2019). Improving the Child Welfare System to Respond to the Needs of Substance-Exposed Infants. Hospital Pediatrics , 9(8), 651–654.

https://doi. org/10. 1542/hpeds.

2019-0106 . See Section V. 2 for funding special considerations related to these disparities.

Drake & Jonson-Reid. (2014). Poverty and child maltreatment.

In J. Korbin & R. Krugman (Eds.)

Handbook of Child Maltreatment Marcal, K. (2017). The impact of housing instability on child maltreatment: A causal investigation.

Journal of Family Social Work, 21 (4-5), 331–347. https://doi. org/10.

1080/10522158. 2018. 1469563 Child Welfare Information Gateway.

(2021). Child Welfare Practice to Address Racial Disproportionality and Disparity. U.S. Department of Health and Human Services, Administration for Children and Families, Children's Bureau.

Available at https://www. childwelfare. gov/pubs/issue-briefs/racial-disproportionality/ .

Child Welfare Information Gateway. (2018). Rural child welfare practice.

Washington, DC: U.S. Department of Health and Human Services, Children's Bureau. Available at https://www. childwelfare.

gov/pubs/issue-briefs/rural/ . Center on the Developing Child at Harvard University (2016). Applying the Science of Child Development in Child Welfare Systems.

Available at http://www. ddcf. org/globalassets/child-well-being/16-1013-center-on-developing- child_childwelfaresystems.

pdf . Garner & Yogman. (2021).

Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health. Pediatrics, 148 (2) e2021052582; DOI: https://doi. org/10.

1542/peds. 2021-052582 . HRSA-22-073 and HRSA-22-074 5 partnerships can bridge the gap between health and human services, support families before maltreatment occurs, and advance health equity.

15 The ITC approach is a collaborative practice that works at family, community, and broader systems levels to bring together these partners and address the unique needs of young children and families in the child welfare system. The approach can also help address the increased health, financial, and well-being challenges and inequities faced by families with young children during the COVID-19 pandemic.

16 Starting in 2014, the Administration for Children and Families’ (ACF) Children’s Bureau supported the Quality Improvement Center for Research-Based Infant-Toddler Court Teams to provide TA and implement projects in local jurisdictions to develop and expand ITC teams. 17 Other jurisdictions also implemented a variety of approaches towards meeting the unique needs of infants and toddlers in the child welfare system.

Beginning in the Fiscal Year 2018 appropriation, Congress provided $3,000,000 annually to HRSA for the ITCP, which HRSA awarded to a national resource center to support the further implementation, expansion, and improvement of ITC teams.

These efforts helped jurisdictions to expand and build capacity across courts, child welfare agencies, behavioral health, and other early childhood systems to ensure that infants and toddlers and their caregivers have access to comprehensive, high-quality, and evidence-driven health, child development, and parenting services.

With an annual funding increase to $10,000,000 in 2020, the program expanded, with increased attention to: 1) providing more preventive, “upstream” services that reduce the need for out-of-home placements for young children, and 2) developing state-level capacity to coordinate implementation of a comprehensive ITC approach across multiple communities.

The ITCP network currently includes 103 ITC sites in 29 states, with Cross-site evaluations 18 ,19 ,20 have identified numerous benefits of the ITC approach, including timely receipt of screenings and referrals to needed services for both children > 15 U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2021).

Information Memorandum-21-03: Lessons from the COVID-19 Pandemic: Supporting Families through More Just, Equitable, Proactive, and Integrated Approaches. Available at https://www. acf.

hhs. gov/cb/policy-guidance/im-21- > 16 See https://www. uorapidresponse.

com/latest-data-and-trends and https://www. drugabuse. gov/drug-topics/comorbidity/covid-19- > substance-use for relevant data and trends.

> 17 See http://www. centerforchildwelfare. org/kb/cls/Full Report - Final Evaluation Report of the Quality Improvement Center for > Research-Based Infant-Toddler Court Teams.

pdf > 18 Casanueva, C. , Harris, S. , Carr, C.

, Burfeind, C. , and Smith, K. (2017).

Final evaluation report of the Quality Improvement Center for Research-Based Infant-Toddler Court Teams. Research Triangle Park, NC: RTI International. Available at > https://www.

zerotothree. org/document/1813 . > 19 Casanueva, C.

, Harris, Carr, C. , Burfeind, C. , and Smith, K.

(2019). Evaluation in multiple sites of the Safe Babies Court Team™ approach. Child Welfare , 97(1), 85-107.

> 20 Faria, A. , et al. (2020).

The Safe Babies Court Team Evaluation: Changing the Trajectories of Children in Foster Care . American Institutes of Research. Available at https://www.

air. org/sites/default/files/Safe-Babies-Court-Team-Evaluation-FINAL-092520. pdf .

HRSA-22-073 and HRSA-22-074 6 and parents; limited out-of-home placements for children and timely placement permanency; and minimal recurrence of maltreatment among families served. Notably, racial and ethnic differences were not observed for these outcomes, despite disparities in the broader population.

Systems improvements were also evident, such as increased availability and engagement in evidence-driven services, frequency of hearings and judicial engagement in family team meetings, and use of best practices, such as valuing birth parents, concurrent planning 4 and frequent family time (i.e., visitation).

Current program data indicate that enrolled families have continued to receive timely health and screening services in 2020-2021, despite national downward trends during the COVID-19 pandemic. 21 These awards are authorized by 42 U.S.C. § 701(a)(2) (Title V, § 501(a)(2) of the Social Security Act), which supports Special Projects of Regional and National Significance (SPRANS) relating to maternal and child health.

Historically, Congress has directed HRSA to use appropriated funds to continue and expand research-based Infant-Toddler Court Teams to change child welfare practices to improve well-being for infants, toddlers, and their families under this authority. 1. Type of Application and Award HRSA will provide funding in the form of a cooperative agreement.

A cooperative agreement is a financial assistance mechanism where HRSA anticipates substantial involvement with the recipient during performance of the contemplated project.

In addition to the usual monitoring and technical assistance provided to award recipients, HRSA program involvement will include: • Ongoing review and monitoring of the establishment and implementation of activities, procedures, measures, and tools for accomplishing the purposes of the cooperative agreement, as further described in the approved project work plan; > 21 Ateev Mehrotra et al. (Commonwealth Fund, Feb. 2021).

The Impact of COVID-19 on Outpatient Visits in 2020: Visits Remained Stable, Despite a Late Surge in Cases . https://doi. org/10.

26099/bvhf-e411 .

HRSA-22-073 and HRSA-22-074 7 • Reviewing and approving the recipient’s implementation plans, state action plans and performance measurement plans and HRSA-required reports, and assisting the recipient in addressing any identified challenges; • Reviewing and providing input on written documents, including information and materials for the activities conducted through the cooperative agreement, prior to submission for publication or public dissemination; • Establishing federal interagency partnerships, collaboration, and cooperation that may be necessary to conduct the project; • Providing assistance with establishing effective collaborative relationships across recipient sites with HRSA-funded grant recipients and other entities that may be relevant for the successful completion of tasks and activities identified in the approved project work plan; and • Supporting the recipient’s access to quality technical assistance.

The cooperative agreement recipient’s responsibilities will include: • Completing activities that advance the goals of the cooperative agreement, consistent with the Notice of Funding Opportunity (NOFO), approved application, and subsequent approved revisions or refinement; • Providing ongoing, timely communication and collaboration with the federal project officer, including responding to inquiries about progress, budget, and activities, and holding regular conference calls with the federal project officer; • Informing the federal project officer of any publications and other materials produced; allowing the opportunity for project officer review prior to distribution under the auspices of the cooperative agreement; and including a funding acknowledgment on all products, as designated in the Notice of Award (NoA); • Participating in face-to-face meetings, conference calls, and site visits with HRSA conducted during the period of the cooperative agreement; • Developing and submitting to HRSA updated performance measurement and evaluation plans, revised from the plans contained in the funding application and incorporating interim evaluation findings, within 60 days of each subsequent project year; and • Assuring that all performance and progress reports or other administrative information, as designated by HRSA in the NoA or subsequent Requests for Information (RFI), will be completed and submitted in a timely manner.

HRSA-22-073 and HRSA-22-074 8 HRSA-22-073: State Awards Type(s) of applications sought: New In addition to the above, the cooperative agreement recipient’s responsibilities will include: • Providing state-level leadership and coordination for implementing the ITC approach, in collaboration with cross-sector partners; • Participating in annual virtual or in-person meetings convened by the National Resource Center; • Providing data to the National Resource Center and/or HRSA as requested for the purpose of program evaluation; and • Participating in regular calls, peer networking platforms, in-person and virtual meetings, and other T/TA opportunities from HRSA or the National Resource Center in support of the program purpose.

HRSA-22-074: National Resource Center Type(s) of applications sought: Competing Continuation, New In addition to the above, the cooperative agreement recipient’s responsibilities will include: • Modifying and/or developing T/TA activities in support of existing and potential ITC sites, as described in Program Requirements and Expectations ; • Maintaining a public web-based clearinghouse with access to all program-generated tools and resources, and other relevant resources; • Providing leadership in data collection, analysis, and evaluation to ITC implementation sites; • Creating and disseminating products, publications, and presentations on the ITC approach and evidence of its outcomes; • Convening and leading annual virtual or in-person meetings of ITC teams and other interested stakeholders and jurisdictions; and • Providing a copy of all documents and products created under the cooperative agreement, including program materials associated with the current functioning, publicly available website(s) and site evaluations, transferred in their entirety without corruption to coding, files, or other technological aspects of the products, in accordance with disposition instructions given by HRSA, in the event there is a new recipient for this cooperative agreement.

HRSA-22-073 and HRSA-22-074 9 The period of performance is September 30, 2022 through September 29, 2027 (5 years). Funding beyond the first year is subject to the availability of appropriated funds for the ITCP in subsequent fiscal years, satisfactory progress, and a decision that continued funding is in the best interest of the Federal Government.

In the event of additional appropriations for this program, HRSA may fund additional applicants and/or invite proposals for additional funding from award recipients. HRSA may reduce or take other enforcement actions regarding recipient funding levels beyond the first year if they are unable to make adequate progress toward achieving the goals listed in application.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75 . See HRSA Grants Policy Bulletin 2017-03 Indirect Cost Rate Agreements in the NOFO . HRSA-22-073: State Awards HRSA estimates approximately $7,500,000 to be available annually to fund up to 12 recipients.

You may apply for a ceiling amount of up to $625,000 total cost (includes both direct and indirect, facilities and administrative costs) per year. HRSA-22-074: National Resource Center HRSA estimates approximately $5,000,000 to be available annually to fund one recipient. You may apply for a ceiling amount of up to $5,000,000 total cost (includes both direct and indirect, facilities and administrative costs) per year.

## III. Eligibility Information Any domestic public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 5304(formerly cited as 25 U.S.C.

450b)) is eligible to apply. See 42 CFR § 51a. 3(a).

Domestic faith-based and community-based organizations are also eligible to apply. If funded, for-profit organizations are prohibited from earning profit from the federal award (see 45 CFR § 75. 216(b)).

HRSA-22-073 and HRSA-22-074 10 Cost sharing/matching is not required for this program. HRSA may not consider an application for funding if it contains any of the criteria below that would deem an application non-responsive: • Exceeds the ceiling amount • Fails to satisfy the deadline requirements referenced in Section IV.

4 • Does not include all required application elements, including a project abstract, a complete project narrative, SF-424A budget form, a budget narrative, and required attachments. NOTE: Multiple applications from an organization are not allowable. Applicants may only receive an award under one funding announcement (HRSA-22-073 or HRSA-22-074) but not both.

HRSA will only accept your last validated electronic submission, under the correct funding opportunity number, before the Grants. gov application due date as the final and only acceptable application. Eligible applicants may elect to collaborate with each other to jointly develop, implement, and evaluate the proposed program.

HRSA supports such an approach when it appropriately increases efficiency and scale of proposed activities. In these cases, the application must be submitted by one eligible applicant that proposes to provide subawards to other eligible applicant(s) to jointly develop, implement, and evaluate this program. ## IV.

Application and Submission Information 1. Address to Request Application Package HRSA requires you to apply electronically. HRSA encourages you to apply through Grants.

gov using the SF-424 workspace application package associated with this notice of funding opportunity (NOFO) following the directions provided at Grants. gov: HOW TO notifications including modifications, clarifications, and/or republications of the NOFO on Grants. gov. You will also receive notifications of documents placed in the RELATED DOCUMENTS tab on Grants.

gov that may affect the NOFO and your application. You are ultimately responsible for reviewing the For Applicants page for all information 2.

Content and Form of Application Submission Application Format Requirements Section 4 of HRSA’s SF-424 Application Guide provides general instructions for the budget, budget narrative, staffing plan and personnel requirements, assurances, certifications, etc. You must submit the information outlined in the HRSA SF-424 Application Guide in addition to the program-specific information below.

You are responsible for reading and complying with the instructions included in HRSA’s SF-424 Application Guide except where instructed in the NOFO to do otherwise. You must submit the application in the English language and in the terms of U.S. dollars (45 CFR § 75. 111(a)).

See Section 8. 5 of the HRSA SF-424 Application Guide for the Application Completeness Checklist. Application Page Limitation The total size of all uploaded files included in the page limit may not exceed the equivalent of 50 pages when printed by HRSA.

The page limit includes the project and budget narratives, attachments, and letters of commitment and support required in the Application Guide and this NOFO. Standard OMB-approved forms that are included in the workspace application package do not count in the page limit.

Please note: If you use an OMB-approved form that is not included in the workspace application package for HRSA-22-073 or HRSA-22-074, respectively, it may count against the page limit. Therefore, we strongly recommend you only use Grants. gov workspace forms associated with this NOFO to avoid exceeding the page limit.

Indirect Cost Rate Agreement and proof of non-profit status (if applicable) do not count in the page limit. It is therefore important to take appropriate measures to ensure your application does not exceed the specified page limit. Applications must be complete, within the specified page limit, and validated by Grants.

gov under the correct funding opportunity number prior to the deadline.

Debarment, Suspension, Ineligibility, and Voluntary Exclusion Certification 1) You certify on behalf of the applicant organization, by submission of your proposal, that neither you nor your principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

HRSA-22-073 and HRSA-22-074 12 2) Failure to make required disclosures can result in any of the remedies described in 45 CFR § 75. 371 , including suspension or debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C.

§ 3354). 3) If you are unable to attest to the statements in this certification, you must include an explanation in Attachments 7-15: Other Relevant Documents . See Section 4.

1 viii of HRSA’s SF-424 Application Guide for additional information on all Program Requirements and Expectations HRSA expects that all recipients under the ITCP propose activities and target outcomes that advance early developmental health and well-being for the P–3 population within an integrated and comprehensive early childhood system of care.

This system of care brings together health (holistically defined), child welfare, early care and education, and other human services and family support program partners—as well as community leaders, families, and other partners—to achieve agreed-upon goals for thriving children and families. 22 HRSA expects that the guiding framework used and associated activities be consistent with or build upon previously-funded ITCP efforts .

Priorities of the ITCP include: • Improving efforts at family, community, and systems levels to strengthen families and prevent child maltreatment and/or child welfare involvement for children under age 3; • Building diverse and multi-sector partnerships (see Appendix D ) that promote • Integrating the voices of those with lived experiences with child welfare and associated systems in all aspects of the program, and other strategies for advancing equity in P–3 families’ access to quality services and health and well-being outcomes; and • Developing and supporting the early childhood and family-serving workforce, especially within child welfare, judicial, and health systems, to more effectively serve the priority population.

> 22 See Appendix A for additional information. HRSA-22-073 and HRSA-22-074 13