Training pediatricians, family physicians, general internists, and other doctorally trained health professionals to conduct research on the practice conditions encountered by primary care providers.
The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.
In FY 07, 19 non-competitive continuation awards were made. For FY 08, 20-25 competitive awards are anticipated.
Uses and Use Restrictions
National Research Services Awards (NRSA) in Primary Care are made to approved institutions to enable them to provide up to three years of NRSA fellowship support to qualified postdoctoral individuals undertaking research training in primary care.
Each NRSA trainee is obligated to comply with Federal service and payback provisions.
Trainees in the first 12 months of postdoctoral support incur one month of service payback obligation for each month of support.
Postdoctoral trainees in the 13th and subsequent months of NRSA support do not incur any further service obligation.
Furthermore, the 13th and subsequent months of postdoctoral training serve to discharge the NRSA payback obligation.
Domestic public or private nonprofit organizations or institutions may apply for training grants.
Applicant institution must be an entity that trains primary care providers in medicine or dentistry and has received federal support as evidenced by receipt of a grant under Title VII, section 747 grant of the Public Health service Act, designed to prepare the primary care health workforce.
State or local governments and U.S.
Territories are eligible.
For profit organizations are not eligible.
All persons supported as fellows or trainees must be citizens or non-citizen nationals of the United States, or have been lawfully admitted for permanent residence.
Individuals and public or private nonprofit organizations or institutions, including State or local governments and U.S. Territories, who have received grants or contracts under Sections 747, 748 or 749 of the Public Health Service Act, are the beneficiaries of this program.
Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
Aplication and Award Process
This program is eligible for coverage under E.O.
12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of the official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Grant applications and required forms for this program can be obtained from Grants.gov. Please visit the Grants.gov Web site at www.grants.gov to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of Health Professions. The Associate Administrator has the authority to make final selections for awards.
Applications are reviewed for scientific merit by a committee including nonfederal consultants who are selected from appropriate scientific fields. HRSA considers the recommendations of the review committee, program interest, and the availability of funds in the final selection of grantees. When such decisions are made, applicants are notified and a formal award notice is issued. Before receiving support, all individual fellows and institutional trainees must submit required forms, including a statement of appointment and a payback agreement.
Public Health Service Act, Title IV, Part G, Section 487(d)(3), as amended; National Institutes of Health Revitalization Act of 1993, Public Law 103-43.
Range of Approval/Disapproval Time
From 5 to 6 months from receipt of application.
Competitive continuations may be submitted during the final budget period of the approved project period.
Formula and Matching Requirements
Length and Time Phasing of Assistance
No individual trainee may receive more than 3 years of aggregate National Research Service Award support at the post-doctoral level, including any combination of support from institutional and individual awards. Institutional training grants may be awarded for project periods up to 3 years. Awards are made on an annual basis and it is expected that expenditures will be made within the budget period awarded. After awards are issued, funds are released in accordance with the payment procedure established by the grantee with the Department of Health and Human Services (DHHS), which may be the Electronic Transfer System or a Monthly Cash Request System.
Post Assistance Requirements
A final progress report is required 90 days after the end of the project period.
Annual progress reports, financial status reports, and final financial status reports are required for National Research Service Awards in Primary Care.
Annual financial status reports must be submitted within 90 days after the close of each budget period and the end of the project period.
Annual submission of Public Health Service forms certifying service payback activities are required of all NRSA fellows.
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.
All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.
(Grants) FY 07 $7,713,000; FY 08 est $7,434,200; and FY 09 est $7,500,000.
Range and Average of Financial Assistance
(FY 07) $190,119 to $834,018; $405,947.
Regulations, Guidelines, and Literature
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.
Regional or Local Office
John R. Kress, Public Health Advisor, Division of Diversity and Interdisciplinary Education, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, Parklawn Building, 5600 Fishers Lane, Room 8C-09, Rockville, MD 20857. Telephone: 301-443-6864.
Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.
Criteria for Selecting Proposals
The major elements in evaluating proposals include assessment of: (1) history of performance of preceptors and trainees; (2) primary care research focus; and (3) trainee recruitment and retention.
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