Completing the Application Forms

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1 Completing the Application Forms

2 Face Page: SF-424 Found in Grant Application Package Includes all information related to the applicant organization

3 Face Page: SF-424 Item 2: Check the appropriate box to determine the type of application If applying for Year 6, with NO BREAK in funding, check Competing Continuation All other applicants, check New Item 5b: If a current (Yr. 5 competing for Yr. 6 No break in funding) or former (Break in funding) recipient of a DFC grant, enter the previously assigned grant number (i.e., SP012345)

4 Face Page: SF-424

5 Face Page: SF-424 Item 8a is the applying organization s name Coalition that is a 501(c)3 applying on its own or Outside partnering agency applying on behalf of the coalition Item 8b is the applying organization s EIN Item 8c is the applying organization s DUNS numbers To obtain a DUNS number, call or go to

6 Face Page: SF-424

7 Face Page: SF-424 Item 8f should be the person to be contacted about the grant application Choose the person who will be able to answer questions about the application should the Government need to contact you during the grant process

9 Face Page: SF-424 Item 10 - Name of Federal Agency: SAMHSA Item 11 - Catalogue of Federal Domestic Assistance Number: CFDA Title: Drug-Free Communities Support Program Item 12 - Funding Opportunity Number: SP New Applicants (CONFIRM FOA SP#) SP Competing Continuations (CONFIRM FOA SP#)

11 Face Page: SF-424 Item 17 - Proposed Project: Should reflect the amount of time necessary to complete the proposed project Example: Start Date: 9/30/2018 End Date: 9/29/2023 (5 years) Item 18 - Estimated Funding: Include the federal and nonfederal resources that will be contributed during the budget period (i.e. 9/30/2018-9/29/2019) in sections a-d.

12 Congressional District of Grant Award Recipient Congressional District of Coalition

13 Face Page: SF-424 Item 19: Subject to Executive Order Intergovernmental Review of Federal Programs Go to to reference list of states affected by E.O Item 20: Delinquent Federal Debt: confirm if the applying organization has delinquent Federal Debt Item 21: Signature of the Authorized Representative: By signing this application and checking the I agree box, the Authorized Representative certifies the statements contained in the certifications and required assurances. (No need to submit the Certifications and Assurances- Retain with your files) Item 21.a: Authorized signature: Person legally responsible for application and grant funds

15 SF-424 A Non-Construction Programs Complete sections A, B, C, D, E and F of this form A sample budget is available in Appendix F The Completed SF-424A should reflect the final numbers as they appear in your Budget Narrative

16 SF-424 A Non-Construction Programs Section A: Complete Budget Summary Section B: Complete Budget categories Column 1: Federal funds request Column 2: Non-Federal matching Column 5: Federal and Non-Federal (total) Program Income: income generated from grantfunded activities (Complete if applicable)

17 SF-424 A Non-Construction Programs

18 SF-424 A Non-Construction Programs Section C: Complete Non Federal Resources Also enter into Estimated Funding on SF-424 Face Page, Items 18 b-f Section D: Complete Forecasted Cash Needs

19 SF-424 A Non-Construction Programs Section E: Complete Budget Estimates of Federal Funds Needed for Balance of the Project 16(a) Grant Program = DFCSP 16(b-e) additional years (taken from Calculation of Future Budget Periods) First is year 2 or 7, etc. Section F: Complete Other Budget Information Include the total Direct and total Indirect Charges 19

DFC National Evaluation Team: dfc_evaluators@icf.

20 DFC National Evaluation Team: (877)

21 Checklist The Checklist ensures that you have obtained the proper signatures, assurances and certifications You must complete the entire form, including the Type of Application which should indicate New for Year 1 and Continuation for Year 6. DFC National Evaluation Team: dfc_evaluators@icf.com (877)

Checklist Part A HHS Form 690 Assurance of Compliance Located at http://samhsa.

22 Checklist Part A HHS Form 690 Assurance of Compliance Located at Sign and mail to HHS Office of Civil Rights

23 Checklist Part B Public Health Systems Impact Statement Intergovernmental Review- Executive Order (E.O.) Go to rants_spoc to reference list of States affected by E.O

24 Checklist Part C Name of Business Official Authorizing Official Include full address Name of Program Director/Principal Investigator Item 8f of SF-424 Include full address Address Must be physical location, no P.O. Box

25 Checklist Part D Private Non-profit Organization Evidence of non-profit status must be provided in application Check appropriate boxes & submit documentation with application, including EIN verification from IRS

26 Disclosure of Lobbying Activities Federal law prohibits the use of appropriated funds for publicity or propaganda purposes or for the preparation, distribution, or use of the information designed to support or defeat legislation pending before Congress or state legislatures. You must sign and submit this form 26

27 Disclosure of Lobbying Activities The SF-LLL must be signed and submitted with the application

28 Project Performance Site Location Form This form collects location information on the site(s) where work funded under the grant will be performed 28

29 Project Performance Site Location Form OMB Number: Expiration Date: 08/31/2011 Indicate the primary site where the work will be performed. The primary project/performance site location is a required section. If a portion of the project will be performed at any other site(s), identify the site location(s) in the additional block(s) provided. Project/Performance Site Location(s) I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Project/Performance Site Primary Location Organization Name: DUNS Number: * Street1: Street2: * City: County: * State: Province: * Country: * ZIP / Postal Code: * Project/Performance Site Congressional District: I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Project/Performance Site Location 1 Organization Name: DUNS Number: * Street1: Street2: * City: County: * State: Province: * Country: * ZIP / Postal Code: * Project/Performance Site Congressional District: See next page for instructions. DFC National Evaluation Team: dfc_evaluators@icf.com (877)

30 Budget and Budget Narrative Justification

31 Budget See FOA Appendix F: Sample Budget for 1 st year of a 5- year grant cycle Appendix F Components: Budget Terminology Sample Budget and Narrative Justification Budget Summary Calculation of Future Budget Periods

32 Budget Terminology Authorized Representative: Individual in applicant organization with fiduciary/fiscal authority. The authorized official must be an employee of the applicant organization. Program Director/Principal Investigator (PD/PI): Individual in applicant organization providing daily oversight of the grant. The PD/PI must be an employee of the applicant organization. Project Coordinator: Individual who coordinates coalition services and DFC project activities. Business Official: Individual in applicant organization who oversees the business aspects of the grant. The BO must be an employee of the applicant organization.

33 Budget Terminology Applicant Organization (Legal Applicant): Organization which agrees to serve as the legal applicant Legally responsible for the programmatic and fiscal requirements of the grant Has an active role in the administration of the grant (not pass through funds to another group) The coalition must have reduction of substance abuse as its principal mission

34 Budget Before developing a budget, applicants should review Federal Policies and Regulations available at to determine cost sharing expectations and restrictions on the types of costs that may appear in the budget. All proposed costs in a proposed budget, whether supported by federal or non-federal funds, must be reasonable and necessary to accomplish the proposed program objectives and allowable in accordance with applicable Federal Cost Principles. No more than $125,000 can be requested each year 34

35 Budget Categories Personnel Fringe Benefits Travel Equipment Supplies Contractual Construction (Not allowed) Other Indirect Costs

36 Direct & Indirect Charges Direct Costs - costs that can be identified specifically with a particular sponsored project Indirect Costs - costs incurred for common or joint objectives that cannot be identified specifically with a particular project or program. These costs also are known as facilities and administrative costs

37 Indirect Charges Indirect Costs If you: Have a negotiated rate agreement, include the document in the application package Any non-federal entity that has never received a negotiated indirect cost rate, may elect to charge a minimum rate of 10% of Modified Total Direct Costs (MTDC) which may be used indefinitely. Wish to obtain a rate, go to rates.psc.gov for assistance

38 Budget Narrative Budget Narrative is required, but not scored Provide a one-year budget narrative that includes: Budget details Justifications Description of matching resources Additional support received by the coalition Provide a budget projection for each of the remaining grant years in the 5-year cycle Use the template provided in Appendix F

39 Budget Narrative Budget Narrative is used to determine reasonableness and allowability of costs in a DFC Application Budget items (Federal request and non-federal match) must align with the activities outlined in the proposed Action Plan and the DFC Program priorities

40 Budget Summary Category Federal Request Non Federal Request Total Personnel $52,765 $1,338 $54,103 Fringe $10,896 $277 $11,173 Travel $6,012 $1,556 $7,568 Equipment $0 $0 $0 Supplies $3,624 $1,346 $4,970 Contractual $25,608 $73,600 $99,208 Other $17,919 $46,883 $64,802 Total Direct Costs $116,824 $125,000 $241,824 Indirect Costs $8,176 $0 $8,176

41 Calculation of Future Budget Periods Please justify and explain any changes to the budget that differ from the reflected amounts reported in the 01 Year Budget Summary. Failure to complete this chart will mean that a funded application cannot receive funding in the remaining years of the 5-year funding cycle.

42 Calculation of Future Budget Periods Future Years Budget Summary Projected Future Years Federal Request Non-Federal Match Year 2 Year 3 Year 4 Year 5 TOTAL (2-5 )

43 Calculation of Future Budget Periods Future Years and Projected Totals Category 2nd Project Year Federal 2nd Project Year Match 3rd Project Year Federal 3rd Project Year Match 4th Project Year Federal 4th Project Year Match 5th Project Year Federal 5th Project Year Match l Personnel 43

44 DFC Funding Restrictions Food is generally unallowable. Exceptions within the DFC Support Program may include food used as a small incentive (not to exceed $3.00 per person) to encourage participation in a community-wide event. Food costs are not allowable for general coalition or subcommittee meetings. Food is not allowable for general coalition or subcommittee meetings. No more than 10 percent of the total grant award may be used for data collection and evaluation purposes unless approved by a SAMHSA Government Project Officer and Grants Management Specialist (contract will need to be provided). DFC grant funds may not be passed through by contract or any other method to another entity to conduct the programmatic work on the DFC program. The funded grant recipient and coalition are expected to perform the substantive role and manage the efforts carried out by this grant.

45 DFC Funding Restrictions The Authorized Representative or Business Official charged with financial oversight responsibilities for the DFC grant award must be an employee of the recipient organization and identified in the Personnel budget category. DFC grant funds may not be used to provide funding to community organizations through mini-grants, including one coalition funding another coalition. The Program Director/Principal Investigator must be an employee of the recipient organization, overseeing the day to day operations of the grant, and must be identified in the Personnel budget category as either Federal or Non-Federal. DFC grant funds may not be utilized for the following: law enforcement equipment, drug search detection canines or related training, drug courts, lighting, community gardening efforts, or after school programs. DFC grant funds may not be used for stipends, as defined in the HHS Grants Policy Statement (GPS).

46 FOA Support FOA/Program Questions: DFC FOA Hotline Team Grants Management/Finance/Budget Questions: Odessa Crocker Office of Financial Resources Division of Grants Management SAMHSA, Division of Grants Management

APPLICATION FOR FEDERAL ASSISTANCE SF 424 (R&R) 3. DATE RECEIVED BY STATE State Application Identifier. 1. TYPE OF SUBMISSION* 4.a. Federal Identifier

OMB Number: 4040-0001 Expiration Date: 10/31/2019 APPLICATION FOR FEDERAL ASSISTANCE SF 424 (R&R) 3. DATE RECEIVED BY STATE State Application Identifier 1. TYPE OF SUBMISSION* 4.a. Federal Identifier Pre-application