Service area competition technical assistance Manual
Service area competition technical assistance Manual
Service area competition technical assistance Manual
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General Information<br />
Applying is as easy as 1,2,3…<br />
1) Submit application through grants.gov<br />
2) Submit additional application components through HRSA Electronic Handbook<br />
(EHB)<br />
3) Make sure that all attachments are included before the final submission<br />
**Highlighted sections indicated below have recent changes.<br />
Application Forms<br />
Form 1A: General Information<br />
Form 1C<br />
Form 2: Staffing Profile<br />
Form 3: Income Analysis<br />
Form 4: Community Characteristics<br />
Form 5A: <strong>Service</strong>s Rendered<br />
Form 5B: <strong>Service</strong> Area Sites<br />
Form 5C<br />
Form 6A: Board Composition<br />
Form 6B: Waiver Request<br />
Form 8: Health Center Agreements<br />
Form 9: Need for Assistance<br />
Form 10: Emergency Preparedness<br />
Form 12: Organization Contacts<br />
Federal Object Class Categories Form<br />
Clinical Performance Measures<br />
Financial Performance Measures<br />
Form Name<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
As Applicable<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Required<br />
Changes to Forms<br />
*Please note that additional instructions can be found in the grant application and on the<br />
<strong>Service</strong> Area Competition (SAC) Technical Assistance page.<br />
3 | P a g e www.namgt.com
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