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HomeMy WebLinkAbout20250643.tiffResolution Approve Grant Application for Strategic Prevention Framework -Partnerships for Successful Communities and Tribes Program, and Authorize Department of Public Health and Environment to Submit Electronically — Substance Abuse and Mental Health Services Administration (SAMHSA) Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and Whereas, the Board has been presented with a Grant Application for Strategic Prevention Framework -Partnerships for the Successful Communities and Tribes Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, to the Substance Abuse and Mental Health Services Administration (SAMHSA), with further terms and conditions being as stated in said application, and Whereas, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. Now, therefore, be it resolved by the Board of County Commissioners of Weld County, Colorado, that the Grant Application for Strategic Prevention Framework -Partnerships for the Successful Communities and Tribes Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, to the Substance Abuse and Mental Health Services Administration (SAMHSA), be, and hereby is, approved. Be it further resolved by the Board that the Cathy Hoover, Department of Public Health and Environment, be, and hereby is, authorized to electronically submit said application. The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 10th day of March, A.D., 2025: Perry L. Buck, Chair: Aye Scott K. James, Pro-Tem: Aye Jason S. Maxey: Aye Lynette Peppler: Aye Kevin D. Ross: Aye Approved as to Form: Bruce Barker, County Attorney Attest: Esther E. Gesick, Clerk to the Board (s /c 4), AcT(s 4/ct,) FI(GP/SR) o4/ot/25 2025-0643 HL0058 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: SAMHSA Strategic Prevention Framework- Partnerships for Success Grant Application DEPARTMENT: Public Health & Environment DATE: February 25, 2025 PERSON REQUESTING: Jason Chessher Brief description of the problem/issue: The Weld County Department of Public Health & Environment (WCDPHE) seeks BOCC authorization to apply for the SAMHSA Strategic Prevention Framework -Partnerships for Success grant. The five-year grant intends to build prevention capacity throughout communities to reduce youth substance use, and the progression of use among youth, young adults, and adults. WCDPHE will utilize the funds to reestablish a substance use prevention coalition and provide support for at least 2 communities to implement evidence -based prevention programs and activities. What options exist for the Board? 1. Authorize WCDPHE to submit the grant application 2. Do not authorize the grant application. Consequences: Current substance abuse funding is focused on opioids and supports program staff to coordinate the Regional Opioid Council and to do prevention & education specific to opioids. WCDPHE has no funding for broader substance abuse issues including alcohol and marijuana. If successful, this grant application will help close that gap Impacts: With this award, WCDPHE will build capacity internally to address abuse of other substances, like alcohol and marijuana, that are of rising concern in Weld County. Externally, WCDPHE will have capacity to reestablish a coalition, a combination of the dissolved Weld County Prevention Partners and Tobacco -Free Coalition of Weld County which will include an incentivized Youth Advisory Committee. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): No county funding is required as grant funds will cover all project costs. The attached budget narrative outlines the allocation of these funds to include: 1 FTE for Program Coordinator, .75 FTE for Data Analyst, .25 support for current Program Manager, funding for staff travel, staff training, program implementation and indirect costs. No County match is required. Recommendation: I recommend approval to place this grant application on a future BOCC agenda for formal consideration. Support Recommendation Schedule Place on BO00 Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Jason S. Maxey Lynette Peppier Kevin D. Ross wsfrl \ikv _ 2025-0643 3/1 Follow the Six Steps in the Application Process 1. Review the Opportunity 2. Get Ready to Apply 3. Prepare Your Application 4. Learn About Review and Award 5. Submit Your Application 6. Learn About What Happens After Award 1 Substance Abuse and Mental Health Services Administration (SAMHSA) NOFO Name: Strategic Prevention Framework Partnerships for Success for Communities and Tribes NOFO Number: SP -25-002 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Step 1: Review the Opportunity Basic Information NOFO Name: Strategic Prevention Framework - Partnerships for Success for Communities and Tribes Short Title: SPF-PFS-Communities/Tribes Initial Announcement Funding Opportunity Number: SP -25-002 Assistance Listing Number: 93.243 Application Deadline: March 18, 2025 Eligible Applicants: Eligibility is limited to domestic public or private nonprofit entities, including community and faith -based organizations, federally recognized tribes, tribal organizations, local governments, and institutions of higher education. See Eligibility for complete eligibility information. Electronic Application Submission Requirements: See Step 2. Important Resources Applicants are expected to follow guidance provided in the FY2025 NOFO Application Guide (the Application Guide). This document provides information about the application process, including registration, required attachments, budget, and federal policies and regulations. In addition, see Grants Glossary for definitions of terms used in this NOFO. Authorizing Statute The SPF-PFS program is authorized under Section 516 of the Public Health Services Act, as amended, (42 U.S.C. 290bb-22). Agency Contacts Program and Eligibility Questions Fred Volpe Center for Substance Abuse Prevention 240 276-2593 CSAP.DPP@samhsa.hhs.gov 2 Laura LaMotte otte Center for Substance Abuse Prevention 240- 276-0407 CSAP.DPP@samhsa.hhs.gov Financial and Budget Questions Office of Financial Resources Division of Grants Management 240-276-1940 FOACSAP@samhsa.hhs.gov Review Process and Application Status Questions Toni Davidson Office of Financial Resources/Division of Grant Review 240-276-2571 toni.davidson@samhsa.hhs.gov Executive Summary The SPF-PFS-Communities/Tribes program is intended to build prevention capacity throughout communities and tribes and to strengthen the capacity of local community prevention p roviders The purpose of this program is to: • Help prevent and reduce the initiation and progression of substance use and its related problems by supporting the development and delivery of community -based substance use prevention services that strengthen protective factors, reduce risk factors, build resilience, and promote well-being. • Expand and strengthen the capacity of state and local community prevention providers serving communities and tribes and implement evidence -based, evidence -informed, and community -defined evidence -based prevention strategies. With this program, SAMHSA aims to strengthen local -level prevention capacity to identify and address local substance use prevention concerns, such as underage drinking and use of cannabis, tobacco, vaping, opioids, methamphetamine, and other emerging substances of concern, as well as the progression of substance use among youth, young adults, and adults. 3 Key Dates Application Deadline: March 18, 2025 Expected Award Date: No later than September 29, 2025 Expected Start Date: September 30, 2025 Response to Executive Order 12372: See Intergovernmental Review and Section J in the Application Guide. Funding Details Funding Type: Grant Estimated Total Available Funding: $13,000,000 Estimated Number of Awards: 21-52 Estimated Award Amount: Funding levels are based on population data. Population data is available from the U.S. Census Bureau. Communities can refer to City and Town Population Data or County Population Data. Tribes can refer to My Tribal Area. If the project will include partnering communities/tribes, data for all communities/tribes must be submitted. • Category A: Up to $250,000 per year per award for communities/tribes that serve a population of less than 250,000. • Category B: Up to $425,000 per year per award for communities/tribes that serve a population between 250,001 to 750,000. • Category C: Up to $600,000 per year per award for communities/tribes that serve a population greater than 750,001. Length of Project Period: Up to 5 years Your annual budget cannot be more in total costs (direct and indirect) than the funding category associated with your catchment area in any year of the project. Annual continuation awards are contingent on the availability of funds, progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award. Funding estimates for this announcement are based on an annualized Continuing Resolution and do not reflect the final FY 2025 appropriation. The amount of funding awarded is dependent on the availability of funds. 4 Program Description Purpose The purpose of the SPF-PFS Communities/Tribes program is to: • Help prevent and reduce the initiation and progression of substance use and its related problems by supporting the development and delivery of community -based substance use prevention services that strengthen protective factors, reduce risk factors, build resilience, and promote well-being. • Expand and strengthen the capacity of state and local community prevention providers serving underserved communities and tribes, and implement evidence -based, evidence - informed, and community -defined evidence -based prevention strategies. According to the National Survey on Drug Use and Health (NSDUH), in 2023, 70.5 million people aged 12 or older reported past -year use of illicit drugs, and 48.5 million people (or 17.1 percent of this population) had a substance use disorder (SUD) in the past year, including 28.9 million who had an alcohol use disorder and 27.2 million who had a drug use disorder. In 2023, the estimates of past year SUD among people aged 12 or older was highest among Non -Hispanic American Indians or Alaskan Native people (25.3 percent compared to the estimates for people in all other racial/ethnic groups. LGB+ youth were about twice as likely as straight youth to have had a SUD in the past year). Through the SPF-PFS program, SAMHSA aims to prevent and reduce substance use by strengthening prevention programs, policies, and practices. The SPF-PFS program is designed to align with the Strategic Prevention Framework (SPF), a community engagement model grounded in public health principles. The SPF process includes 5 steps (assessment, capacity, planning, implementation, and evaluation) and 2 guiding principles (cultural competence and sustainability). This process offers prevention planners a comprehensive approach to understanding and addressing the unique substance use and related behavioral health problems facing their communities. The SPF-PFS program also aims to strengthen community -level prevention capacity to identify and address local substance use prevention concerns, such as underage drinking and use of cannabis, tobacco, vaping, opioids, methamphetamine, and other emerging substances of concern, as well as the progression of substance use among youth, young adults, and adults. Applicants are expected to use the SPF to address up to 3 substance use prevention priorities identified through a data -driven approach. Additionally, applicants will be expected to use local, state, and national substance use public health data to identify underserved communities and prevention priorities in their state, and develop and implement strategies to prevent the use of substances and the progression of substance use. Applicants who document that more than 50 percent of their total population(s) 5 of focus will be in communities underserved by prevention services and that are disproportionately impacted by SUD will be awarded 10 bonus points. To identify underserved communities and populations, the following resources are available: • National Survey on Drug Use and Health (NSDUH) • Youth Risk Behavior Surveillance System (YRBSS) • Behavioral Risk Factor Surveillance System (BRFSS) • Monitoring the Future (MTF) The above list of resources is not a definitive list of available data resources. Applicants are encouraged to use other data sources and studies to identify underserved communities and sub -populations. SAMHSA, in working with tribes, the Indian Health Service, and National Indian Health Board, developed The National Tribal Behavioral Health Agenda (TBHA). The TBHA addresses foundational elements, priorities, and strategies. You are encouraged to briefly cite the TBHA, if applicable. Key Personnel Key Personnel are staff members who make significant contributions to the project, even if they do not receive a salary from the project. They are expected to regularly participate in program monitoring activities. • Key Personnel for this program are: ■ Project Director at a minimum 0.5 FTE level of effort. The Project Director is responsible for oversight of the entire project. ■ Data Analyst at a minimum 0.5 FTE level of effort. The Data Analyst is responsible for epidemiological data and program analysis. Note: The Data Analyst cannot be the same person as the Project Director. If awarded funding, you will be notified if your proposed Key Personnel have been approved. If your organization needs to replace a Key Personnel during your project period, SAMHSA needs to review their resume and the job description to determine whether the replacement can be approved. Required Activities Funds must be primarily used to support capacity building. Capacity building involves strengthening the ability of your organization to meet identified goals so that it can sustain or improve the delivery of prevention services. In the Project Narrative (6.2), you will provide a description of how you will implement all the required activities listed below. 6 Award recipients will use the SPF to address up to 3 substance use prevention priorities, such as u nderage drinking and use of cannabis, tobacco, vaping, opioids, methamphetamine, and other e merging substances of concern, identified through a data -driven approach. Within the first 180 days, the award recipient is required to start implementation of the following activities: Assessment • Using up-to-date public health data and other relevant data, conduct a needs assessment to identify substance use priorities in your community. • Identify populations that may be at greater risk and/or are underserved by existing prevention services. • Ensure youth and other age groups indicated by the data are meaningfully engaged in and informing the assessment process. • Assess what risk factors might be mitigated or what protective factors might be strengthened specific to the identified substance use prevention priorities. • Examine the relationship between substance use risk factors and social determinants of health in your community, and use this information to inform programmatic and policy planning. Social determinants of health include but are not limited to: ■ Economic stability ■ Education access and quality ■ Health care access and quality ■ Insurance status ■ Neighborhood and built environment ■ Social and community context • Assess your community's capacity, including available resources and readiness, to address the identified substance use priorities and disparities in prevention service delivery. For example, consider conducting a community readiness assessment to understand whether local decision -makers and public opinion leaders are supportive or invested in your prevention efforts. • Conduct an assessment of youth -based or youth -serving organizations and other organizations within your community that support the population of focus identified by the data. • To reduce areas of overlap, improve coordination, and facilitate partnership, SPF-PFS Communities/Tribes recipients must identify and connect with points of contact with the state (i.e., Single State Authority, National Prevention Network), as appropriate, and other prevention programs within the jurisdictions (i.e., Drug Free Communities (DFC), Sober Truth on Preventing Underage Drinking (STOP) Act Grants). 7 Work Plan Due: The Needs Assessment is due with the second quarterly report. Capacity Identify and engage key cross -sector partners and anchor institutions (e.g., universities, faith -based organizations, cultural associations, schools and universities, local community centers and/or businesses). Ensure they are well -positioned to engage with or deliver prevention services and may contribute to reducing risk factors or strengthening protective factors, building resilience, and promoting well-being. Build or strengthen existing community structures that can provide input, oversee, and sustain your prevention initiative. For example, consider establishing a steering committee or workgroup that is made up of diverse (e.g., age, geography, gender identity, sexual orientation, disability) community members reflecting the socio- demographics of your community. Engage an existing or newly established youth advisory group (i.e., youth advisory committee) to provide meaningful input and co -development on all aspects of the SPF for your prevention initiative, from ideation to implementation. The makeup of the youth group should reflect the socio-demographics of the population of focus. Connect and engage with the Prevention Technology Transfer Center (PTTC), Strategic Prevention Technical Assistance Center (SPTAC), the state (i.e., Single State Authority, National Prevention Network), as appropriate, and other prevention programs within the jurisdictions (i.e., DFC, STOP Act Grants) to strengthen your prevention capacity (e.g., data sharing, logic model development, planning). Partner with your state, as appropriate, other prevention programs within the jurisdictions (i.e., DFC, STOP Act Grants), and community partners to identify areas of potential duplication and overlap to ensure appropriate distribution and allocation of resources, skills, and efforts. Planning Identify which risk and protective factors are the key drivers of your community's substance use priorities. For example, consider prioritizing risk and protective factors by exploring their importance (how a specific factor affects a problem) and changeability (the capacity to influence a specific factor). Identify programs, policies, or practices that address 1 or more of the risk and protective factors. Include evidence -based, evidence -informed, and community -defined evidence - based prevention strategies as part of the planning process. Some strategies may require careful adaptations to fit your community's specific needs. For example, cultural adaptations to a program may require you to consider the language, values, attitudes, beliefs, and experiences of the population of focus. 8 Include regular engagement with the established youth advisory group, the state (i e , Single State Authority, National Prevention Network), as appropriate, other prevention programs within the jurisdictions (i e , DFC, STOP Act Grants), and community partners to strengthen and inform planning efforts at the community level Develop a logic model to communicate where your prevention efforts are headed and how goals will be reached Work in conjunction with the SPF-PFS Communities/Tribes recipients funded in the same state, the state, as appropriate, and other prevention programs within the jurisdictions (i e , DFC, STOP Act Grants) to establish a plan for regular communications and engagement to ensure the coordination of efforts, address gaps in prevention, improve networking relationships, and promote partnerships within and across communities Within the first 270 days, the award recipient is required to start implementation of the follow►na activities Implementation Develop an implementation plan to address the identified risk and protective factors and implement the selected evidence -based, evidence -informed, and community - defined evidence -based programs, policies, or practices Establish processes to continually review and revise the implementation plan, making it an adaptable "living document" that can respond to changes occurring during implementation Institute regular engagement with your state, as appropriate, as well as community partners during implementation to ensure supports are in place to help ensure success and to make needed adjustments given the changing landscape Begin delivering prevention services within the first 6 to 9 months of the program Continually monitor program implementation through locally driven feedback mechanisms (e g , advisory councils and focus groups) and be prepared to modify programs as needed Implement a language access and assistance effort to increase the reach to underserved populations This effort should align with SAMHSA's Language Access Plan and with Title VI of the Civil Rights Act, which requires language assistance for any federally funded programs or activities For example, written materials should be translated into 9 languages' representative of the communities served; ASL and language interpreters should be provided as needed. Work Plans Due: ■ The Implementation Plan is due with the third quarterly report. ■ A strategic plan is to be submitted with the fourth quarterly report. Evaluation • Ensure that the goals and objectives outlined in your implementation plan and strategic plan reflect the intended outcomes for your community as described in your logic model. • Establish impact measures tied to the original problem that you plan to address that can be monitored on an annual basis. • Develop an evaluation plan informed by your logic model to include process measures (assessing the quality of implementation) and outcome measures (assessing the direct effects of a program or practice following implementation). • Ensure that data, methods of collection, and data tools are culturally appropriate and meaningful to diverse, underserved communities. • Continually review and revise the plan, making it an adaptable "living document" that can reflect changes that occur in your implementation. • Share results with the state (i.e., Single State Authority, National Prevention Network), as appropriate, and other community members to build upon successes and promote solutions for challenges. • A cross -site evaluation may be required to build the evidence base for this program. Recipients may be required to participate fully in all aspects of the evaluation. If applicable, recipients will be provided details on the evaluation, including type of evaluation and questions. Recipients will also be provided additional requirements on the scope and expectations of the evaluation upon award. Work Plan Due: The Evaluation Plan is due with the third quarterly report. Required Work Plans • Needs Assessment due with second quarterly report. • Implementation Plan due with third quarterly report. 1 Guidance for Federal Financial Assistance Recipients (related to Title VI). https://www.hhs.gov/civil- rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance- recipients-title-vi/index.html 10 • Evaluation Plan due with third quarterly report. • Strategic Plan due with fourth quarterly report. Allowable Activities Allowable activities are not required. However, your organization may propose to use funds for the following activities: • Use the SPF to implement novel or promising prevention programs, policies, or practices that respond to emerging substance use concerns, particularly among populations that may be at greater risk and underserved communities. Consider working with your state's Single State Agency, the PTTC, SPTAC, or local agencies to design and identify programs, policies, and practices. • Identify and collaborate with entities serving the selected communities and at -risk populations, such as SUD treatment providers, recovery community organizations, local organizations that provide overdose education and distribute overdose reversal medications, emergency medical services agencies (e.g., 988/Local Crisis Call Center), departments of justice, child protective agencies, mental health agencies, the aging services network, local health departments, local education districts, community -based organizations serving historically underserved populations, and organizations serving at - risk youth. To identify underserved communities and at -risk sub -populations, the following data resources are available to help inform this work: National Survey on Drug Use and Health (NSDUH), Youth Risk Behavior Surveillance System (YRBSS), Behavioral Risk Factor Surveillance System (BRFSS), and Monitoring the Future (MTF). Note: Capitalizable infrastructure, such as computer systems/software and health information technology (HIT), are recoverable as depreciation through an approved negotiated indirect cost rate or 15 percent de minimis rate in accordance with your organization's existing capitalization/amortization policies. See guidelines for HIT at Frequently Asked Questions (FAQs). Eligibility Eligible Applicants Eligibility is restricted to local -level domestic public and private nonprofit entities. Eligible applicants are: • Governmental units within political subdivisions of states, such as a county, city, or town • Indian tribes, or tribal organizations (as such terms are defined in Section 5304 of Title 25) 11 • Federally recognized American Indian/Alaska Native (AI/AN) tribes, tribal organizations, Urban Indian Organizations (UlOs), and consortia of tribes or tribal organizations • Public or private institutions of higher education • Public or private nonprofit organizations, including faith -based organizations. (NOTE: If you are a nonprofit organization, you must provide documentation of your nonprofit status in Attachment 8 of your application.) A tribal organization is the recognized body of any Al/AN tribe; any legally established organization of Al/ANs controlled, sanctioned, or chartered by such governing body, or democratically elected by the adult members of the Indian community to be served by such organization and includes the maximum participation of AI/ANs in all phases of its activities. Consortia of tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval. A single tribe in the consortium must be the legal applicant, the recipient of the award, and the entity legally responsible for satisfying the award requirements. A Ul0 is a nonprofit corporate body in an urban center, governed by an urban Indian -controlled board of directors, and providing for the maximum participation of all interested Indian groups and individuals. The body is capable of legally cooperating with other public and private entities for the purpose of performing the activities described in Section 1653(a) of this title. SPF-PFS cohorts funded under the SPF PFS NOFO in FY 2021 (SP -20-002) - project period 09/30/2021- 09/29/2026, FY 2022 (SP -22-004) - project period 09/30/2022 - 09/29/2027, FY 2023 (SP -23-004) - project period 09/30/2023 - 09/29/2028, or FY 2024 (SP -23-004) - project period 09/30/2024 - 09/29/2029, are eligible to apply if the applicant proposes to implement the project with different population of focus or geographic catchment area. If an organization with an active PFS award submits an application with the same population of focus and geographical catchment area(s) as its current award, the application will be screened out and not considered for funding. A current recipient can receive only 1 additional award. A new applicant organization may submit no more than 2 applications; however, each application must focus on a different population of focus or a different geographic/catchment area(s). If a new applicant organization submits 2 applications with the same population of focus and geographic/catchment area(s), the latest application received from the organization in Grants.gov will be screened out and not considered for funding. A new applicant organization cannot receive more than 2 awards. For other factors that will disqualify an applicant, see Application Review. For general information on eligibility for federal awards, see https://www.grants.gov/learn- grants/grant-eligibility. For specific eligibility questions, see Agency Contacts. 12 Cost Sharing Cost sharing/match is not required for this program. Data Collection, Performance Measurement, and Performance Assessment You must collect and report data so that SAMHSA can meet its obligations under the Government Performance and Results (GPRA) Modernization Act of 2010. You must document your plan for data collection and reporting in Section D of your Project Narrative. The data you collect allows SAMHSA to report on key outcome measures. Performance measures are also used to show how programs reduce disparities in behavioral health access, increase client retention, expand service use, and improve outcomes. Performance data will be reported to the public as part of SAMHSA's Congressional Budget Justification. A cross -site evaluation may be required to build the evidence base for this program. Recipients may be required to participate fully in all aspects of the evaluation. If applicable, details on the evaluation, including the scope and expectations of the evaluation, will be provided upon award. Your organization is required to conduct an evaluation of your project. You will be asked to provide input on proposed evaluation questions and design, collect data, and report evaluation findings and recommendations. Your evaluation will enable you to improve project performance and increase understanding of factors that contribute to the success of your program. SAMHSA will provide additional requirements on the scope and expectation after award. Performance Assessment Recipients are required to submit programmatic progress reports that discuss if you are meeting the objectives you selected for this project, achieving the outcomes you anticipated, and if any changes need to be made. You must review your performance data to find out if you are making progress and improving project management. Refer to Reporting Requirements for information on submitting these reports. Recipients will be required to report the following performance measures: • Number of individuals reached through 1 or more indirect/population-based prevention efforts • Number of individuals served through direct/individual-based prevention efforts by demographic group 13 • Prevention strategies by IOM category (universal, selected, indicated) (found at Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG) and prevention strategy approach (e.g., policy, program, or practice). Recipients will set targets for these performance measures annually and provide updates toward meeting these targets quarterly using SAMHSA's Performance Accountability and Reporting System (SPARS). Additionally, recipients must include, at a minimum, the following measures for each priority area in the annual Programmatic Progress Report (PPR): • Intervening variable — Risk Factor Reduction • Intervening variable — Protective Factor Promotion • Consumption or Behavior Variable • Consequence Variable Differential Impact Statement (DIS) The DIS worksheet is designed to help SAMHSA recipients show differential rates of involvement across populations in their funded projects. A key element of performance assessment is determining if your project is improving or expanding the reach of populations including those who have not received services — in the project. The DIS is a requirement of all discretionary grant recipients. If your application is funded, you must develop a DIS no later than 90 days after award. You are expected to collect data to evaluate if the disparities you identified in your DIS are being addressed. For more information on completing this section, see Developing Goals and Measurable Objectives and Developing the Plan for Data Collection and Performance Measurement. SAMHSA Core Principles and Other Expectations When developing your project, you must consider SAMHSA's core principles of recovery, trauma informed approaches, equity, and commitment to data and evidence. SAMHSA has a person -centered mission, vision, goals, and guiding principles that can be found in the SAMHSA 2023-2026 Strategic Plan. In addition, there are other expectations included in Section H in the Application Guide that you must consider as you design your project. Recipient Meetings We plan to hold virtual grant meetings and your full participation in these meetings is expected. If SAMHSA elects to hold an in -person meeting, budget revisions may be permitted. You will be given more information about these meetings at a future date. 14 Funding Restrictions and Limitations The following are funding restrictions for this project: • Food is an unallowable expense. You must also comply with SAMHSA's Standards for Financial Management and Standard Funding Restrictions in Section F in the Application Guide. •MINIM INION .............................11Th• MMII......NWIIII.11M11... NIONI Step 2: Get Ready to Apply Get Registered SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today. To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist for the information you will need to register. Grants.gov You must also have an active account with Grants.gov. You can see step-by-step instructions at the Grants.gov Quick Start Guide for Applicants. eRA Commons You must register in eRA Commons. Register at least 6 weeks before the application deadline. See guidance at eRA Help and Tutorials and Section A of the Application Guide. Find the Application Package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov or eRA ASSIST and search for opportunity number: SP -25-002. If you can't use Grants.gov to download application materials, you may request them from dgr.applications®samhsa.hhs.gov. 15 ■ ■ ■ ■ • ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Step 3: Prepare Your Application Application Contents and Format Applications include 5 main components. This section includes guidance on each. Make sure you include each of the following: Component Submission format Project Abstract Use the Project Abstract Summary form. Project Narrative Use the Project Narrative Attachment form. Budget Narrative Use the Budget Narrative Attachment form. Attachments Insert each in the Other Attachments form. Other Required Forms Upload using each required form. See the Application Checklist for a full list of all requirements. The following links contain information on: • Formatting instructions and information on system validation requirements • Completing forms and required components (see Section A in the Application Guide) Project Abstract Page limit: 1 page Your project abstract should include the project name, population of focus (demographics), strategies and interventions, project goals, and measurable objectives that include the number of people to be served annually and throughout the lifetime of the project. In the first 5 lines or less of your abstract, write a summary of your project that can be used in publications, reports to Congress, and press releases, if you are funded. Project Narrative Page limit: 10 pages Filename: Project narrative In developing your project narrative: • Provide a detailed response to the merit review criteria. • Follow the required formatting instructions. 16 • Stay within the page limit or we will not review your application. We recommend page limits for the subsections, but they are for guidance only. You may place citations in an attachment which does not count in the 10 -page limit. Budget Narrative Page limit: none Filename: BNF The budget narrative supports the information you provide in Standard Form 424-A. See other required forms. It includes added detail and justifies the costs you ask for. As you develop your budget, consider: • If the costs are reasonable and consistent with your project's purpose and activities. • The restrictions on spending funds. See funding limitations. To create your budget narrative, see detailed instructions and a template in Section E in the Application Guide. Attachments You will upload attachments in Grants.gov using the Other Attachments form or in eRA ASSIST using the Other Narratives Attachment form. Use only the following attachments listed. If your application includes any attachments not required in this document, they will be disregarded. Do not use attachments to extend or replace any of the sections of the project narrative. Reviewers will not consider them if you do. Name the attachments: Attachment 1, Attachment 2, and so on. Attachment 1: Letters of Commitment (LOC) Include LOCs from any organization(s) partnering in the project. Do not include any letters of support. Reviewers will not consider them. A letter of support describes general support of the project while an LOC outlines the specific contributions an organization will make in the project. Attachment 2: Data Collection Instruments or Interview Protocols Provide the data collection instruments you will use. Attachment 3: Sample Consent Forms Include, as appropriate, informed consent forms for participation in the training/TA event and for the collection of data. 17 Attachment 4: Project Timeline Page limit: 2 pages This attachment is scored by reviewers. Provide a chart or graph depicting a realistic timeline for the entire 5 years of the project period. Show dates, key activities, and responsible staff. Be sure to show that the project can be implemented and service delivery will begin no later than 180 days after the start of the award. The key activities must include the requirements outlined in required activities. Attachment 5: Biographical Sketches and Position Descriptions See biographical sketches and position descriptions for more information. Position descriptions should be no longer than 1 page each and biographical sketches should be 2 pages or less. Attachment 6: Confidentiality and SAMHSA Participant Protection This required attachment is in response to Section D in the Application Guide and reviewers will assess the response. Attachment 7: Letter to the State Point of Contact Review information on Intergovernmental Review and in Section J in the Application Guide for detailed information on E.O. 12372 requirements to determine if this applies. Attachment 8: Documentation of Nonprofit Status Proof of nonprofit status must be submitted in your application by private nonprofit organizations. Any of the following is acceptable evidence of nonprofit status: • A reference to the applicant organization's listing in the Internal Revenue Service's (IRS) most recent list of tax-exempt organizations, as described in section 501(c)(3) of the IRS Code • A copy of a current and valid IRS tax exemption certificate. • A statement from a state taxing body, state attorney general, or other appropriate state official certifying the applicant organization has nonprofit status. • A certified copy of the applicant organization's certificate of incorporation or similar document that establishes nonprofit status. • Any of the above proof for a state or national parent organization and a statement signed by the parent organization that the applicant organization is a local nonprofit affiliate. Attachment 9: Negotiated Indirect Cost Rate Agreement (NICRA) If you have a Negotiated Indirect Cost Rate Agreement, the document must be submitted. 18 Attachment 10: Population Data To determine funding levels, you must document the funding level in the geographic catchment area for your project. This catchment area must align with your response to A.1 in the Project Narrative. Indicate the funding category (Category A, B, or C) that is associated with your catchment area. Population data is available from the U.S. Census Bureau. Communities can refer to City and Town Population Data or County Population Data. Tribes can refer to My Tribal Area. If the project will include partnering communities/tribes, data for all communities/tribes must be submitted. Other Required Forms You will need to complete some standard forms. Upload the following standard forms listed at Grants.gov. You can find them in the NOFO Application Package or review them and their instructions at Grants.gov Forms. Forms Submission Requirement Application for Federal Assistance (SF -424) With application Budget Programs Information (SF -424A) for Non -Construction With application Assurances (SF -424B) for Non -Construction Programs With application Project/Performance Site Location(s) Form With application Grants.gov Lobbying Form With application HHS 690 Form With application • SF -424 - Fill out all sections of the SF -424. ■ In Line 4 (Applicant Identifier), enter the eRA Commons Username of the Project Director (PD)/Principal Investigator (PI). ■ In Line 8f, enter the name and contact information of the PD identified in the budget and in Line 4 (eRA Commons Username). ■ In Line 17 (Proposed Project Date), enter: a. Start Date: 9/30/2025; b. End Date: 9/29/2030. ■ In Line 18 (Estimated Funding), enter the amount requested or to be contributed for the first budget/funding period only by each contributor. ■ Line 21 is the Authorized Representative and should not be the same individual as the PD in Line 8f. It is recommended you review the sample of a completed SF -424. • SF -424A BUDGET INFORMATION FORM — Fill out all sections of the SF -424A using the instructions below. The totals in Sections A, B, and D must match. 19 Section A — Budget Summary: ■ As cost sharing/match is not required, use the first row only (Line 1) to report the total federal funds (e) and non-federal funds (f) requested for the first year of your project only. Section B — Budget Categories: ■ As cost sharing/match is not required, use the first column only (Column 1) to report the budget category breakouts (Lines 6a through 6h) and indirect charges (Line 6j) for the total funding requested for the first year of your project only. Section C —Non-Federal Resources: ■ As cost sharing/match is not required, leave this section blank. Section D — Forecasted Cash Needs: ■ Enter the total funds requested, broken down by quarter, only for Year 1 of the project period. ■ Use the first row for federal funds and the second row (Line 14) for non-federal funds. Section E — Budget Estimates of Federal Funds Needed for the Balance of the Project: ■ Enter the total funds requested for the out years (e.g., Year 2, Year 3, Year 4, and Year 5). For example, if funds are being requested for 5 years total, enter the requested budget amount for each of those budget periods in columns b, c, d, and e (i.e., 4 out years): (b) First column is the budget for the second budget period. (c) Second column is the budget for the third budget period; (d) Third column is the budget for the fourth budget period; (e) Fourth column is the budget for the fifth budget period. Use Line 16 for federal funds and Line 17 for non-federal funds. See Formatting Requirements to review common errors in completing the SF -424 and the SF -424A. These errors will prevent your application from being successfully submitted. It is highly recommended you use the Budget Template on the SAMHSA website. See the Budget Template Users Guide and the sample completed SF -424A forms at Sample SF -424A (No Match Required). For additional information, see Section E in the Application Guide and Budget Related FAQs. 20 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ENE ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ••••11•1111M Step 4: Learn About Review and Award Application Review Initial Review We review each application to make sure it meets basic requirements. We will not consider an application that: • Is from an organization that does not meet all eligibility criteria. • Is submitted after the deadline. • Exceeds the 10 -page limit for the Project Narrative. Merit Review Project Narrative: Your Project Narrative describes the proposed project. Peer reviewers will assess your response to the criteria below. The following instructions should be considered as you develop the Project Narrative: • The Project Narrative cannot be longer than 10 pages. • There are 4 sections (Sections A —D) and you must use the section numbers and headings listed in the Evaluation Criteria. • Include the section letter and number (e.g., A.1, B.2) before the response to each criterion. You do not need to type the full criterion in each section. • Do not combine 2 or more criteria or refer to another section of the Project Narrative in your response. • Reviewers will only consider information included in the appropriate numbered criterion. • The number of points after each section heading is the maximum number of points a reviewer may give for that section. • Unless required, cost -sharing will not be a factor in the review of your response to the criteria. A: Population of focus and need statement (Up to 35 points — section A.4 is worth 10 bonus Points. Approximately 3 pages) 1. Identify and describe the geographic catchment area where the project will be implemented and the population(s) that will be impacted by the capacity building in the 21 targeted systems or agencies. Specify your current population estimate and the Community/Tribe you plan to serve with SPF-PFS funds. 2. Provide a demographic profile of the population(s) of focus in the catchment area. To the extent possible, include ethnicity, federally recognized tribe (if applicable), language, sex, gender identity, sexual orientation, age, and socioeconomic status. 3. Describe the need to increase the capacity of your organization to implement, sustain, and improve substance use prevention services in the selected population(s), including those who are underserved or under-resourced. Include information on the service gaps and other problems related to the need for capacity building. Identify the source of the data (for example, the National Survey on Drug Use and Health (NSDUH;, County Health Rankings, Social Vulnerability Index, etc.). (Note: Citations may be put in an attachment.) 4. Bonus points: An additional 10 points will be given to applicants with more than 50 percent of their total population(s) of focus in communities that are underserved by prevention services and disproportionately impacted by SUD. To receive the bonus points, you must provide documentation of the percentage of your population(s) of focus, individually or collectively, that are in underserved communities and disproportionately impacted by SUD. Provide the percentage of each underserved community within the geographic catchment area for your project. • Such communities may include Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; persons who live in rural areas; members of religious minorities; lesbian, gay, bisexual, transgender and queer/questioning and intersex (LGBTQJ+) persons; and persons otherwise adversely affected by persistent poverty or inequality. B: Proposed implementation approach (30 points — approximately S pages, not including Attachment 4 - Project Timeline) 1. Describe the goals and measurable objectives of your proposed project. (See Developing Goals and Measurable Objectives.) They must align them with the Statement of Need in A.3. • Describe how you will implement all the required activities in Step 1. • In Attachment 4, provide no more than a 2 -page chart or graph depicting a realistic timeline for the entire 5 years of the program. It must include dates, key activities (i.e., Section I required activities), and responsible staff. Be sure to show that the project can be implemented and service delivery will begin no later than 180 days after the start of the award. The timeline does not count towards the page limit for the Project Narrative. 22 C: Organizational experience and staffing (20 points — approximately 1 page) 1. Describe the experience of your organization: • With similar projects and/or providing services to the population(s) of focus • Working with diverse populations including underserved and historically under- resourced populations 2. Identify any other organization(s) that will partner with you on this project. Describe their specific roles and responsibilities for this project. Letters of Commitment from each partner organization must be included in Attachment 1. Indicate if you are not partnering with any other organizations. 3. Provide a complete list of all significant staff positions for the project, including the Key Personnel (Project Director and Data Analyst). For each, describe their: • Role • Level of effort (LOE), stated as a percentage of employment (e.g., 1.0 FTE = full- time ) • Qualifications, including their experience providing services to the individuals to be served, their familiarity with the culture(s) and language(s) of these individuals, and any experience working with underserved and historically under-resourced populations. D: Data collection and performance measurement (15 points — approximately 1page) 1. Describe how you will collect the required data for this project and how such data will be used to manage, monitor, and enhance the program. (See Developing the Plan for Data Collection and Performance Measurement.) Risk Review Before making an award, we review the risk that you will not prudently manage federal funds. We need to make sure you've handled any past federal awards well and demonstrated sound business practices. We use SAM.gov Responsibility/Qualification to check this history for all awards likely to be over $250,000. You can comment on your organization's information in SAM.gov. We'll consider your comments before making a decision about your level of risk. If we find a significant risk, we may choose not to fund your application or to place specific conditions on the award. For more details, see 45 CFR 75.205. 23 Review and Selection Process When making funding decisions, we consider: • Peer review results. These are key in making decisions but are not the only factor. The program office and approving official make the final determination for funding based on the following: ■ When the individual award is over $250,000, approval by the Center for Substance Abuse Prevention National Advisory Council • Availability of funds ■ Submission of any required documentation that must be submitted prior to making an award ■ SPF-PFS cohorts funded under the SPF PFS NOFO in FY 2021 (SP -20-002) - project period 09/30/2021 - 09/29/2026, FY 2022 (SP -22-004) - project period 09/30/2022 - 09/29/2027, FY 2023 (SP-23-OO4) - project period 09/30/2023 - 09/29/2028, or FY 2024 (SP -23-004) - project period 09/30/2024 - 09/29/2029, are eligible to apply if the applicant proposes to implement the project with different population of focus or geographic catchment area. If an organization with an active PFS award submits an application with the same population of focus and geographical catchment area(s) as its current award, the application will be screened out and not considered for funding. A current recipient can receive only 1 additional award. ■ A new applicant organization may submit no more than 2 applications; however, each application must focus on a different population of focus or a different geographic/catchment area(s). If a new applicant organization submits 2 applications with the same population of focus and geographic/catchment area(s), the latest application received from the organization in Grants.gov will be screened out and not considered for funding. A new applicant organization cannot receive more than 2 awards. Award Notices You will receive an email from eRA Commons that describes how you can access the application review results, including the application score. If your application is approved for funding, a Notice of Award (NoA) will be emailed to: (1) the Signing Official identified on page 3 of the SF - 424 (Authorized Representative section); and (2) the Project Director identified on page 1 of the SF -424 (8f). If your application is not funded, an email will be sent to you from eRA Commons. This email will include a summary of the peer reviewer comments and scores. It may take up to 4 months from a program's award date for this information to be sent to you. 24 The NoA is the only document that authorizes recipients to receive federal funding for a project. ....... ■ ... ■ ... ■ ■ ............ ■ ..... ■ ....... ■ . ■ ■ ■ ■ ■ ■ . . ■ ■ ■ . . ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ Step 5: Submit Your Application Submission Requirements and Deadlines Go to Find the Application Package to make sure you have everything you need. Make sure you are current with SAM.gov and UEI requirements. See Get Registered. You must maintain your registration throughout the life of any award. Deadlines Application Due on March 18, 2024. • For electronic submissions, the due time is 11:59 p.m. ET. • If you receive an exemption from electronic submission, the due time is 4:30 p.m. ET. See exemptions for paper applications (3.2) in Section A in the Application Guide. Intergovernmental Review You will need to submit application information for intergovernmental review under Executive Order 12372. Under this order, states may design their own processes for obtaining, reviewing, and commenting on some applications. Some states have this process, and others don't. To find out your state's approach, see the list of state single points of contact. If you find a contact on the list for your state, contact them as soon as you can to learn their process. If you do not find a contact for your state, submit a Public Health System Impact Statement to appropriate state and local health agencies. See Section J in the Application Guide. Application Checklist Make sure that you have everything you need to apply: Component Project Abstract Project Narrative 25 Form to use Page limit Use the Project Abstract 1 page Summary Form. Use the Project Narrative 10 pages Attachment form. Budget Narrative Attachments 1. Letters of commitment, if applicable 2. Data collection instruments and interview protocols 3. Sample consent forms 4. Project timeline S. Biographical sketches and position descriptions 6. Confidentiality and SAMHSA Participant Protection 7. Letter to State Point of Contact 8. Documentation of Nonprofit Status 9. Negotiated Indirect Cost Rate Agreement (NICRA), if applicable Other Required Forms/Documents ❑ Application for Federal Assistance (SF -424) ❑ Budget Information for Non -Construction Programs (SF -424A) ❑ Assurances for Non -Construction Programs (SF -424B) ❑ Project/Performance Site Location(s) Form ❑ Grants.gov nts.gov Lobbying Form ❑ HHS 690 Form ❑ Other Active Federal Awards, if applicable 26 Use the Budget Narrative Attachment form. Insert each in a single Other Attachments form. Upload using each required form. N one N one None None 2 pages See: Biographical Sketches N one N one N one N one None None N one None None N one N one ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Step 6: Learn What Happens After Award Post -award Requirements and Administration Administrative and National Policy Requirements There are important rules you need to know if you get an award. You must follow: • All terms and conditions in the Notice of Award. You can see SAMHSA's standard terms and conditions on our website. • The rules listed 45 CFR part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards. • The HHS Grants Policy Statement (GPS). This document has terms and conditions tied to your award. If there are any exceptions to the GPS, they'll be listed in your NoA. • All federal statutes and regulations relevant to federal financial assistance, including those highlighted in HHS Administrative and National Policy Requirements. See Section G in the Application Guide. Nondiscrimination and Assurance • If you receive an award, you must follow all applicable nondiscrimination laws. You agree to this when you register in SAM.gov. You must also submit an Assurance of Compliance (HHS-690). • To learn more, see the Laws and Regulations Enforced by the HHS Office for Civil Rights. Reporting Requirements You are required to submit an annual Programmatic Progress Report (PPR) in eRA Commons. The progress report is due within 90 days of the end of each budget period. The PPR should cover all grant activities during the reporting period and must include, at a minimum: • Reporting period activities and accomplishments • Evaluation updates and outcomes, including Annual Impact Reporting • Planned activities for the upcoming reporting period • Reporting period challenges and mitigation strategies implemented 27 Annual Impact Reporting: You are required to identify up to 3 community -level prevention priorities to address. For each priority, you will need to develop an impact reporting model which links the program/activity inputs described above to community -level impact. The Annual Impact Report is due within 90 days of the end of each budget period as part of the PPR. Quarterly reports will be due in SPARS. The reports are due within 30 days of the end of the reporting period. Required Work Plans • Needs Assessment due with second quarterly report (April 30, 2026) • Implementation Plan due with third quarterly report (July 31, 2026) • Evaluation Plan due with third quarterly report (July 31, 2026) • Strategic Plan due with fourth quarterly report (October 31, 2026) You must submit a final PPR within 120 days after the end of the project period. This report must be cumulative and include all activities during the entire project period. 28 54/11r -5a sistrice Abuse and %Ka liter scnu, Acm.'.,vsoo' SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Applicant/Recipient Weld County Department of Public Health and Environment Application/Award Number Project Title: Weld County SPF-PFS Program Start Date End Date Budget Year Budget Period: 09/30/2025 09/29/2026 1 For Multi -Year Funded (MYF) awards only (not applicable to new applications for funding) Check the box to select the Incremental Period COST SHARING AND MATCHING Matching Required: A. Personnel YES X NO Line Item # Position Name Key Position per the NOFO Check if Hourly Rate Calculation FEDERAL REQUEST Hourly Rate Hours # of Staff Annual Salary % of (LOE) Level Effort Personnel Cost 1 Program Manager Cathy Hoover 1 $109,775 25.00% $27,444 $27,444 2 Project Director To Be Hired 1 $72,157 99.00% $71,435 $71,435 X 3 Data Analyst Raissa Hired Fryer, To Be 1 $97,735 75.00% $73,301 $73,301 X TOTAL $172,180 $172,180 Line Item # Personnel Narrative: Program Will status FTE be Manager and for responsible years deliverables 2-5. Cathy to get through Hoover the grant regular activities meetings kicked with off Salary the while $109,775 also Project # hiring Director of Staff for and the Project Data Analyst. LOE Director. 25.00% This Will position oversee Personnel will the Cost $27,444 program to 15% move 2 Project This position ensure Director position will following is be responsible filled timeline. To Be within Hired the for first building Key coalitions, 2 months Personnel of assisting award. Salary The $72,157 the Project data # of analyst Director Staff with will all data weekly LOE collection 99.00% with and the Program Personnel analysis Cost Manager efforts. $71,435 This to meet 3 Data There rest evaluation, Analyst of is the a current grant data deliverables. analysis, data Raissa Fryer. analyst data To This that presentations Be Hired will position assist Key Personnel in is expected and initial grant Salary needs to reporting. drop $97,735 assessment to # 50% of FTE Staff while for 1 also years LOE hiring for 2-5 in 75.00% a order new to data assist Personnel analyst with Cost program $73,301 to fulfill the X Show In -Kind Personnel Table In -Kind Personnel Line Item # Position Name Key Position per the FOA Check if Hourly Rate Hourly Rate Hours # of Staff Annual Salary % of (LOE) Level Effort 1 Division Director Bob McDonald 1 $139,073 5.00% v6.1 Page 1 of 12 Release date: 11/2024 54MHS4 Stitetefo tit MC Meta ftiati Se -stars ktrerstrittion SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Line Item In -Kind Personnel Narrative: 1 Division The support Director Division contracting. Director Bob McDonald will attend coalition meetings, Salary assist $139,073 with # hiring of of Staff new staff, 1 provide LOE approvals 5 CO Personnel for spending, Cost $6,954 and B. Fringe Benefits Our organization's fringe benefits consist of the components shown below: Fringe Component Rate (%) Medicare, PERA, holidays, life unemployment, insurance, and sick leave health worker's insurance, compensation, vacation, 37.87% Total Fringe Rate 37.87% Fringe Benefits Cost LineFEDERAL Item # Position Name Calculation REQUEST Personnel Cost Total Fringe Rate C/0) Fixed Sum (if / Lump Fringe any) Fringe Benefits Cost 1 Program Manager Cathy Hoover $27,444 37.87% $10,393 $10,393 2 Project Director To Be Hired $71,435 37.87% $27,052 $27,052 3 Data Analyst Raissa Fryer, Be Hired $73,301 37.87% $27,759 $27,759 To TOTAL $65,204 $65,204 Fringe Benefits Narrative: Medicare, unemployment, worker's compensation, PERA, life insurance, health insurance, vacation, holidays, and sick leave C. Travel Trip Origin and Calculation FEDERAL REQUEST # Purpose Destination Item Rate per Basis per of Cost / Item Quantity Person Number Persons Travel Cost 1 $500 Airfare $250.00 Round Trip 1.00 2 $500 Airfare for conference attendance, Director and Analyst Project Data TBD, using Estimate DC 2 $1,526 To airport and around county Local Travel (POV Mileage) $0.70 Mile 1,090.00 2 $1,526 Mileage - 3 $1,656 Hotel/Lodging $276.00 Night 3.00 2 $1,656 using TDB, estimate DC Conference lodging 4 $552 Per Diems (M&IE only) $92.00 Day 3.00 2 $552 TBD, using estimate DC M&IE conference for travel 5 $72 Parking at DIA Parking & Tolls 1 $9.00 Day 4.00 2 $72 Parking v6.1 Page 2 of 12 Release date: 11/2024 54MH54 q' Seism AdmenI SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Trip # Pur Purpose p Origin Destination and Calculation Item Cost / Rate per Item Basis Quantity per Person Number of Persons Travel cost FEDERAL REQUEST Taxi $20.00 Day 2.00 2 $80 Estimate using DC 6 Uber/Lift/Taxi $80 TOTAL $4,386 $4,386 Trip Travel Narrative: ' Airfare Budgeting Washington, for conference to attendance, send DC. Airfare the Project Project is from Director Director Denver and Data and to Analyst Data Washington TBD, Analyst Estimate Dulles. to using DC a conference such as National Prevention Travel Network Cost $500 in 2 Mileage county Estimating to attend costs for meetings. personal mileage to the airport To airport for the and around conference county travel, as well as both staff to Travel travel Cost $1,526 around our large 3 Conference Estimating lodging conference in DC, actual location TDB. lodging estimate using DC for 3 nights for Project Director and Data Travel Analyst Cost $1,656 using GSA rate. TBD, 4 M&IE Estimating for conference M&IE travel for DC conference, actual location TBD. estimate using for DC Project Director and Data Analyst Travel for 3 days. Cost:`,? TBD, 5 Parking Paying encouraged. for parking for Project Director and Data Parking Analyst at DIA at DIA for 4 days while attending conference. Travel Car-pooling Cost $72 will be 6 Uber/Lift/Taxi Local encouraged. ride -share for conference attendance, estimate Estimate using using DC DC but location will be determined. Car-pooling Travel Cost will Sat., be D. Equipment Line Item # Item Check if is Vehicle Item a Calculation FEDERAL REQUEST Quantity Purchase Rental/Lease Cost or Charged Percent Project to the Equipment Cost 1 $0 $0 TOTAL $0 $0 Line Item Equipment Narrative: 1 Quantity Purchase or Rental/Lease Cost % Charged to the Project Equipment Cost $0 E. Supplies Line Item # Item Calculation FEDERAL REQUEST Unit Cost Basis Quantity Duration Supplies Cost 1 Workstation $1,500.00 2.00 $3,000 $3,000 2 Coalition operating supplies $165.00 1.00 $165 $165 v6.1 Page 3 of 12 Release date: 11/2024 sane ',tst Mf1OMInd WAU N:..4 Sines Adrunntiatert SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Line Item # Item Calculation FEDERAL REQUEST Unit Cost Basis Quantity Duration Supplies Cost 3 Printing $84.16 12.00 $1,010 $1,010 4 Coalition meeting supplies $750.00 1.00 $750 $750 5 Table supplies, promotional items $78.66 12.00 $944 $944 6 Youth coalition shirts $25.00 10.00 $250 $250 TOTAL $6,119 $6,119 Line Item Supplies Narrative: Workstation Unit Cost $1,500.00 Basis Quantity 2 00 Duration Supplies Cost $3.000 Complete workstation for 2 new staff (including laptop, docking station, monitor, keyboard and mouse) using historical rates. Only a year 1 cost. Coalition operating supplies Unit Cost $165.00 Basis Quantity 1 0c Duration Supplies Cost $165 2 Supplies for coalition meetings: poster paper ($50), easel ($40), dry erase markers ($25), USB and power cords ($50). Printing Unit Cost $84 16 Basis Quantity 12.00 Duration Supplies Cost $1,010 3 Printing- Printing and photocopying materials utilized for presentations, trainings, and outreach. Costs based on historical usage: black and white $0.04/copy x 5,000 = $200; color $0.08/copy x 2250 = $180, rack cards .14x2000= $280; packets 50x 7.00= $350. 200+180+280+350= $930 which is an average of $77/month Coalition meeting supplies Unit Cost $750.00 Basis Quantity 1 CO Duration Supplies Cost $750 4 TBD, estimating costs to purchase a popcorn machine or something similar to attract people to recruiting event tables and be utilized during meetings. *all food will be purchased using non SAMSA funds* This is a year 1 only expense. Table supplies, promotional items Unit Cost $78.66 Basis Quantity 12.00 Duration Supplies Cost $944 5 Estimate is to purchase promotional items such as 200 stickers @ $.65/sticker=$130; 180 hand sanitizer bottles @ $1.80/ bottle=$324, 500 pens @ $.35/pen = $175, 150 grocery totes @$1.30/tote = $195, 150 chapstick @.80/chapstick = $120 Youth coalition shirts Unit Cost $25.00 Basis Quantity 10.00 Duration Supplies Cost $250 6 Shirts for 10 youth coalition members to incentive engagement and support recruiting efforts. F. Contractual Summary of Contractual Costs Agree- ment # Name of Organization or Consultant Type of Agreement Contractual Cost FEDERAL REQUEST 1 Youth Consultants TBD Consultant $6,000 $6,000 2 Colorado Health Institute Contract $30,065 $30,065 TOTAL $36,065 $36,065 Contractual Details for Youth Consultants TBD Agree- # menAttendance Services and Deliverables Provided 1 program implementation and expertise and provided evaluation. by youth as part of the youth advisory group weighing in on prevention data collection, v6.1 Page 4 of 12 Release date: 11/2024 54M11S4 5uwilrrtabot soa Wets Saran adartnembott SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Personnel Fringe Benefits Travel Equipment Contractual Personnel Costs for Youth Consultants TBD Supplies Other Indirect Charges Line Item # Position Name Key Position per the NOFO Check if Annual Salary Calculation FEDERAL REQUEST Hourly Rate Hours # of Persons Annual Salary % of (LOE) Level Effort Contractual Personnel Cost 1 Youth Advisor TBD $25.00 24 10 1.15% $6,000 $6,000 TOTAL $6,000 $6,000 Line Item Contractual Personnel Narrative: Youth Attendance hour-long Advisor at meeting monthly they TBD youth attend, advisory anticipating group 10 meetings, youth Hourly advisors Rate and x'25 at to larger represent # of Persons coalition 10 meetings the communities Hours as 24 possible. of focus. Will Personnel be Cost paid $6,000 $25 per Contractual Total Direct Charges for Youth Consultants TBD CHARGES TOTAL DIRECT AGREEMENT FOR THIS TOTAL FEDERAL REQUEST $6,000 Contractual Total Cost for Youth Consultants TBD TOTAL COST TOTAL FEDERAL REQUEST $6,000 $6,000 Contractual Details for Colorado Health Institute l men# Services and Deliverables Provided 2 Focus Group Facilitation and Analysis Personnel Fringe Benefits Travel Equipment Contractual Personnel Costs for Colorado Health Institute x Supplies Other Indirect Charges Line Item # Position Name Key Position per the NOFO Check if Annual Salary Calculation FEDERAL REQUEST Hourly Rate Hours # of Persons Annual Salary % of (LOE) Effort Level ort Contractual Personnel Cost 1 Project Director TBD $100.00 185 1 8.89% $18,500 $18,500 2 Data Analyst TBD $75.00 60 1 2.88% $4,500 $4,500 TOTAL $23,000 $23,000 v6.1 Page 5 of 12 Release date: 11/2024 .S4Mhl.S4 *,.o•.:ntie+Or.trdvex* Sari Seniors tw SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 Line Item Contractual Personnel Narrative: 1 Project Project Director Director will TBD coordinate focus groups, conduct Hourly interviews, Rate $100 # and of Persons provide 1 data analysis. Hours 185 Personnel Cost $18,500 2 Data Data Analyst Analyst will T build E'D focus group instrument, analyze Hourly Rate 3-1? themes and # of Persons provide presentation Hours of 60 findings Personnel back Cost $4.500 to agency. Contractual Fringe Benefits Costs for Colorado Health Institute Contractual fringe benefits consist of the components shown below: Contractual Fringe Component Rate (%) Medicare, sick leave, insurance 37.38% Total Fringe Rate 37.38% Contractual Fringe Benefits Costs Line Item # Position Name Calculation FEDERAL REQUEST Contractual Personnel Cost Total Fringe Rate (%) Fixed Sum (if / Fringe any) Lump Contractual Fringe Benefits Cost 1 Project Director TBD $18,500 37.38% $6,915 $6,915 2 Data Analyst TBD $4,500 $0 $0 TOTAL $6,915 $6,915 Contractual Fringe Benefits Narrative: Fringe will be charged at the contractors set rate. Contractual Supplies Costs for Colorado Health Institute Line Item # Item Calculation FEDERAL REQUEST Unit Cost Basis Quantity Duration Contractual Supplies Cost 1 General office supplies $150.00 1.00 $150 $150 TOTAL $150 $150 Line Item Contractual Supplies Narrative: 1 General office supplies Unit Cost $150.00 Basis Quantity i ,:.�_ Duration Supplies Cost $150 General office supplies and printing for in -person and virtual focus groups Contractual Total Direct Charges for Colorado Health Institute CHARGES TOTAL DIRECT FOR AGREEMENT THIS TOTAL FEDERAL REQUEST $30,065 Contractual Total Cost for Colorado Health Institute v6.1 Page 6 of 12 Release date: 11/2024 SAMHS4 Ni.teciinutadew afd WKS Neat ¶ ernon AdArjtt.on SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 TOTAL COST TOTAL FEDERAL REQUEST $30,065 $30,065 G. Construction: Not Applicable H. Other Line Item # Item Check Minor A&R if Calculation FEDERAL REQUEST Unit Cost Rate / Basis Quantity Duration Other Cost 1 Conference Registration $1,200.00 2.00 $2,400 $2,400 2 Professional Development $1,200.00 2.00 $2,400 $2,400 3 Program Implementation/Suplies $80.000.00 1.00 $80,000 $80,000 TOTAL $84,800 $84,800 Line Item Other Narrative: Conference Registration Unit Cost/Rate $1,200.00 Basis Quantity 2 00 Duration Other Cost $2,400 Conference registration cost, estimated at $1,200 per person for conference such as National Prevention Network for the Project Director and Data Analyst. Professional Development Unit Cost/Rate $1,200 00 Basis Quantity 2 00 Duration Other Cost $2,400 2 Professional development costs for 2 people. Estimating $1250 for both Project Director and Data Analyst to include trainings could include grant management, CADCA training, coalition facilitation. Program Implementation/Suplies Unit Cost/Rate $80,000.00 Basis Quantity 1.00 Duration Other Cost $80.000 3 Evidence -based programs will be selected after data collection has concluded and coalitions are in place to weigh in on selection. Program implementation costs may include: social emotional learning school -based curriculum at multiple sites, training costs for Strengthening Families, materials to host Youth Mental Health First Aid in 2 locations. I. Total Direct Charges TOTAL DIRECT CHARGES TOTAL FEDERAL REQUEST $368,754 J. Indirect Charges Type of IDC Rate / Cost Allocation Plan We elect to charge the de minimis rate of up to the percentage of MTDC specified in the Uniform Guidance (2 CFR § 200.414(f)) Indirect Charges Calculation FEDERAL REQUEST De Minimis Rate (°/o) MTDC Base IDC v6.1 Page 7 of 12 Release date: 11/2024 .A1i4H.4 SAMHSA Detailed Budget and Narrative Justification Feb 27, 2025 1 15 00% I $368,754 $55,313 $55,313 TOTAL $55,313 $55,313 Indirect Charges Narrative' We do not have a negotiated federal indirect rate, using the 15% de minimis rate REVIEW OF COST SHARING AND MATCHING Cost sharing or matching is not required for this grant BUDGET SUMMARY: YEAR 1 BUDGET CATEGORY FEDERAL REQUEST A Personnel $172,180 B Fringe Benefits $65,204 C Travel $4,386 D Equipment $0 E Supplies $6,119 F Contractual $36,065 G Construction (N/A) $0 H Other $84,800 I Total Direct Charges (sum of A to H) $368,754 J Indirect Charges $55,313 Total Projects Costs (sum of I and J) $424,067 BUDGET SUMMARY FOR REQUESTED FUTURE YEARS Year 2 Year 3 Year 4 Year 5 Budget Category FEDERAL REQUEST FEDERAL REQUEST FEDERAL REQUEST FEDERAL REQUEST A Personnel $141,550 $143,550 $145,595 $148,497 B Fringe Benefits $53,604 $54,362 $55,137 $56,235 C Travel $4,386 $4,386 $4,386 $4,386 D Equipment $0 $0 $0 $0 E Supplies $2,650 $2,650 $2,650 $2,650 F Contractual $6,000 $6,000 $6,000 $6,000 G Construction $0 $0 $0 $0 H Other $150,400 $150,400 $150,400 $145,400 v6 1 Page 8 of 12 Release date 11/2024 ,S4M/75.4 SAPIHSA Detailed Budget and Narrative Justification Feb 27, 2025 1 Total Direct Charges (sum A to H) $358,590 $361,348 $364,168 $363,168 J Indirect Charges $53,788 $54,202 $54,625 $54,475 Total Project Costs (sum of I and J) $412,378 $415,550 $418,793 $417,643 Budget Summary Narrative These funds will be used to support Weld County staff to meet required grant deliverables These include data collection, evaluation, building and sustaining coalitions, and implementing evidence -based programs to meet the needs of under -served communities within Weld County All estimates are provided to the best of our ability using GSA rates, historic costs, and estimates obtained from similar initiatives In years 2-5 the Program Manager only allocate 15% of their time to this project, the data analysis contract will not be needed in years 2-5 as the focus groups will only take place in year 1, supplies will be purchased for the new staff in year 1, reducing supply needs in years 2-5 However, as program needs are identified and the coalitions begin to gather momentum, costs are being retained to implement evidence -based programs in years 2-5 FUNDING LIMITATIONS / RESTRICTIONS Funding Limitation/Restriction Year Year 2 Year 3 Year 4 Year 5 A Personnel $172,180 $141,550 $143,550 $145,595 $148,497 B Fringe Benefits $65,204 $53,604 $54,362 $55,137 $56,235 C Travel $4,386 $4,386 $4,386 $4,386 $4,386 D Equipment $0 $0 $0 $0 $0 E Supplies $6,119 $2,650 $2,650 $2,650 $2,650 F Contractual $36,065 $6,000 $6,000 $6,000 $6,000 H Other $84,800 $150,400 $150,400 $150,400 $145,400 I Total Direct Charges (sum A to H) $368,754 $358,590 $361,348 $364,168 $363,168 J Indirect Charges $55,313 $53,788 $54,202 $54,625 $54,475 TOTAL for the Budget Year $424,067 $412,378 $415,550 $418,793 $417,643 Percentage of the Budget 100 000% 100 000% 100 000% 100 000% 100 000% Total for Budget Category $751,372 $284,542 $21,930 $0 $16,719 $60,065 $681,400 $1,816,028 $272,403 $2,088,431 Funding Limitation/Restriction Narrative 16 1 Page 9 of 12 Release date 11/2024 BUDGET INFORMATION - Non -Construction Programs SECTION A - BUDGET SUMMARY OMB Number 4040-0006 Expiration Date 02/28/2025 Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number (bl Estimated Unobligated Funds New or Revised Budget Federal (c) Non Federal (0) Federal (a) Non Federal (5 Total (g) 1 $424,067 $0 $424,067 2 3 4 5 Totals $424 067 $0 $424,067 Standard Form 424A (Rev 7- 97) Prescribed by OMB (CircularA 102) Page 1 SECTION B - BUDGET CATEGORIES 6 Object Class Categories GRANT PROGRAM FUNCTION OR ACTIVITY TAB (5) (1) (2) (3) (4) a Personnel $172,180 ' $0 $172,180 b Fringe Benefits $65,204 $0 $65,204 c Travel $4,386 $0 $4,386 d Equipment $0 $0 $0 e Supplies $6,119 $0 $6,119 f Contractual $36,065 $0 $36,065 g Construction $0 $0 $0 $0 $0 h Other $84,800 $0 $84,800 i Total Direct Charges (sum of 6a -6h) $368,754 $0 $368,754 j Indirect Charges $55,313 $0 $55,313 k TOTALS (sum of 6i and 6)) $424,067 $0 $424,067 7 Program Income Authorized for Local Reproduction Standard Form 424A (Rev 7- 97) Prescribed by OMB (CircularA -102) Page 1A SECTION C - NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS 8 10 11 12 TOTAL (sum of Ines 8-11) SECTION D - FORECASTED CASH NEEDS 13 Federal Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 14 Non -Federal 15 TOTAL (sum of Imes 13 and 14) SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (YEARS) (b) First (e) Second (d) Third (e) Fourth 16 $412,378 $415,550 $418,793 $417,643 17 18 19 20 TOTAL (sum of hues 16 - 19) $412,378 $415,550 $418,793 $417,643 SECTION F - OTHER BUDGET INFORMATION 21 Direct Charges 22 Indirect Charges 23 Remarks Authorized for Local Reproduction Standard Fonn 424A (Rev 7- 97) Prescribed by OMB (Circular A -102) Page 2 ►.,.�`"` GRANTS .GGV°" Confirmation Thank you for submitting your grant application package via Grants.gov. 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