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EXPIRED


NURSING RESEARCH DEVELOPMENTAL CENTER GRANTS (P20)
 
RELEASE DATE:  March 17, 2003
 
RFA:  NR-04-001
 
National Institute of Nursing Research (NINR)
 (http://www.ninr.nih.gov)

CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 93.361
 
LETTER OF INTENT RECEIPT DATE: July 15, 2003

APPLICATION RECEIPT DATE: August 15, 2003
 
THIS RFA CONTAINS THE FOLLOWING INFORMATION

o Purpose of this RFA
o Research Objectives
o Mechanism of Support 
o Funds Available
o Eligible Institutions
o Individuals Eligible to Become Principal Investigators
o Special Requirements
o Where to Send Inquiries
o Letter of Intent
o Submitting an Application
o Supplemental Instructions
o Peer Review Process
o Review Criteria
o Additional Considerations
o Receipt and Review Schedule
o Award Criteria
o Required Federal Citations

PURPOSE OF THIS RFA

The National Institute of Nursing Research (NINR) invites applications for 
Developmental Center grants (P20s) in key clinical and basic areas of nursing 
research that establish a scientific basis for the care of individuals across 
the life span. NINR seeks to increase the numbers of research-intensive 
schools of nursing through the Nursing Research Developmental Center grants 
(P20s).  The Developmental Center grant, targeted to schools, colleges, or 
departments of nursing that are developing research programs, will augment 
the research resources in schools of nursing by facilitating the growth of 
infrastructure to centralize resources and facilities in a specific area of 
inquiry that has a beginning base of research funding. By increasing 
infrastructure components, Center investigators will have the opportunity to 
enhance their research productivity.
 
RESEARCH OBJECTIVES

The National Institute of Nursing Research (NINR) has historically supported 
the development of research infrastructure in schools of nursing by funding 
Centers. NINR's current Centers program includes Research Core Center (P30) 
grants and Exploratory Center (P20) grants. The Nursing Research Center Core 
grants provide the infrastructure to centralize resources and facilities to 
support an active center of excellence in a specific area of inquiry that has 
a strong base of research funding. The Nursing Research 
Exploratory/Developmental Center grants provide resources to develop research 
infrastructure and to facilitate the establishment of nursing research 
programs. 

The Nursing Research Developmental Centers RFA is designed to assist 
departments, schools, or colleges of nursing that are not research intensive 
in developing research programs and needed infrastructure by augmenting the 
research resources.  Funds will support planning for new research programs to 
facilitate growth and development, expansion or modification of existing 
research resources, pilot or feasibility studies, and interdisciplinary 
collaboration. 

Applicants should select a scientific area of inquiry based on a conceptually 
sound integration of currently funded projects that comprise the research 
base. The link to nursing practice issues within the Center should be 
explicit. Applications should contain innovative ideas consistent with NINR's 
mission.  Applicants are encouraged to review the Strategic Planning for the 
21st Century document on the NINR website that includes the following examples 
of areas of scientific opportunity at NINR: 

o Chronic illness experiences, such as managing symptoms, avoiding 
complications of disease and disability, supporting family caregivers, 
promoting adherence and self-management activities, and promoting healthy 
behaviors within the context of the chronic condition.

o Cultural and ethnic considerations in health and illness, including 
culturally sensitive interventions to decrease health disparities among 
groups by focusing upon health promotion activities and chronic illness 
management strategies.

o End of life/palliative care research.  NINR is currently the lead institute 
at NIH for this area of research and is focusing on clinical management of 
physical and psychological symptom management, communication, ethics and 
clinical decision-making, caregiver support, and care delivery issues.

o Health promotion and disease prevention research, particularly as it 
relates to lifestyle changes and health behavior maintenance across the 
lifespan.

o Implications of genetic advances, including reducing factors that increase 
risk of disease, issues related to genetic screening, and subsequent gene 
therapy techniques.

o Quality of life and quality of care, to include cost savings for the 
patient, health care system, and society.

o Symptom management of illness and treatment, such as pain, cognitive 
impairment, fatigue, nausea and vomiting, and sleep problems.

o Telehealth interventions and monitoring or other emerging technologies to 
promote patient education and treatment.

Proposed scientific areas for this RFA are not limited to these specified 
categories.  In addition to these areas, applicants should note the research 
program categories that describe NINR broad areas of interest. The categories 
are listed at (http://www.ninr.nih.gov/ResearchAndFunding/DEA/OEP/AreasofscienceFile.htm).  

MECHANISM OF SUPPORT
 
This RFA will use the National Institutes of Health (NIH) 
Exploratory/Developmental Center (P20) grant award mechanism.  The purpose of 
this mechanism is to support planning for new programs, expansion or 
modification of existing resources, and feasibility studies to explore 
various approaches to developing research programs that address areas 
consistent with the mission of NINR.  As an applicant you will be solely 
responsible for planning, directing, and executing the proposed project.  
This RFA is a one-time solicitation.  The earliest anticipated award date is 
April 1, 2004.

This RFA uses just-in-time concepts.

FUNDS AVAILABLE
 
NINR intends to commit approximately $2.5 to 3.0 million in FY2004 to fund 8 
to 10 new and/or competitive continuation grants in response to this RFA. In 
this RFA, a change has been instituted.  New, first-time P20 Centers will be 
awarded for up to 5 years, nonrenewable.  Institutions with existing P20 
Centers are being offered two options:  1) applying for a P30 award (see RFA-
NR-04-002 at http://grants.nih.gov/grants/guide/rfa-files/RFA-NR-04-002.html),
or 2) applying for a one-time competing continuation of up to 3 years.  A 
budget for direct costs of up to $200,000 is allowable for the first year. 
Three (3) percent escalation is permitted for the outyears.  Because the 
nature and scope of the proposed research will vary from application to 
application, it is anticipated that the size and duration of each award may 
also vary. Although the financial plans of the NINR provide support for this 
program, awards pursuant to this RFA are contingent upon the availability of 
funds and the receipt of a sufficient number of meritorious applications. 

ELIGIBLE INSTITUTIONS
 
You may submit an application if your institution has any of the following 
characteristics:

o For-profit or non-profit organizations 
o Public or private institutions, such as universities, colleges, hospitals, 
and laboratories 
o Units of State and local governments
o Eligible agencies of the Federal government 
o Domestic

Foreign institutions are not eligible for the Center program grants.

Institutions eligible for the Nursing Research Developmental Center grants 
are those that are developing research programs and have not been major 
recipients of NIH support.  The institution must have at least two (2) 
research projects funded by the Department of Health and Human Services 
(DHHS) grants from selected mechanisms (such as, R01, R03, R15, R21) or 
comparable peer reviewed research projects, including those funded by State 
governments and private foundations.  These research projects should be 
directly related to the scientific area of the proposed Center. Each of these 
projects in the research base must have at least one (1) year of committed 
support remaining at the anticipated time of the Center award, i.e., funding 
must continue through March 31, 2005 at a minimum. A project that is in a no-
cost extension phase does not meet this requirement. The PIs of at least two 
of the projects in the research base must be in the school of nursing. A 
larger number of NIH awards in the scientific area of inquiry would 
strengthen an application. Institutions with Exploratory Centers currently 
funded by NINR may apply for a competing continuation of up to 3 years.  See 
COMPETING CONTINUATION APPLICATIONS section below. Institutions may not apply 
if they are: (1) current applicants for or recipients of an NINR Core Center 
grant (P30), and/or (2) ineligible for NIH Academic Research Enhancement 
Award (AREA) grants.  (http://grants.nih.gov/grants/funding/area.htm)  An 
institution may not concurrently apply for a P30 Core Center grant and a P20 
Developmental Center grant.  If eligible under the above criteria, an 
institution with a currently funded NINR P20 Partnership Center may submit an 
application for a P20 Developmental Center.

An applicant organization may submit only one (1) P20 application. Joint 
applications will not be accepted from investigators at neighboring, 
independent institutions, but subcontracts are allowed if their usage 
enhances the development of the scientific area of inquiry and stays within 
the dollar limits of the RFA.  Collaboration activities with other 
institutions, including P30 Center grant recipients, are encouraged.
 
INDIVIDUALS ELIGIBLE TO BECOME PRINCIPAL INVESTIGATORS   

Any individual with the skills, knowledge, and resources necessary to carry 
out the proposed research is invited to work with their institution to 
develop an application for support.  Individuals from underrepresented racial 
and ethnic groups as well as individuals with disabilities are always 
encouraged to apply for NIH programs.   

SPECIAL REQUIREMENTS
 
The Center must be an identifiable organizational unit within a department, 
school, or college of nursing.   

A Nursing Research Developmental Center grant benefits from an 
interdisciplinary approach. When multiple organizations within an institution 
are represented in the application, clear lines of authority and sanction by 
the appropriate institutional officials must be specified.

Each applicant institution must name a Center Director who will be the key 
figure in the administration and management of the Center grant. The Director 
will be responsible for the organization and operation of the Center.  The 
Director should be experienced in conducting research and have demonstrated 
ability to coordinate, integrate, and provide guidance in the establishment 
of new programs in the scientific area of inquiry.  The Director must make an 
appropriate time commitment.  

Funding is intended to support shared resources and facilities (core units) 
that will enhance and extend the effectiveness of research at the applicant 
institution.

CORES

A core is a shared central resource, designed to enhance productivity or in 
other ways benefit a group of investigators in accomplishing their stated 
goals.  The Developmental Center grant must consist of (1) an Administrative 
Core providing administrative, coordinating, planning, logistical, and/or 
methodological (e.g., research design, data analysis) support, and (2) a 
Pilot/Feasibility Studies Core.  Each core should be directed by an 
investigator with substantial expertise related to the core.  An important 
consideration is the degree to which core facilities will be utilized by, and 
benefit, individual ongoing and/or proposed projects and Center 
investigators, and will assist in the development of the scientific area of 
inquiry. 

It is not sufficient for the applicant merely to identify such shared 
resources.  Rather, the applicant must demonstrate exactly how each core 
would augment or enhance the present capabilities of the investigators and 
make possible new activities.

Administrative Core (Mandatory)

An Administrative Core is mandatory for all Centers, and should manage the 
overall activities of the Center.  Its description should include the 
following: 

1.  A specified Director;
2.  A description of the administrative structure;
3.  A general description of overall facilities and institutional commitment.

It is expected that the Center administrative structure will accomplish the 
following:
1.  manage, coordinate, and integrate the components and activities of the 
Center;
2.  review utilization of funds, including funds for pilot and feasibility 
studies;
3.  manage the shared resources of the Center, such as data sets, community 
or clinical research facilities, or provide research design and data 
analysis/statistical service;
4.  provide information to the Center Director on the activities of the 
Center.

While the final administrative structure of the Center will, for the most 
part, be left to the discretion of the applicant institution, NIH's 
experience has demonstrated that the effective development of Center programs 
requires interaction among the Director, the core leaders, the Principal 
Investigators of research projects, appropriate institutional administrative 
personnel and the staff of the awarding agency. To facilitate communication 
between the Center staffs and the NINR, the NINR expects that each Center 
application will include funds for the Center Director to travel to meetings 
in Bethesda, Maryland in the second and fourth years of the award period.

An Executive Committee, consisting of the heads of both cores and the 
business official, should be established to assist the Director in making the 
scientific and administrative decisions relating to the Center.  In addition 
to coordination of the Center, the Director, with his or her Executive 
Committee, will be responsible for allocation of Center funds, the 
identification and selection of key personnel, and the planning and 
evaluation of the Center activities.

The complex nature of the administrative requirements of the Center will 
necessitate the assistance of a person with business management expertise.  
It is important that such a person be identified and directly involved with 
the fiscal aspects of the Center application and grant. An appropriate amount 
of this individual's time and effort should be committed for this purpose.  
The institutional business official should be a member of the Executive 
Committee.  While budget formulation and planning will undoubtedly begin with 
the Director in collaboration with the scientific staff, the business 
official should be involved in the process and provide consultation in 
matters of fiscal administration and evaluate such issues as equipment on 
hand versus that requested for the core facilities. 

An Advisory Committee should be established and composed of scientists, 
administrators, and others with expertise or experience relevant to the 
scientific program of the Center.  The Advisory Committee will comprise 
individuals from within the institution and at least two (2) scientists from 
outside the institution.  This committee may also be used in evaluating the 
overall research programs of the Center, the effectiveness of communications 
within the Center, and any other activities in which problems arise for which 
independent expertise is required or desirable.  The Advisory Committee 
should meet at least once annually.  The nature of responsibilities, however, 
may require ad hoc meetings at more frequent intervals.  A member of the NINR 
extramural program staff may request to attend a meeting as an observer.  

Pilot/Feasibility Studies Core (Mandatory)

Pilot/feasibility studies are a mandatory component of the Center 
application.  These are intended to enable eligible investigators to explore 
the feasibility of a concept within the scientific area of inquiry and to 
amass sufficient data to pursue it through other funding mechanisms. The 
budgets provide modest research support for a limited time (one year or two 
years maximum with clear justification for the time length). Eligible 
investigators include:

o An established investigator with no previous work in the scientific area of 
the Center who will test the applicability of his/her expertise on a 
conceptually related problem;

o A previously funded, beginning or mid-career investigator who would benefit 
from additional pilot work to prepare for an R01-type study;

o A new investigator who has never been a Principal Investigator funded with 
a DHHS research project grant (e.g., R01, R03, R15, R21, or P01).

Applications must propose a minimum of three (3) and a maximum of five (5) 
pilot/feasibility studies to be carried out during the first year. A minimum 
of three pilot/feasibility studies must be determined acceptable by the 
reviewers. The application should describe the review and selection process 
for the proposed pilot/feasibility studies. The theoretical or conceptual 
basis for the pilot/feasibility studies must be clearly explicated.  An 
interdisciplinary approach is encouraged to promote the collaboration of 
nurse scientists with scientists of other disciplines as appropriate.

Each pilot/feasibility study is limited to 10 pages of description for the 
PHS-398 Research Plan, Sections a. through d., and should delineate the 
question(s) being asked, detail the procedures to be followed, and discuss 
how the data will be analyzed. The application must indicate how the proposed 
pilot/feasibility study fits within the scientific area of nursing inquiry 
selected for the Center, and how the investigator satisfies the eligibility 
criteria listed above.  

Subsequent pilot/feasibility studies (a minimum of two (2) ongoing each year) 
must be developed during the course of the award. A description of how the 
pilot and/or feasibility studies were selected for this application and will 
be reviewed and selected in the future must be provided.  The review process 
may be carried out by the Advisory Committee, by an ad hoc Review Committee, 
by a mail review, or by a combination of these methods.  It is recommended 
that the Center Director utilize at least two (2) scientists with expertise 
relevant to the scientific area of inquiry of the Center from outside the 
institution during the review process.

Evaluation Plan  

A plan for evaluating progress toward aims and/or goals of both cores and the 
overall Center is required. This plan should include the specific measurement 
criteria and the methods that will be used for the evaluation. The plan 
should specify the types of evaluation information that will be submitted in 
the Center's annual progress reports. 

Competing Continuation Applications Additional Requirements (P20s)

In addition to all of the requirements noted above for the new P20 Center 
application, the competing continuation application must include the areas 
listed below. The content for these areas may be integrated in the narrative, 
but a summary of the rationale for a continuation must also be included.  
Justification of the need for an additional 3-year period for the Centers who 
choose to apply should address, but are not limited to, the following points:

o Rationale for requesting continuation of the Center, including goals not 
fully achieved in the initial Center grant funding period and how continuing 
and new goals will be accomplished in the continuation Center grant.

o Evidence of increased research intensity in the school of nursing directly 
attributable to the current Center.

o Specific accomplishments of the overall Center and the individual cores, 
including results of the Center evaluation plan proposed in the initial 
application. 

o Center research program accomplishments, such as, but not limited to, 1) 
applications submitted and/or awarded and funding source, 2) publications, 3) 
significant contributions of the Center pilot studies, and 4) investigator 
accomplishments.

o Advances in the development of the science focus of the Center.

o Evidence of collaborative activities within and across institutional 
departments and disciplines as well as any external collaboration activities.

o The goals and plans of the Center at the conclusion of the Developmental 
Center award. 

WHERE TO SEND INQUIRIES

We encourage inquiries concerning this RFA and welcome the opportunity to 
answer questions from potential applicants.  Inquiries may fall into three 
areas:  scientific/research, peer review, and financial or grants management 
issues:

o Direct your questions about scientific/research issues to:

Dr. Nell Armstrong
Office of Extramural Programs
National Institute of Nursing Research
6701 Democracy Blvd, Room 710, MSC 4870
Bethesda, MD  20892-4870
Telephone:  (301) 594-5973
FAX:  (301) 480-8260
Email:  [email protected] 

o Direct your questions about peer review issues to:

Dr. John E. Richters
Office of Review
National Institute of Nursing Research
6701 Democracy Blvd, Room 710, MSC 4870
Bethesda, MD  20892-4870
Telephone:  (301) 594-5971
FAX:  (301) 451-5645
Email:  [email protected]

o Direct your questions about financial or grants management matters to:

Ms. Cindy McDermott
Chief Grants Management Officer
National Institute of Nursing Research
6701 Democracy Boulevard, Room 710
One Democracy Plaza
Bethesda, MD  20892-4870
Telephone:  (301) 594-6869
FAX:  (301) 402-4502
Email:  [email protected]
 
LETTER OF INTENT
 
Prospective applicants are asked to submit a letter of intent that includes 
the following information:

o Descriptive title of the proposed research
o Name, address, and telephone number of the Principal Investigator
o Names of other key personnel 
o Participating institutions
o Number and title of this RFA 

Although a letter of intent is not required, is not binding, and does not 
enter into the review of a subsequent application, the information that it 
contains allows NINR staff to estimate the potential review workload and plan 
the review.
 
The letter of intent is to be sent by the date listed at the beginning of 
this document.  The letter of intent should be sent to:

Dr. John E. Richters
Office of Review
National Institute of Nursing Research
6701 Democracy Blvd, Room 710, MSC 4870
Bethesda, MD  20892-4870
Telephone:  (301) 594-5971
FAX:  (301) 451-5645
Email:  [email protected] 

SUBMITTING AN APPLICATION

Applications must be prepared using the PHS 398 research grant application 
instructions and forms (rev. 5/2001).  The PHS 398 is available at 
http://grants.nih.gov/grants/funding/phs398/phs398.html in an interactive 
format.  For further assistance contact GrantsInfo, Telephone (301) 710-0267, 
Email: [email protected].
 
The instructions for the Form PHS 398 do not entirely apply to the submission 
of these P20 grant applications.  Accordingly, applicants are strongly 
encouraged to follow the SUPPLEMENTAL INSTRUCTIONS below, which have been 
adapted to accommodate the PHS 398 and the special requirements of this RFA.  
These instructions include all of the information that will be needed by the 
peer reviewers of these applications.

SUPPLEMENTAL INSTRUCTIONS
 
1. Face Page: Use Form Page 1 as instructed in the PHS 398.  On line 2, enter 
the number and title of this RFA.  Remember to affix the RFA label that comes 
with the PHS 398 to the bottom of the Face Page.

2. Description, Performance Site(s) and Key Personnel: Use Form Page 2 of the 
PHS 398 and follow the instructions provided in the PHS 398.

3. Table of Contents:  Provide a detailed Table of Contents organized as 
described below.  This differs from Form Page 3 of the PHS 398.  
 
Content                            Page Number

o Face Page
o Description, Performance Sites and Key Personnel
o Table of Contents, including List of all Tables and Figures
o Detailed Budget for Initial Budget Period (Cores and Pilot/Feasibility 
Studies)
o Budget for Entire Proposed Project Period (Cores and Pilot/Feasibility 
Studies)
o Budgets Pertaining to Consortium/Contractual Arrangements (if applicable) 
o Budget Justification Pertaining to Consortium/Contractual Arrangements (if 
applicable) 
o Biographical Sketch of the Principal Investigator (Center Director)
o Biographical Sketches of All Professional Personnel and Pilot Investigators
o List of participating faculty/members of the Center  
o Resources 
o Overview of Center and Description of Research Base
o Administrative Core, Budget, and Budget Justification
o Pilot/Feasibility Studies Core, Budget, and Budget Justification
o References
o Letters of Support
o Pilot/Feasibility Study #1
o Pilot/Feasibility Study #2
o Pilot/Feasibility Study #3
o Pilot/Feasibility Study #4 (optional)
o Pilot/Feasibility Study #5 (optional)
o Consortium/Contractual Arrangements
o Checklist
o Appendix Material

4. Detailed Budget for Initial Budget Period: Use Form Page 4 of the PHS 398 
application kit.  This budget should include total direct costs of the Cores 
and Pilot/Feasibility Studies. 

5. Budget for Entire Proposed Project Period:  Use Form Page 5 of the PHS 398 
application kit.  This budget should include total direct costs of the Cores 
and Pilot/Feasibility Studies for all years requested.  Future 
pilot/feasibility studies to be identified should be budgeted as a block 
under "Other Expenses" in the Pilot/Feasibility Studies Core.  

6. Budgets Pertaining to Consortium/Contractual Arrangements:  Use Form Pages 
4 and 5.  These budgets are included if consortium/contractual arrangements  
are needed. 

7. Budget Justification Pertaining to Consortium/Contractual Arrangements:  
if applicable. 

8. Biographical Sketch of Principal Investigator (Center Director): Use the 
Biographical Sketch Format Page of the PHS 398 and follow the instructions in 
the application kit.  

9. Biographical Sketches of All Professional Personnel and Pilot 
Investigators:  Use the Biographical Sketch Format Page of the PHS 398 as 
above.  This section should include all professional personnel who are listed 
with a percent effort, including consultants and members of the External 
Advisory Committee.  Biographical sketches are also required for those who 
are listed in the research base. Arrange the biographical sketches 
alphabetically.  These pages should not be duplicated in the individual 
component cores or pilots. 

10. Complete List (or Table) of Participating Faculty/Members of the Center 
and the External Advisory Committee:  List members alphabetically by name and 
include for each individual his/her degree, institution and department 
affiliation or equivalent, and research or other interest (e.g., research 
area, training, or education).

11. Resources:  Using the Resources Format Page in the PHS 398 application 
kit, describe the relevant resources.  

12. Overview of the Center and Description of the Research Base:  This 
section is limited to 25 pages. 

The Specific Aims should state concisely the scientific area of inquiry that 
will serve as the focus for the Center, and the overall objectives of the 
Center.
 
The Background and Significance section should include a critical review and 
synthesis of relevant research, theory, and methods to establish the 
scientific and public health significance of the proposed Center's objectives 
as described under Specific Aims.  It should also provide a detailed 
rationale and justification for the proposed scientific area of inquiry with 
emphasis on how the institution will benefit from the proposed Center.  Plans 
to develop productive collaborations among Center investigators should be 
highlighted, and criteria for designating an investigator as a Center 
participant (investigator) should be defined in terms of the responsibilities 
and privileges associated with a Center investigator.  The justification for 
continuation of an existing Center should also be included in this section.

The Preliminary Studies section should provide a detailed description and 
discussion of funded research projects that constitute the proposed Center's 
Research Base, and indicate how these studies support the selected scientific 
theme.  It is helpful to present the Research Base studies in table format, 
specifying for each funded study (a) the title and grant number, (b) funding 
organization, (c) period of committed support, (d) direct costs for the 
project period, (e) current year annual direct costs, (f) names and 
institutional affiliations of the principal investigator and co-
investigators, and (g) principal investigator's percent of committed effort.   
The Research Base studies and related resources should be described and 
discussed in sufficient detail to support an evaluation of their (a) 
relevance to the scientific area of inquiry, and (b) strengths and 
limitations as a scientific foundation for pursuing the Specific Aims of the 
proposed Center.  Applicants may want to provide similar tables depicting 
pending support for research projects related to the scientific area of 
inquiry and current support for research projects unrelated to this theme.  
The focus and interrelationships of ongoing research and research interests 
for Center investigators should be documented.  
 
The Overview should also include a description of the qualifications of the 
Center Director.  

13. Administrative Core: 

Provide a Detailed Budget, a Budget for Entire Proposed Project Period, and 
Budget Justification for the Administrative Core: Use Form Pages 4 and 5 of 
the PHS 398 application kit.

The narrative section is limited to 25 pages.  Provide a detailed description 
and discussion of the objectives, functions, organizational infrastructure, 
administrative procedures, key personnel (including the Core Director), and 
resources of the Administrative Core within the context of the overall 
Center. The description should depict the relationships and lines of 
authority by appropriate officials; committee structures and membership; and 
plans for assistance of a business official for fiscal matters.  A diagram of 
the interactions to be fostered by the Center is useful in depicting proposed 
interrelationships and collaborations among institutional resources.  Provide 
a general overall description of facilities and institutional commitment, 
including letter(s) of institutional commitment, and if applicable, a letter 
from the General Clinical Research Center Director.  The composition and 
functions of the External Advisory Committee should be delineated.  

Also describe the criteria, methods, and other components of the 
comprehensive evaluation plan for the Center.   

14. Pilot/Feasibility Studies Core: 

Provide a Detailed Budget, a Budget for Entire Proposed Project Period, and 
Budget Justification for the Pilot/Feasibility Studies Core: Use Form Pages 4 
and 5 of the PHS 398 application kit.  Future pilot/feasibility studies to be 
identified should be budgeted for as a block under "Other Expenses" (on Form 
page 5). 

The narrative section is limited to 25 pages.  Provide a detailed description 
and discussion of the objectives, functions, organizational infrastructure, 
administrative procedures, key personnel (including the Core Director), and 
resources of the Pilot/Feasibility Studies Core within the context of the 
overall Center. The description should portray the relationships and lines of 
authority and any committee structures and membership.  A detailed 
description of Core activities designed to facilitate the development and 
completion of pilot/feasibility studies should be provided, including the 
process used for selecting pilot studies included in this application, and 
for selecting future pilot studies.  

15.  References:  Follow the directions and instructions provided in the PHS 
398 application kit.

16. Letters of Support:  Provide letters of support. 

17. Pilot/Feasibility Studies:  For each proposed pilot/feasibility study, 
provide the information below.

o  Description, Performance Site(s), and Key Personnel:  Use PHS 398 Form 
Page 2.
o  Detailed Budget for the Pilot/Feasibility Study for the Initial Budget 
Period: Use Form Page 4 of the PHS 398 application kit.  If the 
pilot/feasibility study is longer than one year in duration, also include 
Form Page 5 of the PHS 398 application kit, Budget for Entire Proposed 
Project Period. 
o  Budget Justification: Use PHS 398 Form Page 5.  If the pilot/feasibility 
study is longer than one year in duration, provide the requested direct costs 
under Budget for Entire Proposed Project Period as well as Budget 
Justification information. 
o  Justification of eligibility of the principal investigator according to 
the stated criteria.
o  Justification of the study as a pilot study (including where the project 
could lead) and how the study fits into the Center's scientific area of 
inquiry.
o  Scientific proposal as outlined in PHS 398 (including justification for 
core use if applicable): (10 pages maximum) See PHS 398 application kit, 
Research Plan, sections a. through d.  
o  Information regarding human subjects or vertebrate animals as applicable.
o  Literature cited. 

18.  Consortium/Contractual Arrangements:  Follow the directions and 
instructions provided in the PHS 398 application kit.

19.  Checklist:  Use Checklist Form Page in the PHS 398 application kit.

20.  Appendix Material:  Follow the directions and instructions provided in 
the PHS 398 application kit.

21.  Personal Data on Principal Investigator/Program Director:  Use Personal 
Data Form Page in the PHS 398 application kit.  

USING THE RFA LABEL: The RFA label available in the PHS 398 (rev. 5/2001) 
application form must be affixed to the bottom of the face page of the 
application.  Type the RFA number on the label.  Failure to use this label 
could result in delayed processing of the application such that it may not 
reach the review committee in time for review.  In addition, the RFA title 
and number must be typed on line 2 of the face page of the application form 
and the YES box must be marked. The RFA label is also available at: 
http://grants.nih.gov/grants/funding/phs398/label-bk.pdf.
 
SENDING AN APPLICATION TO THE NIH: Submit a signed, typewritten original of 
the application, including the Checklist, and three signed, photocopies, in 
one package to:
 
Center for Scientific Review
National Institutes of Health
6701 Rockledge Drive, Room 1040, MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express/courier service)
 
At the time of submission, two additional copies of the application must be 
sent to:

Dr. John E. Richters
Office of Review
National Institute of Nursing Research
6701 Democracy Blvd, Room 710, MSC 4870
Bethesda, MD  20892-4870

APPLICATION PROCESSING: Applications must be received on or before the 
application receipt date listed in the heading of this RFA.  If an 
application is received after that date, it will be returned to the
applicant without review. 

Although there is no immediate acknowledgement of the receipt of an 
application, applicants are generally notified of the review and funding 
assignment within 8 weeks.
 
The Center for Scientific Review (CSR) will not accept any application in 
response to this RFA that is essentially the same as one currently pending 
initial review, unless the applicant withdraws the pending application.  
However, when a previously unfunded application, originally submitted as an 
investigator-initiated application, is to be submitted in response to an RFA, 
it is to be prepared as a NEW application.  That is the application for the 
RFA must not include an Introduction describing the changes and improvements 
made, and the text must not be marked to indicate the changes.  While the 
investigator may still benefit from the previous review, the RFA application 
is not to state explicitly how.
 
PEER REVIEW PROCESS  
 
Upon receipt, applications will be reviewed for completeness by the CSR and 
responsiveness by NINR.  

Incomplete and/or non-responsive applications will be returned to the 
applicant without further consideration.

Applications that are complete and responsive to the RFA will be evaluated 
for scientific and technical merit by an appropriate peer review group 
convened by the NINR in accordance with the review criteria stated below.  As 
part of the initial merit review, all applications will:

o Receive a written critique
o Undergo a process in which only those applications deemed to have the 
highest scientific merit, generally the top half of the applications under 
review, will be discussed and assigned a priority score
o Receive a second level review by the National Advisory Council for Nursing 
Research.

REVIEW CRITERIA

The goals of NIH-supported research are to advance our understanding of 
biological systems, improve the control of disease, and enhance health.  In 
the written comments, reviewers will be asked to give careful consideration 
of the information in the SPECIAL REQUIREMENTS section of the RFA and the 
review criteria listed below in order to judge the likelihood that the 
proposed Center will have a substantial impact on the pursuit of these goals.  
Each of these criteria will be addressed and considered in assigning the 
overall score, weighting them as appropriate for each application.  Note that 
the application does not need to be strong in all categories to be judged 
likely to have major scientific impact and thus deserve a high priority 
score.  For example, an investigator may propose to carry out important work 
that by its nature is not innovative but is essential to move a field 
forward.
 
Overall Center Grant Application

1.  The overall scientific merit and the potential of the Center for making a 
significant contribution to achieving the goals of NINR. 
2.  The scientific gain from linking the research projects in a Center grant, 
i.e., the degree of interrelatedness and synergism among the components of 
the Center.
3.  The qualifications of the Center co-Directors and other key investigators 
and the commitment of participating investigators to a common goal, to the 
science focus, and to collaboration.
4.  The adequacy of the available resources and the quality of and potential 
for the research environment. 
5.  The commitment of the institution to the Center in terms of space, 
resources, administrative authority, and other necessary support, e.g., 
donated faculty time, use of equipment, and the extent to which the Center is 
recognized as a major element within the organizational structure of the 
institution.
6.  The plans for developmental activities, including recruitment and 
expansion, insofar as these are justified by the proposed research program.
7.  Evidence of the extent to which the planning, organization, structure, 
and design of the proposed Center and activities reflect a genuine 
collaboration within and across disciplines.
8.  Appropriateness of the requested budget for the work proposed.

Research Base

1.  Focus and depth of funded investigations that are currently in progress.
2.  Presence of current and emerging collaborations and interactions among 
investigators with common research interests within the area of scientific 
inquiry, and among the investigators within the research base.
3.  Impact that funded investigators have made in their respective fields, as 
indicated by publications and other factors.
4.  The qualifications, experience, and commitment of the Center 
investigators responsible for the individual research projects, and their 
willingness to collaborate with each other.
5.  The appropriateness of the investigators as participants of the Center.

Administrative Core 

1.  The adequacy of the Administrative Core to manage the overall activities 
of the Center.
2.  The appropriateness and relevance of the proposed Core and the modes of 
operation, facilities, and potential for contribution to ongoing nursing 
research.
3.  Appropriate justification for the Core, including avoiding duplication of 
existing resources or services and anticipated future use of the Core.
4.  The qualifications of the Director of the Administrative Core. 
5.  The adequacy of the multiple aspects related to the administrative 
structure for the Center, including the provision of scientific and 
administrative leadership for the Center; strategies to promote scientific 
planning, interaction, implementation, and evaluation; and arrangements for 
the fiscal management of the grant.
6.  The proposed composition and functions of the Executive Committee to 
support the proposed activities of the Center.  
7.  The proposed composition and function of the Advisory Committee to 
support the proposed activities of the Center.
8.  The appropriateness of the plan to evaluate Center activities and 
outcomes.   

Pilot/Feasibility Studies Core

1.  The process for selecting the pilot/feasibility studies included in the 
application.
2.  The proposed process for reviewing and selecting future pilot/feasibility 
studies.  
3.  The qualifications of the Director of the Pilot/Feasibility Studies Core.
4.  The appropriateness and relevance of proposed Core activities to 
facilitate successful pilot/feasibility studies.
5.  Evidence of a strong commitment to, and plans to support, pilot 
investigators in successful completion of their studies.

Pilot/Feasibility Studies

1.  The scientific merit of the research proposed and the importance of the 
information sought to the mission of the NINR.
2.  How well the pilot/feasibility study fits into the area of scientific 
inquiry selected for the Center.
3.  The justification for eligibility of the investigator(s) according to 
criteria listed in the RFA.
4.  The feasibility and promise of the proposed methods.
5.  The novelty or originality of the proposed study.
6.  The training, experience, and research competence of the investigator(s).
7.  The suitability of the facilities for the proposed research, including 
the availability of required special resources.
8.  The appropriateness and justification of the requested budget for the 
proposed work.
9.  Provisions for the protection of human subjects and the humane care of 
animals, and the appropriate inclusion of women, minorities, and children in 
clinical research.
10.  Adequacy of the Data and Safety Monitoring Plan for clinical trial pilot 
studies.

Competing Continuations Additional Review Criteria

1.  The adequacy of the justification for the competing continuation.
2.  The innovativeness and/or originality of the proposed competing 
continuation.
3.  The extent of the Center's accomplishments based on its goals. 
4.  The extent to which the new and continuing Center goals are likely to be 
met.  
5.  The extent to which increased research intensity has resulted from the 
current Exploratory Center, and the potential for further development.
6.  The potential for sustainability of the Center activities.   
7.  The progress of current Center investigators toward a program of 
research.   
8.  The appropriateness and adequacy of existing collaborations in furthering 
the goals and activities of the Center.
9.  The extent to which advances have occurred in the development of the 
science focus.

In addition to the above criteria, in accordance with NIH policy, all 
applications will also be reviewed with respect to the following:

PROTECTION OF HUMAN SUBJECTS FROM RESEARCH RISK: The involvement of human 
subjects and protections from research risk relating to their participation 
in the proposed research will be assessed. (See criteria included in the 
section on Federal Citations, below).
 
INCLUSION OF WOMEN, MINORITIES AND CHILDREN IN RESEARCH: The adequacy of 
plans to include subjects from both genders, all racial and ethnic groups 
(and subgroups), and children as appropriate for the scientific goals of the 
research.  Plans for the recruitment and retention of subjects will also be 
evaluated. (See Inclusion Criteria in the sections on Federal Citations, 
below).

CARE AND USE OF VERTEBRATE ANIMALS IN RESEARCH: If vertebrate animals are to 
be used in the project, the five items described under Section f of the PHS 
398 research grant application instructions (rev. 5/2001) will be assessed.  

ADDITIONAL CONSIDERATIONS 

DATA SHARING:  The adequacy of the proposed plan to share data. 

BUDGET:  The reasonableness of the proposed budget and the requested period 
of support in relation to the proposed research.

RECEIPT AND REVIEW SCHEDULE

Letter of Intent Receipt Date: July 15, 2003
Application Receipt Date: August 15, 2003
Peer Review Date: October/November 2003
Council Review: January 2004
Earliest Anticipated Start Date: April 1, 2004

AWARD CRITERIA

Award criteria that will be used to make award decisions include:

o Scientific merit (as determined by peer review)
o Availability of funds
o Programmatic priorities.
 
REQUIRED FEDERAL CITATIONS 

HUMAN SUBJECTS PROTECTION: Federal regulations (45CFR46) require that 
applications and proposals involving human subjects must be evaluated with 
reference to the risks to the subjects, the adequacy of protection against 
these risks, the potential benefits of the research to the subjects and 
others, and the importance of the knowledge gained or to be gained.

MONITORING PLAN AND DATA AND SAFETY MONITORING BOARD: Research components 
involving Phase I and II clinical trials must include provisions for 
assessment of patient eligibility and status, rigorous data management, 
quality assurance, and auditing procedures.  In addition, it is NIH policy 
that all clinical trials require data and safety monitoring, with the method 
and degree of monitoring being commensurate with the risks (NIH Policy for 
Data and Safety Monitoring, NIH Guide for Grants and Contracts, June 12, 
1998: http://grants.nih.gov/grants/guide/notice-files/not98-084.html).  

INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH: It is the policy of 
the NIH that women and members of minority groups and their sub-populations 
must be included in all NIH-supported clinical research projects unless a 
clear and compelling justification is provided indicating that inclusion is 
inappropriate with respect to the health of the subjects or the purpose of 
the research. This policy results from the NIH Revitalization Act of 1993 
(Section 492B of Public Law 103-43).

All investigators proposing clinical research should read the "NIH Guidelines 
for Inclusion of Women and Minorities as Subjects in Clinical Research - 
Amended, October, 2001," published in the NIH Guide for Grants and Contracts 
on October 9, 2001 (http://grants.nih.gov/grants/guide/notice-files/
NOT-OD-02-001.html); a complete copy of the updated Guidelines are
available at http://grants.nih.gov/grants/funding/women_min/
guidelines_amended_10_2001.htm.  The amended policy incorporates: the
use of an NIH definition of clinical research; updated racial and ethnic
categories in compliance with the new OMB standards; clarification of
language governing NIH-defined Phase III clinical trials consistent with the
new PHS Form 398; and updated roles and responsibilities of NIH staff and
the extramural community.  The policy continues to require for all
NIH-defined Phase III clinical trials that: a) all applications or proposals
and/or protocols must provide a description of plans to conduct analyses, as
appropriate, to address differences by sex/gender and/or racial/ethnic
groups, including subgroups if applicable; and b) investigators must report
annual accrual and progress in conducting analyses, as appropriate, by
sex/gender and/or racial/ethnic group differences.

INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN SUBJECTS: 
The NIH maintains a policy that children (i.e., individuals under the age of 
21) must be included in all human subjects research, conducted or supported 
by the NIH, unless there are scientific and ethical reasons not to include 
them. This policy applies to all initial (Type 1) applications submitted for 
receipt dates after October 1, 1998.

All investigators proposing research involving human subjects should read the 
"NIH Policy and Guidelines" on the inclusion of children as participants in 
research involving human subjects that is available at 
http://grants.nih.gov/grants/funding/children/children.htm.

REQUIRED EDUCATION ON THE PROTECTION OF HUMAN SUBJECT PARTICIPANTS: NIH 
policy requires education on the protection of human subject participants for 
all investigators submitting NIH proposals for research involving human 
subjects.  You will find this policy announcement in the NIH Guide for Grants 
and Contracts Announcement, dated June 5, 2000, at 
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html.

HUMAN EMBRYONIC STEM CELLS (hESC): Criteria for federal funding of research 
on hESCs can be found at http://grants.nih.gov/grants/stem_cells.htm and at 
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-005.html.  Only 
research using hESC lines that are registered in the NIH Human Embryonic Stem 
Cell Registry will be eligible for Federal funding (see http://escr.nih.gov).   
It is the responsibility of the applicant to provide the official NIH 
identifier(s)for the hESC line(s)to be used in the proposed research.  
Applications that do not provide this information will be returned without 
review. 

PUBLIC ACCESS TO RESEARCH DATA THROUGH THE FREEDOM OF INFORMATION ACT: The 
Office of Management and Budget (OMB) Circular A-110 has been revised to 
provide public access to research data through the Freedom of Information Act 
(FOIA) under some circumstances.  Data that are (1) first produced in a 
project that is supported in whole or in part with Federal funds and (2) 
cited publicly and officially by a Federal agency in support of an action 
that has the force and effect of law (i.e., a regulation) may be accessed 
through FOIA.  It is important for applicants to understand the basic scope 
of this amendment.  NIH has provided guidance at 
http://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm.

Applicants may wish to place data collected under this RFA in a public 
archive, which can provide protections for the data and manage the 
distribution for an indefinite period of time.  If so, the application should 
include a description of the archiving plan in the study design and include 
information about this in the budget justification section of the 
application. In addition, applicants should think about how to structure 
informed consent statements and other human subjects procedures given the 
potential for wider use of data collected under this award.

URLs IN NIH GRANT APPLICATIONS OR APPENDICES: All applications and proposals 
for NIH funding must be self-contained within specified page limitations. 
Unless otherwise specified in an NIH solicitation, Internet addresses (URLs) 
should not be used to provide information necessary to the review because 
reviewers are under no obligation to view the Internet sites.   Furthermore, 
we caution reviewers that their anonymity may be compromised when they 
directly access an Internet site.

HEALTHY PEOPLE 2010: The Public Health Service (PHS) is committed to 
achieving the health promotion and disease prevention objectives of "Healthy 
People 2010," a PHS-led national activity for setting priority areas. This 
RFA is related to one or more of the priority areas. Potential applicants may 
obtain a copy of "Healthy People 2010" at 
http://www.health.gov/healthypeople.

AUTHORITY AND REGULATIONS: This program is described in the Catalog of 
Federal Domestic Assistance at http://www.cfda.gov/ and is not subject to the 
intergovernmental review requirements of Executive Order 12372 or Health 
Systems Agency review.  Awards are made under the authorization of Sections 
301 and 405 of the Public Health Service Act as amended (42 USC 241 and 284) 
and under Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. All 
awards are subject to the terms and conditions, cost principles, and other 
considerations described in the NIH Grants Policy Statement.  The NIH Grants 
Policy Statement can be found at 
http://grants.nih.gov/grants/policy/policy.htm.

The PHS strongly encourages all grant recipients to provide a smoke-free 
workplace and discourage the use of all tobacco products.  In addition, 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities (or in some cases, any portion of a facility) in which 
regular or routine education, library, day care, health care, or early 
childhood development services are provided to children.  This is consistent 
with the PHS mission to protect and advance the physical and mental health of 
the American people.



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