This department is offering the Drug-Free Communities (DFC) Support Program to establish and strengthen collaborations supporting community coalitions in preventing youth substance use. The grant aims to address risk factors and promote protective factors against substance abuse in communities. The closing date for applications is Jun 08, 2020.
Opportunity ID: 324650
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 7 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Mar 27, 2020 |
| Original Closing Date for Applications: | Apr 03, 2020 |
| Current Closing Date for Applications: | Jun 08, 2020 |
| Archive Date: | Jul 08, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
Version History
| Version | Modification Description | Updated Date |
|---|---|---|
| This NOFO has been Amended to change the closing date from 04/03/2020 to 06/08/2020. All changes have been highlighted in Red Font in the NOFO. | Mar 27, 2020 | |
| This NOFO has been Amended to change the closing date from 04/03/2020 to 06/08/2020. All changes have been highlighted in Red Font in the NOFO. | Feb 18, 2020 | |
| The attached NOFOs have been updated with the webinar information (specifically made language changes to “Due Date for Informational Conference Call)" | Feb 18, 2020 | |
| The email contact information for this NOFO has been updated to DFC@cdc.gov. | Feb 18, 2020 | |
| The email contact information for this NOFO has been updated to DFC@cdc.gov. | Feb 18, 2020 | |
| The email contact information for this NOFO has been updated to DFC@cdc.gov. | Feb 18, 2020 | |
| Feb 18, 2020 |
DISPLAYING: Synopsis 7
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 7 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Mar 27, 2020 |
| Original Closing Date for Applications: | Apr 03, 2020 |
| Current Closing Date for Applications: | Jun 08, 2020 |
| Archive Date: | Jul 08, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 6
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 6 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Mar 27, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 5
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 5 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Feb 27, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 4
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 4 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Feb 19, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 3
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 3 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Feb 19, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 2
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 2 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Feb 19, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category:Government Organizations serving as Bona fide Agents: State governments County governments City or township governmentsTerritorial governments Special district governmentsIndependent school districtsState controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized) Non-government Organizations serving as Bona fide Agents: Public institutions of higher educationNonprofits without 501(c)(3) status with the IRS, other than institutions of higher educationPrivate institutions of higher educationProfessional associationsVoluntary organizationsFaith-based organizationsAmerican Indian or Alaska native tribally designated organizations Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer DFC@cdc.gov Email:DFC@cdc.gov |
DISPLAYING: Synopsis 1
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-CE20-2002 |
| Funding Opportunity Title: | Drug-Free Communities (DFC) Support Program-New |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Grant |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 200 |
| Assistance Listings: | 93.276 — Drug-Free Communities Support Program Grants |
| Cost Sharing or Matching Requirement: | Yes |
| Version: | Synopsis 1 |
| Posted Date: | Feb 18, 2020 |
| Last Updated Date: | Feb 18, 2020 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Apr 03, 2020 |
| Archive Date: | May 03, 2020 |
| Estimated Total Program Funding: | $125,000,000 |
| Award Ceiling: | $125,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | Others (see text field entitled “Additional Information on Eligibility” for clarification) |
| Additional Information on Eligibility: | Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification) Additional Eligibility Category: Government Organizations serving as Bona fide Agents: Non-government Organizations serving as Bona fide Agents: Public institutions of higher education Please see the additional information in the NOFO on Page 15 of 60, 16 of 60, 17 of 60, 18 of 60, 19 of 60, 20 of 60, and 21 of 60 regarding additional information on eligibility. |
Additional Information
| Agency Name: | Centers for Disease Control – NCIPC |
| Description: |
The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Stephanie Latham
Lead Grants Management Officer fzv6@cdc.gov Email:fzv6@cdc.gov |
Related Documents
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> CE20-2002 DFC New NOFO_Updated 032620 – AMENDED.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Appendix A-Pre-Submission Verification Checklist NOFO CDC-RFA-CE20-2002 – AMENDED 03 27 20.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 1-Coalition Involvement Agreements NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 3-Eligibility NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 10-Congressional Notification NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 2-One Set of Coalition Meeting Minutes NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 8-General Applicant Information NOFO RFA-CDC-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 7-Key Personnel Resumes CVs and Position Descriptions NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 6-Assurance of DFC 10-Year Funding Limit NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 5-Assurance of One DFC Grant at a Time NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 4-Letter of Mutual Cooperation NOFO CDC-RFA-CE20-2002.pdf
Folder 324650 Full Announcement-CDC-RFA-CE20-2002 -> Attachment 9-Disclosure of All Prior DFC Funding NOFO CDC-RFA-CE20-2002.pdf
Packages
| Agency Contact Information: | Stephanie Latham Lead Grants Management Officer DFC@cdc.gov Email: DFC@cdc.gov |
| Who Can Apply: | Organization Applicants |
| Assistance Listing Number | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions |
|---|---|---|---|---|---|---|
| 93.276 | CDC-RFA-CE20-2002SPN | Drug-Free Communities (DFC) Support Program-New | PKG00258424 | Feb 18, 2020 | Jun 08, 2020 | View |
Package 1
Mandatory forms
324650 SF424_2_1-2.1.pdf
324650 SFLLL_1_2-1.2.pdf
324650 SF424A-1.0.pdf
324650 BudgetNarrativeAttachments_1_2-1.2.pdf
324650 ProjectNarrativeAttachments_1_2-1.2.pdf
324650 HHS_CheckList_2_1-2.1.pdf
Optional forms
324650 OtherNarrativeAttachments_1_2-1.2.pdf
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