Participating Organization(s)	National Institutes of Health (NIH)
Components of Participating Organizations	This Funding Opportunity Announcement (FOA) is developed as a Common Fund initiative (http://commonfund.nih.gov/) through the NIH Office of the NIH Director, Office of Strategic Coordination (http://dpcpsi.nih.gov/osc/). The FOA will be administered by the National Human Genome Research Institute (NHGRI/NIH), (http://genome.gov) on behalf of the NIH.
Funding Opportunity Title	Clinical Sites for an Undiagnosed Diseases Network (UDN) (U01)
Activity Code	U01 Research Project Cooperative Agreements
Announcement Type	New
Related Notices	August 15, 2017 - This RFA has been reissued as RFA-RM-17-019. RFA-RM-12-020 August 7, 2013 - See Companion RFA-RM-13-018. DNA Sequencing Core for an Undiagnosed Diseases Network (UDN) (U01). March 22, 2013 - See Notice NOT-RM-13-014. Notice Announcing Frequently Asked Question (FAQs) and Applicant Information Webinar.
Funding Opportunity Announcement (FOA) Number	RFA-RM-13-004
Companion Funding Opportunity	None
Number of Applications	See Section III. 3. Additional Information on Eligibility.
Catalog of Federal Domestic Assistance (CFDA) Number(s)	93.310
Funding Opportunity Purpose	To establish Clinical Sites for an Undiagnosed Diseases Network (UDN) added to and building upon the NIH Intramural Research Program’s Undiagnosed Diseases Program (IRP-UDP).

Posted Date	January 29, 2013
Open Date (Earliest Submission Date)	May 19, 2013
Letter of Intent Due Date(s)	May 17, 2013
Application Due Date(s)	June 19, 2013, by 5:00 PM local time of applicant organization.
AIDS Application Due Date(s)	Not Applicable
Scientific Merit Review	October/November 2013
Advisory Council Review	February 2014
Earliest Start Date	April 2014
Expiration Date	June 20, 2013
Due Dates for E.O. 12372	Not Applicable

Required Application Instructions

It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, except where instructed to do otherwise (in this FOA or in a Notice from the NIH Guide for Grants and Contracts). Conformance to all requirements (both in the Application Guide and the FOA) is required and strictly enforced. Applicants must read and follow all application instructions in the Application Guide as well as any program-specific instructions noted in Section IV. When the program-specific instructions deviate from those in the Application Guide, follow the program-specific instructions. Applications that do not comply with these instructions may be delayed or not accepted for review.

Part 1. Overview Information
Part 2. Full Text of the Announcement
Section I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contacts
Section VIII. Other Information

This initiative is funded through the NIH Common Fund, which supports cross-cutting programs that are expected to have exceptionally high impact. All Common Fund initiatives invite investigators to develop bold, innovative, and often risky approaches to address problems that may seem intractable or to seize new opportunities that offer the potential for rapid progress.

The purpose of this funding opportunity announcement (FOA) is to establish 5-7 Clinical Sites (CS) for a national network added to and building upon the NIH Intramural Research Program Undiagnosed Diseases Program (IRP-UDP). Together with the IRP-UDP and a separately funded Coordinating Center (CC), these sites will constitute the NIH Undiagnosed Diseases Network (UDN).

The purpose of the Network is to diagnose both rare and new diseases and, through the support of mechanistic studies, to suggest, where possible, management strategies for the patients. This program will advance laboratory and clinical research building upon the experience and expertise of the IRP-UDP and similar programs to enhance coordination and collaboration among laboratory and clinical researchers across multiple centers and to share resulting data and approaches widely throughout the scientific community.

The Clinical Sites will be selected and funded 3-4 months after award of the CC. This will allow the CC to assist and develop with IRP-UDP investigators a preliminary set of protocols and operating guidelines for consideration by the newly-formed UDN. These draft protocols and guidelines will begin to define an initial framework of common practices across the Network, to be refined and expanded as the Network grows and matures. To the degree possible, common protocols for data collection and common approaches to patient selection, evaluation, and diagnosis will facilitate pooled analyses and cross-site collaborations, ultimately advancing the clinical approach to undiagnosed diseases. Some of these best practices could be modeled after the IRP UDP.

For the purposes of this FOA, undiagnosed diseases are considered to be disorders with long-standing symptoms or signs that have not been diagnosed despite extensive clinical investigation. Undiagnosed diseases include 1) rare, previously described diseases, afflicting less than 200,000 individuals in the United States, that are often not recognized because they are so infrequent; 2) yet-to-be-described disorders, previously unknown to medicine also presumed to be rare; and 3) rare variants of more common diseases.

Rare and yet-to-be-described disorders are a difficult problem for patients, their families and their physicians. The NIH Office of Rare Diseases Research notes that about 6% of patients seeking their assistance have an undiagnosed disease. For those who were ultimately diagnosed, as many as 15% had persistent symptoms without diagnosis for at least 5 years, a difficult and costly delay for patient, family (including other afflicted family members), and physicians who struggle to identify and treat these disorders. This diagnostic odyssey is usually expensive with repeated, sequential diagnostic efforts involving a series of physicians pursuing similar duplicative imaging (with related increased X-ray exposure and other risks) and biomarker investigations.

In addition, these patients present compelling research questions since clarification of the underlying genetics, biochemistry and physiology of these disorders will lead to a better understanding of their disease processes and those of related disorders. Advances in the science of genetics and genomics in medicine have made it possible to understand the causes and potential targets for treatment of some of these diseases. Furthermore, as the cost of genotyping and sequencing continues to fall and the accuracy of these methods increases, these approaches become more attractive as potentially standard means to diagnose these disorders.

The Intramural Research Program Undiagnosed Diseases Program (IRP-UDP) began in May 2008 and from modest initial recruitment numbers, has over a four-year period received approximately 6,300 inquiries. From these inquiries, the investigators were able to evaluate 2,300 medical records and admit 450 patients to the NIH Clinical Center for thorough, one-week evaluations. Despite the resource limitations of a new pilot program, NIH investigators over the four years since program initiation have responded each year to an average 1,575 inquiries, evaluated 575 medical records for potential participation and admitted 113 patients for evaluation. As these data reveal, even without a systematic approach to advertising the program, there is a substantial unmet demand for these capabilities. This justifies the creation of a Network that will be able to address more inquiries, and potentially be more accessible to patients throughout the country who require these services.

Over a four-year period, the IRP-UDP has made diagnoses in approximately 100 patients (20-25% of those evaluated) whose challenging conditions had perplexed and defeated the diagnostic efforts of many skilled physicians. The IRP-UDP has discovered and described two unknown diseases and identified 15 genes not previously associated with human disease. Much has been learned and many efficiencies gained in the evaluation of patient/family inquiries and of submitted medical records, in diagnostic approaches dictated by organ system involvement, and in engaging the expertise of laboratory scientists studying disease mechanisms.

This funding opportunity and a related FOA (RFA-RM-12-020, Coordinating Center for an Undiagnosed Diseases Network ), together with the ongoing IRP-UDP and NIH program staff, will create the NIH Undiagnosed Diseases Network. The Network will increase the availability of diagnostic services, expand the geographic distribution of patient access sites, foster opportunities for collaboration between laboratory and clinical investigators, and provide resulting data and protocols to the broader community. These efforts will lead to new knowledge regarding the biochemistry, physiology, and mechanisms of these diseases and improve diagnostic and management options for patients afflicted with them.

The objectives of this program are to:

1. Improve the level of diagnosis and care for patients with undiagnosed diseases through the development of common protocols designed by an enlarged community of investigators;

2. Facilitate research into the etiology of undiagnosed diseases, by collecting and sharing standardized, high-quality clinical and laboratory data including genotyping, phenotyping, and documentation of environmental exposures; and

3. Create an integrated and collaborative research community across multiple clinical sites and among laboratory and clinical investigators prepared to investigate the pathophysiology of these new and rare diseases and share this understanding to identify improved options for optimal patient management.

This program seeks to provide improved patient access to state-of-the-art diagnostic methods, by expanding the available expertise and facilities serving patients with these unusual disorders and to accelerate discovery and innovation in diagnosing and treating these patients. The IRP-UDP will establish, as an additional element of this overall program, training programs in genomics and genetics of undiagnosed diseases at the NIH Clinical Center and potentially at other sites. In addition to the clinical infrastructure, gene function studies will be supported through a variety of funding mechanisms to elucidate the biologic mechanisms of identified genetic variants in disease causation, leading to potential pathways to improved treatments. Such funding mechanisms may include subsequent supplements to the CS supported by this FOA to foster collaboration among laboratory and clinical investigators.

The IRP-UDP investigators will assist in the development of the new Clinical Sites by sharing lessons learned over the past four years in approaches to inquiries, evaluation of medical records, and detailed assessment of phenotype, environment and genotype in patients and families selected for diagnostic investigation. To facilitate sharing this knowledge, the IRP-UDP will establish a Consultation Core, available by phone, internet, or visits to or from new CS, to advise on the processes of patient application, review and acceptance, as well as phenotyping, data collection and interpretation, ultimately leading to a diagnosis. The IRP-UDP will also establish and make available to the new CS specialized Core Laboratories for technologies such as DNA or RNA sequencing, gene expression, proteomics, lipidomics, and glycomics that it will establish in FY13 for investigation of its existing patient cohort. Once the new CS are established and running smoothly, they will be invited to compete, along with IRP-UDP, to provide these functions Network-wide.

It is hoped that sharing these lessons will facilitate the development of the new sites and that the infusion of an expanded group of investigators will invigorate and develop new directions and best practices for use by all. The CC and new Clinical Sites are anticipated to bring new ideas and alternative approaches to refine and improve upon current IRP-UDP practices and adapt them for use outside the unique setting of the NIH Clinical Center.

It is the intent of the NIH to establish a Network CC several months prior to the selection of the new CS. This will permit a careful study and codification of the processes used and refined by the IRP-UDP since 2008 for consideration for Network-wide adoption and refinement by the Network Steering Committee once the new sites are awarded. Although every undiagnosed patient is unique and requires some individualized investigation, certain core components are expected to be relevant to all patients. All CS (including the IRP-UDP) will thus be expected to utilize common investigative and data collection protocols, to the degree possible, to facilitate pooling of data to enhance the scientific and diagnostic value of the resulting information. All data from UDN patients will be submitted as soon as they are collected to the CC for cleaning, quality control, and compilation in a Network-wide dataset to be distributed periodically to all CS (including the IRP-UDP) as agreed upon by the Network Steering Committee.

The awards funded under this FOA will be cooperative agreements (see Section VI.2.A. Cooperative Agreement Terms and Conditions of Award). Close interactions among awardees and NIH will be required to develop this complex Network. Shortly after the award, CS Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) and key co-investigators will meet with CC representatives, IRP-UDP investigators and NIH program staff to plan approaches, identify barriers, and propose solutions for creating and maintaining the UDN.

The UDN governance will rest with the Network Steering Committee in collaboration with NIH program officials, with advice from an External Scientific Panel, and subject to oversight by a UDP Working Group of the NIH Common Fund. The Steering Committee may establish subcommittees and working groups to facilitate development, implementation, and monitoring of specific Network functions such as patient recruitment, patient selection and assignment to specific CS, clinical evaluation, final diagnosis, and access to Core Laboratories, as needed.

A Steering Committee composed of PD(s)/PI(s) from all sites (including the Clinical Sites, CC and the IRP-UDP) and the NIH Project Scientist(s) will be responsible for the scientific direction of the Network. The Steering Committee will meet quarterly during the first year and two to three times per year or as needed subsequently.

The UDN Steering Committee will be the operational group through which the NIH UDP Working Group interacts with the UDN. The UDN Steering Committee will identify scientific and policy issues that need to be addressed at the Network level and develop recommendations to the NIH UDP Working Group for addressing such issues. Working through the CC, the Steering Committee will develop and implement an approach for network-wide patient selection and assignment to Clinical Site, as well as evaluation, imaging and laboratory investigation, final diagnosis, and follow-up. It will also ensure dissemination of program data, clinical protocols, training schedules and other materials to the wider scientific community.

An External Scientific Panel (ESP) will be named by NIH program officials and will be responsible for monitoring Network activities and making recommendations to the UDP Working Group and NIH regarding process and substantive issues that arise during Network operations.

An Interim Executive Committee composed of the IRP-UDP PD/PI, the CC PD/PI, and the NIH Project Scientist(s) will collaborate and communicate on a regular (likely weekly) basis to prepare draft protocols and preliminary materials prior to award of the new Clinical Sites. Once the new sites are added to the Network, the Chair of the Steering Committee, the PD/PI of the CC, the NIH Project Scientist(s), and the PD/PI of the IRP-UDP will continue to engage in regular (again, likely weekly) phone conferences to facilitate the program’s maturation from 6-8 individual sites to a functional, integrated and effective Network of investigators.

Core Laboratories for specialized technologies will be established by the IRP-UDP in FY13 and made available to new CS in FY14 and FY15 for investigation of genes implicated in their UDP patients, as described above. To facilitate data sharing and pooled analyses, Core Laboratories would typically provide these services Network-wide but depending on capabilities at the individual CS, such testing could be conducted locally according to agreed-upon standards, with resulting data submitted for Network-wide analyses and deposition. A competition for providers of Core Laboratory functions, to which the new CS may apply, will be conducted once the new CS are established and running smoothly. The Network SC will be tasked with developing an equitable process for prioritizing access to these resources, whether at the IRP-UDP, the new CS, or their contractors or collaborators, to be reviewed and approved by the Network’s External Scientific Panel and the NIH Working Group. This process will likely involve a subcommittee or working group to define priorities for access, formats for requests, and expectations for turnaround and follow-up as needed.

Data from the UDN are expected to be handled so as to increase the value of the significant public investment in the creation and operation of the Network. Consistent with achieving the goals of the program, NIH expects that the project datasets (phenotypic, environmental, covariate, process, and other relevant data) and associated genotyping data from the Network will be widely shared with the scientific community for research, while carefully observing standards of patient privacy, confidentiality, and management of health information. Information such as study protocols, descriptions, bioinformatic tools, and publications are expected to be made available through an open access section of a database such as dbGaP, other public web sites, and publication in the scientific literature.

Applicants should describe their plans to participate with the CC in preparing yearly reports for the Network leadership, the External Scientific Panel, and the NIH UDP Working Group. The yearly report for FY17 will include a more detailed report which an external group will use to make recommendations on the continuation or shut-down of the UDN effort.

This review group will also be asked to make recommendations for orderly close-out of this project either in FY18/FY19 if the mid-year review determines that close-out is warranted, or for issuing a renewal solicitation to continue the project through final closeout in FY22.

The Network can be envisioned as beginning with a phase of network design prior to Clinical Site award; this Design phase will involve only the CC, IRP-UDP, and NIH program staff and not the new CS. Once the new CS are awarded, subsequent phases involving them will include: 1) start-up; 2) full network operation; and 3) mid-course review. Should the mid-course review be successful, a repeat solicitation for Network continuation and eventual close-out will be released; if unsuccessful, modest close-out funding may be provided.

Funding Instrument	Cooperative Agreement: A support mechanism used when there will be substantial Federal scientific or programmatic involvement. Substantial involvement means that, after award, NIH scientific or program staff will assist, guide, coordinate, or participate in project activities.
Application Types Allowed	New The OER Glossary and the SF424 (R&R) Application Guide provide details on these application types.
Funds Available and Anticipated Number of Awards	The total amount of funds available for this award is approximately $4.8M for FY2014 contingent upon receiving scientifically meritorious applications. Five to seven awards are anticipated from the solicitation. In FY2015, a total of $11.0M is anticipated, and in FY2016 and FY2017, $14.0M per year is anticipated.
Award Budget	Application budgets should not exceed $800K total costs in FY14, $1.8M total costs in FY15, and $2.3M total costs per year for FY16 and FY17 and must reflect the actual needs of the proposed project.
Award Project Period	The total award period for this FOA is 4 years (FY14 through FY17).

NIH grants policies as described in the NIH Grants Policy Statement will apply to the applications submitted and awards made in response to this FOA.

Higher Education Institutions

• Public/State Controlled Institutions of Higher Education
• Private Institutions of Higher Education

The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:

• Hispanic-serving Institutions
• Historically Black Colleges and Universities (HBCUs)
• Tribally Controlled Colleges and Universities (TCCUs)
• Alaska Native and Native Hawaiian Serving Institutions
• Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)

Nonprofits Other Than Institutions of Higher Education

• Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
• Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)

For-Profit Organizations

• Small Businesses
• For-Profit Organizations (Other than Small Businesses)

Governments

• State Governments
• County Governments
• City or Township Governments
• Special District Governments
• Indian/Native American Tribal Governments (Federally Recognized)
• Indian/Native American Tribal Governments (Other than Federally Recognized)
• U.S. Territory or Possession

Other

• Independent School Districts
• Public Housing Authorities/Indian Housing Authorities
• Native American Tribal Organizations (other than Federally recognized tribal governments)
• Faith-based or Community-based Organizations
• Regional Organizations

Non-domestic (non-U.S.) Entities (Foreign Institutions) are not eligible to apply.
Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.

Foreign components, as defined in the NIH Grants Policy Statement, are not allowed.

Applicant organizations must complete the following registrations as described in the SF424 (R&R) Application Guide to be eligible to apply for or receive an award. Applicants must have a valid Dun and Bradstreet Universal Numbering System (DUNS) number in order to begin each of the following registrations.

• System for Award Management (SAM) must maintain an active entity registration (formerly CCR registration), to be renewed at least annually. Use the Sam.gov Manage Entity function to manage your entity registrations. See the Grants Registration User Guide at SAM.gov for additional information.
• Grants.gov
• eRA Commons

All Program Directors/Principal Investigators (PD(s)/PI(s)) must also work with their institutional officials to register with the eRA Commons or ensure their existing eRA Commons account is affiliated with the eRA Commons account of the applicant organization.

All registrations must be completed by the application due date. Applicant organizations are strongly encouraged to start the registration process at least 6 weeks prior to the application due date.

Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with his/her organization 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 support.

For institutions/organizations proposing multiple PDs/PIs, visit the Multiple Program Director/Principal Investigator Policy and submission details in the Senior/Key Person Profile (Expanded) Component of the SF424 (R&R) Application Guide.

Applications for a clinical site grant may be submitted by individuals located at the same institution as an applicant for the CC submitted under FOA RFA-RM-12-020, but an individual may not be the PD/PI of RFA-RM-12-020 and the clinical site grant.

This FOA does not require cost sharing as defined in the NIH Grants Policy Statement.

Applicant organizations may submit more than one application, provided that each application is scientifically distinct.

NIH will not accept any application that is essentially the same as one already reviewed within the past thirty-seven months (as described in the NIH Grants Policy Statement), except for submission:

• To an RFA of an application that was submitted previously as an investigator-initiated application but not paid;
• Of an investigator-initiated application that was originally submitted to an RFA but not paid; or
• Of an application with a changed grant activity code.

Applicants must download the SF424 (R&R) application package associated with this funding opportunity using the Apply for Grant Electronically button in this FOA or following the directions provided at Grants.gov.

It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, except where instructed in this funding opportunity announcement to do otherwise. Conformance to the requirements in the Application Guide is required and strictly enforced. Applications that are out of compliance with these instructions may be delayed or not accepted for review.

For information on Application Submission and Receipt, visit Frequently Asked Questions Application Guide, Electronic Submission of Grant Applications.

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 IC staff to estimate the potential review workload and plan the review.

By the date listed in Part 1. Overview Information, prospective applicants are asked to submit a letter of intent that includes the following information:

• Descriptive title of proposed research
• Name(s), address(es), and telephone number(s) of the PD(s)/PI(s)
• Names of other key personnel
• Participating institution(s)
• Number and title of this funding opportunity

The letter of intent should be sent to:

Anastasia L. Wise, PhD
National Human Genome Research Institute
Telephone: 301-443-0585
Email: anastasia.wise@nih.gov

The forms package associated with this FOA includes all applicable components, mandatory and optional. Please note that some components marked optional in the application package are required for submission of applications for this FOA. Follow all instructions in the SF424 (R&R) Application Guide to ensure you complete all appropriate optional components.

All page limitations described in the SF424 Application Guide and the Table of Page Limits must be followed.

All instructions in the SF424 (R&R) Application Guide must be followed, with the following additional instructions:

Please include the following information in the "Facilities and Other Resources" attachment:

Applicants should describe the relevant institutional environments which would facilitate the effective implementation of the proposed program. Applicants should also describe existing or planned resources that would be available to the CS, such as clinical and laboratory facilities, participating and affiliated institutions and units, geographic distribution of space and personnel, and consultative and statistical resources.

Institutional commitments to providing a comprehensive clinical evaluation within one week of initiation should be clearly documented.

Other Attachments: Please include the following information as an "Other Attachment."

The Responsibilities of the UDN Clinical Sites (CS) are described in Section VI.2, Administrative and National Policy Requirements. Applicants should indicate their willingness to cooperate with other awardees in the development and design of research approaches, procedures, policies and strategies to be applied to this program.

Applicants should describe how they will work with the other members of the Network Steering Committee (SC) to define a mode of operation that best matches the capabilities of the selected sites, within broad guidelines of parity, openness, cost-effectiveness, timeliness, and optimal patient care, as defined by the SC, the NIH, and its advisors.

All instructions in the SF424 (R&R) Application Guide must be followed, with the following additional instructions:

The PD/PI should be well-established in clinical research and must devote at least 2.4 person months (20% of full-time professional effort) to this Program.

All instructions in the SF424 (R&R) Application Guide must be followed, with the following additional instructions:

In this FOA, as in all FOAs related to the UDN, applicants are encouraged to creatively engage the scientific and operational problems that need to be addressed for the Network to be a success. NIH recognizes that the approach to diagnosis and investigation developed by the IRP-UDP is only one model, albeit a successful one, that may be challenging to adapt outside the unique setting of the NIH Clinical Center. New ideas and alternative approaches proposed by the CC and eventually all Clinical Sites are likely to refine and enhance the care of patients and the science generated from careful study of their cases. Within the framework of this FOA, there are a variety of approaches to Network creation and subsequent function that may ultimately be adopted by the Steering Committee and NIH. Applicants should discuss alternatives, defend the approaches they favor, and describe their willingness to implement approaches agreed upon by the Network as a whole.

Specific Aims

List each aim for the CS and how it supports the Objectives of this Research Program as described in Section I. Funding Opportunity Description.

Research Strategy

Describe how the PD(s)/PI(s) will provide the following responsibilities in the development of this UDN CS:

• Although Clinical Sites are expected to be able to recruit, select, evaluate, and follow patients with disorders in any clinical specialty, rare and undiagnosed conditions may cluster in certain disciplines such as (but not limited to) neurology; rheumatology; gastroenterology; psychiatry; or vascular, metabolic, environmental or infectious diseases. Applicants should describe unique strengths such as systems- or disease-specific clinical expertise available at their site, their willingness and approach for making such expertise available Network-wide, and their ability to investigate and diagnose disorders outside their specific areas of expertise. Applicants should also describe potential organizational or structural barriers to the creation of a UDN clinical site and their plans to mitigate these problems.

The creation of an integrated and collaborative Network is an essential task for all investigators who are chosen to participate. The following recommendations should be considered when describing the concept of a UDN CS:

• Applicants should describe prior experience in working as part of a research network or other collaborative activities to meet individual and group goals, including examples of prior collaborative efforts and/or participation in networks or consortia.
• Applicants should also describe their experience with a central IRB. The network will use a central IRB to accelerate IRB approval of network-wide protocols. Applicants and their institutions should indicate their willingness to participate in a network that uses a central IRB.

Describe the overall strategy, methodology, and analyses to be used to accomplish the specific aims of the project.

• Applicants should detail their experience/expertise, proposed approaches and potential alternatives to performing the various CS tasks summarized below. Additional tasks not detailed here but in the applicant’s view essential to Network operations should be noted and potential approaches described. Applicants should articulate their plans for all aspects of patient recruitment, selection, consent, and counseling; clinical evaluation and data collection; investigation of family members, where appropriate; final diagnosis and, if feasible, recommendations for management; return of information to patients, their families, and their referring physicians; transfer of care to referring clinicians; patient follow-up for psychosocial, health, and other relevant outcomes; data analysis, data sharing, and publication; and follow-on laboratory and gene function studies, as appropriate. Prior experience and ongoing related programs on which the CS could build but not duplicate should also be described.
• Applicants should describe the feasibility of providing a comprehensive clinical evaluation in an expeditious manner; that is, completed within one week of initiation. These evaluations are anticipated to include assessment by a complete array of consultants and require an in-patient stay and/or well coordinated multidisciplinary outpatient evaluations. Applicants should describe their ability to provide such evaluations during a single in-patient stay and provide any institutional commitment for doing so; or, if this is not feasible, explain why not and describe time-efficient alternatives that minimize burden on patients and their families.
• Applicants should describe their willingness to adhere to network-wide policies and procedures for the key CS functions described above as well as Network-defined timelines for recruitment, data collection, and accurate submission of process and tracking data and scientific variables such as phenotype, genotype and environmental data. Applicants should also describe plans for, and willingness to abide by, Memoranda of Understanding or other sharing agreements potentially needed for data and sample sharing within the Network.
• Applicants interested in competing to provide Core Laboratory functions Network-wide later in the course of this program may include a brief summary of their potential interests and current core laboratory capabilities, but should not request funding for these services as part of their responses to this FOA. Separate competition(s) will be held for these facilities to which the adequately performing CS, potentially along with other qualified applicants, will be eligible to apply, likely sometime during FY15 with award in FY16. Similarly, support for anticipated gene function studies will be solicited separately and should not be included in the current funding request, though relevant interests and capabilities may be briefly described in response to this FOA. Recognizing that the NIH Clinical Center accepts patients without regard to ability to pay, it would be inappropriate for such patients to be referred disproportionately to the IRP-UDP from the entire Network. Applicants should thus describe their approaches, for the duration of the UDN, to recruiting, investigating, diagnosing, referring for care, and following up patients who are uninsured or under-insured. In addition, they should describe plans for sustaining and continuing the UDN-supported approaches to evaluating and managing difficult-to-diagnose patients once Common Fund support ends. Institutional commitments for caring for uninsured patients and sustaining the program beyond NIH support should be clearly documented in the application.

Applicants should discuss their plans to collect data on environment, genotype and phenotype and describe plans to work with the CC to optimize data collection and analysis strategies and facilitate public access to the UDN data through the CC and organizations such as the National Center for Biotechnology Information (NCBI), which maintains NIH databases such as dbGaP, to optimize data analysis and public access to the data.

Network Start-up (July 2014 - December 2015)

Within the Research Strategy, applicants should describe how they will collaborate with each other, the CC, IRP-UDP, and program officials to design Network operations and implement protocols. This includes reviewing and modifying draft protocols and operating guidelines developed in the Design phase for handling patient inquiries, reviewing prior diagnostic efforts, accepting patients for and conducting detailed evaluation, collecting and submitting data, discussing results with patients, their families, and their clinicians, and conducting follow-up.

Applicants should describe plans to create their proposed new Clinical Sites and the Network as a whole, including collaboration in central collection and distribution of inquiries across sites, sharing of chart review, potential use of special patient evaluations at specific Clinical Sites to take advantage of local expertise, creation of sites with specific disease-area interests and skills, and transfer of patients among clinical sites based upon expertise,interest and geographic proximity to the patient.

Each site will be expected to recruit 10 UDN patients in FY14, 25 in FY15, and 50 per year in FY16 and FY17. Plans to meet these recruitment milestones should be described, as should plans for analyzing 35 whole exomes or whole genomes per site in FY15, increasing to 140 whole exomes or whole genomes per site per year in FY16 and FY17.

Full Operation (January 2016 - June 2017)

Within the research strategy, applicants should describe plans for identifying and solving operational problems involving recruitment, data collection, quality assurance and refinement of protocols and manual of operations. Applicants should suggest plans that will assist in developing collaborations between clinical and laboratory scientists both within and outside the Network.

Applicants should describe plans for maintaining a throughput of roughly one UDN patient per week while pursuing outcome follow-up, gene function studies, and specialized technologic investigations of patients previously seen.

Resource Sharing Plan

Individuals are required to comply with the instructions for the Resource Sharing Plans (Data Sharing Plan, Sharing Model Organisms, and Genome Wide Association Studies (GWAS)) as provided in the SF424 (R&R) Application Guide, with the following modification:

• All applications, regardless of the amount of direct costs requested for any one year, should address a Data Sharing Plan.
• All applicants should name a responsible individual as contact for data sharing both within and outside the Network, and clearly identify support requested for data sharing.

Do not use the Appendix to circumvent page limits. Follow all instructions for the Appendix as described in the SF424 (R&R) Application Guide.

Part I. Overview Information contains information about Key Dates. Applicants are encouraged to submit applications before the deadline to ensure they have time to make any application corrections that might be necessary for successful submission.

Organizations must submit applications via Grants.gov, the online portal to find and apply for grants across all Federal agencies. Applicants must then complete the submission process by tracking the status of the application in the eRA Commons, NIH’s electronic system for grants administration.

Applicants are responsible for viewing their application before the deadline in the eRA Commons to ensure accurate and successful submission.

Information on the submission process and a definition of on-time submission are provided in the SF424 (R&R) Application Guide.

This initiative is not subject to intergovernmental review.

All NIH awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.

Pre-award costs are allowable only as described in the NIH Grants Policy Statement.

Applications must be submitted electronically following the instructions described in the SF424 (R&R) Application Guide. Paper applications will not be accepted.

Applicants must complete all required registrations before the application due date. Section III. Eligibility Information contains information about registration.

For assistance with your electronic application or for more information on the electronic submission process, visit Applying Electronically.

Important reminders:
All PD(s)/PI(s) must include their eRA Commons ID in the Credential field of the Senior/Key Person Profile Component of the SF424(R&R) Application Package. Failure to register in the Commons and to include a valid PD/PI Commons ID in the credential field will prevent the successful submission of an electronic application to NIH.

The applicant organization must ensure that the DUNS number it provides on the application is the same number used in the organization’s profile in the eRA Commons and for the System for Award Management (SAM). Additional information may be found in the SF424 (R&R) Application Guide.

See more tips for avoiding common errors.

Upon receipt, applications will be evaluated for completeness by the Center for Scientific Review and responsiveness by components of participating organizations, NIH. Applications that are incomplete and/or nonresponsive will not be reviewed.

In order to expedite review, applicants are requested to notify the NHGRI Referral Office by email at nakamurk@mail.nih.gov when the application has been submitted. Please include the FOA number and title, PD/PI name, and title of the application.

Applicants are required to follow the instructions for post-submission materials, as described in NOT-OD-10-115.

Only the review criteria described below will be considered in the review process. As part of the NIH mission, all applications submitted to the NIH in support of biomedical and behavioral research are evaluated for scientific and technical merit through the NIH peer review system.

Reviewers will provide an overall impact score to reflect their assessment of the likelihood for the project to exert a sustained, powerful influence on the research field(s) involved, in consideration of the following review criteria and additional review criteria (as applicable for the project proposed).

Reviewers will consider each of the review criteria below in the determination of scientific merit, and give a separate score for each. An application does not need to be strong in all categories to be judged likely to have major scientific impact. For example, a project that by its nature is not innovative may be essential to advance a field.

Significance

Does the project address an important problem or a critical barrier to progress in the field? If the aims of the project are achieved, how will scientific knowledge, technical capability, and/or clinical practice be improved? How will successful completion of the aims change the concepts, methods, technologies, treatments, services, or preventative interventions that drive this field? How will this project improve the approach to patients who suffer from rare diseases or yet to be described diseases? How will this project improve the understanding of the etiology of these diseases and lead to their mitigation?

Investigator(s)

Are the PD(s)/PI(s), collaborators, and other researchers well suited to the project? If Early Stage Investigators or New Investigators, or in the early stages of independent careers, do they have appropriate experience and training? If established, have they demonstrated an ongoing record of accomplishments that have advanced their field(s)? If the project is collaborative or multi-PD/PI, do the investigators have complementary and integrated expertise; are their leadership approach, governance and organizational structure appropriate for the project? Have the PD(s)/PI(s) participated in evaluation and management of difficult-to-diagnose patients and are they recognized within and outside their institutions as expert diagnosticians? Have the PD(s)/PI(s) participated in a clinical site in any collaborative, multi-center networks? Do the PD(s)/PI(s) have experience collecting, analyzing, and publishing phenotypic and genomic data?

Innovation

Does the application challenge and seek to shift current research or clinical practice paradigms by utilizing novel theoretical concepts, approaches or methodologies, instrumentation, or interventions? Are the concepts, approaches or methodologies, instrumentation, or interventions novel to one field of research or novel in a broad sense? Is a refinement, improvement, or new application of theoretical concepts, approaches or methodologies, instrumentation, or interventions proposed? Will this research advance the use of genomics, related technologies and the use of common data elements/protocols in clinical care of patients with rare or as-yet-undescribed diseases?

Approach

Are the overall strategy, methodology, and analyses well-reasoned and appropriate to accomplish the specific aims of the project? Are potential problems, alternative strategies, and benchmarks for success presented? If the project is in the early stages of development, will the strategy establish feasibility and will particularly risky aspects be managed?

If the project involves clinical research, are the plans for 1) protection of human subjects from research risks, and 2) inclusion of minorities and members of both sexes/genders, as well as the inclusion of children, justified in terms of the scientific goals and research strategy proposed?

Environment

Will the scientific environment in which the work will be done contribute to the probability of success? Are the institutional support, equipment and other physical resources available to the investigators adequate for the project proposed? Will the project benefit from unique features of the scientific environment, subject populations, or collaborative arrangements? Are institutional resources and infrastructure being committed or leveraged? Are adequate plans for investigation and referral for care of uninsured or under-insured patients? Are there plans for sustaining the new Clinical Site once Common Fund support ends, presented and substantiated by clear institutional commitments?

As applicable for the project proposed, reviewers will evaluate the following additional items while determining scientific and technical merit, and in providing an overall impact score, but will not give separate scores for these items.

Protections for Human Subjects

For research that involves human subjects but does not involve one of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate the justification for involvement of human subjects and the proposed protections from research risk relating to their participation according to the following five review criteria: 1) risk to subjects, 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance of the knowledge to be gained, and 5) data and safety monitoring for clinical trials.

For research that involves human subjects and meets the criteria for one or more of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate: 1) the justification for the exemption, 2) human subjects involvement and characteristics, and 3) sources of materials. For additional information on review of the Human Subjects section, please refer to the Human Subjects Protection and Inclusion Guidelines.

Inclusion of Women, Minorities, and Children

When the proposed project involves clinical research, the committee will evaluate the proposed plans for inclusion of minorities and members of both genders, as well as the inclusion of children. For additional information on review of the Inclusion section, please refer to the Human Subjects Protection and Inclusion Guidelines.

Vertebrate Animals

The committee will evaluate the involvement of live vertebrate animals as part of the scientific assessment according to the following five points: 1) proposed use of the animals, and species, strains, ages, sex, and numbers to be used; 2) justifications for the use of animals and for the appropriateness of the species and numbers proposed; 3) adequacy of veterinary care; 4) procedures for limiting discomfort, distress, pain and injury to that which is unavoidable in the conduct of scientifically sound research including the use of analgesic, anesthetic, and tranquilizing drugs and/or comfortable restraining devices; and 5) methods of euthanasia and reason for selection if not consistent with the AVMA Guidelines on Euthanasia. For additional information on review of the Vertebrate Animals section, please refer to the Worksheet for Review of the Vertebrate Animal Section.

Biohazards

Reviewers will assess whether materials or procedures proposed are potentially hazardous to research personnel and/or the environment, and if needed, determine whether adequate protection is proposed.

Resubmissions

Not Applicable

Renewals

Not Applicable

Revisions

Not Applicable

As applicable for the project proposed, reviewers will consider each of the following items, but will not give scores for these items, and should not consider them in providing an overall impact score.

Applications from Foreign Organizations

Not Applicable

Select Agent Research

Reviewers will assess the information provided in this section of the application, including 1) the Select Agent(s) to be used in the proposed research, 2) the registration status of all entities where Select Agent(s) will be used, 3) the procedures that will be used to monitor possession use and transfer of Select Agent(s), and 4) plans for appropriate biosafety, biocontainment, and security of the Select Agent(s).

Resource Sharing Plans

Reviewers will comment on whether the following Resource Sharing Plans, or the rationale for not sharing the following types of resources, are reasonable: 1) Data Sharing Plan; 2) Sharing Model Organisms; and 3) Genome Wide Association Studies (GWAS).

Budget and Period of Support

Reviewers will consider whether the budget and the requested period of support are fully justified and reasonable in relation to the proposed research.

Applications will be evaluated for scientific and technical merit by (an) appropriate Scientific Review Group(s) convened by NHGRI, in accordance with NIH peer review policy and procedures, using the stated review criteria. Assignment to a Scientific Review Group will be shown in the eRA Commons.

As part of the scientific peer review, all applications:

• Will undergo a selection process in which only those applications deemed to have the highest scientific and technical merit (generally the top half of applications under review) will be discussed and assigned an overall impact/priority score.
• Will receive a written critique.

Appeals of initial peer review will not be accepted for applications submitted in response to this FOA.

Applications will be assigned to the appropriate NIH Institute or Center. Applications will compete for available funds with all other recommended applications submitted in response to this FOA. Following initial peer review, recommended applications will receive a second level of review by the National Advisory Council for Human Genome Research. The following will be considered in making funding decisions:

• Scientific and technical merit of the proposed project as determined by scientific peer review.
• Availability of funds.
• Relevance of the proposed project to program priorities.
• Inclusion of diverse and under-served populations such as disadvantaged or non-European ancestry groups.
• Inclusion of diverse practice settings such as community hospitals, primary care practices, specialty groups, and military or Veterans Administration hospitals.
• Inclusion of diverse geographic sites throughout the continental United States.
• Balance of unique or specialized capabilities.
• Plans for caring for uninsured or underinsured patients.
• Plans for sustainability.

After the peer review of the application is completed, the PD/PI will be able to access his or her Summary Statement (written critique) via the eRA Commons.

Information regarding the disposition of applications is available in the NIH Grants Policy Statement.

If the application is under consideration for funding, NIH will request "just-in-time" information from the applicant as described in the NIH Grants Policy Statement.

A formal notification in the form of a Notice of Award (NoA) will be provided to the applicant organization for successful applications. The NoA signed by the grants management officer is the authorizing document and will be sent via email to the grantee’s business official.

Awardees must comply with any funding restrictions described in Section IV.5. Funding Restrictions. Selection of an application for award is not an authorization to begin performance. Any costs incurred before receipt of the NoA are at the recipient's risk. These costs may be reimbursed only to the extent considered allowable pre-award costs.

Any application awarded in response to this FOA will be subject to the DUNS, SAM Registration, and Transparency Act requirements as noted on the Award Conditions and Information for NIH Grants website.

All NIH grant and cooperative agreement awards include the NIH Grants Policy Statement as part of the NoA. For these terms of award, see the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards, Subpart A: General and Part II: Terms and Conditions of NIH Grant Awards, Subpart B: Terms and Conditions for Specific Types of Grants, Grantees, and Activities. More information is provided at Award Conditions and Information for NIH Grants.

Cooperative Agreement Terms and Conditions of Award

The following special terms of award are in addition to, and not in lieu of, otherwise applicable U.S. Office of Management and Budget (OMB) administrative guidelines, U.S. Department of Health and Human Services (DHHS) grant administration regulations at 45 CFR Parts 74 and 92 (Part 92 is applicable when State and local Governments are eligible to apply), and other HHS, PHS, and NIH grant administration policies.

The administrative and funding instrument used for the UDN will be the cooperative agreement, an "assistance" mechanism (rather than an "acquisition" mechanism), in which substantial NIH programmatic involvement with the awardees is anticipated during the performance of the activities. Under the cooperative agreement, the NIH purpose is to support and stimulate the recipients' activities by involvement in and otherwise working jointly with the award recipients in a partnership role; it is not to assume direction, prime responsibility, or a dominant role in the activities. Consistent with this concept, the dominant role and prime responsibility resides with the awardees for the project as a whole, although specific tasks and activities may be shared among the awardees and the NIH as defined below.

The PD(s)/PI(s) will have the primary responsibility for:

• Determining research approaches, designing protocols, setting project milestones, and conducting research.
• Participating in group activities, including a study-wide Steering Committee and working groups as needed.
• Reviewing and modifying preliminary protocols and operating guidelines drafted by the UDN CC and IRP-UDP investigators that will define an initial framework for common approaches to patient selection, data collection, laboratory investigation, and ultimate diagnosis, and serve as a base for further refinement by all Network investigators.
• Refining and implementing the resulting consensus framework at their sites and Network-wide, in collaboration with the CC and IRP-UDP.
• Rigorously collecting phenotypic, covariate, exposure, and follow-up data, utilizing standardized laboratory and imaging approaches and defined data quality standards as agreed upon Network-wide.
• Leading clinical site staff in the provision of results of genomic, imaging and biomarker studies as they become available in a supportive and patient-specific fashion.
• Providing protocols, reports and data in a timely fashion as agreed upon by the Steering Committee.
• Submitting all data from UDN patients as soon as they are collected to the CC for cleaning, quality control, and compilation in a Network-wide dataset to be distributed periodically to all CS (including the IRP-UDP), as agreed upon by the Network Steering Committee, and deposited in dbGaP.
• Examining and providing data on 10 UDN patients per site in FY14, 25 per site in FY15, and 50 per site in FY16 and FY17.
• Analyzing and interpreting 35 whole exomes or whole genomes per site in FY15, increasing to 140 whole exomes or whole genomes per site per year in FY16 and FY17.
• Preparing abstracts, presentations and publications and collaborating Network-wide in making the public aware of the program.
• Disseminating data, protocols, consent materials, and methods developed for or derived from the UDN within and outside the Network.
• Developing and implementing appropriate educational materials for patients and clinicians.
• Adhering to policies regarding data access, publication, and intellectual property established by the NIH and the Steering Committee for the UDN.
• Abiding by common definitions, protocols, procedures, as chosen by majority vote of the Steering Committee.
• Accepting and complying with study policies established by NIH, and with additional non-conflicting policies approved by the Steering Committee.
• Submitting periodic progress reports in a standard format, as agreed upon by the Steering Committee and NIH Working Group.
• Attending and participating in Steering Committee meetings and accepting and implementing decisions by the NIH Working Group, as appropriate.

Awardees will retain custody of and have primary rights to the data and software developed under these awards, subject to Government rights of access consistent with current DHHS, PHS, and NIH policies.

NIH staff have substantial programmatic involvement that is above and beyond the normal stewardship role in awards, as described below:

The Project Scientist(s) will have substantial scientific and programmatic involvement during the conduct of this activity through technical assistance, advice, and coordination. However, the role of NIH staff will be to facilitate and not to direct the activities. It is anticipated that decisions in all activities will be reached by consensus of the UDN and that NIH staff will be given the opportunity to offer input to this process. The Project Scientist(s) will participate as members of the Steering Committee and will have one vote. The Project Scientist(s) will have the following substantial involvement:

• Participating with the other Steering Committee members in addressing issues that arise with UDP planning, operation and analysis. The Project Scientist(s) will assist and facilitate the group process and not direct it.
• Serving as a liaison, helping to coordinate activities, including acting as a liaison to other NIH Institutes/Centers, and as an information resource for the awardees. The Project Scientist(s) will also help coordinate the efforts of the UDN with other groups conducting similar efforts.
• Attending all Steering Committee meetings as a voting member and all Working Group meetings, assisting in developing operating guidelines, quality control procedures, and consistent policies for dealing with situations that require coordinated action. The Project Scientist(s) will be responsible for working with the grantee as needed to manage the logistic aspects of the resource.
• Reporting periodically on Network progress to the NIH Working Group and through it to the NIH Common Fund and to the National Advisory Council of Human Genome Research Institute.
• Serving on subcommittees of the Steering Committee, and Working Groups as appropriate.
• Assisting awardees in the development, if needed, of policies for dealing with situations that require coordinated action.
• Providing advice in the management and technical performance of the award.
• Assisting in promoting the availability of the data and related resources developed in the course of this program to the scientific community at large.
• Participating in data analyses, interpretations, and, where warranted, co-authorship of the publication of results of studies conducted through the program.
• Other NIH Working Group staff may assist the awardee as designated by the Program Official.

Additionally, an agency program official or IC program director will be responsible for the normal scientific and programmatic stewardship of the award and will be named in the award notice. The assigned Program Official may also serve as an NIH Working Group Project Scientist(s).

Collaborative Responsibilities

Close interaction among the participating investigators will be required, as well as significant involvement from the NIH, to develop the UDN. The awardee and the Project Scientist(s) will meet in person with the program Steering Committee on a quarterly schedule during the first year of Network operation and subsequently three times per year and monthly on conference calls as needed to share information on data resources, methodologies, analytical tools, as well as data and preliminary results. PIs, key co-investigators and pre- and post-doctoral trainees, especially those who are members of under-represented minority groups or those from different but related disciplines, are eligible to attend these meetings.

The Steering Committee will serve as the main scientific body of the program. The Steering Committee will be responsible for coordinating the activities being conducted by the program. The Steering Committee membership will include the PD(s)/PI(s) of each CS and CC award, other CC and CS staff as needed (ex-officio) and the NIH Project Scientist(s). The Steering Committee may add additional members, and other government staff may attend the Steering Committee meetings as desired. Each CS (including the IRP-UDP), the CC, will have one vote and the NIH Program Scientist(s) together will have one vote.

The Steering Committee may establish working groups as needed to address particular issues, which will include representatives from the program and the NIH and possibly other experts. The UDN SC will have the overall responsibility of assessing and prioritizing the progress of the various working groups and other needed subcommittees.

The Clinical Site Awardees agree to work collaboratively to:

• Assist in refining a common approach to patients with Undiagnosed Diseases.
• Participate in network-wide processes for patient selection and assignment to specific CS for evaluation.
• Provide for secure, accurate and timely data submission.
• Identify 10 previously unidentified diseases Network-wide per year in FY16 and FY17.
• Participate in presenting and publishing new processes and substantive findings.
• Participate in the governance of the UDN as a member of the Steering Committee.
• Interact with other relevant NHGRI and NIH activities, as needed, to promote synergy and consistency among similar projects.

Dispute Resolution:

Any disagreements that may arise in scientific or programmatic matters (within the scope of the award) between award recipients and the NIH may be brought to Dispute Resolution. A Dispute Resolution Panel composed of three members will be convened. It will have three members: a designee of the Steering Committee chosen without NIH staff voting, one NIH designee, and a third designee with expertise in the relevant area who is chosen by the other two; in the case of individual disagreement, the first member may be chosen by the individual awardee. This special dispute resolution procedure does not alter the awardee's right to appeal an adverse action that is otherwise appealable in accordance with PHS regulation 42 CFR Part 50, Subpart D and DHHS regulation 45 CFR Part 16.

When multiple years are involved, awardees will be required to submit the annual Non-Competing Progress Report (PHS 2590 or RPPR) and financial statements as required in the NIH Grants Policy Statement.

A final progress report, invention statement, and the expenditure data portion of the Federal Financial Report are required for closeout of an award, as described in the NIH Grants Policy Statement.

The Federal Funding Accountability and Transparency Act of 2006 (Transparency Act), includes a requirement for awardees of Federal grants to report information about first-tier subawards and executive compensation under Federal assistance awards issued in FY2011 or later. All awardees of applicable NIH grants and cooperative agreements are required to report to the Federal Subaward Reporting System (FSRS) available at www.fsrs.gov on all subawards over $25,000. See the NIH Grants Policy Statement for additional information on this reporting requirement.

We encourage inquiries concerning this funding opportunity and welcome the opportunity to answer questions from potential applicants.

Grants.gov Customer Support (Questions regarding Grants.gov registration and submission, downloading or navigating forms)
Contact Center Phone: 800-518-4726
Email: support@grants.gov

GrantsInfo (Questions regarding application instructions and process, finding NIH grant resources)
Telephone 301-710-0267
TTY 301-451-5936
Email: GrantsInfo@nih.gov

eRA Commons Help Desk (Questions regarding eRA Commons registration, tracking application status, post submission issues)
Phone: 301-402-7469 or 866-504-9552 (Toll Free)
TTY: 301-451-5939
Email: commons@od.nih.gov

Anastasia L. Wise, Ph.D.
National Human Genome Research Institute
Telephone: (301) 443-0585
Email: anastasia.wise@nih.gov

Rudy O. Pozzatti, Ph. D.
National Human Genome Research Institute
Telephone: (301) 402-0838
Email: pozzattr@mail.nih.gov

Lisa Oken
National Human Genome Research Institute
Telephone: (301) 594-5250
Email: loken@mail.nih.gov

Recently issued trans-NIH policy notices may affect your application submission. A full list of policy notices published by NIH is provided in the NIH Guide for Grants and Contracts. All awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.

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 Part 52 and 45 CFR Parts 74 and 92.