Department of Health and Human Services

Part 1. Overview Information

Participating Organization(s)

National Institutes of Health (NIH)

Components of Participating Organizations

National Institute on Drug Abuse (NIDA)

National Eye Institute (NEI)

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

National Institute of Biomedical Imaging and Bioengineering (NIBIB)

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

National Institute of Dental and Craniofacial Research (NIDCR)

National Institute of Environmental Health Sciences (NIEHS)

National Institute of Mental Health (NIMH)

National Institute of Neurological Disorders and Stroke (NINDS)

National Institute on Minority Health and Health Disparities (NIMHD)

All applications to this funding opportunity announcement should fall within the mission of the Institutes/Centers. The following NIH Offices may co-fund applications assigned to those Institutes/Centers.

Office of Behavioral and Social Sciences Research (OBSSR)

Office of Research on Women's Health (ORWH)

Funding Opportunity Title
HEAL Initiative: Limited Competition for the HEALthy Brain and Child Development Study - Research Project Sites (Collaborative U01- Clinical Trial Not Allowed)
Activity Code

U01 Research Project – Cooperative Agreements

Announcement Type
Reissue of RFA-DA-21-020
Related Notices
Funding Opportunity Number (FON)
RFA-DA-27-013
Companion Funding Opportunity
RFA-DA-27-014 , U24 Resource-Related Research Project (Cooperative Agreements)
Number of Applications

See Section III. 3. Additional Information on Eligibility.

Assistance Listing Number(s)
93.279, 93.286, 93.867, 93.865, 93.121, 93.113, 93.313, 93.273, 93.242, 93.307, 93.853
Funding Opportunity Purpose

This is a Notice of Funding Opportunity (NOFO) for a Limited Competition that will invite applications from eligible organizations to apply. Please see Section III. Eligibility, for additional information. In accordance with NIH standard peer-review processes, the applications will be peer-reviewed, and only meritorious applications will be considered for funding. This NOFO will renew the HEALthy Brain and Child Development (HBCD) Research Project Sites.

The HBCD Study is a nationwide, multi-site, longitudinal study that follows children from birth through childhood. The study examines brain and behavioral development, with a focus on how prenatal substance exposure affects health outcomes.

The HBCD Consortium consists of three highly integrated components: (1) a set of linked Research Project Sites, (2) a single overall Consortium Administrative Core (HCAC); and (3) a single central Data Coordinating Center (HDCC). As such, this NOFO runs in parallel with a companion NOFO that solicits applications for the HCAC and the HDCC (RFA-DA-27-014). It is expected that investigators, upon funding, will work jointly with NIH scientific staff to assist, guide, coordinate, and participate in project activities.

Funding Opportunity Goal(s)

To support basic, clinical, translational, and implementation research in the field of substance use. To develop new knowledge and approaches for the prevention, diagnosis, and treatment of drug use, misuse, and addiction, drug overdose, and related health outcomes, including HIV/AIDS.

Key Dates

Posted Date
June 10, 2026
Open Date (Earliest Submission Date)
June 10, 2026
Application Due Dates Review and Award Cycles
New Renewal / Resubmission / Revision (as allowed) AIDS - New/Renewal/Resubmission/Revision, as allowed Scientific Merit Review Advisory Council Review Earliest Start Date
July 10, 2026 July 10, 2026 Not Applicable November 2026 January 2027 April 2027

All applications are due by 5:00 PM local time of applicant organization. 

Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found in the application during the submission process by the due date.

No late applications will be accepted for this Notice of Funding Opportunity (NOFO).

Due Dates for E.O. 12372

Not Applicable

Expiration Date
July 11, 2026
Required Application Instructions

It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide, except where instructed to do otherwise (in this NOFO or in a Notice from NIH Guide for Grants and Contracts).

Conformance to all requirements (both in the Application Guide and the NOFO) 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.

There are several options available to submit your application through Grants.gov to NIH and Department of Health and Human Services partners. You must use one of these submission options to access the application forms for this opportunity.

  1. Use the NIH ASSIST system to prepare, submit and track your application online.
  2. Use an institutional system-to-system (S2S) solution to prepare and submit your application to Grants.gov and eRA Commons to track your application. Check with your institutional officials regarding availability.
  3. Use Grants.gov Workspace to prepare and submit your application and eRA Commons to track your application.

Part 2. Full Text of Announcement

Section I. Notice of Funding Opportunity Description

This is a Notice of Funding Opportunity (NOFO) for a Limited Competition that will invite application(s) from eligible organization(s) to apply. Please see Section III. Eligibility for additional information. In accordance with NIH standard peer-review processes, the application(s) will be peer-reviewed, and only meritorious application(s) will be considered for funding.

Purpose

The purpose of this NOFO is to renew the HEALthy Brain and Child Development (HBCD) Consortium research sites. The HBCD Study is a nationwide, multi-site, longitudinal study that follows children from birth through childhood. The study examines brain and behavioral development, with a focus on how prenatal substance exposure affects health outcomes.

Background

The brain develops rapidly before birth and throughout childhood. This period is critical for learning and emotional growth, but it is also a time when environmental exposures can have lasting effects on health and development. Exposure to substances during pregnancy, breastfeeding, or early caregiving can influence a child's brain and behavior. In recent years, rising substance use–especially opioids–has heightened the need to better understand these effects. For example, opioid use during pregnancy has led to an increase in infants experiencing neonatal withdrawal symptoms. Early exposures have been associated with changes in brain development and later behavioral conditions such as ADHD, anxiety, and early substance use.

Additional factors–including environmental toxins, nutrition, caregiving quality, neighborhood conditions, and access to healthcare–also play an important role in shaping child development. However, there is limited large-scale research tracking typical brain development from birth through childhood, making it difficult to understand how early experiences shape long-term outcomes.

HBCD Study Overview

The HBCD Study was established to address these gaps. The study follows pregnant women and their children from the 2nd trimester of pregnancy through childhood to develop a detailed understanding of how complex factors, including substance exposure, impact children's health, brain, and behavioral development.

The study measures:

  • Brain development (using neuroimaging and physiological tools)
  • Genetic and biological factors
  • Social and environmental contexts
  • Behavioral and health outcomes

Participants will include:

  • Pregnant women from the general U.S. population
  • A subset with prenatal exposure to substances (e.g., opioids, marijuana, stimulants, alcohol and tobacco/nicotine)
  • A comparison group without substance exposure

Data sharing:

Data will be shared regularly with the research community to support ongoing analysis and future studies.

The goal is to better understand factors that influence child development and identify opportunities to prevent harm and promote resilience.

For additional background information regarding the HBCD Study, applicants can review the HBCD Study website.

The NIH HEAL Initiative: This NOFO encourages applications in support of the NIH's Helping to End Addiction Long-term (HEAL) initiative to accelerate scientific solutions to the national opioid public health crisis. The NIH HEAL Initiative aims to (1) improve treatment for overdose, opioid misuse and addiction and (2) enhance pain management. More information about the HEAL Initiative is available at: https://heal.nih.gov/.

Research Objectives

Research sites should address key questions, including:

  • What are typical patterns of brain development from birth through childhood? How do they vary from person to person?
  • How do environmental exposures affect development?
  • How do genetic and environmental factors interact to influence brain development and behavior?
  • What are the effects of prenatal substance exposure on development?
  • Are there critical windows when exposures have greater impact on development?
  • What factors protect against negative outcomes?
  • How do caregiving and life transitions affect development?

Program Structure and Applicant Eligibility

The HBCD Consortium includes three components:

1. HBCD Research Project Sites

2. HBCD Consortium Administrative Core (HCAC)

3. HBCD Data Coordinating Center (HDCC)

This NOFO supports the renewal of the HBCD Research Project Sites. These sites will continue to follow participants and collect data using a shared protocol. A separate NOFO (RFA-DA-27-014) seeks applications for the HCAC and HDCC.

HBCD Research Project Site Structure, Responsibilities, and Requirements

Site Structure Options:

A research project site can be either:

1. A single institution (if all functions can be accomplished at that site), OR

2. A central hub institution with other institutions as spokes (such that all required data collection can be accomplished by contributing institutions)

In either structure, PD/PIs have overall responsibility for study progress.

Each site will be responsible to:

  • Recruit and retain participants
  • Conduct all study assessments and measurements
  • Collect and submit data using shared protocol
  • Coordinate with the consortium to support combined data analysis

HBCD Coordination and Data Management

  • The HCAC manages overall coordination, performance metrics and communication.
  • The HDCC coordinates and standardizes data collection, processing, storage, and analysis; and provides tools to monitor study progress.

Results-Based Accountability (RBA) Approach

The proposed study must rigorously address the overarching objectives and research questions outlined above. To ensure the consortium reaches its stated goals and outcomes, a results-based accountability (RBA) approach will be used.

Requirements:

Applicants should include a Recruitment and Retention Plan describing how enrollment and retention goals will be comprehensively met throughout the course of the competitive renewal period.

All linked applications must include a document titled "Recruitment and Retention Strategies" as an attachment that clearly outlines this plan (see Other Project Information section below).

The plan must include:

  • Distribution of participants across linked sites
  • Each site's staffing model
  • Monthly visit capacity
  • Strategies for retaining participants through all study visits

Note: If recruitment is complete, plans do not need to describe recruitment goals but should indicate final sample size.

Research project sites will work collaboratively with the HCAC and HDCC to support the RBA approach.

Additional information about the use of RBA for HBCD can be found in Section VI.

Community-Engaged Research Methods in HEAL Research Studies 

People with lived/living experience (e.g., patients, people in recovery, caregivers, families, community leaders) provide important insights that can improve meaningful outcomes and uptake of research findings across the research continuum from basic through implementation studies. The NIH HEAL Initiative strongly encourages community-engaged research methods that promote bi-directional communication between researchers and the relevant community throughout the research project.

See this resource for more information on community-engaged research methods.

Special Considerations

NIDA applicants are strongly encouraged to review the guidelines and adhere to the requirements applicable to their research listed in the Special Considerations for NIDA Funding Opportunities and Awards. Upon award, these considerations will be included in the Notice of Grant Award.

See Section VIII. Other Information for award authorities and regulations.

Section II. Award Information

Funding Instrument

Cooperative Agreement: A financial assistance 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. See Section VI.2 for additional information about the substantial involvement for this NOFO.

Application Types Allowed
New
Renewal

The OER Glossary and the How to Apply Application Guide provide details on these application types. Only those application types listed here are allowed for this NOFO.

Clinical Trial?

Not Allowed: This NOFO only accepts applications that do not propose clinical trials. Note: Applications may propose activities involving human subjects that are not deemed clinical trials.

Funds Available and Anticipated Number of Awards

NIH intends to commit approximately $48 million in FY27 to fund up to 26 awards for this NOFO (RFA-DA-27-013) and up to 2 awards for the companion NOFO (RFA-DA-27-014), contingent upon annual appropriations. NIH commitments in FY28-FY31 are dependent on annual appropriations. 

Award Budget

Application budgets are not limited but need to reflect the actual needs of the proposed project.

Award Project Period

The maximum project period is five years.

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

Section III. Eligibility Information

1. Eligible Applicants

Eligible Organizations

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 Organizations)

Only organizations (or their subrecipients) previously funded under RFA-DA-21-020 or RFA-DA-21-021 are eligible to apply.

Foreign Organizations/International Collaborations

Non-domestic (non-U.S.) Entities (Foreign Organizations) are eligible to apply.

Non-domestic (non-U.S.) components of U.S. Organizations are eligible to apply.

Foreign components, as defined in the NIH Grants Policy Statement, are allowed.

NIH will no longer issue awards (i.e., new, renewal, or non-competing continuation) to domestic or foreign entities that involve foreign subawards/subcontracts. All NIH-funded research involving foreign subawards/subcontracts must be submitted in response to a NOFO that is specifically designated for funded international collaborations. See NIH Grants Policy Statement 16.8 Collaborative International Research Awards.

Applications involving foreign subawards/subcontracts submitted in response to this NOFO will be deemed noncompliant and will not be considered for funding. This policy applies to all monetary international collaborations resulting in foreign subawards/subcontracts, however, it does not preclude unfunded international collaborations or foreign components, funding for foreign consultants, or procurement of unique equipment or supplies from foreign vendors.

Required Registrations

Applicant Organizations

Applicant organizations must complete and maintain the following registrations as described in the How to Apply- Application Guide to be eligible to apply for or receive an award. All registrations must be completed prior to the application being submitted. Registration can take 6 weeks or more, so applicants should begin the registration process as soon as possible. Failure to complete registrations in advance of a due date is not a valid reason for a late submission, please reference the NIH Grants Policy Statement Section 2.3.9.2 Electronically Submitted Applications for additional information.

  • System for Award Management (SAM) – Applicants must complete and maintain an active registration, which requires renewal at least annually. The renewal process may require as much time as the initial registration. SAM registration includes the assignment of a Commercial and Government Entity (CAGE) Code for domestic organizations which have not already been assigned a CAGE Code. Foreign organizations must obtain a NATO Commercial and Government Entity (NCAGE) Code (in lieu of a CAGE code) in order to register in SAM.
    • Unique Entity Identifier (UEI)- A UEI is issued as part of the SAM.gov registration process. The same UEI must be used for all registrations, as well as on the grant application.
  • eRA Commons - Once the unique organization identifier is established, organizations can register with eRA Commons in tandem with completing their Grants.gov registrations; all registrations must be in place by time of submission. eRA Commons requires organizations to identify at least one Signing Official (SO) and at least one Program Director/Principal Investigator (PD/PI) account in order to submit an application.
  • Grants.gov – Applicants must have an active SAM registration in order to complete the Grants.gov registration.

Program Directors/Principal Investigators (PD(s)/PI(s))

All PD(s)/PI(s) must have an eRA Commons account.  PD(s)/PI(s) should work with their organizational officials to either create a new account or to affiliate their existing account with the applicant organization in eRA Commons. If the PD/PI is also the organizational Signing Official, they must have two distinct eRA Commons accounts, one for each role. Obtaining an eRA Commons account can take up to 2 weeks.

All PD(s)/PI(s) must be registered with ORCID. The personal profile associated with the PD(s)/PI(s) eRA Commons account must be linked to a valid ORCID ID. For more information on linking an ORCID ID to an eRA Commons personal profile see the ORCID topic in our eRA Commons online help.

Eligible Individuals (Program Director/Principal Investigator)

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 their organization to develop an application for 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 How to Apply-Application Guide.

Only PDs/PIs, Co-Investigators, or subrecipients of the currently awarded HBCD study through RFA-DA-21-020 or RFA-DA-21-021 are eligible to apply for this limited competition NOFO. Investigators are permitted to apply for only one component of the overall HBCD Consortium (HDCC, HCAC or Research Site) as the PD/PI, but may serve as co-investigator on more than one component. This NOFO requires the use of the linked NIH Collaborative Research Project Grant (U01) award mechanism and requires a Multiple PD/PI structure with two to four PD/PIs. 

2. Cost Sharing

This NOFO does not require cost sharing as defined in the NIH Grants Policy Statement Section 1.2 Definition of Terms.

3. Additional Information on Eligibility

Number of Applications

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

The NIH will not accept duplicate or highly overlapping applications under review at the same time, per NIH Grants Policy Statement Section 2.3.7.4 Submission of Resubmission Application. This means that the NIH will not accept:

  • A new (A0) application that is submitted before issuance of the summary statement from the review of an overlapping new (A0) or resubmission (A1) application.
  • A resubmission (A1) application that is submitted before issuance of the summary statement from the review of the previous new (A0) application.
  • An application that has substantial overlap with another application pending appeal of initial peer review (see NIH Grants Policy Statement 2.3.9.4 Similar, Essentially Identical, or Identical Applications).

This NOFO only accepts applications that are part of a collaborative set of multiple applications. A linked set (i.e., set of research project sites) must contain at least two research project sites (i.e., applications). Additionally, this NOFO is limited competition and as such, PDs/PIs must have been PDs/PIs, Co-Investigators, or a subcontractor of the currently awarded HBCD study through RFA-DA-21-020 or RFA-DA-21-021.

Section IV. Application and Submission Information

1. Requesting an Application Package

The application forms package specific to this opportunity must be accessed through ASSIST, Grants.gov Workspace or an institutional system-to-system solution. Links to apply using ASSIST or Grants.gov Workspace are available in Part 1 of this NOFO. See your administrative office for instructions if you plan to use an institutional system-to-system solution.

2. Content and Form of Application Submission

It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide except where instructed in this notice of funding opportunity to do otherwise (in this NOFO, in a policy notice, or other notice from NIH Guide for Grants and Contracts). 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.

Page Limitations

All page limitations described in the How to Apply- Application Guide and the Table of Page Limits must be followed.

The following exceptions or additional requirements should be noted: It is required that the Research Strategy be identical across linked collaborative U01 applications, with the exception of a section (no more than two pages) describing the specific expertise and function of each application under "Elements Unique to This Site." 

Instructions for Application Submission

The following section supplements the instructions found in the How to Apply- Application Guide and should be used for preparing an application to this NOFO.

SF424(R&R) Cover

All instructions in the How to Apply - Application Guide must be followed.

Descriptive Title of Applicant's Project: To allow NIH to identify a group of applications as a related set of linked applications, the titles for each application in the set must have the following format: a "1/N" indicator + Title (i.e., where N = the total number of linked U01 applications to this RFA e.g., "1/3", where the 1/3 means this is site 1 of 3 sites in the set. The other sites will be labeled 2/3, etc.). A set of applications is defined as all applications for a single linked set submitted in response to this NOFO.

Cover Letter Attachment: The Cover Letter must be one PDF file only. The following collaborative information is required in the Cover Letter: a listing of all the applications that are a part of the set of linked applications being submitted, including for each: 1) the PD/PI(s) name(s), 2) the Title (including the tag, e.g., "1/3"), and 3) the Applicant Institution. Each site should submit an identical listing.

SF424(R&R) Project/Performance Site Locations

All instructions in the How to Apply- Application Guide must be followed.

SF424(R&R) Other Project Information

All instructions in the How to Apply- Application Guide must be followed.

Other Attachments

Submit the following three PDF documents:

1. Recruitment and Retention Strategies (5 pages maximum)

This document must include:

  1. One section that is identical across all sites in the consortium
  2. One section that is specific to each site

A. The consortium-wide section (identical across all sites) must describe:

  • The total study sample, including final projected sample size
  • Final projected sample size distributed across main study groups
  • Participant characteristics at the consortium level
  • Consortium-level policy for retention metrics, including:
    • Acceptable thresholds for withdrawals
    • Minimum data required for visits and measures

B. The site-specific section must describe:

  • Site's overall target or final projected enrollment across participant groups
  • Participant characteristics at the site level
  • Recruitment locations and types (e.g., clinic, hospital), especially sources for opioid-exposed participants
  • Staffing model, including roles for:
    • Recruitment and/or retention
    • Study coordination
    • Study/peer navigation
    • Study visits
    • Data management
  • Each staffing model should include:
    • One study coordinator
    • One study navigator (or explain how these roles will be covered)
  • If recruitment is complete, include:
    • Final sample size (no recruitment goals or strategies required)

2. Participant Referral Sources (1 page maximum):

Provide a table of organizations that participants may be referred to for services (see Ethical and Legal Considerations below). Include services provided by site, as applicable, and services from appropriate external organizations.

3. Community Engagement and Collaboration (2 pages maximum):

  • Describe strategies for community engagement to obtain and incorporate input, including:
    • Goals of each strategy
    • Community members/organizations involved
    • Nature of collaborative engagement (activities, frequency, duration)
    • How collaboration enhances recruitment/retention across different groups (e.g., drug-exposed, different geographic regions or socio-economic status)
    • Community partners should:
    • Be compensated for their time
    • Be included on the study team based on their expertise and role (e.g., consultant, co-investigator, MPI, or key personnel)

For guidance, refer to: NIH's Community Engagement Alliance and the National Academy of Medicine's Assessing Community Engagement Conceptual Model.

SF424(R&R) Senior/Key Person Profile

All instructions in the How to Apply- Application Guide must be followed.

R&R or Modular Budget

All instructions in the How to Apply- Application Guide must be followed.

R&R Subaward Budget

All instructions in the How to Apply - Application Guide must be followed.

PHS 398 Cover Page Supplement

All instructions in the How to Apply - Application Guide must be followed.

PHS 398 Research Plan

All instructions in the How to Apply - Application Guide must be followed, with the following additional instructions:

Research Plan Requirements

Linked applications from each site must include:

  • An identical Research Strategy describing project aspects common to all consortium sites
  • A subsection titled "Elements Unique to This Site" (limited to 2 pages) highlighting any variations between sites (even minor ones)

Specific Aims

The Specific Aims must include an Overview section that should be identical for all linked collaborative U01applications. The Overview should provide an overall rationale for applying as a collaborative study; the role of each site; the approach to project management; and elements unique to any of the sites.

Research Strategy

Study Design: 

The study must use a longitudinal, single-cohort design that follows participants from birth through early childhood. The cohort must include:

  1. A general population sample of pregnant women in the U.S.
  2. Pregnant women who used opioids or other substances during pregnancy
  3. A comparison group of pregnant women with similar backgrounds who did not use substances during pregnancy

The study design must describe:

  • How the proposed sample size supports:
    • Understanding typical brain development and person to person variability
    • Assessing effects of substance use and environmental exposures on brain development
  • Sample weighting, accounting for differences in various factors, such as:
    • Treatment availability
    • State laws and attitudes
    • Rural, urban, and suburban settings
  • Timeline for data collection that includes:
    • Plan for completion of all study visits in order to meet enrollment targets taking into account staffing capacity
    • Statistical justification for sample size and number of timepoints demonstrating design is adequately powered to address study aims
  • Sustainable community partnerships that:
    • Support retention strategies
    • Ensure the study reflects community needs
  • Strategies to maintain high participant retention, especially from individuals:
    • Who used substances during pregnancy
    • From economically disadvantaged backgrounds
    • From varied geographic locations

Ethical and Legal Considerations:

Research involving pregnant individuals, children, and other vulnerable populations must address legal, ethical, and regulatory risks.

Applications must describe:

  • Compliance with applicable regulations, including protections for prisoners (45 CFR Part 46, Subpart C), if applicable
  • Plans to maximize benefits and minimize risks to participants
  • Referral processes for participants needing services
  • How the sites will work with HCAC to address these issues at both local and consortium levels
  • Knowledge of state and local reporting requirements related to substance use during pregnancy
  • Steps to reduce legal risks to participants
  • Participant supports, such as:
    • Childcare and transportation
    • Referrals to treatment and services
    • Case management or navigation support
  • Partnerships with state and local agencies
  • Measures to protect participant confidentiality
  • Plans to involve ethics experts
  • Plans for returning study results to participants (individual or group-level, as appropriate)

Assessments and Measurements:

Applications must describe all planned assessments and use of state-of-the-art tools for:

  • Collecting and coding data across development
  • Assessing environmental and contextual influences and factors
  • Examining links between brain development and behavior
  • Biospecimen collection from mothers and children

Measures should:

  • Be age-appropriate and strengths-based, where possible
  • Use modern data collection methods when feasible (e.g., geospatial data, sensors)

Neurodevelopmental assessments may include:

  • Advanced data collection methods (e.g., digital tools, wearable devices) with appropriate quality control
  • Standardized measures that support data harmonization (e.g., NIH Toolbox, PhenX)
  • Detailed substance use histories using multiple data sources (e.g., interviews, biospecimens, medical records)
  • Biospecimen collection and processing (e.g., blood, saliva, hair) for substance exposure and environmental toxins
  • Measures of:
    • Adverse and positive childhood experiences
    • Parent stress and environmental instability
    • Socioeconomic conditions and access to services
    • Geographic variation and differences in healthcare access
    • Caregiver-child interactions and social supports
    • Neurodevelopmental conditions (e.g., autism, FASD)
    • Cognitive, emotional, language, and physical development

Neuroimaging and neurophysiology assessments should describe:

  • Visit schedules that balance scientific value and participant burden
  • Experience conducting imaging with infants and young children
  • Strategies to improve scan completion and retention
  • Access to imaging facilities, including flexible scheduling
  • Plans to optimize and standardize imaging protocols
  • Flexibility to adapt to new technologies and developmental changes
  • Methods to address motion and ensure data quality
  • Plans to harmonize data across sites
  • If multiple scanner types are used:
  • At least two sites must use the same scanner vendor
  • Describe how differences across scanners and sites will be addressed

IRB Requirement:

  • A single Institutional Review Board (sIRB) is required for this multi-site study conducting non-exempt human subjects research using the same protocol at multiple domestic sites (see the Single IRB Policy for Multi-Site Research).
  • The HCAC will establish and manage the sIRB.

Multiple Principal Investigator (MPI) Leadership Structure

Leadership Requirements:

This program requires a Multiple Principal Investigator (MPI) leadership structure with a maximum of four Program Directors/Principal Investigators (PD/PIs). Each PD/PI must bring unique subject matter expertise and distinct contributions necessary to achieve the stated objectives.

Required Plans:

Applicants must include an MPI Leadership Plan that describes:

  • Leadership structure and interactions
  • Distribution of responsibilities across PD/PIs
  • How the leadership team will actively engage with the Consortium

Applicants must include a Leadership Succession Plan that:

  • Identifies new leaders to replace current leaders if vacancies occur
  • Describes how the site plans to develop new leaders to replace current leaders if vacancies occur 

Successor MPIs should reflect continuity in leadership structure and scientific expertise.

Resource Sharing Plan: Individuals are required to comply with the instructions for the Resource Sharing Plans as provided in the How to Apply - Application Guide.

 Other Plan(s): 

All instructions in the How to Apply - Application Guide must be followed, with the following additional instructions:

Data Management and Sharing

A Data Management and Sharing Plan (DMS Plan) is required for any NIH-funded or conducted research that will generate scientific data. Applicants must submit the DMS Plan at the time of application using the NIH DMS Plan Format Page. The DMS Plan must address the elements in the structured format. Where the DMS Plan Format Page requires a "Yes or No" response, no additional narrative is allowed. 

Applications must comply with Data Management and Sharing (DMS) policies, methods and standards for scientific data and/or Genomic Data and coordinate data sharing through the HDCC.

HBCD Study data are expected to be shared through the NIH Brain Development Cohorts (NBDC) Data Hub and serve as a resource to the scientific community to enable broad use of the data. Data will be shared after basic quality assurance and at least annually.

HEAL Initiative Expectations

All data from HEAL-funded projects must be shared through a HEAL-compliant data repository so the data can be accessed through the HEAL Data Ecosystem (e.g., the HBCD Data Hub). The HEAL Initiative has additional requirements for awarded applications that must be addressed in the Data management and Sharing plan (refer to HEAL Data Sharing Requirements under Section VI.3 for details).

See guidance below for more information:

Appendix: Only limited Appendix materials are allowed. Follow all instructions for the Appendix as described in the How to Apply - Application Guide.

  • No publications or other material, with the exception of blank questionnaires or blank surveys, may be included in the Appendix.

PHS Human Subjects and Clinical Trials Information

When involving human subjects research, clinical research, and/or NIH-defined clinical trials (and when applicable, clinical trials research experience) follow all instructions for the PHS Human Subjects and Clinical Trials Information form in the How to Apply- Application Guide, with the following additional instructions:

If you answered "Yes" to the question "Are Human Subjects Involved?" on the R&R Other Project Information form, you must include at least one human subjects study record using the Study Record: PHS Human Subjects and Clinical Trials Information form or Delayed Onset Study record.

Study Record: PHS Human Subjects and Clinical Trials Information

All instructions in the How to Apply - Application Guide must be followed.

Delayed Onset Study

Note: Delayed onset does NOT apply to a study that can be described but will not start immediately (i.e., delayed start). All instructions in the How to Apply- Application Guide must be followed.

PHS Assignment Request Form

All instructions in the How to Apply- Application Guide must be followed.

Foreign Organizations

Foreign (non-U.S.) organizations must follow policies described in the NIH Grants Policy Statement, and procedures for foreign organizations described throughout the How to Apply- Application Guide.

3. Unique Entity Identifier and System for Award Management (SAM)

See Part 2. Section III.1 for information regarding the requirement for obtaining a unique entity identifier and for completing and maintaining active registrations in System for Award Management (SAM), NATO Commercial and Government Entity (NCAGE) Code (if applicable), eRA Commons, and Grants.gov

4. Submission Dates and Times

Part I. contains information about Key Dates and times. Applicants are encouraged to submit applications before the due date to ensure they have time to make any application corrections that might be necessary for successful submission. When a submission date falls on a weekend or Federal holiday, the application deadline is automatically extended to the next business day.

Organizations must submit applications to 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. NIH and Grants.gov systems check the application against many of the application instructions upon submission. Errors must be corrected and a changed/corrected application must be submitted to Grants.gov on or before the application due date and time.  If a Changed/Corrected application is submitted after the deadline, the application will be considered late. Applications that miss the due date and time are subjected to the NIH Grants Policy Statement Section 2.3.9.2 Electronically Submitted Applications. Each application of a collaborative set must be on time. Considerations for late applications that are based on the institution of PD/PI apply only to his/her individual application.

Applicants are responsible for viewing their application before the due date 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 How to Apply-Application Guide.

5. Intergovernmental Review (E.O. 12372)

This initiative is not subject to intergovernmental review.

6. Funding Restrictions

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 Section 7.9.1 Selected Items of Cost.

7. Other Submission Requirements and Information

Applications must be submitted electronically following the instructions described in the How to Apply 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 How to Apply – Application Guide. If you encounter a system issue beyond your control that threatens your ability to complete the submission process on-time, you must follow the Dealing with System Issues guidance. For assistance with application submission, contact the Application Submission Contacts in Section VII.

Important reminders:

All PD(s)/PI(s) must include their eRA Commons ID in the Credential field of the Senior/Key Person Profile form. 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. See Section III of this NOFO for information on registration requirements.

The applicant organization must ensure that the unique entity identifier provided on the application is the same identifier used in the organization's profile in the eRA Commons and for the System for Award Management. Additional information may be found in the How to Apply Application Guide.

See more tips for avoiding common errors.

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

Mandatory Disclosure

Recipients or subrecipients must submit any information related to violations of federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal award. See Mandatory Disclosures, 2 CFR 200.113 and NIH Grants Policy Statement Section 4.1.35.

Send written disclosures to the NIH Chief Grants Management Officer listed on the Notice of Award for the IC that funded the award and to the HHS Office of Inspector Grant Self Disclosure Program at grantdisclosures@oig.hhs.gov.

Post Submission Materials

Applicants are required to follow the instructions for post-submission materials, as described in the policy

Section V. Application Review Information

1. Criteria

Only the review criteria described below will be considered in the review process. Applications submitted to the NIH in support of the NIH mission are evaluated for scientific and technical merit through the NIH peer review system.

For this announcement, reviewers will focus on how well the linked research site applications work together as a single, coordinated study.

Reviewers will place special emphasis on whether applicants can:

  • Implement the study design
  • Conduct proposed longitudinal assessments
  • Retain pregnant women from high risk and substance using populations 
Overall Impact

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 scored review criteria and additional review criteria (as applicable for the project proposed). An application does not need to be strong in all categories to be judged likely to have a major scientific impact.

Scored Review Criteria

Reviewers will consider Factors 1, 2 and 3 in the determination of scientific merit, and in providing an overall impact score. In addition, Factors 1 and 2 will each receive a separate factor score. 

 

Significance

  • Evaluate the importance of the proposed research in the context of current scientific challenges and opportunities, either for advancing knowledge within the field, or more broadly. Assess whether the application addresses an important gap in knowledge in the field, would solve a critical problem, or create a valuable conceptual or technical advance.
  • Evaluate the rationale for undertaking the study, the rigor of the scientific background for the work (e.g., prior literature and/or preliminary data) and whether the scientific background justifies the proposed study.

Innovation

  • Evaluate the extent to which innovation influences the importance of undertaking the proposed research. Note that while technical or conceptual innovation can influence the importance of the proposed research, a project that is not applying novel concepts or approaches may be of critical importance for the field.
  • Evaluate whether the proposed work applies novel concepts, methods or technologies or uses existing concepts, methods, technologies in novel ways, to enhance the overall impact of the project.

Specific to this NOFO:

Reviewers will evaluate whether the application:

  • Addresses study aims, including:
    • Typical patterns of brain development and how they vary from person to person
    • Effects of early exposure to opioids, other substances, and environmental factors on patterns of brain development
  • Describes state-of-the-art tools to: 
    • Collect and code data across development
    • Assess environmental influences
    • Examine links between brain development and behavior

 

Approach

  • Evaluate the scientific quality of the proposed work. Evaluate the likelihood that compelling, reproducible findings will result (rigor) and assess whether the proposed studies can be done well and within the timeframes proposed (feasibility).

Rigor

  • Evaluate the potential to produce unbiased, reproducible, robust data.
  • Evaluate the rigor of experimental design and whether appropriate controls are in place.
  • Evaluate whether the sample size is sufficient and well-justified.
  • Assess the quality of the plans for analysis, interpretation, and reporting of results.
  • Evaluate whether the investigators presented adequate plans to address relevant biological variables, such as sex or age, in the design, analysis, and reporting.
  • For applications involving human subjects or vertebrate animals, also evaluate:
    • the rigor of the intervention or study manipulation (if applicable to the study design).
    • whether outcome variables are justified.
    • whether the results will be generalizable or, in the case of a rare disease/special group, relevant to the particular subgroup.
    • whether the study population appropriately models the target population.
  • For applications involving human subjects, including clinical trials, assess the adequacy of inclusion plans as appropriate for the scientific goals of the research. Considerations of appropriateness may include disease/condition/behavior incidence, prevalence, or population burden, population representation, and/or current state of the science.

Feasibility

  • Evaluate whether the proposed approach is sound and achievable, including plans to address problems or new challenges that emerge in the work. For proposed studies in which feasibility may be less certain, evaluate whether the uncertainty is balanced by the potential for major advances.
  • For applications involving human subjects, including clinical trials, evaluate the adequacy and feasibility of the plan to recruit and retain a study population that appropriately models the target population. Additionally, evaluate the likelihood of successfully achieving the proposed enrollment based on age, race, ethnicity, and sex.
  • For clinical trial applications, evaluate whether the study timeline and milestones are feasible.

Specific to this NOFO:

Reviewers will evaluate whether the application:

  • Includes a study design describing:
    • Statistical justifications for chosen sample size and number of timepoints demonstrating design is adequately powered to address study aims.
    • Plan for completion of all study visits to meet enrollment targets in alignment with staffing capacity.
    • Community partnerships that support retention and ensure the study reflects community needs.

 

Investigator(s)

  • Evaluate whether the investigator(s) have demonstrated background, training, and expertise, as appropriate for their career stage, to conduct the proposed work. For Multiple Principal Investigator (MPI) applications, assess the quality of the leadership plan to facilitate coordination and collaboration.

Environment

  • Evaluate whether the institutional resources are appropriate to ensure the successful execution of the proposed work.

Specific to this NOFO:

Reviewers will evaluate whether the application:

      Describes strategies to maintain high retention, especially from participants:

  • Who used substances during pregnancy
  • From economically disadvantaged backgrounds
  • From varied geographic locations

      Demonstrates sustainable partnerships with community organizations


Additional Review Criteria

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

 

For research that involves human subjects but does not involve one of the categories of research that are exempt under 45 CFR Part 46, 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 categories of research that are exempt under 45 CFR Part 46, 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 Guidelines for the Review of Human Subjects.

This NOFO only accepts applications that do not propose clinical trials. Note: Applications may propose activities involving human subjects that are not deemed clinical trials.


 

When the proposed research includes Vertebrate Animals, evaluate the involvement of live vertebrate animals according to the following criteria: (1) description of proposed procedures involving animals, including species, strains, ages, sex, and total number to be used; (2) justifications for the use of animals versus alternative models and for the appropriateness of the species proposed; (3) interventions to minimize discomfort, distress, pain and injury; and (4) justification for euthanasia method if NOT consistent with the AVMA Guidelines for the Euthanasia of Animals. For additional information on review of the Vertebrate Animals section, please refer to the Worksheet for Review of the Vertebrate Animals Section.


 

When the proposed research includes Biohazards, evaluate whether specific materials or procedures that will be used are significantly hazardous to research personnel and/or the environment, and whether adequate protection is proposed.


 

As applicable, evaluate the full application as now presented.


 

As applicable, evaluate the progress made in the last funding period.


 

As applicable, evaluate the appropriateness of the proposed expansion of the scope of the project.


Additional Review Considerations

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.

 

For projects involving key biological and/or chemical resources, evaluate the brief plans proposed for identifying and ensuring the validity of those resources.


 

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


2. Review and Selection Process

Applications will be evaluated for scientific and technical merit by (an) appropriate Scientific Review Group(s) convened by the Center for Scientific Review (CSR), 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 receive a written critique.

Requests for reconsideration of initial peer review will not be accepted for applications submitted in response to this NOFO. 

Applications will be assigned on the basis of established PHS referral guidelines to the appropriate NIH Institute or Center. Applications will compete for available funds with all other recommended applications submitted in response to this NOFO. Following initial peer review, recommended applications will receive a second level of review by the National Advisory Council on Drug Abuse. 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.

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 Section 2.5.1. Just-in-Time Procedures. This request is not a Notice of Award nor should it be construed to be an indicator of possible funding.

Prior to making an award, NIH reviews an applicant's federal award history in SAM.gov to ensure sound business practices. An applicant can review and comment on any information in the Responsibility/Qualification records available in SAM.gov. NIH will consider any comments by the applicant in the Responsibility/Qualification records in SAM.gov to ascertain the applicant's integrity, business ethics, and performance record of managing Federal awards per 2 CFR Part 200.206 "Federal awarding agency review of risk posed by applicants." This provision will apply to all NIH grants and cooperative agreements except fellowships.

3. Anticipated Announcement and Award Dates

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. Refer to Part 1 for dates for peer review, advisory council review, and earliest start date.

Information regarding the disposition of applications is available in the NIH Grants Policy Statement Section 2.4.4 Disposition of Applications.

Section VI. Award Administration Information

1. Award Notices

A Notice of Award (NoA) is the official authorizing document notifying the applicant that an award has been made and that funds may be requested from the designated HHS payment system or office. The NoA is signed by the Grants Management Officer and emailed to the recipient's business official.

In accepting the award, the recipient agrees that any activities under the award are subject to all provisions currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

Recipients must comply with any funding restrictions described in Section IV.6. Funding Restrictions. Any pre-award costs incurred before receipt of the NoA are at the applicant's own risk.  For more information on the Notice of Award, please refer to the NIH Grants Policy Statement Section 5. The Notice of Award and NIH Grants & Funding website, see Award Process.

Institutional Review Board or Independent Ethics Committee Approval: Recipient institutions must ensure that protocols are reviewed by their IRB or IEC. To help ensure the safety of participants enrolled in NIH-funded studies, the recipient must provide NIH copies of documents related to all major changes in the status of ongoing protocols.

2. Administrative and National Policy Requirements

The following Federal wide and HHS-specific policy requirements apply to awards funded through NIH:

All federal statutes and regulations relevant to federal financial assistance, including those highlighted in NIH Grants Policy Statement Section 4 Public Policy Requirements, Objectives and Other Appropriation Mandates.

By applying for or accepting federal funds from HHS, recipients certify compliance with all federal anti-discrimination laws and these requirements and that complying with those laws is a material condition of receiving federal funding streams. Recipients are responsible for ensuring subrecipients, contractors, and partners also comply.

Applicants and recipients are strongly encouraged to refer to the NIH Director's Statement of Priorities, entitled "Advancing NIH's Mission Through a Unified Strategy." 

Recipients are responsible for ensuring that their activities comply with all applicable federal regulations. Pursuant to 2 CFR 200.340, by accepting an NIH award, the recipient agrees that continued funding for the award is contingent upon the availability of appropriated funds, recipient satisfactory performance, compliance with the Terms and Conditions of the award, and may also otherwise be terminated, to the extent authorized by law, if the agency determines that the award no longer effectuates the program goals or agency priorities, in line with 2 CFR 200.340(a)(4).

Pursuant to the Cybersecurity Act of 2015, Div. N, § 405, Pub. Law 114-113, 6 USC § 1533(d), the HHS Secretary has established a common set of voluntary, consensus-based, and industry-led guidelines, best practices, methodologies, procedures, and processes.

Successful recipients under this NOFO agree that:

When recipients, subrecipients, or third-party entities have:

  • ongoing and consistent access to HHS owned or operated information or operational technology systems; and
  • receive, maintain, transmit, store, access, exchange, process, or utilize personal identifiable information (PII) or personal health information (PHI) obtained from the awarding HHS agency for the purposes of executing the award.

Cybersecurity plans and procedures must at minimum include the following:

  • Develop cybersecurity plans and procedures, modeled after the NIST Cybersecurity framework, to protect HHS systems and data:
    • Identify:
      • Develop an inventory of all assets and accounts with access to HHS owned and operated information or operational technology systems or which obtain PII or PHI for the purposes of the award.
    • Protect:
      • Limit access to HHS owned and operated systems to only those in need of access to complete reward activities.
      • Require all staff to complete annual cybersecurity and privacy awareness training. Visit 405(d): Knowledge on Demand (hhs.gov) to obtain free trainings, if needed.
      • Enable multifactor authentication for all employees, subrecipients, and third-party entities to access HHS owned and operated information or operational technology systems.
      • Regularly backup sensitive data and test backups.
    • Detect:
      • Install anti-virus or anti-malware software on all devices, servers, and accounts used to connect to HHS owned and operated systems.
    • Respond:
      • Develop an incident response plan. See Incident-Response-Plan-Basics_508c.pdf (cisa.gov) to learn about developing incident response plans.
      • Have cybersecurity incident reporting procedures that ensure the relevant HHS awarding agencies are notified of a cybersecurity incident within 48 hours of discovery. A cybersecurity incident is defined as an unplanned interruption to a technology service or reduction in the quality of a technology service, or an occurrence that actually or potentially jeopardizes the confidentiality, integrity, or availability of an information system or the information the system processes, stores, or transmits.
    • Recover:
      • Investigate incidents and plug any security gaps identified. 

All activities proposed in your application and budget narrative must align with applicable law, including but not limited to statutes, executive orders, federal regulations and applicable judicial holdings.  Accordingly, discretionary awards shall not be used to fund, promote, encourage, subsidize, or facilitate; racial preferences or other forms of racial discrimination by the recipient, including activities where race or intentional proxies for race will be used as a selection criterion for employment or program participation; denial by the recipient of the sex binary in humans, or the belief that sex is a chosen or mutable characteristic; illegal immigration; or any other initiatives that compromise public safety.  If an application does not align, the application will not receive funding to the extent permitted by law and applicable court orders.

For applications involving substance abuse, the application must not support harm reduction. Please see Updated Funding Guidance for Recipients on Supplies and Services.

For applications involving funding Medication-Assisted Treatment (MAT) or medications for opioid use disorder (MOUD), this funding should be used to provide comprehensive treatment and recovery support services rather than medication-only models for opioid use disorder. Services should include medications, where clinically indicated, in conjunction with psychosocial and other treatment and recovery support services. Funding can also be used to support individualized tapering and discontinuation of medications when clinically indicated. Please see Updated Funding Guidance for Recipients on MAT/MOUD.

As of October 1, 2025, HHS has adopted 2 CFR Part 200, with some modifications included in 2 CFR Part 300. These regulations replace those in 45 CFR Part 75. However, for NIH, under the Consolidated Appropriations Act for FY 2026, (P.L. 119-75, Division B, Title II, Sec. 224), the provisions relating to indirect costs in 45 CFR 75 continue to apply to NIH awards. Consistent with the statute, NIH will not apply updated thresholds outlined within 2 CFR Part 200, at this time.

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 (HHS) grant administration regulations at 2 CFR Part 200, and other HHS, PHS, and NIH grant administration policies.

The administrative and funding instrument used for this program will be the cooperative agreement, an "assistance" mechanism (rather than an "acquisition" mechanism), in which substantial NIH programmatic involvement with the recipients 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 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 reside with the recipients for the project as a whole, although specific tasks and activities may be shared among the recipients and NIH as defined below.

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

The PD(s)/PI(s) of the HCAC, HDCC and Research Project Sites will be responsible for the scientific and technical direction of the project and agree to abide by the policies and guidance set up by the consortium. This includes accepting the actions and recommendations approved by the Steering Committee and the Observational Study Monitoring Board. In addition, each PD/PI will agree to accept close coordination, cooperation and participation of the NIH HEAL Initiative and other involved NIH ICOs in those aspects of management of the project as described below.

  • Each U01 research project site, the U24 HCAC, and the U24 HDCC will receive a separate award. Each award recipient will be responsible for the fiscal management of their award's operating budget, with the oversight of the Authorized Organization Representative (AOR) and guidance of the PI.
  • Recipients will be required to attend consortium meetings and participate in the cooperative nature of the consortium.
  • Recipients will retain custody of, and have primary rights to, the data developed under these awards, and any software developed under these awards, subject to government rights of access consistent with current HHS, PHS, and NIH policies.
  • Recipients will implement the approved Data Management and Sharing plan (see Submitting an Application), which will be incorporated as an additional term of award and will be expected to share (make available) these data both within the consortium and with the scientific community. Recipients will comply with their institutional intellectual property policies and practices as approved in the award.
  • While recipients will provide updates annually regarding meeting HBCD Study consortium metrics, they will be responsible for problem-solving and corrective action throughout the duration of award to ensure the result-based accountability metrics are being strived for and successfully met.

NIH Staff Rights and Responsibilities: 

The dominant role and prime responsibility for the activity resides with the recipients for the project as a whole, although specific tasks and activities in carrying out the studies will be shared among the recipients, the NIH Program Official, NIH Scientific Director, and other NIH Project Collaborators.

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

The NIH Project Collaborators (Scientific Director and other Science Officers) will have substantial programmatic involvement through technical assistance, advice, and coordination that is above and beyond the normal stewardship role in awards, as described below. The NIH Project Collaborators will not attend peer review meetings of renewal or supplemental applications related to the project (unless IC waiver is obtained) and may not be involved in the normal programmatic stewardship of the project. If such participation is essential, this individual will seek IC waiver.

The NIH Scientific Director and NIH Science Officers will have substantial scientific involvement during the conduct of this activity, through technical assistance, advice, and coordination above and beyond normal program stewardship for grants. The NIH Scientific Director will coordinate and facilitate the HBCD Study, will attend and participate as a voting member in all meetings of the Steering Committee on behalf of participating NIH Institutes, Centers, and Offices, and will serve as a liaison between the Steering Committee, the consortium, and other involved NIH ICOs.

The NIH Project Collaborators will serve on various HBCD workgroups, providing scientific advice and guidance on the direction of the study. The NIH Project Collaborators will assist the HCAC, workgroups, and other committees in developing and drafting operating policies and policies for dealing with recurring situations that require coordinated action.

The NIH Program Official will handle the normal stewardship of the award, as described below:

The NIH Program Official will be responsible for the normal scientific and programmatic stewardship of the award and will be named in the award notice. The NIH Program Official may elect to attend the Steering Committee meetings, but not as a member of the committee. The NIH Program Official will review the scientific progress of the individual award components.

A results-based accountability management approach will be utilized to ensure achievement of stated consortium goals/outcomes and the policies and guidance developed by the consortium need to support these outcome measures defined by NIH. Additional metrics will be added as a term and condition of the award throughout the duration of the project. If, at any time, an outcome is not being met, the NIH Program Official will ask the PD/PI for a resolution plan and increased progress reporting to ensure compliance.

If scientific progress is not met, the NIH Program Official may ask the HCAC to provide technical assistance and can recommend withholding of support, suspension, or termination of an award for lack of scientific progress or failure to adhere to these award conditions.

Areas of Joint Responsibilities:

HBCD Consortium Administrative Core (HCAC)

The HCAC is charged with coordinating the scientific and administrative activities of the consortium, and the administration and overall operation of the consortium. The HCAC is responsible for ensuring that projects awarded are fully integrated within the scientific scope and mission of the consortium. This includes assuring that all investigators have access to the resources within the resource facilities of the consortium.

The HCAC Director(s) chair an Operations Group with representation from the HCAC, HDCC, and NIH to oversee the day-to-day operations of the consortium. A Steering Committee serves to assist the HCAC and HDCC with the governance of the consortium. The HCAC Director(s) chairs this committee. In addition, the HCAC must abide by the operating rules and guidelines developed by the Steering Committee. Furthermore, the HCAC agrees to accept participation of NIH staff members in those aspects of management of the project described under "NIH Staff Rights and Responsibilities."

Lastly, the HCAC ensures the timely dissemination of information generated by the consortium to both the consortium project members and the scientific public. This will include an annual virtual meeting of the HBCD centers and site PIs to discuss progress and plan for the future.

HBCD Data Coordinating Center (HDCC)

The HDCC is charged with coordinating, standardizing, and integrating all core data collection, processing, storage, quality control, and analytic activities of the consortium, and facilitating data sharing through the NBDC Data Sharing Platform. In addition, the HDCC must abide by the operating rules and guidelines developed by the Steering Committee. Furthermore, the HDCC agrees to accept participation of NIH staff members in those aspects of management of the project described under "NIH Staff Rights and Responsibilities."

Steering Committee

The consortium has a Steering Committee, which is the main governing board of the consortia. This committee reviews and approves collaborative protocols, study enhancement proposals, and consortium procedures and policies. The members of the Steering Committee for the consortium are selected by the HCAC Director(s) with input from the NIH program staff. The Steering Committee is primarily composed of the HCAC Directors and Associate Directors, HDCC Directors and Associate Directors, a rotating set of principle investigators from research project sites who serve staggered terms, and the NIH Scientific Director and Associate Director (one vote). The centers, sites, and the NIH each have one vote.

The Steering Committee may, when deemed necessary, invite additional, non-voting scientific advisors to the meetings at which research priorities and opportunities are discussed. The NIH also reserves the right to augment the scientific expertise of the Steering Committee when necessary and to appoint additional NIH staff as nonvoting members of the Steering Committee and Subcommittees. Each primary member of the Steering Committee has one vote. The chairperson of the Steering Committee is the HCAC Director. The Steering Committee may establish subcommittees as it deems appropriate to facilitate the planning and operation of the consortia. The Steering Committee meets at least twice annually.

Expert Scientific Board

The consortium includes an expert scientific board whose purpose is to meet with the HCAC and HDCC to assess progress and provide feedback to the investigators and NIH on proposed goals for the next year of support. The panel members are designated by NIH in consultation with the HCAC and consist of research scientists not actively involved with the consortia. The Expert Scientific Board should meet at least once a year.

Observational Study Monitoring Board

This is an independent board which reports to the Director of NIDA, comprising domain, technical, and ethics experts in areas of focus of the HCBD Study. Their charge is to provide broad and independent review of study safety and the impact of data quality issues on participants of this national research effort. The Observational Study Monitoring Board should meet at least once a year.

Collaborative decision-making:

The HBCD HCAC, HDCC, Project Site PIs, workgroups, and NIH Project Collaborators must all work together to advance its goals. Significant decisions about protocols, analysis pipelines, workflows, and policies, must be vetted through workgroups, the Operation Group, and the Council of Investigators, with the ultimate decision made by the Steering Committee.

Dispute Resolution:

Any disagreements that may arise in scientific or programmatic matters (within the scope of the award) between recipients and NIH may be brought to Dispute Resolution. A Dispute Resolution Panel composed of three members will be convened: 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 recipient. This special dispute resolution procedure does not alter the recipient's right to appeal an adverse action that is otherwise appealable in accordance with PHS regulation 42 CFR Part 50, Subpart D and HHS regulation 45 CFR Part 16.

3. Data Management and Sharing

A Data Management and Sharing Plan (DMS Plan) is required for any NIH-funded or conducted research that will generate scientific data. Applicants must submit the DMS Plan at the time of application using the NIH DMS Plan Format Page. The DMS Plan must address the elements in the structured format. Where the DMS Plan Format Page requires a "Yes or No" response, no additional narrative is allowed. 

NIDA HBCD Data Sharing Requirements

Awardees are expected to share HBCD Study data with the research community as soon as possible after basic quality assurance is completed and at least annually. Awardees must follow data sharing policies, methods, and standards that are consistent with NIH-wide data and resource sharing policies and coordinated through the HDCC. Data are expected to be released through the NIH Brain Development Cohorts (NBDC) Data Hub.

HEAL Data Sharing Requirements

1. Study Registration and Metadata (within 1 year of award)

2. Data and Metadata Submission

Awardees must submit data, metadata, and code (if applicable) to a HEAL-compliant repository.

Before final data submission:

Required submissions may include:

  • Data files
  • Data dictionaries (variable-level metadata)
  • Code (if applicable)

Data dictionaries can be submitted by:

Timeline requirements (NOT-OD-21-013):

  • Share data as soon as possible
  • No later than:
    • The time of publication, or
    • The end of the project period (whichever comes first)

3. Additional Requirements for Human Subjects Research

  • Studies involving human participants must meet the following:
  • ClinicalTrials.gov Registration
  • If required to register:
  • Include the term "the HEAL Initiative" in the Study Description Section
    • The time of publication, or
    • The end of the project period (whichever comes first)

Use of Common Data Elements (CDEs)

Pain studies (required):

To access supplemental questionnaires used by other HEAL studies:

All other HEAL studies (expected, when applicable):

  • Use HEAL CDE questionnaires when relevant
  • Report use of CDEs as required

If proposing new questionnaires:

  • Consult with the program officer and HEAL CDE team
  • Provide justification for inclusion

If using copyrighted questionnaires:

  • Obtain licenses before data collection
  • Provide licenses to the HEAL CDE team and program officer

Informed Consent

When possible include language that allows for broad data sharing

Guidance and tools are available at:

https://www.healdatafair.org/

Data Protection and Confidentiality

All HEAL data are protected under a Certificate of Confidentiality.

Awardees and partner institutions must:

  • Use data only for approved purposes
  • Follow all applicable federal and state laws
  • Follow informed consent requirements

Comply with NIH policies, including:

  • NOT-OD-17-109
  • 42 U.S.C. 241(d)

Failure to comply may result in enforcement actions.

4. Reporting

When multiple years are involved, recipients will be required to submit the Research Performance Progress Report (RPPR) annually and financial statements as required in the NIH Grants Policy Statement Section 8.4.1 Reporting. To learn more about post-award monitoring and reporting, see the NIH Grants & Funding website, see Post-Award Monitoring and Reporting.

Prior to publication, HEAL expects investigators to alert their program officers of upcoming manuscripts to ensure coordination of communication and outreach efforts.

Award recipients and their collaborators are required to acknowledge HEAL Initiative support by referencing in the acknowledgment sections of any relevant publication:

"This research was supported by the National Institutes of Health through the NIH HEAL Initiative (https://heal.nih.gov/)" under award number, [include specific grant/contract/award number; for NIH grant number(s) use full format for the grant number, which includes application type, activity code, institute code, serial number, support year, and other suffixes as defined in Deciphering NIH Application/Grant Numbers. Example: 5R01GM987654-03S]." 

A final RPPR, 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 Section 8.6 Closeout. NIH NOFOs outline intended research goals and objectives. Post award, NIH will review and measure performance based on the details and outcomes that are shared within the RPPR, as described at 2 CFR Part 200.301.

Section VII. Agency Contacts

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

Application Submission Contacts

eRA Service Desk - Questions regarding ASSIST, eRA Commons, application errors and warnings, documenting system problems that threaten submission by the due date, and post-submission issues.

Grants.gov Support Center - Questions regarding Grants.gov registration and services (e.g., Workspace, subscriptions).

Scientific/Research Contact(s)

HBCD
National Institute on Drug Abuse (NIDA)
Email: hbcd@nida.nih.gov

Peer Review Contact(s)

Center for Scientific Review (CSR)
Email: NOFOReviewContact@csr.nih.gov

Financial/Grants Management Contact(s)

Chief, Grants Management Officer
National Institute of Drug Abuse (NIDA)
Email: nidagmbemail@nida.nih.gov

Section VIII. Other Information

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.

Authority and Regulations

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 2 CFR Part 200.