Assistance Listings

Early Hearing Detection and Intervention

Objectives

The Early Hearing Detection and Intervention (EHDI) program supports comprehensive and coordinated state and territory EHDI systems, so families with newborns, infants, and young children up to three years of age who are deaf or hard of hearing (DHH) receive appropriate and timely services that include hearing screening, diagnosis, and early intervention. This program supports state/territory efforts to build systems of care focusing on increasing health professionals’ engagement in and knowledge of the EHDI system; improving access to early intervention services and language acquisition; and improving family engagement, partnership, and leadership. The EHDI program also provides support to two organizations that assist the states/territories with technical assistance.

Examples of Funded Projects

Range and Average of Financial Assistance

Grants to states and territories: FY 23 act. $75,000-$310,000. Average award $236,520. FY 24 act . $41,219-$310,000. Average award $234,768; FY 25 est. $41,219-$310,000. Average award $231.014 . Grants to LEND Audiology Programs: FY 23 act. $899,998-$899,999. Average award of $899,999 FY 24 act . $899,997-$899,998. Average award of $899,998 FY 25 est. $899,999-$900,000. Average award of $900,000. Cooperative Agreements: FY 23 act. $500,000-$949,998. Average Award of $874,999. FY 24 act. $300,000-$500,000, Average Award $475,000. FY 25 est. $499,999-$500,000, Average Award $533,333

Accomplishments

Account Identification

75-0354-0-1-550

Types of Assistance

B - Cooperative Agreements, B - Project Grants

Credentials and Documentation

Applicants should review the individual HRSA notice of funding opportunity issued under this Assistance Listing program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Applicant Eligibility

Grants to states/territories and cooperative agreements to two organizations that will provide technical assistance.

Beneficiary Eligibility

Infants and newborns who are deaf or hard of hearing and their families/caretakers.

Length and Time Phasing of Assistance

Refer to the notice of funding opportunity (NOFO). Awards are made annually, in accordance with the project period method of awarding grants. Method of awarding/releasing assistance: Payments are made through a Letter-of-Credit or Cash Demand System. Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Use of Assistance

This program supports state and territory health departments, departments of education, academic institutions with early hearing screening, detection and intervention programs, and family and provider organizations to develop a system of services for children who are identified as DHH and their families. This program also supports the EHDI system with technical assistance by fostering family engagement, supporting workforce development and training, and working with pediatricians and health care providers.

Deadlines

Preapplication Coordination

Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. Preapplication coordination is required.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.

Notice of Funding Opportunities (NOFO) for this listing will be posted on Grants.gov (opens in new window) (opens in new window).

HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee.

Criteria for Selecting Proposals

Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program. All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedure

Notification is made in writing by a Notice of Award.

Date Range for Approval/Disapproval

From 120 to 180 days. Final decisions are made 4 to 6 months after receipt of applications

Renewals

Competitive awards are typically made for up to 5 years, subject to the availability of funds. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government.

Appeals

Not Applicable.

Policy Requirements

Reports

Audits

Records

Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Regulations, Guidelines, and Literature

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf.

Formula and Matching Requirements

Regional or Local Locations:

Headquarters Office: