CINXE.COM
No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality
<!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# "> <head> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta charset="utf-8" /> <meta property="og:title" content="No‐Cost Extensions (NCEs)" /> <meta name="description" content="How do I request a no‐cost extension for my grant? If your grant is under expanded authorities (in general, the following AHRQ grant activity codes are included under expanded authorities: F31, F32, K01, K02, K08, K18, K99, P20, R00, R01, R03, R13, R18, R21, R33, R24, R25, R36), the grantee institution has the authority to automatically extend the final budget period end date one time for a period of up to 12 months." /> <meta name="language" content="en-us" /> <meta name="keywords" content="Grants" /> <link rel="canonical" href="https://www.ahrq.gov/funding/grant-mgmt/nces.html" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" /> <meta http-equiv="x-ua-compatible" content="ie=edge" /> <link rel="icon" href="/themes/custom/ahrq_bootstrap_barrio/favicon-swoosh.ico" type="image/vnd.microsoft.icon" /> <link rel="alternate" hreflang="en" href="https://www.ahrq.gov/funding/grant-mgmt/nces.html" /> <script>window.a2a_config=window.a2a_config||{};a2a_config.callbacks=[];a2a_config.overlays=[];a2a_config.templates={};a2a_config.templates.email = { subject: "Check this out: ${title}", body: "Click the link:\n${link}" }; a2a_config.templates.twitter = { text: "Reading: ${title} ${link}", related: "AHRQ" };</script> <title>No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality</title> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_yZ3AELKs4Kkb-aqUv19nC64tFjBrpuvgz19tP3W573U.css?delta=0&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" /> <link rel="stylesheet" media="all" href="https://unpkg.com/leaflet@1.7.1/dist/leaflet.css" integrity="sha512-xodZBNTC5n17Xt2atTPuE1HxjVMSvLVW9ocqUKLsCC5CXdbqCmblAshOMAS6/keqq/sMZMZ19scR4PsZChSR7A==" crossorigin="anonymous" /> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_oWnP5En7Dr5tUoNuo0tv5pzxM_RKR8ZkqXpOY5cySAA.css?delta=2&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" /> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_ZdgHOCGzCdDb2Xs5MarQDFTlMz54SeO8DHsjDf6pxJw.css?delta=3&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" /> <link rel="stylesheet" media="print" href="/sites/default/files/css/css__lS5H8nnEzosBBN-2wNdDQ3qQXubJI3Ya74Xi8Gfqn4.css?delta=4&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" /> <link rel="stylesheet" media="all" href="/sites/default/files/css/css_OLIGJ4OCeQU6InxBMVIyq_ii5UXRRAhbyi0EusFam0I.css?delta=5&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" /> <!-- Global site tag (gtag.js) - Google Analytics --> <script async src="https://www.googletagmanager.com/gtag/js?id=GTM-W4NX5V"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){window.dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'GTM-W4NX5V'); </script> <!-- End Global site tag (gtag.js) - Google Analytics --> <script src="https://dap.digitalgov.gov/Universal-Federated-Analytics-Min.js?agency=HHS&subagency=AHRQ" type="text/javascript" id="_fed_an_ua_tag"></script> </head> <body class="layout-one-sidebar layout-sidebar-first page-node-232776 path-node node--type-page"> <!-- Google Tag Manager (noscript) --> <noscript> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-W4NX5V" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript> <!-- End Google Tag Manager (noscript) --> <a href="#main-content" class="visually-hidden focusable skip-link"> Skip to main content </a> <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas> <div id="page-mask"></div> <div class="usa-banner usa-banner-bg"> <div class="usa-accordion usa-accordion-text-color"> <header class="usa-banner__header"> <div class="row no-gutters row-mobile-offset"> <div class="col-lg-auto offset-lg-1 img-icon"> <img class="usa-banner__header-flag" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/us_flag_small.png" alt="U.S. flag"> </div> <div class="col-lg-auto banner-hhs img-icon"> <img class="usa-banner__header-flag" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/logo-HHSmini.png" alt="HHS"> </div> <div class="col-lg-8 txt-gov-banner"> <p class="usa-banner__header-text"><a href="https://www.hhs.gov">An official website of the Department of Health and Human Services</a></p> </div> </div> </header> </div> </div> <div role="main" class="container-fluid js-quickedit-main-content"> <div class="row"> <header id="header" class="header row-side-margins mobile-row-side-margins" > <div class="col-md-12"> <div id="utility-nav"> <ul class="clearfix"> <li class="first"> <a href="/cpi/about/careers/index.html">Careers</a> </li> <li> <a href="/contact/index.html">Contact Us</a> </li> <li> <a href="/es/informacion-en-espanol/index.html">Español</a> </li> <li class="last"> <a href="https://info.ahrq.gov/">FAQs</a> </li> </ul> </div> <div class="row clear-row"> <div class="col-md-12 row-bottom-margin mm-nav-bottom-border-mobile"> <div class="logo-ahrq"> <a href="/"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/logo-ahrq.png" alt="AHRQ: Agency for Healthcare Research and Quality "/></a> </div> <div class="search"> <div class="search-label search-label-pad">Search all AHRQ sites</div> <form name="searchForm-banner_searchform" id="banner_searchform" method="get" action="https://search.ahrq.gov/search" class="usa-search usa-search--small"> <div role="search" id="header-search" class="search-label"> <label class="usa-sr-only" for="extended-search-field-small">Search small</label> <input class="usa-input" id="extended-search-field-small" type="search" name="q" value="" size="11" onfocus="this.value = '';" autocomplete="off"> <button class="usa-button" type="submit"><span class="usa-sr-only">Search</span></button> </div> </form> </div> <div id="mm-mob"> <div class="mm-mob-icon-bgc"> <img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/bars-solid.png" alt="Main Navigation Menu" width="25px" height="25px" class="logo-white" data-toggle="collapse" data-target="#megamenu-container"> <p>Menu</p> </div> </div> </div> </div> </div> </header> <div class="col-12 collapse width" id="megamenu-container"> <div class="row mm-nav-bottom-border"> <div id="megamenu-nav" class="col-sm-12 col-md-12 col-lg-12 col-xl-12 primary-menu-bg"> <div class="row row-side-margins"> <div class="col-md-12" role="navigation"> <div class="row nav-close"> <button class="btn-close" data-toggle="collapse" data-target="#megamenu-container" aria-label="Close Button"></button> </div> <nav role="navigation" aria-label="main_nav" id="block-system-menu-block-main" class="block block-menu navigation menu--main"> <h2 class="sr-only" id="block-system-menu-block-main-menu">Main navigation</h2> <ul id="main_nav" id="block-system-menu-block-main" block="block-system-menu-block-main" class="clearfix nav navbar-nav d-flex flex-nowrap"> <li class="nav-item menu-item--collapsed" rel="1"> <a href="/topics/index.html" class="nav-link" data-drupal-link-system-path="topics/index.html">Topics</a> </li> <li class="nav-item" rel="2"> <a href="/programs/index.html" class="nav-link" data-drupal-link-system-path="programs/index.html">Programs</a> </li> <li class="nav-item menu-item--collapsed" rel="3"> <a href="/research/index.html" title="" class="nav-link" data-drupal-link-system-path="node/183838">Research</a> </li> <li class="nav-item menu-item--collapsed" rel="4"> <a href="/data/index.html" title="" class="nav-link" data-drupal-link-system-path="node/226309">Data & Analytics</a> </li> <li class="nav-item" rel="5"> <a href="/tools/index.html" title="" class="nav-link" data-drupal-link-system-path="tools/index.html">Tools</a> </li> <li class="nav-item menu-item--collapsed active" rel="6"> <a href="/funding/index.html" class="nav-link active" data-drupal-link-system-path="node/183923">Funding & Grants</a> </li> <li class="nav-item menu-item--collapsed" rel="7"> <a href="/news/index.html" class="nav-link" data-drupal-link-system-path="node/183915">News</a> </li> <li class="nav-item menu-item--collapsed" rel="8"> <a href="/cpi/index.html" class="nav-link" data-drupal-link-system-path="node/183934">About</a> </li> </ul> </nav> </div> </div> </div> <div class="col-sm-12 col-md-12 col-lg-12 col-xl-12"> <div class="row clearfix megamenu-pulldowns"> <div rel="1" class="row clearfix pulldown pulldown1"> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown1-col1"> <div class="hide-on-desktop block block-block-content block-block-contenta35615a7-c539-4185-9016-92b9536228e0" id="block-block-content-a35615a7-c539-4185-9016-92b9536228e0"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/topics/index.html">Browse Topics</a></h2> </div> </div> </div> <div class="views-element-container hide-on-mobile block block-views block-views-blocktopics-a-z-block-1" id="block-views-block-topics-a-z-block-1"> <div class="content"> <div><div class="view view-topics-a-z view-id-topics_a_z view-display-id-block_1 js-view-dom-id-124076e526dc6a274fbe9b141a555078ac2c0127ec87577cd2b394162fb39ba7"> <div class="view-header"> <h2><a href="/topics/index.html">Topics A-Z</a></h2> </div> <div class="view-content row"> <div class="myClass"> <a href="/topics/A.html">A</a> </div> <div class="myClass"> <a href="/topics/B.html">B</a> </div> <div class="myClass"> <a href="/topics/C.html">C</a> </div> <div class="myClass"> <a href="/topics/D.html">D</a> </div> <div class="myClass"> <a href="/topics/E.html">E</a> </div> <div class="myClass"> <a href="/topics/F.html">F</a> </div> </div> <div class="view-content row"> <div class="myClass"> <a href="/topics/G.html">G</a> </div> <div class="myClass"> <a href="/topics/H.html">H</a> </div> <div class="myClass"> <a href="/topics/I.html">I</a> </div> <div class="myClass"> <a href="/topics/J.html">J</a> </div> <div class="myClass"> <a href="/topics/K.html">K</a> </div> <div class="myClass"> <a href="/topics/L.html">L</a> </div> </div> <div class="view-content row"> <div class="myClass"> <a href="/topics/M.html">M</a> </div> <div class="myClass"> <a href="/topics/N.html">N</a> </div> <div class="myClass"> <a href="/topics/O.html">O</a> </div> <div class="myClass"> <a href="/topics/P.html">P</a> </div> <div class="myClass"> <a href="/topics/q.html">Q</a> </div> <div class="myClass"> <a href="/topics/R.html">R</a> </div> </div> <div class="view-content row"> <div class="myClass"> <a href="/topics/S.html">S</a> </div> <div class="myClass"> <a href="/topics/T.html">T</a> </div> <div class="myClass"> <a href="/topics/U.html">U</a> </div> <div class="myClass"> <a href="/topics/V.html">V</a> </div> <div class="myClass"> <a href="/topics/W.html">W</a> </div> <div class="myClass"> <a href="/topics/X.html">X</a> </div> </div> <div class="view-content row"> <div class="myClass"> <a href="/topics/Y.html">Y</a> </div> <div class="myClass"> <a href="/topics/Z.html">Z</a> </div> </div> </div> </div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown1-col2"> <div id="block-block-content-fa8abcd1-c445-4ff2-ab1d-7d0d1bcc642e" class="block block-block-content block-block-contentfa8abcd1-c445-4ff2-ab1d-7d0d1bcc642e"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/priority-populations/index.html">Priority Populations</a></h2> <ul> <li><a href="/topics/childrenadolescents.html">Children/Adolescents</a></li> <li><a href="/topics/elderly.html">Elderly</a></li> <li><a href="/topics/low-income.html">Low-Income</a></li> <li><a href="/topics/racial-ethnic-minorities.html">Racial/Ethnic Minorities</a></li> <li><a href="/topics/ruralinner-city-residents.html">Rural/Inner-City Residents</a></li> <li><a href="/topics/individuals-special-healthcare-needs.html">Special Healthcare Needs</a></li> <li><a href="/topics/women.html">Women</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> </div> </div> <div rel="2" class="row pulldown pulldown2"> <div class="subnav-1-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown2-col1"> <div id="block-block-content-6dc266dc-87f6-4686-abe1-642d8263b303" class="block block-block-content block-block-content6dc266dc-87f6-4686-abe1-642d8263b303"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/programs/index.html">Programs</a></h2> <ul> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14171">Featured</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14172">Clinicians & Providers</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14208">Data & Measures</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14176">Digital Healthcare Research</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14173">Education & Training</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14174">Hospitals & Health Systems</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14175">Prevention & Chronic Care</a></li> <li><a href="/programs/index.html?search_api_views_fulltext=&field_program_topics=14177">Quality & Patient Safety</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-1-cols"> </div> <div class="subnav-1-cols"> </div> </div> <div rel="3" class="row pulldown pulldown3"> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown3-col1"> <div class="hide-on-desktop block block-block-content block-block-content2b7f892f-7a9d-4597-bb3a-d62c3cf36400" id="block-block-content-2b7f892f-7a9d-4597-bb3a-d62c3cf36400"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/research/index.html">Research</a></h2></div> </div> </div> <div id="block-block-content-d458ffc7-e058-41df-b250-7919a4b28272" class="block block-block-content block-block-contentd458ffc7-e058-41df-b250-7919a4b28272"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/research/publications/index.html">Publications & Products</a></h2> <ul> <li><a href="/research/publications/pubcomguide/index.html">AHRQ Publishing and Communications Guidelines</a></li> <li><a title href="/research/publications/search.html">Search Publications</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown3-col2"> <div id="block-block-content-30584e80-4a0d-4bcd-99b4-83e2b933efd0" class="block block-block-content block-block-content30584e80-4a0d-4bcd-99b4-83e2b933efd0"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/research/findings/index.html">Research Findings & Reports</a></h2> <ul> <li><a href="/research/findings/evidence-based-reports/index.html">Evidence-based Practice Center (EPC) Reports</a></li> <li><a href="/research/findings/factsheets/index.html">Fact Sheets</a></li> <li><a href="/research/findings/final-reports/index.html">Grantee Final Reports: Patient Safety</a></li> <li><a href="/research/findings/making-healthcare-safer/index.html">Making Healthcare Safer Report</a></li> <li><a href="/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Reports</a></li> <li><a href="/research/findings/ta/index.html">Technology Assessment Program</a></li> <li><a href="/research/findings/studies/index.html">AHRQ Research Studies</a></li> </ul> </div> </div> </div> </section> </div> </div> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown3-col3"> <div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc99eca29-43d2-4375-9925-036196a0a845" id="block-block-content-c99eca29-43d2-4375-9925-036196a0a845"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="//www.ahrq.gov/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Report</a></h2> <ul> </ul> <p>Latest available findings on quality of and access to health care</p></div> </div> </div> </section> </div> </div> </div> <div rel="4" class="row pulldown pulldown4"> <div class="subnav-1-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown4-col1"> <div id="block-block-content-b1b50cdd-03eb-411f-baba-42001d8458b2" class="block block-block-content block-block-contentb1b50cdd-03eb-411f-baba-42001d8458b2"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/data/index.html">Data & Analytics</a></h2><ul><li><a href="/data/infographics/index.html">Data Infographics</a></li><li><a href="/data/data-visualization/index.html">Data Visualizations</a></li><li><a href="/data/data-tools/index.html">Data Tools</a></li><li><a href="/data/innovations.html">Data Innovations</a></li><li><a href="/data/apcd/index.html">All-Payer Claims Database</a></li><li><a href="/data/cahps.html">Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Program</a></li><li><a href="/data/hcup/index.html">Healthcare Cost and Utilization Project (HCUP)</a></li><li><a href="/data/meps.html">Medical Expenditure Panel Survey (MEPS)</a></li><li><a href="/data/nhqdr.html">National Healthcare Quality and Disparities Report Data Tools</a></li><li><a href="/data/qualityindicators/index.html">AHRQ Quality Indicator Tools for Data Analytics</a></li><li><a href="/data/ushik.html">United States Health Information Knowledgebase (USHIK)</a></li><li><a href="/data/resources/index.html">Data Sources Available from AHRQ</a></li></ul></div> </div> </div> </section> </div> </div> <div class="subnav-1-cols"> </div> <div class="subnav-1-cols"> </div> </div> <div rel="5" class="row pulldown pulldown5"> <div class="subnav-1-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown5-col1"> <div id="block-block-content-8828d1e5-f1c3-4906-846e-bb499c2fe759" class="block block-block-content block-block-content8828d1e5-f1c3-4906-846e-bb499c2fe759"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/tools/index.html">Tools</a></h2> <ul> <li><a href="/tools/index.html?search_api_views_fulltext=&field_toolkit_topics=14166&sort_by=title&sort_order=ASC">Featured</a></li> <li><a href="/tools/index.html?search_api_views_fulltext=&field_toolkit_topics=14167&sort_by=title&sort_order=ASC">Clinicians & Providers</a></li> <li><a href="/tools/index.html?search_api_views_fulltext=&field_toolkit_topics=14168&sort_by=title&sort_order=ASC">Hospitals & Health Systems</a></li> <li><a href="/tools/index.html?search_api_views_fulltext=&field_toolkit_topics=14169&sort_by=title&sort_order=ASC">Prevention & Chronic Care</a></li> <li><a href="/tools/index.html?search_api_views_fulltext=&field_toolkit_topics=14170&sort_by=title&sort_order=ASC">Quality & Patient Safety</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-1-cols"> </div> <div class="subnav-1-cols"> </div> </div> <div rel="6" class="row pulldown pulldown6"> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown6-col1"> <div class="hide-on-desktop block block-block-content block-block-content2731dbb7-4315-4948-9449-82781dbeb436" id="block-block-content-2731dbb7-4315-4948-9449-82781dbeb436"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/index.html">Funding & Grants</a></h2></div> </div> </div> <div id="block-block-content-471dc7bd-6a9d-496e-9b89-cfd9197515d8" class="block block-block-content block-block-content471dc7bd-6a9d-496e-9b89-cfd9197515d8"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/fund-opps/index.html">Notice of Funding Opportunities</a></h2> <ul> </ul></div> </div> </div> <div id="block-block-content-b7e3a10c-86b3-4e14-b7f3-2465e172ab6a" class="block block-block-content block-block-contentb7e3a10c-86b3-4e14-b7f3-2465e172ab6a"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/policies/index.html">Research Policies</a></h2> <ul> <li><a href="/funding/policies/nofoguidance/index.html">Notice of Funding Opportunity Guidance</a></li> <li><a href="/funding/policies/polnotice/index.html">AHRQ Grants Policy Notices</a></li> <li><a href="/funding/policies/informedconsent/index.html">AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research</a></li> <li><a href="/funding/policies/hhspolicy/index.html">HHS Grants Policy Statement</a></li> <li><a href="/funding/policies/polfedreg/index.html">Federal Regulations & Authorities</a></li> <li><a href="/funding/policies/polfrnot/index.html">Federal Register Notices</a></li> <li><a href="/funding/policies/publicaccess/policy.html">AHRQ Public Access Policy</a></li> <li><a href="/funding/policies/human-subjects/index.html">Protection of Human Subjects</a></li> </ul></div> </div> </div> <div id="block-block-content-af0ce3fd-cb53-4a1c-b083-ad026d437df7" class="block block-block-content block-block-contentaf0ce3fd-cb53-4a1c-b083-ad026d437df7"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/priorities-contacts/index.html">Funding Priorities</a></h2> <ul> <li><a href="/funding/priorities-contacts/special-emphasis-notices/index.html">Special Emphasis Notices</a></li> <li><a href="/funding/priorities-contacts/contacts/index.html">Staff Contacts</a></li> </ul></div> </div> </div> <div id="block-block-content-4942872c-540e-4c44-9202-05e682819031" class="block block-block-content block-block-content4942872c-540e-4c44-9202-05e682819031"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/training-grants/index.html">Training & Education Funding</a></h2> <ul></ul></div> </div> </div> </section> </div> </div> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown6-col2"> <div id="block-block-content-c1f2e4ef-aa92-412d-aed6-f3994d724b14" class="block block-block-content block-block-contentc1f2e4ef-aa92-412d-aed6-f3994d724b14"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/process/index.html">Grant Application, Review & Award Process</a></h2> <ul> <li><a href="/funding/process/grant-app-basics/index.html">Grant Application Basics</a></li> <li><a href="/funding/process/app-forms/index.html">Application Forms</a></li> <li><a href="/funding/process/dates/index.html">Application Deadlines & Important Dates</a></li> <li><a href="/funding/process/grant-app-basics/apptips.html">AHRQ Tips for Grant Applicants</a></li> <li><a href="/funding/process/mechanisms/index.html">Grant Mechanisms & Descriptions</a></li> <li><a href="/funding/process/review/index.html">Application Receipt & Review</a></li> <li><a href="/funding/process/study-section/index.html">Study Sections for Scientific Peer Review</a></li> <li><a href="/funding/process/award-process/index.html">Award Process</a></li> </ul></div> </div> </div> <div id="block-block-content-4297c00e-2716-404f-90d3-bb5c92cf3ecb" class="block block-block-content block-block-content4297c00e-2716-404f-90d3-bb5c92cf3ecb"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/index.html">Post-Award Grant Management</a></h2> <ul> <li><a href="/funding/grantee-profiles/index.html">AHRQ Grantee Profiles</a></li> <li><a href="/funding/grant-mgmt/recognition_ahrq-funded_study.html">Getting Recognition for Your AHRQ-Funded Study</a></li> <li><a href="/funding/grant-mgmt/grants-by-state.html">Grants by State</a></li> <li><a href="/funding/grant-mgmt/nces.html">No-Cost Extensions (NCEs)</a></li> </ul></div> </div> </div> <div id="block-block-content-714d976a-68d9-477f-89ff-4e1aaf726e9b" class="block block-block-content block-block-content714d976a-68d9-477f-89ff-4e1aaf726e9b"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/contracts/index.html">Contracts</a></h2> <ul></ul></div> </div> </div> </section> </div> </div> <div class="subnav-3-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown6-col3"> <div class="mm-feature-block hide-on-mobile block block-block-content block-block-content2c2c02c4-73b7-406f-87ad-d4955489b2fd" id="block-block-content-2c2c02c4-73b7-406f-87ad-d4955489b2fd"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/grants-by-state.html">AHRQ Grants by State</a></h2> <ul> </ul> <p>Searchable database of AHRQ Grants</p></div> </div> </div> <div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/pcor/index.html">PCOR</a></h2> <ul> </ul> <p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div> </div> </div> </section> </div> </div> </div> <div rel="7" class="row pulldown pulldown7"> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown7-col1"> <div class="hide-on-desktop block block-block-content block-block-contentdf85c7fb-faa9-4161-a755-fc6b625659a3" id="block-block-content-df85c7fb-faa9-4161-a755-fc6b625659a3"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/index.html">News</a></h2></div> </div> </div> <div id="block-block-content-cd0e99d7-d91f-4082-9d40-d26841f8eced" class="block block-block-content block-block-contentcd0e99d7-d91f-4082-9d40-d26841f8eced"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsroom/index.html">Newsroom</a></h2> <ul> <li><a href="/news/newsroom/press-releases/index.html">Press Releases</a></li> <li><a href="/news/newsroom/social-media/index.html">AHRQ Social Media</a></li> <li><a href="/news/newsroom/ahrq-stats.html">AHRQ Stats</a></li> <li><a href="/news/newsroom/case-studies/index.html">Impact Case Studies</a></li> </ul></div> </div> </div> <div id="block-block-content-29ebae8e-fab3-4f1f-9914-0bf71b470362" class="block block-block-content block-block-content29ebae8e-fab3-4f1f-9914-0bf71b470362"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/blog/index.html">Blog</a></h2> <ul> <li><a href="/news/blog/ahrqviews/index.html">AHRQ Views</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown7-col2"> <div id="block-block-content-e9e60174-3d60-49da-92d4-3211a6a9ad70" class="block block-block-content block-block-contente9e60174-3d60-49da-92d4-3211a6a9ad70"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsletters/index.html">Newsletter</a></h2> <ul> <li><a href="/news/newsletters/e-newsletter/index.html">AHRQ News Now</a></li> </ul></div> </div> </div> <div id="block-block-content-2c346bcd-720f-42fd-bac4-6a8d99c465e9" class="block block-block-content block-block-content2c346bcd-720f-42fd-bac4-6a8d99c465e9"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/events/index.html">Events</a></h2> <ul> <li><a href="/news/events/ahrq-research-summit-diagnostic-safety.html">AHRQ Research Summit on Diagnostic Safety</a></li> <li><a href="/news/events/ahrq-research-summit-learning-health-system.html">AHRQ Research Summit on Learning Health Systems</a></li> <li><a href="/news/events/nac/index.html">National Advisory Council Meetings</a></li> <li><a href="/news/events/conference/index.html">AHRQ Research Conferences</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> </div> </div> <div rel="8" class="row pulldown pulldown8"> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown8-col1"> <div class="hide-on-desktop block block-block-content block-block-contentd829a035-55e4-4ec0-b50d-6007e7da6e21" id="block-block-content-d829a035-55e4-4ec0-b50d-6007e7da6e21"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/index.html">About</a></h2></div> </div> </div> <div id="block-block-content-7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad" class="block block-block-content block-block-content7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/index.html">About AHRQ</a></h2> <ul> <li><a href="/cpi/about/35th-anniversary/index.html">AHRQ's 35th Anniversary</a></li> <li><a href="/cpi/about/profile/index.html">Profile</a></li> <li><a href="/cpi/about/mission/index.html">Mission and Budget</a></li> <li><a href="/cpi/corecompetencies/index.html">AHRQ's Core Competencies</a></li> <li><a href="/cpi/about/nac.html">National Advisory Council</a></li> <li><a href="/cpi/about/careers/index.html">Careers at AHRQ</a></li> <li><a href="/cpi/about/directions/index.html">Maps and Directions</a></li> <li><a href="/cpi/about/otherwebsites/Index.html">Other AHRQ Web Sites</a></li> <li><a href="/cpi/about/hhs-agencies/index.html">Other HHS Agencies</a></li> <li><a href="/cpi/about/20timeline/testimonials.html">Testimonials</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown8-col2"> <div id="block-block-content-a018d8d6-07b1-45b3-8f96-1a25784e6dea" class="block block-block-content block-block-contenta018d8d6-07b1-45b3-8f96-1a25784e6dea"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/organization/index.html">Organization & Contacts</a></h2> <ul> <li><a href="/cpi/centers/index.html">Centers and Offices</a></li> <li><a href="/cpi/about/organization/orgchart/organizational-chart.html">Organization Chart</a></li> <li><a href="/cpi/about/organization/contacts/key-contacts.html">Key Contacts</a></li> </ul></div> </div> </div> </section> </div> </div> <div class="subnav-2-cols"> </div> </div> </div> </div> <div class="col-md-12 col-sm-12 utility-mobile"> <ul class="clearfix"> <li class="first"> <a href="/cpi/about/careers/index.html">Careers</a> </li> <li> <a href="/contact/index.html">Contact Us</a> </li> <li> <a href="/informacion-en-espanol/index.html">Español</a> </li> <li class="last"> <a href="https://info.ahrq.gov/">FAQs</a> </li> </ul> </div> </div> </div> <div id="breadcrumbs"> <div class="row row-side-margins"> <div class="col-12 .chrome"> <div id="block-system-breadcrumb-block" class="block block-system block-system-breadcrumb-block"> <div class="content"> <nav role="navigation" aria-label="breadcrumb"> <ol class="breadcrumb"> <li class="breadcrumb-item"> <a href="/">Home</a> </li> <li class="breadcrumb-item"> <a href="/funding/index.html">Funding & Grants</a> </li> <li class="breadcrumb-item"> <a href="/funding/grant-mgmt/index.html">Post Award Grants Management</a> </li> <li class="breadcrumb-item active"> No‐Cost Extensions (NCEs) </li> </ol> </nav> </div> </div> </div> </div> </div> <div id="topics-az" class="col-12"> <div class="row row-side-margins"> <div class="col-12"> </div> </div> </div> <div id="main-content-wrapper"> <section class="main-content col row-side-margins" id="content" role="main"> <div id="content_top" class="row"> <div class="col-12"> <div class="language-switcher-language-url block block-language block-language-blocklanguage-interface" role="navigation"> <div class="text-right"> </div> </div> </div> </div> <div class="container-fluid site-wrap"> <div class="row"> <div class="col-md-12 text-right addthis_toolbox"> <div class="addtoany-toolbox"> <h2 class="addtoany-header">SHARE:</h2> <div class="block block-addtoany block-addtoany-block"> <div class="content"> <span class="a2a_kit a2a_kit_size_16 addtoany_list" data-a2a-url="https://www.ahrq.gov/funding/grant-mgmt/nces.html" data-a2a-title="No‐Cost Extensions (NCEs)"><a class="a2a_button_facebook"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/facebook-tiny.png" border="0" alt="Facebook"></a><a class="a2a_button_twitter"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/twitter-tiny.png" border="0" alt="Twitter"></a><a class="a2a_button_email"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/envelope-tiny.png" border="0" alt="Email AHRQ"></a><a class="a2a_button_print"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/print-tiny.png" border="0" alt="Print"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ahrq.gov%2Ffunding%2Fgrant-mgmt%2Fnces.html&title=No%E2%80%90Cost%20Extensions%20%28NCEs%29"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/plus-tiny.png" alt="Share"></a></span> </div> </div> </div> </div> </div> <div> <div id="page-top"></div> <section class="row region region-page-top"> <div data-drupal-messages-fallback class="hidden"></div> </section> </div> <div class="row side"> <button class="btn sbf-btn hidden visible-xs" type="button" data-toggle="collapse" data-target=".navbar-collapse" aria-expanded="false" aria-controls="collapseExample"> More topics in this section </button> <div class="col-sm-3 sbf-col collapse dont-collapse-sm navbar-collapse"> <div class="block-sidebar-first block block-menu-block-forked block-menu-block-forkedmain" id="block-menu-block-forked-main"> <span class="sbf-main"><a href="/funding/index.html">Funding & Grants</a></span> <ul class="clearfix nav navbar-nav collapse dont-collapse-sm navbar-collapse"> <li class="nav-item sbf-level-one"> <a href="/funding/fund-opps/index.html" class="nav-link" data-drupal-link-system-path="node/198506">Notice of Funding Opportunities</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/funding/policies/index.html" class="nav-link" data-drupal-link-system-path="node/183922">Research Policies</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/funding/priorities-contacts/index.html" class="nav-link" data-drupal-link-system-path="node/183921">Funding Priorities</a> </li> <li class="nav-item sbf-level-one"> <a href="/funding/training-grants/index.html" class="nav-link" data-drupal-link-system-path="node/198427">Training & Education Funding</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/funding/process/index.html" class="nav-link" data-drupal-link-system-path="node/183920">Grant Application, Review & Award Process</a> </li> <li class="nav-item menu-item--expanded active dropdown sbf-level-one"> <a href="/funding/grant-mgmt/index.html" class="nav-link active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/198495">Post Award Grants Management</a> <ul class="dropdown-menu menu-level-two"> <li class="dropdown-item menu-item--collapsed sbf-level-two"> <a href="/funding/grantee-profiles/index.html" data-drupal-link-system-path="node/211246">AHRQ Grantee Profiles</a> </li> <li class="dropdown-item sbf-level-two"> <a href="/funding/grant-mgmt/recognition_ahrq-funded_study.html" data-drupal-link-system-path="node/211259">Getting Recognition for Your AHRQ-Funded Study</a> </li> <li class="dropdown-item sbf-level-two"> <a href="/funding/grant-mgmt/grants-by-state.html" data-drupal-link-system-path="node/233199">Grants by State</a> </li> <li class="dropdown-item active sbf-level-two"> <a href="/funding/grant-mgmt/nces.html" class="active is-active" data-drupal-link-system-path="node/232776" aria-current="page">No‐Cost Extensions (NCEs)</a> </li> </ul> </li> <li class="nav-item sbf-level-one"> <a href="/funding/contracts/index.html" class="nav-link" data-drupal-link-system-path="node/198507">Contracts</a> </li> </ul> </div> </div> <div class="subnav-2-cols col-sm-8 col-md-9"> <div id="main-content"></div> <article about="/funding/grant-mgmt/nces.html" typeof="schema:WebPage" class="node node--type-page node--view-mode-full clearfix"> <div class="node__content clearfix"> <div class="main-content-no-sb2"> <h1 class="node__title"> <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">No‐Cost Extensions (NCEs)</span> </h1> <div class="pager-wrap"> </div> <div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2>How do I request a no‐cost extension for my grant?</h2> <p><strong>If your grant is under expanded authorities</strong> (in general, the following AHRQ grant activity codes are included under expanded authorities: F31, F32, K01, K02, K08, K18, K99, P20, R00, R01, R03, R13, R18, R21, R33, R24, R25, R36), the grantee institution has the authority to automatically extend the final budget period end date one time for a period of up to 12 months. Effective on August 1, 2020, AHRQ grant recipients may, and effective October 1, 2020, AHRQ grantee recipients <em>must</em>, use the No-Cost Extension feature in the eRA Commons to execute this extension. Read <a href="https://grants.nih.gov/grants/guide/notice-files/NOT-HS-20-012.html">Notice NOT-HS-20-012</a>. Select <a href="https://era.nih.gov/era-training/ahrq-videos.htm">to watch a tutorial</a> on the standard process that an AHRQ grantee may follow to submit a one-time No Cost Extension in eRA Commons.</p> <p>This action must be taken before the final budget period expires, using the No-Cost Extension (NCE) feature in the eRA Commons. Accessible from the eRA Commons “Status” screen, the link for the No-Cost Extension feature appears 90 days before the final budget period end date and closes at 11:59 p.m. on the final budget period end date. <strong>In extending the final budget period end date of the grant through the eRA Commons, the grantee agrees to update all required certifications, including human subjects and animal welfare, in accordance with applicable regulations and policies. An interim progress report and an interim FFR, reflecting programmatic progress and financial expenditures, respectively, through the original project end date, will be required to be submitted to the AHRQ GMS named on the most recent NOA no later than 90 days from the original project end date.</strong></p> <p>Grantees may not extend a project end date previously extended by AHRQ. Once the eRA Commons link is closed, a NCE becomes a prior approval request and must be submitted for consideration to the AHRQ Grants Management Specialist named on the most recent Notice of Award. Any additional final budget period end date extension beyond the one-time extension of up to 12 months requires AHRQ prior approval.</p> <p><strong>If your grant is NOT under expanded authorities</strong> (e.g. K12, P01, P30, P50, T32, U01, U13, U18, U19, and UC1, or any award for which the terms and conditions indicate either that the award is not under expanded authorities or that the award may not use the no-cost extension option under expanded authorities), the grantee institution must submit a written prior approval request, endorsed by an authorized institutional official, to the Grants Management Specialist named on the most recent Notice of Award. The request is to include a statement of why the extension is needed, the requested duration of the extension (not to exceed 12 months), research objectives to be completed during the extension period, and a detailed budget page and budget justification for the use of unobligated funds anticipated to remain at the end of the current budget period. No additional funds will be awarded for an extension. If the extension is approved, AHRQ will issue a revised Notice of Award reflecting the new project end date.</p> <p>Whether under expanded authorities or not, an extension may only be made when no additional funds are required to be obligated by the awarding agency, there will be no change in the originally approved project scope or objective, and more time is needed to complete the research. The fact that funds remain at the expiration date of the project is not in and of itself sufficient justification for an extension. Conversely, if grant funds have been fully expended, an extension should not be requested/approved.</p> <p>Please note that a request for a <em>second</em> no-cost extension can only be considered by AHRQ if the grantee can demonstrate that <strong>unusual circumstances occurred that prevented the project from being completed during the original extension period. </strong>An extension is considered a second extension even if the first extension was less than 12 months long.</p> <p>Contact the assigned AHRQ Grants Management Specialist for details of what information needs to be included in a prior approval request for a second no-cost extension, which will include at a minimum: an explanation of the unusual circumstances warranting consideration of the request; strong programmatic justification of why it is crucial for the project to be extended further; progress to date; research objectives still to be completed; requested duration of second extension (not to exceed 12 months); the estimated unobligated balance expected to remain at the end of the first NCE, and a detailed budget and budget justification for use of these funds.</p></div> <div class="pager-wrap"> </div> </div> </div> </article> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 text-right"> <section class="row region region-citation"> <div id="block-citation" class="block block-ahrq block-citation"> <div class="content"> <div id="created-reviewed-citation" class="pad-bottom-sections"> <div id="page-reviewed" class="body-copy-italic">Page last reviewed November 2020 </div> <div id="page-created" class="body-copy-italic">Page originally created June 2020</div> </div> <div id="citation"> <div class="twocolordiv"> <div class="twocolordiv-content"> <p> <span class="citation-hdr">Internet Citation:</span> No‐Cost Extensions (NCEs). Content last reviewed November 2020. Agency for Healthcare Research and Quality, Rockville, MD.<br> <span class="citation-url">https://www.ahrq.gov/funding/grant-mgmt/nces.html</span> </p></div> <div class="twocolordiv-image"> <img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/copy-regular.png" title="Click to Copy Citation" alt="Click to copy citation" class="logo-white text-right" width="25" height="25"> </div> </div> </div> <div class="pad-bottom-sections"> </div> </div> </div> </section> </div> </div> <div class="row row-side-margins"> <div class="col-sm-12"> <div id="top-button-container"> <a href="#" id="top-button">Back to Top <img alt="Go back to top" height="25" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/chevron-circle-up-solid.png" width="25"> </a> </div> </div> </div> </section> </div> <footer> <div id="footer1"> <div class="row"> <div class="col-md-12 side-row-margins"> <div class="f1-div-width div-float init-pad"> <h3>Connect With Us</h3> <a href="https://www.facebook.com/ahrq.gov" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/facebook-f-brands.png" height="35" alt="Facebook"></a> <a href="https://twitter.com/ahrqnews" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/twitter-brands.png" class="img-spacing" width="" height="35" alt="Twitter"></a> <a href="https://www.youtube.com/user/AHRQHealthTV" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/youtube-brands.png" class="img-spacing" width="" height="35" alt="You Tube"></a> <a href="https://www.linkedin.com/company/agency-for-healthcare-research-and-quality" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/linkedin-in-brands.png" class="img-spacing" width="" height="35" alt="LinkedIn"></a> </div> <div class="f1-div-width div-float"> <h3 class="header-mobile-top-spacing">Sign up for Email Updates</h3> <p class="primary-small"> To sign up for updates or to access your subscriber<br/>preferences, please enter your email address below. </p> <form id="GD-snippet-form" action="https://subscriptions.ahrq.gov/accounts/USAHRQ/subscribers/qualify" accept-charset="UTF-8" method="post"> <input name="utf8" type="hidden" value="✓"/> <input type="hidden" name="authenticity_token" value="y9/sIPG+wf/QL20R4sTfazeOp4MyAOwD9ZszmZKWH0PZjGUt2JIEhyyE6dPCNgLP+WZWUcH1NjJVivzbrc8wmg=="/> <div role="search"> <label class="usa-sr-only" for="email">Search</label> <input class="usa-input email-input" id="email" type="text" name="email" /> <input class="usa-button email-update-button" type="submit" name="commit" value="Sign Up" /> </div> </form> </div> <div class="f1-div-width div-float"> <address> <h3 class="header-mobile-top-spacing">Agency for Healthcare Research and Quality</h3> <p class="primary-regular">5600 Fishers Lane<br/> Rockville, MD 20857<br/> Telephone: (301) 427-1364<p> </address> </div> </div> </div> </div> <div id="footer2"> <div class="row"> <div class="col-md-12 row-side-margins"> <div class="left-div div-width-partial left-margin"> <ul class="clearfix"> <li class="first"> <a href="/cpi/about/careers/index.html">Careers</a> </li> <li> <a href="/contact/index.html">Contact Us</a> </li> <li> <a href="/informacion-en-espanol/index.html">Español</a> </li> <li class="last"> <a href="https://info.ahrq.gov/">FAQs</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul class="clearfix"> <li class="first"> <a href="/policy/electronic/accessibility/index.html" >Accessibility</a> </li> <li> <a href="/policy/electronic/disclaimers/index.html" >Disclaimers</a> </li> <li> <a href="/policy/eeo/index.html" >EEO</a> </li> <li> <a href="/policy/electronic/about/policyix.html" >Electronic Policies</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul> <li> <a href="/policy/foia/index.html" >FOIA</a> </li> <li> <a href="https://www.hhs.gov/web/governance/digital-strategy/index.html" >HHS Digital Strategy</a> </li> <li> <a href="https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html" >HHS Nondiscrimination Notice</a> </li> <li> <a href="https://oig.hhs.gov" >Inspector General</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul> <li> <a href="/policy/electronic/plain-writing/index.html" >Plain Writing Act</a> </li> <li> <a href="/policy/electronic/privacy/index.html" >Privacy Policy</a> </li> <li class="last"> <a href="https://www.hhs.gov/plugins.html" >Viewers & Players</a> </li> </ul> </div> <div class="left-div div-width-full footer-border"> <ul> <li><a href="https://www.hhs.gov/">U.S. Department of Health & Human Services</a></li> <li><a href="https://www.whitehouse.gov/">The White House</a></li> <li><a href="https://www.usa.gov/">USA.gov</a></li> </ul> </div> </div> </div> </div> </footer> </div> </div> </div> <script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","pathPrefix":"","currentPath":"node\/232776","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"user":{"uid":0,"permissionsHash":"4c46c76d01a682ffd0446414a952d1d6b37013018e1034f113c842e08f757852"}}</script> <script src="/sites/default/files/js/js_CK8g7adNejp2YsH3Nak-7bEtq5JYMhKOvxpgWZcXIAI.js?scope=footer&delta=0&language=en&theme=ahrq_bootstrap_barrio&include=eJx1TNsOQDAM_SH0k5bWhkWt0_WBvxeXSAQvJ-eO3ptgWgEv0nQqySocdIYdXCZNbsJckYgVU8yOUDUK9CyEXBdbOab-mLhX6TZ-8q-TwJlY2rHAU56pD0uEm20Ra0zN"></script> <script src="https://static.addtoany.com/menu/page.js" defer></script> <script src="/sites/default/files/js/js_EeLpZz_plspoLoa43KdR0QusMFSZBBrQbYwVkODsFq8.js?scope=footer&delta=2&language=en&theme=ahrq_bootstrap_barrio&include=eJx1TNsOQDAM_SH0k5bWhkWt0_WBvxeXSAQvJ-eO3ptgWgEv0nQqySocdIYdXCZNbsJckYgVU8yOUDUK9CyEXBdbOab-mLhX6TZ-8q-TwJlY2rHAU56pD0uEm20Ra0zN"></script> <script src="https://d3js.org/d3.v6.min.js"></script> <script src="https://unpkg.com/leaflet@1.7.1/dist/leaflet.js" integrity="sha512-XQoYMqMTK8LvdxXYG3nZ448hOEQiglfqkJs1NOQV44cWnUrBc8PkAOcXy20w0vlaXaVUearIOBhiXZ5V3ynxwA==" crossorigin="anonymous"></script> <script src="/sites/default/files/js/js_UypcKOUteU5l3D_XL51xISq_IavX0F2iZW78YPUWdmM.js?scope=footer&delta=5&language=en&theme=ahrq_bootstrap_barrio&include=eJx1TNsOQDAM_SH0k5bWhkWt0_WBvxeXSAQvJ-eO3ptgWgEv0nQqySocdIYdXCZNbsJckYgVU8yOUDUK9CyEXBdbOab-mLhX6TZ-8q-TwJlY2rHAU56pD0uEm20Ra0zN"></script> </body> </html>