Opportunity Information: Apply for PA 06 386

  • The National Institutes of Health in the education health sector is offering a public funding opportunity titled "Cancer Surveillance Using Health Claims based Data System (R21)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.226 Research on Healthcare Costs, Quality and Outcomes 93.399 Cancer Control.
  • This funding opportunity was created on Dec 5, 2008 and posted on May 4, 2006.
  • Applicants must submit their applications by Multiple Receipt Dates See Link to Full Announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $200,000.00 in funding.
  • Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education State governments Native American tribal governments (Federally recognized) Independent school districts For profit organizations other than small businesses City or township governments Native American tribal organizations (other than Federally recognized tribal governments) Others (see text field entitled Additional Information on Eligibility for clarification) Special district governments County governments Public housing authorities/Indian housing authorities Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education Public and State controlled institutions of higher education.
  • Foreign institutions are eligible to apply. Eligible agencies of the Federal Government can apply. Faith based or community based organizations can apply.
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Opportunity Summary:

The Cancer Surveillance Using Health Claims based Data System (R21) opportunity (PA 06 386) is a National Institutes of Health funding announcement led by the National Cancer Institute (NCI) in partnership with the Agency for Healthcare Research and Quality (AHRQ). It supports investigator-initiated exploratory and developmental research that uses health insurance claims data to strengthen cancer surveillance. In practical terms, the program is aimed at projects that test, refine, or validate ways to use claims data to better understand what cancer care looks like in the real world, including how care is delivered, whether it aligns with quality standards, what outcomes patients experience, and where disparities exist across populations and across the full continuum of cancer treatment.

A central emphasis of the FOA is methodological and validity-focused work. Applicants are encouraged to study how accurate, complete, and useful claims-based measures are for surveillance purposes, and to develop or improve analytic methods needed to use these data responsibly. This can include examining whether claims reliably identify cancer diagnoses, treatments, complications, recurrence signals, follow-up care, or end-of-life care; determining how well claims capture timing and sequencing of treatments; and exploring biases or limitations inherent in administrative billing data. The announcement also explicitly welcomes pilot studies and preliminary analyses that generate early evidence and feasibility results that can support larger, more definitive grant applications later.

The mechanism is an NIH Exploratory/Developmental Grant (R21), which is designed for early-stage, higher-risk, proof-of-concept work rather than large, fully powered projects. Awards are capped at a two-year project period and cannot be renewed under the R21 mechanism. Budget limits are set at up to $275,000 in total direct costs over the two years, with no more than $200,000 in direct costs allowed in any single year. Because projects can vary widely in scope, the actual award size and duration may differ by application, as long as they stay within the two-year limit. The number of awards is not predetermined and depends on the availability of funds and on how many high-quality, meritorious applications are received.

This R21 announcement runs in parallel with a companion FOA of the same scientific scope that uses the R01 mechanism (PA 06 385). The presence of both tracks signals an intent to support both exploratory work (R21) and larger, more comprehensive research programs (R01), giving investigators a path to start with pilot or methods development and then potentially scale up through an R01 if the preliminary work supports it.

Eligibility is broad and includes for-profit and nonprofit organizations, public or private institutions (such as universities, colleges, hospitals, and laboratories), units of state and local government, eligible federal institutions, and community-based or faith-based organizations. Tribal entities are also eligible, including federally recognized and other-than-federally recognized Indian/Native American Tribal Governments, as well as tribally designated organizations. Foreign institutions are eligible to apply as well. For project leadership, any qualified individual with the necessary expertise, resources, and institutional support may serve as the Project Director/Principal Investigator, and NIH notes that individuals from underrepresented racial and ethnic groups and individuals with disabilities are encouraged to apply. Applicants may submit more than one application as long as each proposal is scientifically distinct.

Administratively, this is a discretionary grant opportunity under NIH, associated with CFDA numbers 93.226 (Research on Healthcare Costs, Quality and Outcomes) and 93.399 (Cancer Control). It does not require cost sharing or matching. The posting date listed is May 4, 2006, and the FOA used multiple receipt dates (specific deadlines are referenced in the full announcement). The opportunity is archived as of June 1, 2009, but the description captures the program’s intent: advancing cancer surveillance by improving how health claims data are evaluated and used to measure cancer care patterns, quality, outcomes, and disparities.

Frequently Asked Questions (FAQs): Cancer Surveillance Using Health Claims-based Data System (R21) (PA 06 386)

What is this funding opportunity?

The Cancer Surveillance Using Health Claims based Data System (R21) opportunity (PA 06 386) is a National Institutes of Health (NIH) funding announcement led by the National Cancer Institute (NCI) in partnership with the Agency for Healthcare Research and Quality (AHRQ). It supports exploratory and developmental, investigator-initiated research focused on improving cancer surveillance using health insurance claims data.

What is the main goal of the program?

The goal is to strengthen cancer surveillance by testing, refining, validating, and improving ways to use health claims data to understand real-world cancer care. This includes examining how care is delivered, whether care aligns with quality standards, what outcomes patients experience, and where disparities exist across populations and across the full continuum of cancer treatment.

What types of projects does the FOA encourage?

The FOA emphasizes methodological and validity-focused projects. It encourages work that evaluates the accuracy, completeness, and usefulness of claims-based measures for cancer surveillance, and projects that develop or improve analytic methods needed to use claims data responsibly.

What kinds of cancer-related measures can be studied using claims data under this program?

Examples described in the announcement include assessing whether claims data can reliably identify cancer diagnoses, treatments, complications, recurrence signals, follow-up care, and end-of-life care. The FOA also highlights evaluating how well claims data capture the timing and sequencing of treatments.

Does the opportunity support pilot studies or preliminary analyses?

Yes. The announcement explicitly welcomes pilot studies and preliminary analyses that provide early evidence and feasibility findings that could support later applications for larger, more definitive projects.

What grant mechanism is used for this opportunity?

This opportunity uses the NIH Exploratory/Developmental Grant (R21) mechanism, which is intended for early-stage, proof-of-concept, and higher-risk projects rather than large, fully powered research studies.

What is the maximum project period?

The R21 awards are capped at a two-year project period.

Can an R21 award under this FOA be renewed?

No. The announcement states that awards cannot be renewed under the R21 mechanism.

What are the budget limits for this R21?

Budgets are limited to up to $275,000 in total direct costs over the two-year project period, with no more than $200,000 in direct costs permitted in any single year.

Can the actual award size or duration be shorter than the maximum?

Yes. The announcement notes that actual award size and duration may vary by application, as long as the project stays within the two-year limit and within the stated direct cost caps.

How many awards will be made?

The number of awards is not predetermined. It depends on the availability of funds and the number of high-quality, meritorious applications received.

Is there a companion funding opportunity for larger projects?

Yes. This R21 announcement runs in parallel with a companion FOA with the same scientific scope that uses the R01 mechanism (PA 06 385). The R21 track supports exploratory work, while the R01 track supports larger, more comprehensive research programs.

Who is eligible to apply?

Eligibility is broad. Eligible applicants include for-profit and nonprofit organizations; public or private institutions such as universities, colleges, hospitals, and laboratories; units of state and local government; eligible federal institutions; and community-based or faith-based organizations.

Are Tribal entities eligible to apply?

Yes. Tribal eligibility includes federally recognized Indian/Native American Tribal Governments, other-than-federally recognized Tribal Governments, and tribally designated organizations.

Are foreign institutions eligible?

Yes. Foreign institutions are eligible to apply.

Who can serve as the Project Director/Principal Investigator (PD/PI)?

Any qualified individual with the necessary expertise, resources, and institutional support may serve as the PD/PI. The NIH also encourages individuals from underrepresented racial and ethnic groups and individuals with disabilities to apply.

Can an organization submit more than one application?

Yes. Applicants may submit more than one application, as long as each proposal is scientifically distinct.

Is cost sharing or matching required?

No. The announcement states that cost sharing or matching is not required.

What type of grant is this administratively?

This is described as a discretionary grant opportunity under NIH.

What CFDA numbers are associated with this opportunity?

The opportunity is associated with CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes) and CFDA 93.399 (Cancer Control).

When was this funding announcement posted?

The posting date listed is May 4, 2006.

Were there specific application deadlines?

Yes. The FOA used multiple receipt dates, with specific deadlines referenced in the full announcement.

Is this opportunity still active?

No. The opportunity is archived as of June 1, 2009.

What is the program trying to improve in real-world cancer surveillance?

Based on the description, the program aims to advance cancer surveillance by improving how claims data are evaluated and used to measure cancer care patterns, quality, outcomes, and disparities across populations and across the cancer care continuum.

What kinds of limitations or biases in claims data are relevant to this FOA?

The announcement highlights the importance of exploring biases or limitations inherent in administrative billing data and assessing how those limitations affect the validity and responsible use of claims-based surveillance measures.

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