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Recipients are required to report deviations from budget and program plans and request prior approval for certain budget and program plan revisions. Changes in the program plans or budget that may significantly impact the project or materially impair the ability to meet objectives require prior approval from HRSA. HRSA may waive some of these prior approval requirements (see Expanded Authorities).
Prior approval requests are reviewed by the HRSA PO and GMS, and approval is official when a revised NoA is issued reflecting the approved request.