CDC-RFA-CK20-2002.pdf

Centers for Disease Control and Prevention

National Center for Emerging and Zoonotic Infectious Diseases

Advancing the Centers of Excellence in Newcomer Health

CDC-RFA-CK20-2002

Application Due Date: 06/09/2020

Advancing the Centers of Excellence in Newcomer Health

CDC-RFA-CK20-2002

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Assistance Listings (CFDA) Number F. Dates G. Executive Summary

Part II. Full Text A. Funding Opportunity Description B. Award Information C. Eligibility Information D. Application and Submission Information E. Review and Selection Process F. Award Administration Information G. Agency Contacts H. Other Information I. Glossary

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- CK20-2002. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

Advancing the Centers of Excellence in Newcomer Health C. Announcement Type: New - Type 1 This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

New – Type 1

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-CK20-2002

E. Assistance Listings (CFDA) Number:

93.283 F. Dates:

1. Due Date for Letter of Intent (LOI): N/A

2. Due Date for Applications: 06/09/2020, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

N/A

G. Executive Summary:

1. Summary Paragraph:

Measurable outcomes of the program will be in alignment with at least one of the following performance goal(s) for the National Center for Emerging and Zoonotic Infectious Diseases:

Protect Americans from Infectious Diseases. This announcement is only for non-research activities supported by CDC.

CDC's Division of Global Migration and Quarantine (DGMQ) is focused on improving the health among immigrants (including Special Immigrant Visa holders), asylees, parolees, survivors of victims of torture, human trafficking victims, and refugees through public health partnerships, science, and response. This funding opportunity will advance the Centers of Excellence in Refugee Health to the Centers of Excellence in Newcomer Health to improve newcomer health outcomes, increase healthcare provider capacity, and to increase the evidence-https://www.grants.gov https://www.grants.gov https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov base for health policy decisions around these populations. These Centers will provide expertise in these program areas, build upon existing infrastructure, and collaborate with partners focusing on these at-risk populations.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 2

d. Total Period of Performance Funding: $10,000,000

e. Average One Year Award Amount: $1,000,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/30/2020

h. Cost Sharing and / or Matching Requirements: N No. Cost sharing or matching funds are not required for this program.

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview Every year, tens of thousands of refugees and 500,000 immigrants resettle to the U.S. from overseas. CDC's Division of Global Migration and Quarantine (DGMQ) is focused on improving the health among immigrants (including Special Immigrant Visa holders), asylees, parolees, survivors of victims of torture, human trafficking victims, and refugees through public health partnerships, science, and response. These newcomers can be particularly at-risk populations, often marginalized from public health surveillance, and from preventive treatment and health care in their home countries and countries of temporary asylum. DGMQ is looking for new approaches to outreach to these newcomer populations to analyze healthcare needs, improve health literacy, and better inform clinicians of best practices in caring for these individuals.

This funding opportunity will advance the Centers of Excellence in Refugee Health to the Centers of Excellence in Newcomer Health to improve newcomer health outcomes, increase healthcare provider capacity, and to increase the number of newcomer related policy decisions that are based on evidence. The Centers of Excellence in Refugee Health (2015-2020) developed a secure data repository of health information of recently arrived newcomers, assisted CDC in the revision of health screening guidelines for these populations, and created an online tool to assist clinicians with the CDC health screening guidelines.

The Centers of Excellence in Newcomer Health will focus on two or more areas including 1) the use of the multi-state/regional surveillance network to determine which health issues are most prominent amongst newcomer populations in the short and longer term; 2) the development of clinical training tools, presentations, and webinars to inform US clinicians of the new CDC screening recommendations; 3) the development of health orientation materials for newcomers; and 4) the development and enhancement of health information materials for clinicians and newcomers. These Centers will provide expertise in these program areas, build upon existing infrastructure, and collaborate with partners focusing on these at-risk populations.

b. Statutory Authorities This program is authorized under Section 317(k)(2) of the Public Health Service Act [42 U.S.C.

Section 247b(k)(2)].

c. Healthy People 2030 This work contributes to the Healthy People 2020 focus areas of Access to Health Services, Global Health, and Health Communication and Health Information Technology to 1) detect and treat health conditions, 2) find a health care provider with whom the patient can communicate and trust, 3) prevent the international spread of disease, 4) protect the health of the U.S. population, 5) provide new opportunities to connect with culturally diverse and hard to reach populations, and 6) facilitate the meaningful use of health IT and exchange of health information among health care and public health professionals.

https://www.healthypeople.gov/2020/topic sobjectives2020/default

d. Other National Public Health Priorities and Strategies N/A

e. Relevant Work This NOFO continues and builds off of activities in the prior funded cooperative agreement CK15-1503 “Establishing the Centers of Excellence in Refugee Health.”

This NOFO is in alignment with HHS/CDC/NCEZID's aims to prevent disease, disability, and death by a wide range of infectious diseases and HHS/CDC/NCEZID's tactics of providing leadership in public health, conducting exemplary science, strengthening preparedness efforts, informing public health policy, sharing vital health information with the public, and building collaborations for the benefit of global health.

This NOFO builds upon the work currently underway towards building surveillance systems that gather information on newcomers arriving to the U.S. It will also expand upon already published refugee health guidelines and provide education to providers about guidelines (https://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/domestic-guidelines.html).

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-CK20-2002 Logic Model Advancing the Centers of Excellence in Newcomer Health Bold indicates period of performance outcome

Strategies and Activities

Short-term Outcomes

Intermediate Outcomes Long-Term Outcomes

Surveillance and Epidemiology

Use the data repository from the 2015-2020 cooperative agreement to:

Analyze the major health conditions of newcomers

Expand and merge repository dataset with other state databases

Collaborate with partners to create opportunities for analysis of data describing longer-term health follow up of newcomers

Improved knowledge about newcomer health among clinicians Surveillance data used by all players to determine focal health issues for newcomer health orientation

Improved collaboration of network partners and data repository maintenance

Surveillance data used to tailor domestic screening guidelines to specific newcomer populations Improved collaboration between domestic newcomer health partners

Population-specific information used to inform domestic screening programs

Improved health outcomes of newcomers Increased healthcare provider capacity to treat newcomers Increased policy decisions that are based on evidence

Guidance

Use repository data or other state databases, to assess what population-specific guidance should be included in existing clinical guidelines

Develop clinical training tools, presentations, or webinars for clinicians and identify best practices

Develop strategies to rapidly disseminate and integrate guidelines into clinical practice (e.g. outbreaks)

Increased clinician understanding of the guidelines, changes in the revised guidelines, and how to implement them in daily practice

Clinical training tools, presentations, or webinars to educate clinicians produced by all players to follow best practices

Newcomers have access to and use health care

Improved continuity of medical care for newcomers, specifically refugees and SIVs, with complex medical issues Clinicians are more informed on how to provide culturally and evidence-based care to newcomers

Newcomer Health Orientation

Collaborate with national partners to develop or enhance existing health and health care orientation programs for newcomers

Develop/deploy mobile device applications for

Increased health care literacy of

Clinicians are more informed on how to provide culturally and evidence-based care to

Clinician Training and Newcomer Health Education

Identify gaps in health knowledge among newcomer health care providers

Develop and deliver educational resources to clinicians

Improved clinician access to knowledge about newcomer health

i. Purpose CDC's Division of Global Migration and Quarantine (DGMQ) focuses on improving health among immigrants (including Special Immigrant Visa holders), asylees, parolees, human trafficking victims, and refugees through partnerships, science, and response. These newcomers are at-risk populations, marginalized from health surveillance, preventive treatment, and health care in their home or temporary asylum countries. DGMQ is looking for new approaches to outreach to newcomers to improve health outcomes, increase healthcare provider capacity to treat them, and increase evidence-based policy decisions.

ii. Outcomes Surveillance and Epidemiology

Improved knowledge about newcomer health among clinicians Surveillance data used by all players to determine focal health issues for newcomer health orientation Population-specific information used to inform domestic screening programs

Guidelines

Increased clinician understanding of the guidelines, changes in the revised guidelines, and how best to implement them in daily practice

Clinical training tools, presentations, or webinars to educate clinicians produced by all players to follow best practices

Newcomers have access to and use health care *

Newcomer health orientation

Newcomers have access to and use health care * Increased health care literacy of newcomers Clinicians are more informed on how to provide culturally and evidence-based care to newcomers*

Clinician Training and Newcomer Health Education

Improved clinician access to knowledge about newcomer health

Newcomers have access to and use health care *

* This outcome is the product jointly of short-term outcomes in three strategies

iii. Strategies and Activities The Centers of Excellence in Newcomer Health will focus on two or more areas including 1) the use of the multi-state/regional surveillance network to determine which health issues are most prominent amongst newcomer populations in the short and longer term (Surveillance and Epidemiology); 2) the development of clinical training tools, presentations, and webinars to inform US clinicians of new CDC screening recommendations (Guidance); 3) the development of health orientation materials for newcomers (Newcomer Health Orientation); and 4) the development and enhancement of health information materials for clinicians and newcomers (Clinician Training and Newcomer Health Education).

Specifically, Surveillance and Epidemiology, activities will include:

analyzing major health conditions of newcomers by looking a multi-jurisdiction dataset, at minimum by nationality, visa type, age, and sex. Analyses might also include evaluations of overseas interventions, chronic diseases such as hypertension and diabetes, and mental health evaluation and follow-up.

expanding the repository dataset with other eligible state databases (e.g. state cancer registry, state immunization information systems, state tuberculosis registry).

Applications should demonstrate how these electronic mechanisms are/can be linked.

collaborating with partners to create opportunities for analysis of data describing longer-term health follow up of newcomers. This might also include linking with Medicaid databases, mental health agencies, and/or primary care clinicians in medical homes.

Guidance, activities will include:

using the repository data and other state databases to assess what population-specific guidance should be included in existing clinical guidelines (e.g. how infectious diseases may differ by geographic location). Examples of these analysis results would be how to better assess sickle cell screening, testing, and treatment in Congolese newcomers, how lead exposures may continue after resettlement for newcomers from Afghanistan, and/or the prevalence of schistosomiasis from newcomers from Asia and Africa.

developing clinical training tools, presentations, or webinars for clinicians. This must include integration of CareRef tool into clinical training webinars that inform clinicians on guidelines and revisions of guidelines.

developing strategies to rapidly disseminate and integrate guidelines into clinical practice (e.g. outbreaks)

Newcomer Health Orientation, activities will include:

collaborations with national partners to develop or enhance existing health and health care orientation programs for newcomers. Such programs should capitalize off of existing resources such as HealthReach. Programs should also be geared towards health issues in newcomers, where the need for orientation has been demonstrated by evidence.

development and the deployment of mobile device applications for newcomers.

Applications should consider how population-specific health information in appropriate newcomer languages can be deployed and disseminated throughout resettled newcomer communities.

Clinician Training and Newcomer Health Education, activities will include:

identification of gaps in health knowledge among newcomer health care providers development and distribution of educational resources to clinicians. Distribution of

CareRef should be included in the tools provided to clinicians.

1. Collaborations

a. With other CDC programs and CDC-funded organizations:

Applicants are required to collaborate with CDC’s Division of Global Migration and Quarantine. Applicants do not need to provide letters of support or other documentation of this collaboration in their application.

b. With organizations not funded by CDC:

Recipients also must establish, build, and/or maintain collaborative relationships with organizations not funded by CDC that will support the implementations of the proposed program.

Priority strategic partnerships include other state and local refugee health programs that contribute data to the multi-jurisdiction/regional data network. Memoranda of agreement/memoranda of understanding (MOAs/MOUs) or other means of formalizing partnerships should exist for existing partners to the network. CDC may request copies of these agreements.

Additional collaborations may include: colleges and universities, professional medical and nursing organizations, primary care associations, primary care clinics, clinics and hospitals, non-governmental organizations, state and local governments, community advocates, community members, and other stakeholders. Innovative partnerships with the business community or others are also encouraged. Memoranda of agreement/memoranda of understanding (MOAs/MOUs) or other means of formalizing partnerships should exist for existing partners to the network. CDC may request copies of these agreements.

Applicants should identify the most critical organizations, networks, sectors, and partners that are highest priority for them to meet their project plans in year 1. For each of those highest priority collaborations, applicants should describe 1) the extent of the current collaboration with those entities, 2) the specific objectives of the partnerships for the purposes of implementing strategies and activities in this NOFO, and 3) plans for strengthening or maintaining that collaboration in year 1. Applicants do not need to provide letters of support or other documentation of these collaborations in their application.

2. Target Populations Newcomers are typically defined as refugees, asylees, special immigrant visa (SIV) holders, parolees, survivors of victims of torture, Cuban and Haitian entrants, victims of trafficking, and Amerasians. However, some immigrants, such as those with Class B TB conditions and intercountry adoptees, can be included in activities.

a. Health Disparities Newcomers (particularly refugees, asylees, SIVs, survivors of victims of torture, and victims of trafficking) are particularly at-risk populations, marginalized from public health surveillance, preventive treatment and health care in their home countries, the health care systems, and countries of temporary asylum. Further, many are from countries with high burdens of infectious diseases including tuberculosis. By working to reduce infectious disease burdens, this will help reduce health disparities among newcomers.

Additionally, Healthy People 2020, the HHS Action Plan to Reduce and Eliminate Health Disparities call for enhancing collaboration and coordination of health disparities activities.

Applicants should initiate partnerships and maintain activities to address health equity.

Social determinants of health: https://www.cdc.gov/socialdeterminants/index.htm Health equity: https://www.cdc.gov/healthequity/index.html Health disparities: http://www.cdc.gov/minorityhealth/strategies2016/

iv. Funding Strategy

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Strategies and Process Measures Strategy: Surveillance and Epidemiology, activities will include:

analyzing major health conditions of newcomers expanding the repository dataset with other eligible state databases collaborating with partners to create opportunities for analysis of data describing longer-term health follow up of newcomers.

PROCESS MEASURES:

Number of new reports generated, summarizing the major health conditions of newcomers

Number of new collaborations formed with local and national partners that facilitate analysis of data related to the long-term health of newcomers

Guidance, activities will include:

using the repository data and other state databases to assess what population-specific guidance should be included in existing clinical guidelines developing clinical training tools, presentations, or webinars for clinicians developing strategies to rapidly disseminate and integrate guidelines into clinical practice (e.g. outbreaks)

PROCESS MEASURE:

Number of clinical training tools, presentations, and webinars created by recipients to educate clinicians on newcomer health using repository data and other state databases

Number of strategies developed by recipient to rapidly disseminate guidelines to clinical settings during outbreaks

Newcomer Health Orientation, activities will include:

collaborations with national partners to develop or enhance existing health and health care orientation programs for newcomers.

development and the deployment of mobile device applications for newcomers.

PROCESS MEASURE:

Number of new collaborations formed between recipient and national partners to develop and strengthen healthcare orientation programs for newcomers

Number of health-oriented mobile device applications developed by recipient for

Number of newly developed newcomer health mobile device applications deployed to newcomers

Clinician Training and Newcomer Health Education, activities will include:

identification of gaps in health knowledge among newcomer health care providers development and distribution of educational resources to clinicians

PROCESS MEASURE:

Number of new health-oriented resources developed by recipients for clinicians Number of newly developed health-oriented resources distributed to targeted clinicians

OUTCOMES AND OUTCOME MEASURES

1. Improved knowledge about newcomer health among clinicians MEASURE: percentage increase in clinicians who know key aspects of newcomer health such as testing for latent tuberculosis infection, accessing overseas medical records through the CDC Electronic Disease Notification System, or establishing culturally competent care at newcomer health clinics

2. Surveillance data used by all players to determine focal health issues for newcomer health orientations MEASURE: Number of culturally competent health orientation materials developed based on the most common conditions of newcomers

3. Population-specific information used to inform domestic screening programs MEASURE: Number of webinars and publications to domestic screening programs providing specific health information regarding newcomers

4. Increased clinician understanding of the guidelines, changes in the revised guidelines, and how to implement them daily in practice MEASURE: percentage knowledge change in health partners, including clinicians, regarding the recently revised guidelines

5. Newcomers have access to and use health care MEASURE: percentage increase in number of newcomers using primary health care

6. Clinical training tools, presentations, or webinars to educate clinicians produced by all players to follow best practices MEASURE: Number of tools, presentations, and webinars developed to follow best practices in newcomer health care.

7. Increased health care literacy of newcomers MEASURE: percentage knowledge change in newcomers regarding common health issues and ways to access health care in the United States

8. Improved clinician access to knowledge about newcomer health MEASURE: percentage knowledge change in clinicians about providing care for newcomers

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this NOFO. At a minimum, the plan must describe:

How applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement.

How key program partners will participate in the evaluation and performance measurement planning processes.

Available data sources, feasibility of collecting appropriate evaluation and performance data, and other relevant data information (e.g., performance measures proposed by the applicant)

Plans for updating the Data Management Plan (DMP), if applicable, for accuracy throughout the lifecycle of the project. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans.

For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should be directed to:

Describe the type of evaluations (i.e., process, outcome, or both).

Describe key evaluation questions to be addressed by these evaluations.

Describe other information (e.g., measures, data sources).

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

For the proposed outcome (not process) measures listed above, applicants should describe:

Any available baseline measures (including definitions for numerators and denominators used and latest reporting year or timeframe)

Source(s) of data needed to calculate the measures (i.e., which programs or agencies "own" the data)

How useful the measures would be to the applicant https://www.cdc.gov/grants/additionalrequirements/ar-25.html

How feasible it would be for the applicant to report on the measures Any anticipated barriers to obtaining and calculating the proposed measures Any other comments or questions the applicant has about the proposed measures at this time

Applicants may also propose additional key process, outcome, or performance measures that they plan to collect and track for themselves. Applicants are encouraged to list measures that they believe CDC should consider for inclusion in the final set of common performance measures for this NOFO, either in addition to, or in lieu of, the ones proposed in this NOFO.

Applicants should describe their general approach to conducting evaluation over the period of performance, including:

Their process for identifying and deciding what aspect of their program they will evaluate

The specific aspects of their program that they currently consider priorities for evaluation (with the understanding that this can change over time)

Anticipated number of evaluation projects that they believe they can undertake during the 5 year period of performance

c. Organizational Capacity of Recipients to Implement the Approach Applicants will be required to demonstrate that they either have one of the following:

Have an existing multi-state/regional surveillance database of post arrival domestic medical examination data of recently arrived newcomers, with capabilities for expansion to additional jurisdictions and other health surveillance datasets, OR

Have extensive experience in developing national guidelines for domestic medical examinations for recently arrived newcomers, with expertise in developing training tools and presentations

All applicants will also be required to demonstrate:

Extensive programmatic leadership experience (over 5 years) in newcomer health activities in the United States

A team with subject matter expertise in cultural competency, newcomer health issues, data management, data analysis, scientific publications, and program management

Regarding organizational structure and infrastructure, applicants should describe (where appropriate):

Their program’s organizational structure Their physical infrastructure as it relates to equipment, electronic information and data systems, data security and confidentiality, and communication systems to implement the award

Any known infrastructure gaps that may affect their ability to implement the strategies and activities and their plans for strengthening them

Regarding management and staffing plans, applicant organizations are also required to provide:

Details on their workforce capacity, competence, expertise, and experience as they relate to the required program strategies and activities. Staff must have the breadth of subject matter expertise and experience required to conduct all proposed work and the capacity and skills to effectively manage a diverse portfolio. Applicants should describe:

Their general approach, systems, and processes that will be used to conduct program management, performance measurement, evaluation, financial reporting, management of travel requirements, and management of any subcontracts

The proposed staffing plan and project management structure that will be in place to achieve the project outcomes, inclusive of subcontractors and consultants if applicable, throughout the duration of the five-year project

For each of main strategy areas: the key personnel who will be responsible for implementing those related activities, their relevant expertise, and approximate full time equivalent allocated to supporting that strategy. If staff outside the health department or contractors will play central role in implementing the strategies, applicant should list those as well

Their current evaluation capacity, including the key personnel who will be responsible for evaluation activities, their relevant expertise, and approximate full time equivalent allocated to evaluation

A curriculum vitae (CV) or resume must be submitted for each existing key personnel who will be affiliated with the program.

d. Work Plan Applicant must submit a work plan that covers the first year of the five-year period of performance and a high-level summary of activities for years 2-5.

Proposed strategies must be in alignment with the NOFO logic model.

Required elements in a work plan include strategies and their associated performance measures, as well as major activities and the title of the person/group responsible for each activity.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking recipient progress in achieving the desired outcomes.

Ensuring the adequacy of recipient systems that underlie and generate data reports.

Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities deemed necessary to monitor the award:

Ensuring that work plans are feasible based on the budget and consistent with the intent of the award.

Ensuring that recipients are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with recipients on adjusting the work plan based on achievement of outcomes, evaluation results and changing budgets.

Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels.

Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk recipients.

f. CDC Program Support to Recipients (THIS SECTION APPLIES ONLY TO

COOPERATIVE AGREEMENTS)

In a cooperative agreement, CDC staff are substantially involved in the program activities, above and beyond routine grant monitoring. The CDC program will work in partnership with the recipients to ensure a shared responsibility for the successful implementation of the cooperative agreement and attainment of the period of performance outcomes. CDC DGMQ will provide commitment of personnel and/or resources, specific subject matter expertise, evaluation, performance measurement, work plan development, program planning, and capacity building assistance and training.

Regarding award guidance and monitoring, CDC will support recipients in implementing the requirements of the cooperative agreement, selecting or prioritizing prevention/activities and meeting identified outcomes

Monitor recipients' program performance using multiple approaches, such as routine calls, site visits, emails, conference calls, and standardized review of performance, grantee feedback and other data reports

Provide guidance and coordination to recipients to improve the quality and effectiveness of work plans, evaluation strategies, products and services, and collaborative activities with other organizations

Provide requirements and expectations for standardized and other data reporting, monitoring, and evaluation

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism: U50

3. Fiscal Year: 2020

4. Approximate Total Fiscal Year Funding: $2,000,000

5. Approximate Period of Performance Funding: $10,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $10,000,000

6. Approximate Period of Performance Length: 5 year(s)

7. Expected Number of Awards: 2

8. Approximate Average Award: $1,000,000 Per Budget Period

9. Award Ceiling: $2,000,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $10,000 Per Budget Period

11. Estimated Award Date: 09/30/2020

12. Budget Period Length: 12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

13. Direct Assistance Direct Assistance (DA) is available through this NOFO.

We encourage use of DA by recipients to support CDC's workforce development programs (e.g., the Public Health Associates Program [PHAP], Steven M. Teutsch Prevention Effectiveness [PE] Fellows, Laboratory Leadership Service [LLS] Fellows, Public Health Informatics Fellows [PHIF], Epidemic Intelligence Service [EIS] officers, etc.).

C. Eligibility Information

1. Eligible Applicants Eligibility Category: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"

Additional Eligibility Category:

Government Organizations:

State governments or their bona fide agents (includes the District of Columbia)

Local governments or their bona fide agents

Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

State controlled institutions of higher education

American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

Non-government Organizations:

American Indian or Alaska native tribally designated organizations

Other:

Ministries of Health

2. Additional Information on Eligibility

3. Justification for Less than Maximum Competition

4. Cost Sharing or Matching Cost Sharing / Matching Requirement: No No. Cost sharing or matching funds are not required for this program.

5. Maintenance of Effort Maintenance of Effort is not required for this program.

D. Application and Submission Information

1. Required Registrations An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

a. Data Universal Numbering System:

All applicant organizations must obtain a Data Universal Numbering System (DUNS) number.

A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http:// fedgov.dnb. com/ webform/ displayHomePage.do. The DUNS number will be provided at no charge.

If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM):

The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do days, and registration must be renewed annually. Additional information about registration procedures may be found at https://www.sam.gov/SAM/.

c. Grants.gov:

The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the "Applicant Registration" option at www.grants.gov.

All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.

Step System Requirements Duration Follow Up 1 Data

Universal Number System

(DUNS)

1. Click on http:// fedgov.dnb.com/ webform

2. Select Begin DUNS search/request process

3. Select your country or territory and follow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or call 1-866-705-5711

2 System for Award Management

(SAM)

formerly Central Contractor Registration

(CCR)

1. Retrieve organizations DUNS number

2. Go to https://www.sam.gov/SAM/ and designate an E-Biz POC (note CCR username will not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

3-5 Business Days but up to 2 weeks and must be renewed once a year

For SAM Customer Service Contact https://fsd.gov/ fsd-gov/ home.do Calls:

866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative (AOR)

2. Once the account is set up the E-BIZ POC will be notified via email

Same day but can take 8 weeks to be fully registered and approved in the system

Register early!

Log into grants.gov and check AOR status until it shows you have been approved https://www.sam.gov/SAM/ https://grants.gov/ https://www.grants.gov/ http://www.grants.gov https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform https://www.sam.gov/SAM/ https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

3. Log into grants.gov using the password the E-BIZ POC received and create new password

4. This authorizes the AOR to submit applications on behalf of the organization

(note, applicants

MUST

obtain a

DUNS

number and

SAM

account before applying on grants.gov)

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov.

4. Submission Dates and Times If the application is not submitted by the deadline published in the NOFO, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by

OGS.

a. Letter of Intent Deadline (must be emailed or postmarked by) Due Date for Letter of Intent: N/A

b. Application Deadline Due Date for Applications: 06/09/2020 , 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which grants.gov operations resume.

Date for Information Conference Call

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa)) /Homepage.aspx.

Applicants may follow either of the following processes:

https://www.grants.gov https://www.grants.gov https://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx

Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov

Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx

Assurances and certifications submitted directly to CDC will be kept on file for one year and will apply to all applications submitted to CDC by the applicant within one year of the submission date.

Risk Assessment Questionnaire Requirement CDC is required to conduct pre-award risk assessments to determine the risk an applicant poses to meeting federal programmatic and administrative requirements by taking into account issues such as financial instability, insufficient management systems, non-compliance with award conditions, the charging of unallowable costs, and inexperience. The risk assessment will include an evaluation of the applicant’s CDC Risk Questionnaire, located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, as well as a review of the applicant’s history in all available systems; including OMB-designated repositories of government-wide eligibility and financial integrity systems (see 45 CFR 75.205(a)), and other sources of historical information. These systems include, but are not limited to: FAPIIS (https://www.fapiis.gov/), including past performance on federal contracts as per Duncan Hunter National Defense Authorization Act of 2009; Do Not Pay list; and System for Award Management (SAM) exclusions.

CDC requires all applicants to complete the Risk Questionnaire, OMB Control Number 0920- 1132 annually. This questionnaire, which is located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, along with supporting documentation must be submitted with your application by the closing date of the Notice of Funding Opportunity Announcement. If your organization has completed CDC’s Risk Questionnaire within the past 12 months of the closing date of this NOFO, then you must submit a copy of that questionnaire, or submit a letter signed by the authorized organization representative to include the original submission date, organization’s EIN and DUNS.

When uploading supporting documentation for the Risk Questionnaire into this application package, clearly label the documents for easy identification of the type of documentation. For example, a copy of Procurement policy submitted in response to the questionnaire may be labeled using the following format: Risk Questionnaire Supporting Documents _ Procurement Policy.

Duplication of Efforts Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year.

Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding https://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source.

Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.

Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

Report Submission: The applicant must upload the report in Grants.gov under “Other Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary, and Commitment Overlap.”

6. Content and Form of Application Submission Applicants are required to include all of the following documents with their application package at www.grants.gov.

7. Letter of Intent LOI is not requested or required as part of the application for this NOFO.

8. Table of Contents (There is no page limit. The table of contents is not included in the project narrative page limit.): The applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package.

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum 1 page) A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the "Project Abstract Summary" text box at www.grants.gov.

10. Project Narrative (Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12 point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the specified page number will not be reviewed.)

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include all of the following headings (including subheadings): Background, Approach, https://www.grants.gov https://www.grants.gov https://www.grants.gov

Applicant Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire period of performance as identified in the CDC Project Description section. Applicants should use the federal plain language guidelines and Clear Communication Index to respond to this Notice of Funding Opportunity. Note that recipients should also use these tools when creating public communication materials supported by this NOFO. Failure to follow the guidance and format may negatively impact scoring of the application.

a. Background Applicants must provide a description of relevant background information that includes the context of the problem (See CDC Background).

b. Approach

i. Purpose Applicants must describe in 2-3 sentences specifically how their application will address the public health problem as described in the CDC Background section.

ii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period, as identified in the logic model in the Approach section of the CDC Project Description.

Outcomes are the results that the program intends to achieve and usually indicate the intended direction of change (e.g., increase, decrease).

iii. Strategies and Activities Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the period of performance outcomes. Applicants must select existing evidence-based strategies that meet their needs, or describe in the Applicant Evaluation and Performance Measurement Plan how these strategies will be evaluated over the course of the project period.

See…