OT20-2004 - Extension.pdf

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response

CDC-RFA-OT20-2004

Application Due Date: 06/03/2020

Signature Date

Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response

CDC-RFA-OT20-2004

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- OT20-2004. 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:

Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response 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-OT20-2004

E. Assistance Listings (CFDA) Number:

93.391 F. Dates:

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

2. Due Date for Applications: 06/03/2020, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

NOTE: CDC may establish ad hoc dates based on the need of the COVID-19 response, e.g., to meet unanticipated issues related to COVID-19 and/or to allow impacted eligible applicants that missed the cut-off date to submit an application for consideration. CDC intends to issue initial notices of award as applications are received prior to the application due date to address urgent COVID-19 response needs. Second notices of award are planned after the actual number of applicants is finalized.

3. Date for Informational Conference Call:

Date: May 4, 2020 Time: 3:00pm to 4:00pm Eastern Standard Time Meeting Details:

Webinar:

Join ZoomGov Meeting https://cdc.zoomgov.com/j/1608847446?pwd=WVZUMlJ5clRFVUtZbjUyWkNDU

0ppQT09 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 https://cdc.zoomgov.com/j/1608847446?pwd=WVZUMlJ5clRFVUtZbjUyWkNDU0ppQT09

Audio Only:

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G. Executive Summary:

1. Summary Paragraph:

On March 6, 2020, the President signed into law the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123). This act provides funding to prevent, prepare for, and respond to Coronavirus Disease 2019 (COVID-19).

To support tribal public health emergency response to COVID-19, the Centers for Disease Control and Prevention (CDC) is announcing a new, non-competitive grant CDC-RFA-OT20- 2004 Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response.

To carry out public health emergency response activities in response to COVID-19, CDC is awarding at least $40,000,000 of initial funding to federally recognized tribes and tribal organizations that contract or compact with the Indian Health Service under Title I and Title V of the Indian Self-Determination and Education Assistance Act, or consortia of these tribes, or their bona fide agents. All federally recognized tribes, tribal organizations, consortia of federally recognized tribes, or their bona fide agents should apply to be considered for subsequent funding through this announcement to carry out public health emergency response activities in response to COVID-19. This funding and future funding is intended to carry out surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications, and other preparedness and response activities for COVID-19.

a. Eligible Applicants: Limited

b. NOFO Type: Grant

c. Approximate Number of Awards: 574

d. Total Period of Performance Funding: $40,000,000

e. Average One Year Award Amount: $70,000

It is not possible to approximate the amount of each award without knowing the actual https://cdc.zoomgov.com/u/aebKco1Pbi number of applicants. However, for the purposes of budget planning and development, an award floor amount of $25,000 is proposed. This amount may change depending on the number of applicants for this award and the amount of overall funding provided.

f. Total Period of Performance Length: 1

g. Estimated Award Date: 06/10/2020

h. Cost Sharing and / or Matching Requirements: N

Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview On January 31, 2020, the Secretary of the Department of Health and Human Services (DHHS) declared the Novel Coronavirus Disease (COVID-19) as a public health emergency under the Public Health Service (PHS) Act. On March 11, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. On March 13, 2020, the President issued a Proclamation on Declaring a National Emergency Concerning the COVID-19 Outbreak. As of March 16, 2020, all 50 states and several local and territorial jurisdictions have declared states of emergency.

Given the significant impact to communities across the nation, responding to this unprecedented pandemic requires a systems-level approach that leverages the resources of the public health system. The public health system represents a complex and broad range of agencies, organizations, and individuals in which each plays a significant role in affecting the health of the population.

This emergency funding opportunity is designed to fund federally recognized tribes and tribal organizations that contract or compact with the Indian Health Service under Title I and Title V of the Indian Self-Determination and Education Assistance Act, or consortia of these tribes, or their bona fide agents. All federally recognized tribes, tribal organizations, consortia of federally recognized tribes, or their bona fide agents should apply for this announcement to be considered for future funding under this announcement. During a national emergency, these organizations are uniquely positioned to provide emergency preparedness and response support for tribal health departments and other components of the tribal public health system.

The purpose of this emergency funding is to conduct the following public health activities in response to COVID-19:

Emergency operations and coordination Health Information Technology Surveillance and epidemiology Laboratory capacity

Communications Countermeasures and mitigation Recovery activities Other preparedness and response activities to COVID-19

b. Statutory Authorities Under section 317(k)(2) of the Public Health Service Act [42 USC 247b(k)(2), as amended] and the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116- 123).

c. Healthy People 2030 This emergency funding opportunity focuses on the emergency preparedness and response foundational capability and addresses the "Healthy People 2020" focus areas of Preparedness, Respiratory Disease and Immunization and Infectious Disease. For specific objectives within these topic areas, please consult https://www.healthypeople.gov.

d. Other National Public Health Priorities and Strategies This NOFO supports the following public health priorities and strategies:

The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123).

Centers for Disease Control and Prevention Coronavirus 2019 (COVID-19) Recommendations and Guidance for state, local, territorial and tribal health departments.

https://www.cdc.gov/coronavirus/2019-ncov/php/index.html

e. Relevant Work CDC provides funding and technical assistance to public health agencies nationwide to build and strengthen their abilities to plan and prepare for, respond to, and prevent or mitigate public health problems and threats. A variety of funding opportunities for public health emergencies and preparedness provide funding to support capacity-building, planning, preparedness, and response to public health problems, including emergencies such as pandemic events. In addition to this funding opportunity, CDC provides scientific guidance, direct technical assistance and coordination for jurisdictional (state, local, territorial and tribal) public health authorities and other organizations to prepare and responds to public health problems, including specific emergencies and/or events.

This NOFO is complementary and non-duplicative of the following CDC program activities, public health priorities and strategies:

o CDC-RFA-TP18-1802 Cooperative Agreement for Emergency Response: Public Health Crisis Response (Crisis Response Cooperative Agreement) for this event www.cdc.go/phpr/readiness/funding-crisis.htm o CDC-OT18-1803: Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative Agreement www.cdc.gov/tribal/cooperative -agreements/tribal-capacity-building-OT18-1803.html https://www.healthypeople.gov/ https://www.cdc.gov/coronavirus/2019-ncov/php/index.html http://www.cdc.gov/ http://www.cdc.gov/phpr/readiness/funding-crisis.htm http://www.cdc.gov/tribal/cooperative-agreements/tribal-capacity-building-OT18-1803.html http://www.cdc.gov/tribal/cooperative-agreements/tribal-capacity-building-OT18-1803.html o CDC-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improvement and Protect the Nation’s Health www.cdc .gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802 .html

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

Although there is not a predetermined logic model, there is an expectation that there is a strengthening of tribal preparedness and response capabilities in response to COVID-19.

This NOFO may fund the following public health response activities:

Emergency operations and coordination (activities may include, but are not limited to, establishing emergency operations centers, incident management systems, continuity of operations plans, volunteer management, surge staffing and procurement of supplies and equipment) Health Information Technology (activities may include, but are not limited to supporting data systems necessary to support and focus on COVID-19 surveillance and reporting, population building, patient tracer, etc. It is not intended to support health information technology systems related to the direct healthcare delivery system.)

Surveillance and epidemiology (activities may include, but are not limited to, case identification, management and risk assessment of travelers and others with potential COVID- 19 exposure, data management, reporting, surge staffing and procurement of supplies and equipment, etc.)

Laboratory capacity (activities may include, but are not limited to, procurement of equipment, supplies, shipping, and staffing associated with testing and other laboratory activities) Communications (activities may include, but are not limited to, risk communications guidance and information sharing to tribal members, tribal organizations, responders, clinicians and others, information management, and surge staffing, procurement of supplies, and shipping in support of communications) Countermeasures and mitigation (activities may include, but are not limited to, infection control, quarantine and isolation, management and distribution of medical materiel, coordination with healthcare systems, surge staffing, shipping and procurement of supplies and equipment) Recovery activities (activities may include, but are not limited to, activities related to restoring tribal communities to pre-event functioning, conduct of after-action reviews, development of improvement plans) Other preparedness and response activities to COVID-19

i. Purpose The purpose of this funding opportunity is to provide initial emergency funding to successful http://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html http://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html http://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html applicants to conduct COVID-19 public health related activities in emergency operations and coordination, health information technology, surveillance and epidemiology, laboratory capacity, communications, countermeasures and mitigation, and recovery activities.

ii. Outcomes There is not a standard set of CDC required outcomes. Funded recipients are expected to identify and achieve outcomes based on local priorities, along with key deliverables/services they will provide towards achieving those outcomes and overall rapid mobilization and response to COVID-19. Recipient-specific outcomes may include improved capabilities and/or increased capacities in one or more of the following areas:

Emergency operations and coordination (activities may include, but are not limited to, establishing emergency operations centers, incident management systems, continuity of operations plans, volunteer management, surge staffing and procurement of supplies and equipment) Health Information Technology (activities may include, but are not limited to supporting data systems necessary to support and focus on COVID-19 surveillance and reporting, population building, patient tracer, etc. It is not intended to support health information technology systems related to the direct healthcare delivery system.)

Surveillance and epidemiology (activities may include, but are not limited to, case identification, management and risk assessment of travelers and others with potential COVID- 19 exposure, data management, reporting, surge staffing and procurement of supplies and equipment, etc.)

Laboratory capacity (activities may include, but are not limited to, procurement of equipment, supplies, shipping, and staffing associated with testing and other laboratory activities) Communications (activities may include, but are not limited to, risk communications guidance and information sharing to tribal members, tribal organizations, responders, clinicians and others, information management, and surge staffing, procurement of supplies, and shipping in support of communications) Countermeasures and mitigation (activities may include, but are not limited to, infection control, quarantine and isolation, management and distribution of medical materiel, coordination with healthcare systems, surge staffing, shipping and procurement of supplies and equipment) Recovery activities (activities may include, but are not limited to, activities related to restoring tribal communities to pre-event functioning, conduct of after-action reviews, development of improvement plans) Other preparedness and response activities to COVID-19

iii. Strategies and Activities CDC is committed to helping ensure that tribal jurisdictions have adequate resources for an appropriate COVID-19 response. The continued support for, and expansion of, critical public health activities at the tribal level are essential to meet the needs in this quickly evolving response. Funded recipients are expected to identify appropriate strategies and activities based on local priorities and need to rapidly mobilize and respond to COVID-19.

Funds from this funding opportunity will be made available for a variety of activities falling into the following strategy areas:

Emergency operations and coordination (activities may include, but are not limited to, establishing emergency operations centers, incident management systems, continuity of operations plans, volunteer management, surge staffing and procurement of supplies and equipment) Health Information Technology (activities may include, but are not limited to supporting data systems necessary to support and focus on COVID-19 surveillance and reporting, population building, patient tracer, etc. It is not intended to support health information technology systems related to the direct healthcare delivery system.)

Surveillance and epidemiology (activities may include, but are not limited to, case identification, management and risk assessment of travelers and others with potential COVID- 19 exposure, data management, reporting, surge staffing and procurement of supplies and equipment, etc.)

Laboratory capacity (activities may include, but are not limited to, procurement of equipment, supplies, shipping, and staffing associated with testing and other laboratory activities) Communications (activities may include, but are not limited to, risk communications guidance and information sharing to tribal members, tribal organizations, responders, clinicians and others, information management, and surge staffing, procurement of supplies, and shipping in support of communications) Countermeasures and mitigation (activities may include, but are not limited to, infection control, quarantine and isolation, management and distribution of medical materiel, coordination with healthcare systems, surge staffing, shipping and procurement of supplies and equipment) Recovery activities (activities may include, but are not limited to, activities related to restoring tribal communities to pre-event functioning, conduct of after-action reviews, development of improvement plans) Other preparedness and response activities to COVID-19

1. Collaborations

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

Recipients are encouraged to collaborate, as appropriate, with CDC Programs and Centers, Institutes, and Offices (CIOs) to ensure that activities and funding are coordinated with, complementary of, and not duplicative of efforts supported under other CDC programs that support COVID-19 response. For questions regarding collaborating with CDC, please contact the CDC POC for this NOFO.

Memorandums of Understanding (MOUs) or Memorandums of Agreement (MOA) are not required.

b. With organizations not funded by CDC:

Recipients are encouraged to collaborate with organizations that have a role in COVID-19 preparedness and response at their jurisdictional level. Collaborations may include, but are not limited to: laboratories, surveillance programs, epidemiology leads, health care provides, clinical/healthcare institutions, emergency management partners, and/or businesses.

Memorandums of Understanding (MOUs) or Memorandums of Agreement (MOA) are not required.

2. Target Populations

NA.

a. Health Disparities

NA.

iv. Funding Strategy This NOFO is comprised of two components.

Component A: Federally recognized tribes and tribal organizations that contract or compact with the Indian Health Service under Title I and Title V of the Indian Self-Determination and Education Assistance Act, or consortia of these tribes, or their bona fide agents; and Component B: All federally recognized tribes, tribal organizations, consortia of federally recognized tribes, or their bona fide agents, including Component A applicants.

All applicants under Component A will be funded using the initial $40 million committed to this funding opportunity; however, applicants under Component B should apply to be eligible for subsequent rounds of funding through this mechanism.

It is not possible to approximate an amount of funding without knowing the actual number of applicants. However, for the applicant budget planning and workplan development purposes, the following award floor ceiling amounts are proposed:

Award Floor: $25,000 Award Ceiling: $1,500,000

This amount may change depending on the number of applicants for this award. CDC anticipates additional funds that may be added to existing awards without the need for competition.

Indian Tribe: “Any Indian tribe, band, nation or other organized group or community including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688), which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians.” (25U.S.C. § 1603).

Tribal organization: “The recognizing governing body of any Indian tribe; any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of

Indians in all phases of its activities.” (25 U.S.C. § 5304).

A consortia of federally recognized tribes are eligible to apply, but the applying entity must provide a list of consortia members and their contact information. CDC may require approval documentation in the future. A single tribe must be the legal applicant, the recipient of the award, and the entity legally responsible for satisfying the grant requirements.

A consortia of federally recognized tribes is defined as partnership between two or more federally recognized Indian Tribes that is authorized by the governing bodies of those Indian Tribes to apply for and receive assistance agreements. An intertribal consortium must have adequate documentation of the existence of the partnership, and the authorization to apply for and receive assistance.

Cost sharing is not a requirement of this grant.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy CDC will utilize recipient progress reporting data to address evaluation questions pertaining to use of funds and results associated with the grant. TP18-1802 NOFO preparedness and response domains will serve as a frame of reference for evaluation of this NOFO. CDC will collect information from recipients biannually, once at six (6) months, and once at the end of the period of performance.

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:

https://www.cdc.gov/grants/additionalrequirements/ar-25.html

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.

Due to the nature of this grant and public health crisis, applicants are not required to provide an Evaluation and Performance Measurement plan. A Data Management Plan (DMP) is not required at this time. Given the flexible nature of this grant and diversity of allowable activities, should a recipient choose to allocate funding to a COVID-19 activity that involves the collection, generation, or analysis of data, a DMP may be required. This decision will occur on a case-by-case basis in consultation with the CDC Project Officer and CSTLTS Science Unit.

c. Organizational Capacity of Recipients to Implement the Approach Applicants should demonstrate the organizational capacity needed to carry out emergency operations and coordination, health information technology, surveillance and epidemiology, laboratory capacity, communications, countermeasures and mitigation, and recovery activities.

Applicants are not required to demonstrate each capacity listed. This capacity includes, but is not limited to:

Diagnose and investigate health problems and health hazards in the community;

Monitor health status to identify community health problems;

Inform, educate, and empower people about health issues;

Mobilize community partnerships to identify and solve health problems;

Develop policies and plans that support individual and community health efforts;

Enforce laws and regulations that protect health and ensure safety;

Adapt response activities based on new insights and innovative solutions to health problems;

Implement and/surge their public health emergency management program;

Identify and roster staff for incident managements roles and response leadership;

Execute, revise, and develop program planning specific to a public health event;

Describe the population served including tribal citizens and non-tribal citizens that may reside in the tribal jurisdiction.

Applicants must provide documentation on their ability to implement the allowable preparedness and response activities under this NOFO. Acceptable documentation includes but is not limited to a signed letter by the elected Tribal Leader or their designee on organization letterhead attesting to the existing capacity and capability; departmental organizational charts;

an incident management structure organizational chart, and/or resumes/CVs for positions currently filled and position descriptions for vacant positions for key personnel. Applicant must name this file “Organizational Capacity” and upload as a PDF to www.grants.gov

d. Work Plan Applicants must develop and submit a high-level work plan that aligns with the strategies and activities outlined in the NOFO. Specifically, activities must align to the following strategy areas: emergency operations and coordination, health information technology surveillance and epidemiology, laboratory capacity, communications, countermeasures and mitigation, recovery activities, and other preparedness and response activities related to COVID-19.

Applicants must submit using the template provided as Appendix A: CDC-RFA- OT20-2004 Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response Work Plan. Applicant must name this file “[Name of Jurisdiction] COVID-19 Work Plan” and upload as an attachment to www.grants.gov

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.

CDC will conduct a virtual compliance visit after six months, but prior to the end of the year, from date of the award. The virtual compliance visit will be a telephone call and/or video conference to ensure the recipient’s compliance with using the fund for the approved activities and to identify technical assistance needs. CDC will collect information from recipients biannually, once at six (6) months, and once at the end of the period of performance.

http://www.grants.gov/

B. Award Information

1. Funding Instrument Type: Grant

2. Award Mechanism: H75 Health Investigations and Assessments of Control and Prevention Methods

3. Fiscal Year: 2020

4. Approximate Total Fiscal Year Funding: $40,000,000

5. Approximate Period of Performance Funding: $40,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $40,000,000

6. Approximate Period of Performance Length: 1 year(s)

7. Expected Number of Awards: 574

8. Approximate Average Award: $70,000 Per Budget Period

It is not possible to approximate the amount of each award without knowing the actual number of applicants. However, for the purposes of budget planning and development, an award floor amount of $25,000 is proposed. This amount may change depending on the number of applicants for this award and the amount of overall funding provided.

9. Award Ceiling: $1,500,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $25,000 Per Budget Period

11. Estimated Award Date: 06/10/2020

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 not available through this NOFO.

C. Eligibility Information

1. Eligible Applicants

Eligibility Category: Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments)

Additional Eligibility Category:

2. Additional Information on Eligibility This is an emergency notice of funding opportunity in response to the current outbreak of the Novel Coronavirus disease (COVID-19).

If not already accomplished, ensure your organization addresses these steps as part of your application processes. 1) Obtain a Data Universal Numbering System (DUNS), 2) Register for a System for Award Management (SAM) account. The requirements for SAM (System of Award Management) registration have temporarily changed due to the federal government’s response to the COVID-19 pandemic. To support entities impacted by COVID-19, applicants are not required to have an active SAM registration at the time of submission of the application under this Notice of Funding Opportunity (NOFO). HHS encourages applicants to start their SAM registration early in the process, and the awarding agency may require documented proof of the registration submission confirmation after award. The change is also applicable to section D. 1. (b). Please contact the grants official identified in this NOFO with any questions.

3) Register your organization on Grants.gov.

Indian Tribe, as defined at 25 U.S.C. § 1603(14) is any Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C.A. § 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians.

A consortia of federally recognized tribes are eligible to apply, but the applying entity must provide a list of consortia members and their contact information. CDC may require approval documentation in the future. A single tribe must be the legal applicant, the recipient of the award, and the entity legally responsible for satisfying the grant requirements.

Bona fide agents are eligible to apply. For more information about bona fide agents, please see the CDC webpage on Expediting the Federal Grant Process with an Administrative Partner located at https://www.cdc.gov/publichealthgateway/grantsfunding/expediting.html#Q2

3. Justification for Less than Maximum Competition The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 authorized funds to CDC with the provision that:

No less than $950 million be allocated for grants to or cooperative agreements with States, localities, territories, tribes, tribal organizations, urban Indian health https://www.cdc.gov/publichealthgateway/grantsfunding/expediting.html#Q2 organizations, or health service providers to tribes, to carry out surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications, and other preparedness and response activities; and

No less than $40 million shall be allocated to tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes.

CDC has or will provide significant funding to tribal organizations under three existing mechanisms:

1. OT18-1802 Preventive Health and Health Services - Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health - financed in part by Prevention and Public Health Funds (PPHF):

o $10,000,000 – Two National Tribal Organizations

2. OT18-1803 Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement:

o $30,000,000 – 9 Regional Tribal Organizations and 4 Tribes with a population size of 40,000 or more

3. TP18-1802 Cooperative Agreement for Emergency Response: Public Health Crisis Response:

o $750,000 – Cherokee Nation (existing Tribal recipient under this cooperative agreement)

CDC worked to gather input from tribal organizations, to finalize a plan to allocate funds and maximize public health impact and reach to tribal populations through a multi-pronged approach which includes those identified in the eligibility section of this NOFO. This approach is intended to get public health resources out quickly during the COVID-19 declared emergency and enable broad access and opportunity for COVID-19 resources across all tribal nations.

4. Cost Sharing or Matching Cost Sharing / Matching Requirement: No

Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

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:

https://www.grants.gov/

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 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

1. Retrieve organizations DUNS number

3-5 Business

For SAM Customer http://fedgov.dnb.com/webform/displayHomePage.do 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

Management

(SAM)

formerly Central Contractor Registration

(CCR)

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)

Days but up to 2 weeks and must be renewed once a year

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

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

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

MUST

obtain a

DUNS

number and

SAM

account before applying on grants.gov)

Register early!

Log into grants.gov and check AOR status until it shows you have been approved

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.

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 https://www.grants.gov

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: 06/03/2020 , 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.

NOTE: CDC may establish ad hoc dates based on the need of the COVID-19 response, e.g., to meet unanticipated issues related to COVID-19 and/or to allow impacted eligible applicants that missed the cut-off date to submit an application for consideration. CDC intends to issue initial notices of award as applications are received prior to the application due date to address urgent COVID-19 response needs. Second notices of award are planned after the actual number of applicants is finalized.

Date for Information Conference Call Date: May 4, 2020 Time: 3:00pm to 4:00pm Eastern Standard Time Meeting Details:

Webinar:

Join ZoomGov Meeting https://cdc.zoomgov.com/j/1608847446?pwd=WVZUMlJ5clRFVUtZbjUyWkNDU

0ppQT09 Audio Only:

Dial by your location +1 669 254 5252 US (West Coast) +1 646 828 7666 US (East Coast) Find your local number: https://cdc.zoomgov.com/u/aebKco1Pbi Meeting ID: 160 884 7446 Password: 720980 One tap mobile +16692545252,,1608847446#,,#,720980# US (San Jose) +16468287666,,1608847446#,,#,720980# US (New York)

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents https://www.grants.gov https://cdc.zoomgov.com/j/1608847446?pwd=WVZUMlJ5clRFVUtZbjUyWkNDU0ppQT09 https://cdc.zoomgov.com/u/aebKco1Pbi indicated at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa)) /Homepage.aspx.

Applicants may follow either of the following processes:

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 http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx 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 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 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 Letters of Intent (LOI) are 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.)

https://www.grants.gov https://www.grants.gov

Applicants must submit a Project Narrative with the application forms.