CDC-RFA-IP21-2104.pdf

Centers for Disease Control and Prevention

National Center for Immunization and Respiratory Diseases

Developing and Disseminating Targeted Immunization Materials

CDC-RFA-IP21-2104

Application Due Date: 04/15/2021

Developing and Disseminating Targeted Immunization Materials

CDC-RFA-IP21-2104

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- IP21-2104. 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:

Developing and Disseminating Targeted Immunization Materials 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.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52. 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-IP21-2104

E. Assistance Listings (CFDA) Number:

93.268 F. Dates:

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

2. Due Date for Applications: 04/15/2021, 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:

This cooperative agreement, which supports CDC's need to develop and disseminate targeted immunization materials nationwide, is designed to reach health care providers, adults, adolescents, parents, immunization coalitions, and all others who require the most current information about vaccines.

The project activities include developing educational materials for providers to share with patients, parents, and the general public; disseminating materials on current immunization recommendations and practices; translating vaccine information statements (VISs) into foreign languages; developing training for and providing technical assistance to immunization coalitions; and providing rapid response to outbreaks, emergencies, or trending priorities.

One of these activities, translating VISs into languages other than English, supports the federal https://www.grants.gov https://www.grants.gov https://www.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52 https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov requirement that VISs be provided to patients in their native/preferred language when they receive vaccines. With growing diversity in the United States and large populations whose primary language is not English, it is important to provide this critical information in languages that are preferred for receiving and implementing health information.

The outcomes of this cooperative agreement will increase knowledge, accessibility, and availability of timely resources for providers, parents, and the general public and, ultimately, increase vaccination coverage and decrease the prevalence of vaccine-preventable diseases across the life span.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $1,750,000

e. Average One Year Award Amount: $350,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/03/2021

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview Despite the availability of safe and effective vaccines and progress in reducing vaccine-preventable diseases, the acceptance of vaccinations by targeted populations is essential to further reducing and eliminating vaccine-preventable disease. The acceptance of recommended vaccinations is an ongoing challenge for health-care providers and public health systems.

Additionally, research has shown that the importance of culturally and linguistically competent health promotion that respect cultural values, beliefs and practices of the intended audience, health care providers, health researchers and public health officials in the development and dissemination of messages and materials that reflect the health beliefs and practices of the intended audience (See Abdi, I., Murphy, B. and Seale, H., 2020. Evaluating the health literacy demand and cultural appropriateness of online immunisation information available to refugee and migrant communities in Australia. Vaccine, 38(41), pp.6410-6417.)

The goal of this NOFO is to develop immunization materials with the intent of providing healthcare professionals and the public with the timely, accurate, credible, and clear information they need for more effective immunization services across the life span.

The approach is to reach a wide range of provider and patient populations and additional targeted populations through the development and dissemination of targeted immunization resources. This opportunity is intended to provide technical assistance to immunization coalitions in support of various immunization and vaccination activities. This approach will provide timely communication on immunization priorities including outbreaks or trending issues.

The Immunization Services Division (ISD) mission is to protects individuals and communities from vaccine preventable diseases through the provision of technical and financial support of immunization programs, provider and public education, and evaluation. Included in the mission is developing and delivering informational/educational materials and programs through blended-media methodologies; and disseminating informational and educational offerings through a variety of communication media. CDC is a trusted and credible source for information and many people are influenced by immunization information from web-based communications or other electronic media resources, some of which is not scientific, accurate, or credible.

This cooperative agreement provides an alternate source of scientific, accurate and credible immunization information using electronic and/or digital formats, both to complement CDC's own web-based resources, and to provide information for persons who would prefer to receive immunization information from non-government sources.

The intended outcomes of this cooperative agreement will increase knowledge, accessibility, and availability of timely resources for providers, parents, and the general public and, ultimately, increase vaccination coverage and decrease the prevalence of vaccine-preventable diseases across the life span.

b. Statutory Authorities The program is authorized under section 317(k)(1) of the Public Health Service Act (42 U.S.C.

247b(k)(1).

c. Healthy People 2030 This NOFO aligns with Healthy People 2030 goals infectious disease, and health communication.

https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination).

The goals are:

Infectious Disease Reduce rates of infectious diseases and improve health for people with chronic infections https://health.gov/healthypeople/objectives-and-data/browse-objectives/infectious-disease

Health Communication Improve health communication https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-communication

d. Other National Public Health Priorities and Strategies This NOFO supports the following national guidance documents:

https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination https://health.gov/healthypeople/objectives-and-data/browse-objectives/infectious-disease https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-communication

Recommendations of the Advisory Committee on Immunization Practices https://www.cdc.gov/vaccines/hcp/acip-recs/index.html

HHS National Vaccine Program Office, Nation Vaccine Plan https://www.hhs.gov/nvpo/national- vaccine-lan/index.html

The Vaccines for Children Program (VFC) https://www.cdc.gov/vaccines

e. Relevant Work This funding opportunity builds upon previous work conducted under CDC-RFA-IP16-1601 that focus on developing and disseminating targeted immunization materials.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-IP21-2104 Logic Model: Developing and Disseminating Targeted Immunization Materials Bold indicates period of performance outcome

Strategies and Activities Short-Term Outcomes Intermediate Outcomes Long-Term Outcomes Develop educational materials for providers to share with patients, parents, and the general public.

Include:

Materials focused on disease prevention, immunization practices, and quality improvement

Translate Vaccine Information Statement (VIS) in various non- English

Increased knowledge to providers, parents, and the general public on vaccine recommendation and practices.

Increased provider access to current and updated immunization resources Increased resources for providers to address immunization misinformation

Vaccination prioritized at national, state, and local levels

Strong recommendations for vaccination across the life span

Improved effectiveness and efficiencies of immunization programs

Improved delivery of appropriate messages by providers and addressing misinformation related to immunization

Decreased missed opportunities by providers to share timely and updated immunization recommendations and messages

Increased vaccination coverage for recommended vaccines across the life span.

https://www.cdc.gov/vaccines/hcp/acip-recs/index.html https://www.hhs.gov/nvpo/national-%20vaccine-lan/index.html https://www.cdc.gov/vaccines languages

Disseminate educational materials to providers and other partners on current immunization recommendations and practices.

Include:

Immunization-related topics in ongoing communications vehicles (e.g., newsletters, electronic communications)

Develop training opportunities and implement technical assistance to immunization coalitions Include:

Technical assistance provided to immunization coalitions

Tools and resources for coalition work

Provide rapid response communication on outbreaks, emergency response or trending immunization priorities.

Increased immunization coalitions use of evidence-based immunization strategy interventions and best practices

Increased provider access to changing guidance during an outbreak, emergency response, or in response to trending immunization priorities.

IMPACT

Decrease vaccine preventable diseases across the life span.

i. Purpose The purpose is to provide support for the development and dissemination of immunization information through electronic formats to enhance the effectiveness of disease prevention programs that reduce the annual burden of vaccine-preventable diseases. The recipient will develop educational materials for providers to share with patients, parents, and the general public;

disseminate materials on current immunization recommendations and practices; provide technical assistance for immunization coalitions; and provide rapid response on outbreaks, emergency response, or trending priorities.

ii. Outcomes The recipient is expected to show progress on the following short-term outcomes.

Increased knowledge to providers, parents, and the general public on vaccine recommendation and practices

Increased provides access to current and updated immunization resources Increased resources for providers to address immunization misinformation Increased immunization coalitions use of evidence-based immunization strategy interventions and best practices Increased provider access to changing guidance during an outbreak, emergency response, or in response to trending immunization priorities

iii. Strategies and Activities The strategies and activities should be designed to achieve the period of performance outcomes.

Develop educational materials for providers to share with patients, parents, and the general public. This includes:

o Developing materials focused on disease prevention, immunization practices, and quality improvement o Translating Vaccine Information Statements (VIS) in various languages Disseminate educational materials to providers and other partners on current immunization recommendations and practices. This includes:

o Disseminating immunization-related topics in ongoing communications vehicles

(e.g., newsletters, electronic communications).

Develop training opportunities and implement technical assistance to immunization coalitions. This includes:

o Providing technical assistance to immunization coalitions o Disseminating tools and resources for coalition work

Provide rapid response communication on outbreaks, emergency response, or trending immunization priorities.

1. Collaborations

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

Collaboration is essential to fulfill the expectations of quality communications, materials, and distribution that provide support to state immunization programs across the country, and to avoid duplication of these efforts.

b. With organizations not funded by CDC:

Applicants must collaborate with programs, stakeholders, and organizations external to CDC.

Collaboration with organizations that support the achievement of the NOFO strategies and outcomes is vital. Collaboration is required with national organizations to aid in the uptake of vaccines, the reduction of vaccine preventable disease, and technical assistance to immunization coalitions that reach immunization audiences. Optional agency annual reports or bylaws can be provided to show collaborations including the communities that they serve, uptake of vaccines, or reduction of vaccine preventable diseases at the national, state, and local levels. Letters of support should describe the organization's relationship to the applicant and include technical assistance experience specific to population-based efforts to reduce immunization disparities and capacity for addressing health equity, and evidence of participation in trainings or meeting organized by the applicant immunization disparities, health equity and the development/implementation of related policies. They should also include evidence of engagement with diverse populations at risk to immunization and vaccine disparities. Membership and affiliations can also be shared to show collaboration at the national, state, and local levels and with immunization coalitions.

Applicants must file the letters of support, agency annual reports, and bylaws as appropriate, name the file “Letters of Support”, “Annual Report”, “ByLaws”, "Memberships" or "Affiliations", and upload it as a PDF file at www.grants.gov

2. Target Populations Immunization healthcare providers, patients, immunization coalitions, the general public as well as state programs. This program is designed to identify disparities related to vaccination coverage and activities that will have the biggest impact on health. This includes populations with health disparities in the United States correlating with race, ethnicity, language, economic status and other demographic factors.

Activities addressing foreign language Vaccine Information Statement (VIS) are designed to target non-English speaking populations.

While there is no specific direction for the recipient to undertake specific activities to address individuals with disabilities, lesbian, gay, bisexual, and transgender (LGBT) populations, or people with health literacy issues, it may be necessary given the focus on those that are hesitant to take vaccines, unequal uptake of vaccines, or disproportionate incidence of specific vaccine preventable diseases.

a. Health Disparities Immunization disparities are influenced by structural, intermediate, and healthcare-related social determinants which have an impact at the health system, provider, and individual levels.

Cultural values and health beliefs about vaccination and immunization can impact the ability of providers and organizations to effectively deliver healthcare services, materials and resources that meet the social, cultural, and linguistic needs of patients.

Therefore, effective interventions to promote immunization must understand cultural beliefs and practices and use them to complement prevention, treatment and care strategies. Thereby allowing programs to:

Respond to demographic changes in the U.S., Reduce disparities in the health status of people of diverse racial, ethnic and cultural backgrounds, Improve the quality of services and health outcomes, and Advance the development of culturally appropriate population health policies.

Activities addressing foreign language Vaccine Information Statement (VIS) are designed to target non- English speaking populations.

While there is no specific direction for the recipient to undertake specific activities to address individuals with disabilities, lesbian, gay, bisexual, and transgender (LGBT) populations, or people with health literacy issues, it may be necessary given the focus on those that are hesitant to take vaccines, unequal uptake of vaccines, or disproportionate incidence of specific vaccine preventable diseases.

iv. Funding Strategy

NA.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy At the core of the evaluation and performance measurement strategy are a set of process and outcome measures the award recipients will use to track progress and monitor levels of success for the implementation of the NOFO activities and how they lead to the expected outcomes. The evaluation efforts will inform decision making, program planning, and quality improvement.

Proposed process measures Activity 1: Develop educational materials for providers to share with patients, parents, and the general public.

Process measure: May include the number of messages and tools developed.

Process measure: May include the number of VIS translated into non-English languages.

OUTCOME MEASURE: May include the percent of increase of providers that indicate utilization of foreign language VIS to counsel patients.

Activity 2: Disseminate educational materials to providers and other partners on current immunization recommendations and practices.

Process measure: May include the number of materials or tools disseminated, when and where they were distributed.

Process measure: May include the number of downloads of materials and tools developed Activity 3: Develop training opportunities and implement technical assistance to immunization coalitions and provide tools and resources for immunization.

Process measure: May include the number of immunization coalitions receiving technical assistance, training, or immunization resources.

Activity 4: Provide rapid response communication on outbreaks, emergency response or trending immunization priorities.

Process measure: May include the number of time sensitive notifications distributed.

Proposed outcome measures Short-term outcome 1: Increased knowledge to providers, parents, and the general public on vaccine recommendation and practices.

Outcome measure: Percent of providers indicating improved recommendations using surveys of parents/patients.

Outcome measure: Percent of increase of providers that indicate utilization of foreign language VIS to counsel patients.

Short-term outcome 2: Increased provider access to current and updated immunization resources Outcome measure: Percent of providers indicating materials are useful via feedback through the website, automated surveys, or other means.

Short-term outcome 3: Increased resources for providers to address immunization misinformation Outcome measure: Percent of providers indicating a behavioral change in people who are hesitant to vaccinate.

Short-term outcome 4: Increased immunization coalitions use of evidence-based immunization strategy interventions and best practices Outcome measure: Percent of immunization coalitions indicating improve communication strategies and resources.

Short-term outcome 5: Increased provider access to changing guidance during an outbreak, emergency response, or in response to trending immunization priorities.

Outcome measure: Percent of providers indicating the availability of timely immunization information during an emergency, outbreak or trending priority.

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/additional-requirements/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.

Award recipient plan must address short-term outcomes included in the NOFO.

The plan must include specific applicant developed process and outcome measures to help award recipient and CDC track progress and success of planned activities.

For this NOFO, due to the funding authority, PRA is not required.

c. Organizational Capacity of Recipients to Implement the Approach Success of this program will require technical knowledge relevant to the proposed strategies and activities. The recipient should also have, established relationships with health care communities and immunization coalitions. A record of successful programs related to immunization communications and distribution are relevant attributes to implement and maintain this program.

Applicant should indicate the nature of participation, the period of performance, and names and titles of individuals who will be involved in the project. In addition to the basic eligibility criteria, an organization must:

Have the relevant experience and capacity (management, administrative, and technical) to implement the activities and achieve the project outcomes demonstrated in annual reports and agency organizational chart.

Have at least a five year record of developing and disseminating immunization information and materials to segmented audiences including healthcare providers and the general public, as demonstrated by agency annual reports, or a listing of previous grants with a similar focus with dates and brief descriptions of each.

Have at least a five year record of management and distribution of Vaccine Information Statements (VIS) to segmented audiences including healthcare providers, and the general public, as demonstrated by agency annual reports, or a listing of previous grants with a similar focus with dates and brief descriptions of each.

Have a least a five-year record of collaborating with immunization coalitions including the ability to provide technical assistance and training to immunization coalitions and demonstrated in annual reports, previous grants with similar focus and a brief description https://www.cdc.gov/grants/additional-requirements/ar-25.html of each, or demonstrated through letters of support, memberships, or affiliations.

Have at least a five-year record of operating nationally. The applicant should also show reach across all 50 states and have affiliations with state and local immunization coalitions. The applicant should have the ability to reach healthcare providers, patients, the general public, and all others who require the most current, up-to-date information about vaccines as demonstrated by agency annual reports, letters of support, bylaws, a letter from the Board of Directors stating that the organization has operated nationally for at least five years, or a listing of previous grants with a national focus, and through memberships or affiliations.

d. Work Plan Project Period Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities Process Measure [from Evaluation and Performance Measurement section]

Responsible Position/Party

Completion Date

1.

2.

3.

4.

5.

6.

Applicants should provide a detailed work plan for the first year of the project and a high-level work plan for years 2-5.

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.

Monitor the recipient's performance of program activities and progress toward program goals.

To fulfill the expectations of quality communications, materials, and distribution that provide support to state immunization programs across the country, and to avoid duplication of these efforts. Collaboration is also necessary with CDC/NCIRD Immunization Services Division including the branches as well as NCIRD OD Health Communications Science Office.

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

COOPERATIVE AGREEMENTS)

Provide technical assistance in identifying major immunization issues, setting program priorities, and implementing and evaluating project activities.

Assist in the review of immunization messages and materials both for technical accuracy and for compliance with proven health education and communication strategies.

Facilitate the transfer of successful prevention interventions and program models to other areas through meetings of recipients, workshops, conferences, newsletters, and communications with project officers.

Collaborate with the recipient to establish a system for prioritizing translations of VIS into non- English languages, based on relevant criteria (e.g., past usage, current and projected demand, available funds, potential timing of subsequent updates).

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: H23

3. Fiscal Year: 2021

4. Approximate Total Fiscal Year Funding: $350,000

5. Approximate Period of Performance Funding: $1,750,000

This amount is subject to the availability of funds.

Estimated Total Funding: $1,750,000

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

7. Expected Number of Awards: 1

8. Approximate Average Award: $350,000 Per Budget Period

9. Award Ceiling: $0 Per Project Period

This amount is subject to the availability of funds.

10. Award Floor: $350,000 Per Budget Period

11. Estimated Award Date: 09/03/2021

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: Others (see text field entitled "Additional

Information on Eligibility" for clarification)

Additional Eligibility Category:

2. Additional Information on Eligibility States, political subdivisions of States, and other public and nonprofit private entities.

The award ceiling for this NOFO is $350,000. CDC will consider any application requesting an award higher than this amount as non-responsive and it will receive no further review.

3. Justification for Less than Maximum Competition N/A.

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

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 days, and registration must be renewed annually. Additional information about registration procedures may be found at https://www.sam.gov/index.html.

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.

https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/index.html https://grants.gov/ https://www.grants.gov/ http://www.grants.gov https://www.grants.gov/

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/index.

html 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

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 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/index.html%20 https://www.sam.gov/index.html%20 https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

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: 04/15/2021 , 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 N/A.

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:

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.

https://www.grants.gov 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

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 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.”

https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

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, 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.

https://www.grants.gov

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 the Strategies and Activities section of the CDC Project Description.

1. Collaborations Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC. Applicants must address the Collaboration requirements as described in the CDC Project Description.

2. Target Populations and Health Disparities Applicants must describe the specific target population(s) in their jurisdiction and explain how such a target will achieve the goals of the award and/or alleviate health disparities. The applicants must also address how they will include specific populations that can benefit from the program that is described in the Approach section. Applicants must address the Target Populations and Health Disparities requirements as described in the CDC Project Description.

c. 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. The

Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities involving information collections (e.g., surveys, questionnaires, applications, audits, data requests, reporting, recordkeeping and disclosure requirements) from 10 or more individuals or non-Federal entities, including State and local governmental agencies, and funded or sponsored by the Federal Government are subject to review and approval by the Office of Management and Budget. For further information about CDC’s requirements under PRA see https://www.cdc.gov/od/science/integrity/reducePublicBurden/.

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, data management plan (DMP), and other relevant data information (e.g., performance measures proposed by the applicant).

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 the DMP elements) within the first 6 months of award, as described in the Reporting Section of this NOFO.

d. Organizational Capacity of Applicants to Implement the Approach Applicants must address the organizational capacity requirements as described in the CDC Project Description.

11. Work Plan (Included in the Project Narrative’s page limit) Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the recipient plans to carry out achieving the period of performance outcomes, strategies and activities, evaluation and performance measurement.

12. Budget Narrative Applicants must submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

https://www.cdc.gov/od/science/integrity/reducePublicBurden/

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Other categories Contractual costs Total Direct costs Total Indirect costs

Indirect costs could include the cost of collecting, managing, sharing and preserving data.

Indirect costs on grants awarded to foreign organizations and foreign public entities and performed fully outside of the territorial limits of the U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000.

Negotiated indirect costs may be paid to the American University, Beirut, and the World Health Organization.

If applicable and consistent with the cited statutory authority for this announcement, applicant entities may use funds for activities as they relate to the intent of this NOFO to meet national standards or seek health department accreditation through the Public Health Accreditation Board (see: http://www.phaboard.org).