Appendix A_Supplemental Project Narrative and Work Plan Template.docx

National Center for STLT Public Health Infrastructure and Workforce Program Services and Innovation Branch (Proposed)

Supplement Project Narrative & Work Plan Template CDC-RFA-TO-23-0001: Strengthening Public Health Systems and Services in Indian Country

Directions: Applicants must complete the following template for each CIO Project Plan (i.e., Strategy 2: Supplemental Project) that they intend to apply to. Please complete each field before submission.

Please note: Each submitted “Project Narrative & Work Plan” must describe the approach to implement the project, the applicant’s organizational capacity, and the applicant’s organizational experience, as they relate to the CIO proposed project; and detail a plan for collaborative work (if applicable). Applicants must create a detailed budget narrative/justification to accompany each “Project Narrative & Work Plan” in response to a CIO Project Plan.

Each “Project Narrative & Work Plan” should be attached under “Miscellaneous” in the supplemental amendment. Name the document “Project Narrative_[insert name of CIO Project Plan].” The accompanying budget narrative/justification should be named “Budget Narrative_[insert name of CIO Project Plan] and attached under “Miscellaneous”.

APPLICANT INFORMATION

Tribal Nation/Organizational Name

Grant Number (Please use Grant Number assigned for CDC-RFA-TO-23-0001.)

Primary Point of Contact (POC) Name

Primary POC Phone Number

Primary POC Email Address

Secondary POC Backup Name

Secondary POC Phone Number

Secondary POC Backup Email Address

CIO PROJECT PLAN INFORMATION

Project Title Enter title listed on the CIO Project Plan for which this Project Narrative & Work Plan will address.

Center, Institute, or Office (CIO) Enter name of CIO from the CIO Project Plan.

PROJECT NARRATIVE & WORK PLAN

The Project Narrative details the project approach, evaluation and performance measures plan, organizational capacity to implement the approach, and work plan.

· Develop a complete and comprehensive plan for the budget period that describes how the CIO Project Plan’s Strategies and Outcomes will be achieved.

· Describe the proposed objectives and accompanying activities, outputs, performance measures, and outcomes to address the Project Details within the CIO Project Plan.

· For the Work Plan-

· Demonstrate how the proposed work plan and budget will effectively and efficiently support achieving the intended outcomes.

· If an applicant decides to develop a work plan in a separate document, please ensure the information requested below is included.

Intended Population Description Describe population(s) that are the focus of the strengthening public health systems and/or services project. Detail the applicant’s relationship with the intended population for the CIO Project Plan.

Project Approach Describe the plan for achieving the strategies and outcomes highlighted in the CIO Project Plan’s “Approach: Strategies and Outcomes” section.

Objectives Include specific, measurable, achievable, realistic, and time-bound objectives that address the intended population's needs and are consistent with the CIO Project Plan’s “Project Details” section. Applicants may use bullet points in the response.

Activities Describe activities that are achievable, able to build capacity, and likely to lead to the attainment of the proposed objectives and outcomes within the budget period. Outline proposed actions to be completed by staff to achieve the desired outcomes. Applicants may use bullet points in the response.

Outputs List expected budget period outputs of the activities that align with the CIO Project Plan’s “Project Details.” Applicants may use bullet points in the response.

Outcomes List expected budget period outcomes. Please note, budget period outcomes are the desired project results achieved by the end of the budget period. Applicants may use bullet points in the response.

Evaluation and Performance Measures Performance measures monitor the extent to which planned activities are completed successfully, show the effectiveness of strengthening public health systems and services, and demonstrate achievement of project outcomes. If applicant develops the evaluation and performance measures plan as a separate attachment, please ensure the plan contains the information requested below:

· Clear monitoring and evaluation procedures including outputs/deliverables that thoroughly represent the direct results of the activities.

· Ability to collect performance management data.

· How performance measurement and evaluation findings will be reported.

· How evaluation and performance measurement will contribute to the evidence-base or evidence-informed practices.

· Data management plan–

· Must include a statement of commitment to provide a data management plan post award when specific data generation and collection activities are proposed.

Process Measures List indicators for measuring the project’s activities and outputs. Applicant may use bullet points in the response.

Outcome Measures List indicators for measuring whether the project is achieving the expected effects/outcomes in the short, intermediate, and long term. Applicant may use bullet points in the response.

ORGANIZATIONAL CAPACITY

Describe the organizational capacity to successfully complete the project outlined in the CIO Project Plan:

· Demonstrates ability to partner with specific entities that are appropriate for accomplishing the outlined project objectives.

· Describe organizational capacity to implement the CIO Project Plan’s evaluation.

· Provide a project management plan that clearly defines key personnel roles, organizational systems, and resources that will be sufficient to achieve project outcomes.

PROGRAM EXPERIENCE

Describe organization’s relevant experience to achieve CIO Project Plan outcomes. This may include services, training, and/or technical assistance provided, as well as products developed.

COLLABORATIVE WORK (if applicable) Describe the plan for collaboration as it relates to the project outlined in the CIO Project Plan, including any expected contractual and/or consultant work.

BUDGET INFORMATION

Enter the whole dollar amount for each budget cost category. Ensure the proposed budget is reasonable and consistent with the approach outlined in the Project Narrative.

Please note, applicants must provide a detailed, line-item budget justification of the funding amount requested to support the activities to be carried out with those funds. The budget justification must include the level of detail as described in the “CDC Budget Preparation Guidelines.” The budget guidance is located at https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.pdf.

PERSONNEL SALARIES AND WAGES TOTAL

FRINGE BENEFITS TOTAL

CONSULTANT BENEFITS TOTAL

EQUIPMENT TOTAL

SUPPLIES TOTAL

TRAVEL TOTAL

OTHER TOTAL

CONTRACTUAL TOTAL

DIRECT COSTS TOTAL

INDIRECT COSTS TOTAL

BUDGET TOTAL

Attachments

Additional attachments include the following:

· Budget Narrative/Justification

· Indirect Cost Rate Agreement

· Evaluation and Performance Measures Plan

· The application must include a statement of commitment to provide a data management plan post award when specific data generation and collection activities are defined.

· Organizational charts, position descriptions, and resumes/CVs image1.png