Attachment C_CDC-RFA-OT-21-2103_Application Requirements Checklist.docx

CDC-RFA-OT21-2103 National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities Application Requirements Checklist Use this checklist when preparing your application Items REQUIRED to apply for CDC-RFA-OT21-2103

1. Application for Federal Assistance (SF-424)

Pg. 22

2. Budget Information for Non-Construction Programs (SF-424A)

Pg. 22

3. Risk Assessment Questionnaire

Pg. 24

4. Project Abstract Summary

Pg. 25

5. Project Narrative To streamline the application process, CDC is requiring only the following for the project narrative component:

· Organizational capacity statement/documents (see item 6)

· Work plan (see item 7)

Pg. 25

6. Organizational Capacity Statement Please refer to pg. 16 of the notice of funding opportunity for a listing of acceptable documentation.

Pg. 16

7. Work Plan (Excel)

· Download Attachment B: OT21-2103 Work Plan Template, which can be found under the Related Documents tab on the announcement page.

· When saving the completed work plan, please use the following naming convention: “[Name of Jurisdiction] Work Plan”

· The completed work plan should be submitted via the Project Narrative form as an attachment.

Pg. 16

8. Budget Narrative For more detailed guidance regarding the budget narrative, please refer to CDC’s Office of Financial Resources (OFR) Budget Preparation Guidelines.

Pg. 28

9. Disclosure of Lobbying Activities (SF-LL)

Pg. 31

10. HHS Checklist (08-2007)

N/A

Items NOT REQUIRED for CDC-RFA-OT21-2103

1. Table of Contents

p. 25

2. Applicant Evaluation and Performance Measurement Plan

p. 27

3. Data Management Plan

p. 31