CDC-RFA-DP20-2007.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

Behavioral Risk Factor Surveillance System (BRFSS): Impact in Population Health

CDC-RFA-DP20-2007

Application Due Date: 05/29/2020

Behavioral Risk Factor Surveillance System (BRFSS): Impact in Population Health

CDC-RFA-DP20-2007

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- DP20-2007. 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:

Behavioral Risk Factor Surveillance System (BRFSS): Impact in Population Health C. Announcement Type: New - Type 1 This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

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

New - Type 1

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DP20-2007

E. Assistance Listings (CFDA) Number:

93.336 F. Dates:

1. Due Date for Letter of Intent (LOI): 04/30/2020

2. Due Date for Applications: 05/29/2020, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

LOI is requested but optional. The purpose of an LOI is to allow CDC program staff to estimate the number of and plan for the review of submitted applications. The LOI must be sent via U.S.

express mail, delivery service, fax, or email to:

Rosalyn Matthews CDC, National Center for Chronic Disease Prevention and Health Promotion 4770 Buford Hwy, MS - S107-6 Atlanta, GA 30341 Telephone number: (770) 488-4588 Fax: (770) 488-5965 Email address: aii9@cdc.gov

3. Date for Informational Conference Call:

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

Friday, April 3, 2020. 1:00 pm - 2:00pm EST.

Join by phone

(770) 488-3600, 9209340# (Chamblee Dial-in Conference Region) English (United States)

(855) 644-0229, 9209340# (Chamblee Dial-in Conference Region) English (United States) Conference ID: 9209340

Frequently asked questions for the NOFO can be found at: https://www.cdc.gov/chronicdis ease/about/foa/brfss/index.htm

G. Executive Summary:

1. Summary Paragraph:

CDC announces the availability of fiscal year (FY) 2020 funds to implement CDC-RFA-DP20- 2007, the Behavioral Risk Factor Surveillance System (BRFSS): Impact in Population Health.

CDC established the BRFSS in 1984 with 15 states participating in monthly data collection.

Since that time, the BRFSS has grown to be the only continuous, state-based health surveillance system that is conducted nationwide. The purpose of this Notice of Funding Opportunity (NOFO) is to provide financial and technical assistance to recipients to conduct health-related behavioral surveillance through the BRFSS and increase the use of BRFSS data to inform public health actions to improve health. The period of performance for this NOFO is three years with a 12-month budget period and an anticipated award date of August 1, 2020.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 57

d. Total Period of Performance Funding: $66,000,000

e. Average One Year Award Amount: $385,000

f. Total Period of Performance Length: 3

g. Estimated Award Date: 08/01/2020

h. Cost Sharing and / or Matching Requirements: N Although no statutory matching requirement for the 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 https://www.cdc.gov/chronicdisease/about/foa/brfss/index.htm https://www.cdc.gov/chronicdisease/about/foa/brfss/index.htm

1. Background

a. Overview Although monitoring of health risk behaviors is conducted at the national level, these surveillance systems do not provide state-level data that public health and health care professionals need to improve population health. In addition, there is growing demand for data that corresponds with smaller, sub-state geographic areas such as metropolitan statistical areas and counties. Therefore, state and territorial (state) and sub-state level surveillance data are needed to better understand and address the health status, health risk behaviors, and health disparities within states and across the nation.

State and local governments are charged with the responsibility to protect the health of residents. Targeting health prevention efforts, evaluating those efforts to determine effectiveness and cost efficiencies and ultimately reducing health disparities and morbidity and mortality, demands high quality, valid surveillance systems. Accurate, timely surveillance information is essential to inform decision makers to guide strategic approaches to improving population health status. At the same time, there is growing demand for robust data on a variety of individual health concerns that is more responsive to time and cost constraints, particularly related to emerging public health issues or emergencies.

This NOFO will fund recipients to collect and analyze surveillance data using a sample of telephone numbers, to monitor the prevalence of health risk behaviors that are associated with chronic health problems, preventable injuries and help respond to current and emerging health threats.

While not covered in this NOFO, CDC will work with internal sponsoring programs and recipients to simplify and expedite decision making and governance, reduce the number of core questions, and reduce the time and resources needed to deliver the core questionnaire.

b. Statutory Authorities 301 of the Public Health Service Act”

c. Healthy People 2030 Data collection activities within this NOFO align with several Healthy People 2030 focus areas, including Cancer, Social Determinants of Health, Access to Health Services, and Health-Relat ed Quality of Life and Well-Being for all Individuals. Of the Healthy People 2030 objectives, BRFSS data is used to monitor progress towards Diabetes (D-9, D-11, D13, and D-14), Disab ility and Health (DH-17) and Older Adults (OA-2.1 and OA-2.2) targets.

d. Other National Public Health Priorities and Strategies This NOFO aligns with HHS Strategic Goal 4, Objective 4.1: “improve surveillance, epidemiology, and laboratory services.” https://www.hhs.gov/about/strategic-plan/strategic-goal -4/index.html#obj_4_1 https://www.healthypeople.gov/2020/topics-objectives/topic/cancer https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services https://www.healthypeople.gov/2020/topics-objectives/topic/health-related-quality-of-life-well-being https://www.healthypeople.gov/2020/topics-objectives/topic/health-related-quality-of-life-well-being https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes/objectives https://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health/objectives https://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health/objectives https://www.healthypeople.gov/2020/topics-objectives/topic/older-adults https://www.hhs.gov/about/strategic-plan/strategic-goal-4/index.html#obj_4_1 https://www.hhs.gov/about/strategic-plan/strategic-goal-4/index.html#obj_4_1

e. Relevant Work The work in this NOFO will build upon previous random digit dialing collection and analysis of BRFSS as outlined in CDC-RFA-DP15-1513 to increase access to data and resources that support state and local public health prevention efforts. Other current CDC activities and Divisions that use this data include but are not limited to the Division of Population Health;

Division of Nutrition, Physical Activity, and Obesity; Office on Smoking and Health; Division of Cancer Prevention and Control; Division for Heart Disease and Stroke Prevention; Division of Oral Health; Division of Diabetes Translation; Arthritis; Epilepsy; Alzheimer's Disease;

Chronic Obstructive Pulmonary Disease; Asthma; and the National Center for Injury Prevention and Control.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-DP20-2007 Logic Model: Behavioral Risk Factor Surveillance System (BRFSS):

Impact in Population Health

Bold indicates period of performance outcome

Strategies and Activities

Short-term Outcomes Intermediate Outcomes Long-Term Outcomes

Actions to improve the availability, quality, and timeliness of BRFSS data collection

Actions to improve dissemination, access to, and employment of quality BRFSS data to drive public health policy and programs

Actions to improve number of interviews to allow for sub state and demographic comparison

Jurisdiction has increased access to more quality and timelier BRFSS data collected and analyzed by organizations.

Increased dissemination to health professionals and public health stakeholders to determine population health risk behaviors and health status

Increased number of completed interviews from survey responders

BRFSS data are used by public health organizations to identify health risk behaviors and health status of populations

BRFSS data inform development of effective prevention and disease management programs, policies, services

Increase public policy decisions that improve the U.S. population health, resulting from using BRFSS data to support public health programs

i. Purpose The purpose of this NOFO is to provide financial and technical assistance to recipients to conduct health-related behavioral surveillance through the BRFSS and increase the use of BRFSS data to inform public health actions to improve health.

ii. Outcomes During the period of performance, recipients are expected to implement the strategies to achieve the bolded short and intermediate outcomes outlined in the logic model.

Short term outcome:

Jurisdiction has increased access to more quality and timelier BRFSS data collected and analyzed by organizations.

Intermediate outcomes:

BRFSS data are used by public health organizations to identify health risk behaviors and health status of populations.

iii. Strategies and Activities Recipients are expected to conduct the following strategies and activities:

Actions to improve the availability, quality, and timeliness of BRFSS data collection:

Maximizing the size of the sample to achieve a sufficient cross-tabulation cell size to permit analyses by demographic categories of age, sex, race/ethnicity, education level and sub-state geography

Ensure the range of sample sizes is based on state population. If the state population falls within the ranges below, then the state or territory is encouraged to collect the targeted sample size. If the targeted sample size is not reached, then below is the minimum acceptable sample size for weighting and inclusion in the public-use data set. See table below.

Population Target Minimum Sample Size

Less than 200,000 2000 1500

200,001 to 900,000 4000 2500

900,001+ 6000 4000

Actions to improve dissemination, access to, and employment of quality BRFSS data to drive public health policy and programs:

Ensuring data collection throughout the calendar year, to account for seasonal variation in health status;

Completing a cell phone/land-line distribution of interviews that corresponds to state level phone use statistics, Actions to improve number of interviews to allow for sub state and demographic comparison:

Use of a Random Digit Dialing Computer Assisted Telephone Interviewing (RDD CATI)-supported interviews with over 400,000 respondents annually Providing a sample design that accounts for sub-state geography (i.e. public health districts, counties, Metro/non-metro areas).

The following strategies and activities also may affect selection and funding an applicant:

1. Maximizing the size of the sample to achieve a sufficient cross-tabulation cell size to permit analyses by demographic categories of age, sex, race/ethnicity, education level and sub-state geography;

2. Ensuring data collection throughout the calendar year, to account for seasonal variation in health status;

3. Completing a cell phone/land-line distribution of interviews that corresponds to state level phone use statistics, and;

The applicant should plan to cover the entire state, as only one award within a state will be funded.

1. Collaborations

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

Recipients are expected to develop and maintain collaborative relationships with other CDC-funded projects, when available within their states, to achieve the outcomes shown in the logic model. Specifically, all applicants must describe how it will share BRFSS data with the Centers for Disease Control and Prevention. If the applicant is not a State Public Health Agency, the applicant must also describe how the data will be shared with the State Public Health Agency.

These collaborations are required by applicants and can greatly increase the quality and effectiveness of BRFSS. When relevant, applicants are encouraged to document how these collaborations will assist their implementation of activities, as well as file a copy of Memorandums of Understanding (MOUs), Memorandum of Agreement (MOAs), Data Use Agreements (DUAs), or letters of support with their application if available.

Applicants must file the MOU or MOA, Data Use Agreement, or letters of support as appropriate, name the file MOUs/MOAs, DUAs, or “letters of support” and upload it as a PDF file at www.grants.gov.

http://www.grants.gov/

In the case where the State Public Health Agency is not the applicant, the applicant must submit a description of previous and current collaborations with the State Public Health Agency and, at a minimum, should outline the roles and responsibilities that the State Public Health Agency has agreed to in writing, including:

Level of access to specific public health data (beyond of Vital Records) necessary to complete the analysis of current BRFSS data, e.g., previous BRFSS data, to construct trend analyses

Reporting and disseminating BRFSS findings and recommendations Any budgetary and/or in-kind support provided to the applicant for BRFSS efforts

Applicants should include any MOUs, MOAs, DUAs, and letters of support, as appropriate.

These files should be uploaded as a PDF with the application and named “SPHA_MOU” to www.grants.gov

b. With organizations not funded by CDC:

In the case where the State Public Health Agency is not the applicant, the applicant should submit a description of previous and current collaborations with the State Public Health Agency and, at a minimum, should outline the roles and responsibilities that the State Public Health Agency has agreed to in writing, including:

Level of access to specific public health data (beyond of Vital Records) necessary to complete the analysis of current BRFSS data, e.g., previous BRFSS data, to construct trend analyses

Reporting and disseminating BRFSS findings and recommendations Any budgetary and/or in-kind support provided to the applicant for BRFSS efforts

Applicants should include any MOUs, MOAs, DUAs, and letters of support, as appropriate.

These files should be uploaded as a PDF with the application and named SPHA_MOU to www .grants.gov

2. Target Populations

a. Health Disparities

iv. Funding Strategy This NOFO provides up to $22 million to fund up to 57 applicants. Only one award will be made within a state or territory. Where there are multiple applicants interested in applying for this NOFO within a state or territory, we encourage coordination on a single NOFO application.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy http://www.grants.gov/

CDC will work with recipients to develop and implement jurisdiction-specific evaluation plans and ensure accurate evaluation and performance measurement reporting.

Recipients are expected to report on the following performance measures:

Jurisdiction has increased access to more quality and timelier BRFSS data collected and analyzed by organizations.

Increase the number of organizations using BRFSS data to develop evidence-based, cost-effective programs and policies to address chronic health issues

Applicants are required to submit a Data Management Plan (DMP) that is as complete as possible and includes:

o A description of the data to be collected or generated in the proposed project;

o The standards to be used for the collected or generated data;

o Mechanisms for, or limitations to, providing access to the data, including a description for the provisions for the protection of privacy, confidentiality, security, and intellectual property, or other rights;

o Statement of the use of data standards that ensure all documentation that describes the method of collection, what the data represent, and o Plans for archiving and long-term preservation of the data, or explaining why long-term preservation and access are not justified; and, o Other additional requirements based on the program.

The DMP may be submitted as a checklist, paragraph, or other format. Below are DMP examples to help guide applicants in the development of the DMP:

University of California: http://dmp.cdlib.org/ USGS: http://www.usgs.gov/datamanagement/plan/dmplans.php ICPSR: http://www.icpsr.umich.edu/icpsrweb/content/datamanagement/dmp/plan.html

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

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

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

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

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

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

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

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

Applicant Evaluation and Performance Measures In addition to performance measures, recipients will be expected to engage in some evaluation of their activities and outcomes. Evaluation plans should include process and outcome evaluation questions such as the following:

What were the challenges and barriers in implementing each of these activities?

To what extent has implementation and performance of these activities improved?

To what extent did the planning process contribute to the utility of BRFSS data?

Process evaluation results will be used by CDC and recipient to monitor the extent to which planned activities were successfully completed and to inform quality improvements in questionnaire construction, data collection and submission, partnership building, data dissemination, and/or data use tracking.

Outcome evaluation results and recipient reporting on performance measures will be used to demonstrate program impact during the project period. BRFSS recipient will be required to conduct an evaluation and report on performance measures annually.

In addition, applicants must provide an overall jurisdiction-specific evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy as stated above and answers the following 8 questions:

1. To what extent has the program increased organizational capacity to support and sustain

BRFSS?

2. To what extent has the program monitored the impact and performance of program activities?

3. To what extent did the program improve a sufficient number of interviews to allow for sub state and demographic comparison

4. To what extent has the program improved the availability, quality, and timeliness of BRFSS data?

5. To what extent has the program improved dissemination, access to, and employment of https://www.cdc.gov/grants/additionalrequirements/ar-25.html quality BRFSS data to drive public health policy and programs?

6. To what extent has the program conducted program marketing and outreach?

7. To what extent has the program initiated, maintained, and expanded partnerships?

8. To what extent has the program increased sound public policy decisions that improve the U.S. population health, resulting from using BRFSS data to support public health programs

To answer these questions, CDC will use a standardized evaluation approach that all recipients will be required to follow. Recipient's will be required to 1) collect and report required process and outcome measures on a quarterly or annual basis, specified in the table below; 2) develop and implement jurisdiction-based evaluation plans and share findings with CDC if necessary; 3) participate in refining CDC’s evaluation and performance measurement strategy as necessary.

The following performance measures should be collected for each budget year and reported to CDC by the end of the budget year. The format for submission will be specified in post-award guidance. CDC will work with recipients in the first year of the cooperative agreement to establish and implement the required performance measures. Recipients may develop additional measures as necessary, but it is not required.

c. Organizational Capacity of Recipients to Implement the Approach Applicant should provide a staffing plan, including an organizational chart, CVs, position descriptions and project management structure that will be sufficient to meet the goals of the proposed project and which clearly defines staff roles and reporting structure.

Applicant should demonstrate past experience managing data collection and analysis efforts at the population level ensuring the administrative, financial, and staff support necessary to sustain activities.

Applicant should show past evidence of effectively gathering, analyzing, interpreting, and using evidence-based or evidence-informed strategies.

Applicant should demonstrate experience administering and analyzing results of sub-national-level population-based surveys examining health risk and health status.

Applicant should describe their history of working with CDC or other large, national organization to collect, clean, analyze, and report population-level health status survey data.

Applicant should demonstrate recent experience collecting population-based survey data within a state or sub-national level.

Applicant should demonstrate experience maintaining, cleaning, and analyzing population-based survey data.

Applicants should file the CVs/resumes, organizational chart, and staffing plan, as appropriate, and name the file CVs/resumes, organizational chart or staffing plan and upload it as a PDF file at www.grants.gov

d. Work Plan

Applicants should develop a work plan that provides a detailed plan for the first year of the period of performance and a high-level plan for the subsequent years. Applicants should clearly describe how the sections in their work plans crosswalk to the strategies, activities, outcomes, and evaluation and performance measures presented in the logic model and the narrative sections of the NOFO.

A sample work plan format is presented below. Applicants should complete the table for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Period of Performance 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.

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

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

Tracking recipient progress in achieving the desired outcomes.

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

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

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

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

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

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

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

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

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

COOPERATIVE AGREEMENTS)

Technical assistance will be provided in the form of regular one-on-one monthly conference calls, a monthly all funded recipient conference call, Data collector's technical conference calls, in person and remote (webinar) trainings and presentations, Conferences, Annual questionnaire meetings, and on site and reverse site visits. This support will allow CDC to:

Provide resources, training, technical assistance, and consultation to develop, maintain, and enhance monitoring and surveillance systems.

Provide resources, training, and technical assistance, and consultation to support and facilitate collection and use of data.

Maintain electronic mechanisms for information sharing, program planning, and progress reporting.

Maintain Web sites that provide links to databases (such as the State Activities Tracking and Evaluation System and BRFSS) that contain state-specific information and comparable measures that are critical to chronic disease prevention and health promotion activities.

Serve as a convener and resource for the continued expansion of the science base of chronic disease prevention and health promotion programs

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: U58

3. Fiscal Year: 2020

4. Approximate Total Fiscal Year Funding: $22,000,000

5. Approximate Period of Performance Funding: $66,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $66,000,000

6. Approximate Period of Performance Length: 3 year(s)

7. Expected Number of Awards: 57

8. Approximate Average Award: $385,000 Per Budget Period

9. Award Ceiling: $450,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $125,000 Per Budget Period

11. Estimated Award Date: 08/01/2020

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: State governments

County governments City or township governments Special district governments Independent school districts Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities Native American tribal organizations

(other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education For profit organizations other than small businesses Small businesses Others (see text field entitled "Additional Information on Eligibility" for clarification) Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"

Additional Eligibility Category:

Government Organizations:

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

Local governments or their bona fide agents

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

State controlled institutions of higher education

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

Non-government Organizations:

American Indian or Alaska native tribally designated organizations

2. Additional Information on Eligibility

1. Applicants must be physically located and operate in the state or territory for which work is proposed. Applicants must specifically identify the state or territory in which they will work. Applicants with locations in multiple states or territories must select one state or territory, the state or territory in which that applicant is located. Applicants must provide a statement that identifies the state or territory in which the applicant will do the proposed work. This documentation must be labeled “Proposed Work Statement” and uploaded as a PDF file at www.grants.gov. Applicants proposing to work in states or territories other than where the applicant is physically located and operates will be considered non-responsive and will not receive further review.

2. CDC will not accept and review applications with budgets greater than the ceiling of the award range. Applications with budgets that exceed the ceiling of the award, which includes both direct and indirect costs, will be considered non-responsive, and will not be entered into the review process.

3. Justification for Less than Maximum Competition N/A

4. Cost Sharing or Matching Cost Sharing / Matching Requirement: No Although no statutory matching requirement for the 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:

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

https://www.grants.gov/

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 Management

1. Retrieve organizations DUNS number

2. Go to

3-5 Business Days but

For SAM Customer Service Contact 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

(SAM)

formerly Central Contractor Registration

(CCR)

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) up to 2 weeks and must be renewed once a year 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.

a. Letter of Intent Deadline (must be emailed or postmarked by) 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

Due Date for Letter of Intent: 04/30/2020

b. Application Deadline Due Date for Applications: 05/29/2020 , 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.

LOI is requested but optional. The purpose of an LOI is to allow CDC program staff to estimate the number of and plan for the review of submitted applications. The LOI must be sent via U.S.

express mail, delivery service, fax, or email to:

Rosalyn Matthews CDC, National Center for Chronic Disease Prevention and Health Promotion 4770 Buford Hwy, MS - S107-6 Atlanta, GA 30341 Telephone number: (770) 488-4588 Fax: (770) 488-5965 Email address: aii9@cdc.gov

Date for Information Conference Call Friday, April 3, 2020. 1:00 pm - 2:00pm EST.

Join by phone

(770) 488-3600, 9209340# (Chamblee Dial-in Conference Region) English (United States)

(855) 644-0229, 9209340# (Chamblee Dial-in Conference Region) English (United States) Conference ID: 9209340

Frequently asked questions for the NOFO can be found at: https://www.cdc.gov/chronicdis ease/about/foa/brfss/index.htm

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, https://www.grants.gov https://www.cdc.gov/chronicdisease/about/foa/brfss/index.htm https://www.cdc.gov/chronicdisease/about/foa/brfss/index.htm http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov

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

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

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

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

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

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

Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding 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 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 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 Submission of a LOI is optional. This will allow CDC program staff to estimate the number of, and plan for, the review of submitted applications. The LOI must be sent via U.S. Priority Mail Express, fax, or email to:

Rosalyn Matthews, Team Lead, BRFSS State and Coordination Team Department of Health and Human Services Centers for Disease Control and Prevention Telephone: (770) 488-4588 Email: aII9@cdc.gov

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.

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

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.

The target population for this NOFO is noninstitutionalized adult population ages 18 years of age and older. In addition, the analysis, interpretation, and utilization of BRFSS data aims to identify adult populations who may face greatest risk for chronic disease to prioritize and tailor planning and implementation of corresponding public health programs.

The Behavioral Risk Factor Surveillance Survey plays a key role in assessing health disparities among U.S. adults and targeting efficient use of resources for disease prevention and health promotion activities as well as supporting programmatic efforts.

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…