CDC-RFA-DP18-1807.pdf

Centers for Disease Control

National Center for Chronic Disease Prevention and Health Promotion

State Physical Activity and Nutrition Program

CDC-RFA-DP18-1807

Application Due Date: 06/14/2018

State Physical Activity and Nutrition Program

CDC-RFA-DP18-1807

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Catalog of Federal Domestic Assistance (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 "Send Me Change Notifications Emails" link to ensure they receive notifications of any changes to CDC-RFA-DP18-1807. 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:

State Physical Activity and Nutrition Program 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-DP18-1807

E. Catalog of Federal Domestic Assistance (CFDA) Number:

93.439 F. Dates:

1. Due Date for Letter of Intent (LOI): 05/14/2018

2. Due Date for Applications: 06/14/2018, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

April 25, 2018 3:00 PM - 4:30 PM (eastern daylight time) Join Skype Meeting Trouble Joining? Try Skype Web App Join by phone

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

(855) 644-0229 (Chamblee Dial-in Conference Region) English (United States) https://www.grants.gov https://www.grants.gov https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov https://webconf.cdc.gov/jru3/D2NHC70B https://webconf.cdc.gov/jru3/D2NHC70B?sl=1 tel:(770)%20488-3600 tel:(855)%20644-0229

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G. Executive Summary:

1. Summary Paragraph:

CDC announces the availability of fiscal year 2018 funds to implement CDC-RFA-DP18-1807:

State Physical Activity and Nutrition (SPAN) Program. Poor nutrition and low levels of physical activity affect overall health and are significant risk factors for obesity and other chronic diseases. Obesity affects 78.6 million (35%) American adults and 12.7 million (17%) American children, and costs the nation approximately $147 billion in annual health care expenditures. The burden of obesity and other chronic diseases negatively affects our nation's businesses, economy, and military readiness. The NOFO supports state investments to improve nutrition and to increase safe and accessible physical activity that benefits the whole state and can be shared with local governmental entities. This five year program provides recipients the support and flexibility to work on governmental public health systems in the state in which they are located, including at the local levels, to readily implement evidence-based strategies and to leverage resources from multiple stakeholders and sectors (e.g., agriculture, transportation, education, business, commerce, housing) to improve the nutrition and physical activity status of Americans. No more than one applicant from a state will receive funding.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 15

d. Total Period of Performance Funding: $70,000,000

e. Average One Year Award Amount: $900,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/29/2018

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview https://webaudio.cdc.gov/ https://webaudio.cdc.gov/ https://o15.officeredir.microsoft.com/r/rlidLync15?clid=1033&p1=5&p2=2009

The nation’s public health system is responsible for improving the health of Americans. There are wide variations in chronic disease rates and other health factors in states across the country, and within each state. Poor nutrition and low levels of physical activity are significant risk factors for obesity and other chronic diseases such as type 2 diabetes, heart disease, stroke, hypertension, certain cancers, and depression. These diseases are too common, very costly, and more likely to affect certain population groups at higher rates such as those of lower socioeconomic status.

Physical activity and adequate nutrition early in life supports healthy growth and brain development, and protects against life-threatening and chronic diseases. However, a large percentage of Americans are not meeting recommended national guidelines for nutrition and physical activity.

For example, While 83% of mothers start to breastfeed, 60% of women stop breastfeeding earlier than they wanted, indicating that a large number of mothers need support to help them meet breastfeeding goals. In addition, fewer black infants (68.0%) are ever breastfed compared to white infants (85.7%) and Hispanic infants (84.8%)

American adults continue to consume too few fruits and vegetables. Only 12.2% meet fruit intake recommendations and only 9.3% meet vegetable intake recommendations.

Approximately one in five American adults meet physical activity guidelines for aerobic and strengthening activity. Over $117 billion a year in health care costs are associated with inadequate physical activity.

This five-year State Physical Activity and Nutrition Program (SPAN) supports state investments to improve nutrition and increase physical activity that benefits the whole state. This program provides recipients support and flexibility to work on governmental public health systems at the state and local levels to implement evidence-based strategies and to leverage resources from multiple stakeholders and sectors (e.g., agriculture, transportation, education, business, commerce, and housing). Recipients will conduct their work within the state in which they are located.

The approach for this NOFO incorporates strategies to improve nutrition and physical activity as found in a variety of publications and expert recommendations. These include the Dietary Guide lines for Americans (2015), The Surgeon General's Call to Action to Support Breastfeeding (2015), Community Preventive Services Task Force Recommendation for Built Environment Inter ventions to Increase Physical Activity (2017), and The Surgeon General's Call to Action to Promo te Walking and Walkable Communities (2015). This work builds on previous investments in state health departments and the accomplishments and program outcomes achieved through their efforts under State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health program (CDC-RFA-DP13-1305) and State Nutrition, Physical Activity, and Obesity Program (CDC-RFA-DP08-805) in implementing improvements in practices to support good nutrition and physical activity.

b. Statutory Authorities This program is authorized under sections 301 and 317(k)(2) of the Public Health Service Act [42 USC 241(a) and 247(b)(k)(2), as amended].

https://health.gov/dietaryguidelines/2015/guidelines/ https://health.gov/dietaryguidelines/2015/guidelines/ https://www.surgeongeneral.gov/library/calls/breastfeeding/index.html https://www.thecommunityguide.org/content/combined-built-environment-features-help-communities-get-active https://www.thecommunityguide.org/content/combined-built-environment-features-help-communities-get-active https://www.surgeongeneral.gov/library/calls/walking-and-walkable-communities/exec-summary.html https://www.surgeongeneral.gov/library/calls/walking-and-walkable-communities/exec-summary.html

c. Healthy People 2020 This NOFO supports the following Healthy People 2020 topic areas found at http://www.healt hypeople.gov:

Physical activity https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity

Nutrition and weight status https://www.healthypeople.gov/2020/topics-objectives/topic /nutrition-and-weight-status

Social determinants of health https://www.healthypeople.gov/2020/topics-objectives/topic /social-determinants-of-health

Maternal, infant and child health https://www.healthypeople.gov/2020/topics-objectives /topic/maternal-infant-and-child-health ;

Educational and community based programs https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs

d. Other National Public Health Priorities and Strategies

Health and Human Services (HHS) Action Plan to Reduce Racial and Ethnic Disparities:

https://minorityhealth.hhs.gov/assets/pdf/hhs/HHS_Plan_complete.pdf

Caring for our Children Standards: National Health and Safety Performance Standards Guidelines for Early Care and Education Programs http://cfoc.nrckids.org/

The 2008 Physical Activity Guidelines for Americans https://health.gov/paguidelines /guidelines/

e. Relevant Work This NOFO is relevant to past and current CDC programs including the State Nutrition, Physical Activity, and Obesity Program (CDC-RFA-DP08-805), State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health program (CDC-RFA-DP13-1305), Programs to Reduce Obesity in High Obesity Areas (CDC-RFA-DP14-1416), Programs to Reduce Obesity in High Obesity Areas to Boost Prevention (CDC-RFA-DP16-1613), Improving Student Health and Academic Achievement through Nutrition, Physical Activity and the Management of Chronic Conditions in Schools (CDC-RFA- DP18-1801), and Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations (CDC-RFA-OT13-1302).

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

http://www.healthypeople.gov/ http://www.healthypeople.gov/ https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs https://minorityhealth.hhs.gov/assets/pdf/hhs/HHS_Plan_complete.pdf http://cfoc.nrckids.org/ https://health.gov/paguidelines/guidelines/ https://health.gov/paguidelines/guidelines/ https://www.cdc.gov/nccdphp/dnpao/state-local-programs/pdf/dnpao-805-coorperative-agreement-web_tag508.pdf https://www.cdc.gov/nccdphp/dnpao/state-local-programs/state-public-health-action.html https://www.cdc.gov/nccdphp/dnpao/state-local-programs/high-obesity-program.html https://www.cdc.gov/nccdphp/dnpao/state-local-programs/high-obesity-program.html https://www.cdc.gov/chronicdisease/about/foa/healthystudents/index.htm https://www.cdc.gov/chronicdisease/about/foa/healthystudents/index.htm https://www.cdc.gov/stltpublichealth/funding/rfaot13.html

i. Purpose This NOFO supports recipients to implement statewide and local level nutrition and physical activity interventions that support healthy nutrition, safe and accessible physical activity, and breastfeeding within states and/or the District of Columbia.

ii. Outcomes

Intermediate outcomes:

Increased number of places that implement food service guidelines Increased number of places that implement supportive breastfeeding interventions Increased number of places that implement community planning and transportation interventions that support safe and accessible physical activity Increased number of ECEs that implement nutrition and physical activity standards

These outcomes will drive progress on the long-term outcomes, which are evaluated by CDC.

iii. Strategies and Activities The applicant must propose work in all of the following five strategies:

Nutrition Specific Strategies

1. Implement food service guidelines (FSG) in worksites (e.g., hospitals, universities/colleges, private workplaces, and state, local and tribal government facilities) and in community settings (e.g., parks, stadiums, buildings/areas where community organizations meet), in multiple venues (e.g., cafeterias, cafés, grills, snack bars, concession stands, vending machines) to increase the availability of healthy foods.

2. Implement interventions supportive of breastfeeding that address one or more of the following:

o Maternity care practices in birthing facilities o Continuity of care/ community support o Workplace compliance with the federal lactation accommodation law

3. Implement and integrate nutrition standards into statewide early care and education (ECE) systems such as quality rating improvement systems, state professional development systems, licensing, statewide technical assistance networks, state subsidy programs, statewide recognition programs, and others outlined in the CDC ECE opportunities framework- https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf.

Physical Activity Specific Strategies

1. Collaborate with partners to connect sidewalks, paths, bicycle routes, public transit with homes, early care and education, schools, worksites, parks, or recreation centers through implementing master plans and land use interventions:

o Establish new or improved pedestrian, bicycle, or transit transportation systems (i.e., activity-friendly routes) that are combined with new or improved land use or environmental design (i.e., connecting everyday destinations).

2. Implement and integrate physical activity standards into statewide early care and education (ECE) systems such as quality rating improvement systems, state professional development systems, licensing, statewide technical assistance networks, state subsidy programs, statewide recognition programs, and others outlined in the CDC ECE opportunities framework- https://www.cdc.gov/obesity/downloads/spectrum-of-opportunit https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf ies-obesity-prevention.pdf.

Awards made to recipients must be able to be shared with state and local governmental entities as sub-recipients, so applicants must have experience successfully implementing physical activity and nutrition efforts at the state and local levels. Recipients must work on all five of the strategies, however they will have the flexibility to select the interventions that support strategy implementation to improve nutrition and increase physical activity, as well as to define their geographic area(s). It is expected that the recipient will already have in place or will adopt state level actions necessary to support local level implementation of the five strategies.

Recipients are encouraged to use a community-based participatory approach that builds on existing community assets and existing coalitions, allowing for the flexibility necessary to tailor interventions that meet the unique needs of target populations. Recipients must include communication activities that will support each of the program strategies. Once the strategies are implemented in the initial geographic areas identified by the recipient, additional geographic areas may be addressed in subsequent years.

In consultation with CDC, recipients may take up to six months to finalize their work plan. It is expected that recipients will leverage the resources of their partners to complete the work of the NOFO, particularly those strategies that may by necessity include both allowable (e.g. planning and design) and unallowable (e.g. construction of sidewalks, construction of running trails) costs.

1. Collaborations

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

Recipients are required to collaborate and coordinate with other existing or future CDC-funded programs in selected geographic areas within the state to complement the work of those CDC-funded programs. State and/or local-level CDC funded programs for chronic disease include, yet are not limited to, those found at the following web links:

High Obesity Program: https://www.cdc.gov/nccdphp/dnpao/state-local-programs/high-obesity-program.html;

Racial and Ethnic Approaches to Community Health: https://www.cdc.gov/nccdphp/dnpao /state-local-programs/reach/index.htm

Sodium Reduction in Communities Program; WISEWOMAN: http://www.cdc.gov/dhdsp /grantee_information.htm

Scaling the National Diabetes Prevention Program in Underserved Areas; National Diabetes Prevention Program: https://www.cdc.gov/diabetes/programs/index.html

National Comprehensive Cancer Control Program: https://www.cdc.gov/cancer/ncccp /about.htm

Early Childcare and Education Obesity Prevention Program: https://healthykidshealthyfu ture.org/about-ecelc

CDC Disability and Health Program: Improving the Health of People with Mobility Limitations and Intellectual Disabilities through State-based Public Health Programs (known as State Disability and Health Programs): https://www.cdc.gov/ncbddd/disability andhealth/programs.html https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf https://www.cdc.gov/nccdphp/dnpao/state-local-programs/high-obesity-program.html https://www.cdc.gov/nccdphp/dnpao/state-local-programs/high-obesity-program.html https://www.cdc.gov/nccdphp/dnpao/state-local-programs/reach/index.htm https://www.cdc.gov/nccdphp/dnpao/state-local-programs/reach/index.htm http://www.cdc.gov/dhdsp/grantee_information.htm http://www.cdc.gov/dhdsp/grantee_information.htm https://www.cdc.gov/diabetes/programs/index.html https://www.cdc.gov/cancer/ncccp/about.htm https://www.cdc.gov/cancer/ncccp/about.htm https://healthykidshealthyfuture.org/about-ecelc https://healthykidshealthyfuture.org/about-ecelc https://www.cdc.gov/ncbddd/disabilityandhealth/programs.html https://www.cdc.gov/ncbddd/disabilityandhealth/programs.html

b. With organizations not funded by CDC:

Collaborations with a variety of public and private partners from multiple sectors are required to maximize resources, reach, and impact. These can include the business community (e.g., chamber of commerce), non-governmental organizations (e.g., YMCA, American Academy of Pediatrics, faith-based), universities and colleges (e.g., land grant institution, prevention research center), non-profit agencies or systems (e.g., farmers market association, healthcare system), other state (e.g., department of transportation, aging service, early care and learning) or local government agencies (e.g., local education agency, extension service, metropolitan planning organization), local health and wellness coalition organizations (e.g., food council, active living coalition), tribes or tribal organizations (e.g., intertribal council), and professional organizations (e.g., state or regional planning association). State level federally funded programs not funded by CDC (e.g., those funded by Administration for Children and Families, Department of Defense, Department of Transportation, Department of Agriculture, Department of Labor, Health Resources and Services Administration) should be included as key partners when applicable.

Applicants are strongly encouraged to submit with their application a memorandum of understanding (MOU), memorandum of agreement (MOA), and/or tribal resolutions for key collaborations. They should describe the scope of work and contributions from each key partner for work to be conducted. Applicants must at the very least submit letters of support for key collaborations. Letters of support will clearly describe the partner level of participation and their anticipated contribution to overall program strategies and activities. Applicants must name these files "Letterofsupport/MOU/MOA/TribalRes_PartnerName_SPAN_name of applicant" and upload them as PDF files on www.grants.gov.

2. Target Populations Applicants must describe criteria used for selection of the target population and geographic areas of focus. These criteria must be based on statewide disease and risk factor burden data from the state the applicant is located, as well as the potential to reach and effect impactful outcomes for the greatest proportion of the target population.

a. Health Disparities All applicants should describe how the strategies they implement would address disparities in their target populations related to poor nutrition or physical inactivity. Disparities by race, ethnicity, geography, mobility limitations and/or intellectual/developmental disability, primary language, health literacy, and other relevant dimensions (e.g., income) can be considered.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy CDC will work collaboratively with recipients to conduct evaluations that determine the impact of CDC funding on nutrition and physical activity outcomes. CDC will be responsible for tracking the short-term outcomes and evaluating the long-term outcomes identified in the logic model.

http://www.grants.gov/

CDC will work collaboratively with recipients to develop an evaluation framework to guide evaluation for the SPAN program. This will include monitoring strategy implementation, conducting evaluations on the effectiveness of the selected interventions at achieving expected outcomes, and collecting data to determine factors (context and mechanisms) that may influence outcomes for target populations and specific settings. CDC and recipients will use the evaluation and performance measurement data to determine if program interventions are scalable and effective at reaching target populations.

Key evaluation questions include:

How have the community and ECE environments changed since the implementation of strategies to promote healthy eating and breastfeeding?

How have the community and ECE environments changed since the implementation of strategies to support safe and accessible physical activity?

To what extent have healthy eating, breastfeeding, and physical activity increased in specific settings and for specific populations?

The performance measures serve as an integral source of data for CDC’s evaluation efforts. The applicant must demonstrate the ability to monitor program performance by establishing a performance measurement strategy. This strategy should describe the process for collecting and reporting data for the required intermediate outcomes:

Increased number of places that implement food service guidelines Increased number of places that implement supportive breastfeeding interventions Increased number of places that implement community planning and transportation interventions that support safe and accessible physical activity Increased number of ECEs that implement nutrition and physical activity standards

The table below depicts the complete list of performance measures that recipients will be required to report for SPAN. CDC will work collaboratively with recipients during the first six months to finalize performance measures.

Strategy Intermediate Measure

Awardee to provide data

Nutrition

Implement food service guidelines (FSG) in worksites and community settings to increase the availability of healthy foods.

Number and type of setting(s) with implemented food service guidelines

Implement interventions supportive of breastfeeding that address one or more of the following:

Maternity care practices in birthing facilities

Number of birthing facilities with maternity care practices, and/or

Number of community sites that support continuity of care/breastfeeding, and/or

Continuity of care/community support Workplace compliance with the federal lactation accommodation law

Number of targeted worksites in compliance with federal lactation accommodation laws

Implement and integrate nutrition standards into statewide early care and education (ECE) systems: quality rating improvement system, state professional development system, licensing, statewide technical assistance networks, state subsidy program, statewide recognition programs, and others outlined in the CDC ECE opportunities framework - https://www.cdc.gov/obesity/downl oads/spectrum-of-opportunities-obesity-preve ntion.pdf.

Number of early care and education state systems with embedded nutrition standards (improved licensing, quality rating, professional development via state indicator report)

Physical Activity

1. Collaborate with partners to connect sidewalks, paths, bicycle routes, public transit with homes, early care and education, schools, worksites, parks, or recreation centers through implementing master plans and land use interventions:

o Establish new or improved pedestrian, bicycle, or transit transportation systems (i.e., activity-friendly routes) that are combined with new or improved land use or environmental design (i.e., connecting everyday destinations).

Number of places where new or improved systems to promote physical activity were implemented

Implement and integrate physical activity standards into statewide early care and education (ECE) system: quality rating improvement system, state professional development system, licensing, statewide technical assistance networks, state subsidy program, statewide recognition programs, and others outlined in the CDC ECE opportunities framework- https://www.cdc.gov /obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf.

Number of early care and education state-systems with embedded physical activity standards (improved licensing, quality rating, professional development via state indicator report)

CDC will share performance measure results through recipient and partner distribution lists and the DNPAO web site. CDC will use the distribution lists, recipient workshops, webinars, and national conferences to share preliminary findings and updates on CDC evaluation activities.

https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf https://www.cdc.gov/obesity/downloads/spectrum-of-opportunities-obesity-prevention.pdf

Final evaluation results will be disseminated through the DNPAO web site, journal articles, and presentations at national conferences.

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

CDC will work with recipients to finalize the plan. In developing the plan, applicants are encouraged to use CDC's Framework for Program Evaluation in Public Health. MMWR 1999;48(No. RR-11)) (www.cdc.gov/eval).

c. Organizational Capacity of Recipients to Implement the Approach Upon receipt of award recipients must be able to readily implement this program in the state in which they operate and are located. To ensure that recipients are able to execute CDC state based program requirements and meet period of performance outcomes, applicants must demonstrate relevant experience to implement the activities and achieve the project outcomes, experience and https://www.cdc.gov/grants/additionalrequirements/ar-25.html http://www.cdc.gov/eval capacity to implement the evaluation plan, and a staffing plan and project management structure sufficient to achieve the project outcomes and which clearly define staff roles.

Applicants must demonstrate established experience and organizational capacity in order to meet implementation readiness requirements for this NOFO, which includes the following:

Public health nutrition and physical activity leadership and management to plan and supervise the project and improve outcomes (At a minimum, this should include a principal investigator and program manager).

Subject matter/content expertise in public health/governmental nutrition and physical activity is required to implement strategies and activities (At a minimum, this must include a physical activity coordinator and a nutrition coordinator).

Budget management and administration to establish financial procedures and track, monitor, and report expenditures (At a minimum this should include a fiscal manager).

Contract management to manage the required procurement efforts, including the ability to write, award, and monitor contracts.

Data management to design collection and evaluation strategies to produce useful statewide data that demonstrates impact, program improvement, and sustainability.

Communication support to develop and disseminate program messages and successes related to the communication activities that directly support the NOFO strategies.

Partnership development and coordination to leverage resources and maximize the reach and impact of nutrition and physical activity activities within the state and/or DC.

Evaluation and performance monitoring to implement the evaluation plan and maintain programmatic quality, consistency, and fidelity.

Experience implementing all SPAN NOFO strategies, including how the proposed work plan will build upon prior work directly related to each SPAN strategy.

d. Work Plan At a minimum, the work plan must include

Activities and time lines to support achievement of outcomes that align with the NOFO logic model.

Measures for the relevant outcomes. These should align with the performance measures listed in the evaluation and performance measurement section

Milestones for accomplishing tasks encompassed by the key activities related to each outcome

Staff, partners, contractors and administrative roles and functions to support implementation of the award.

Applicants must submit a detailed work plan for Year 1 of the award and provide a general summary of work plan activities for Years 2-5 in narrative form. The work plan should describe how the applicant plans to implement all of the required activities to achieve NOFO outcomes.

For Year 1, applicants are required to include all of the elements listed within the sample work plan template, provided below. CDC will provide feedback and technical assistance to recipients to finalize the work plan activities post-award. Applicants must name this file "Work

Plan_SPAN_name of applicant" and upload it as a PDF file on www.grants.gov.

This work plan should include activities such as engaging communities and existing partnerships or coalitions, conducting needs assessments in targeted communities, tailoring interventions for target populations, and embedding specific communication activities that directly support the NOFO strategies (including identifying their intended audiences).

Short Term Outcome: Intermediate Outcome:

Strategy

Milestone(s) for Completion of Activity

Responsible Position /Party

Completion Date

Activity

Applicants are not required to use the template but are required to include all of the elements listed in the template.

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.

Recipients will participate in monthly conference calls to track progress, barriers, unexpected events, activities, successes, and other relevant information that describe the implementation of the strategies and accomplishment of outcomes.

http://www.grants.gov/

A required recipient training will be scheduled during the first budget year and may be scheduled during subsequent years of the funding cycle. All applicants should budget up to five staff to participate for up to five days in Atlanta (tentative training site).

Recipients should also be available to participate in peer sharing opportunities, evaluation specific technical assistance calls and webinars, site and/or reverse site visits, and calls and email communication with CDC staff, as needed.

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

COOPERATIVE AGREEMENTS)

CDC will have substantial involvement beyond site visits and regular performance and financial monitoring during the period of performance. CDC activities are intended to ensure the success of the project and will include the following:

Provide ongoing technical assistance Provide SPAN implementation guidance to recipients on identifying and implementing strategies and activities Facilitate collaborative opportunities with other CDC funded NOFO national and state partners Promote information sharing between recipients:

o Facilitate routine conference calls, webinars, and other informational exchange o Develop mechanism for documenting and sharing lessons learned

Convene recipient trainings

Additionally, CDC will:

Ensure that recipients have access to expertise found throughout NCCDPHP.

Collaborate with recipients to explore appropriate flexibilities needed to meet public health outcomes and goals. Flexibility in cooperative agreements includes recipient’s ability to propose alternative methods to achieve the outcomes and goals of the cooperative agreement that align with recipient’s opportunities for success, infrastructure, partner and stakeholder buy-in, demographics, and burden. This includes bringing together resources from multiple cooperative agreements to jointly advance the goals of each, and expanding the dialogue to bring in other CDC and recipient staff to reach a win/win solution.

Create greater efficiencies and consistency across NCCDPHP programs. For example, o Jointly developed resources and tools that focus on cross-cutting functions, settings, domains, risk factors, conditions and diseases to ensure consistent messages and to meet technical assistance needs o Joint training and technical assistance opportunities that help recipients produce policies and programs that are more holistic and fully supportive of work in tobacco, nutrition, physical activity, chronic disease management and other strategies and topics, as appropriate

Continue and expand support for recipients to leverage NCCDPHP resources to address cross-cutting functions, domains, settings, risk factors, and diseases.

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: 2018

4. Approximate Total Fiscal Year Funding: $14,000,000

5. Approximate Period of Performance Funding: $70,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $70,000,000

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

7. Expected Number of Awards: 15

8. Approximate Average Award: $900,000 Per Budget Period

9. Award Ceiling: $1,300,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $600,000 Per Budget Period

11. Estimated Award Date: 09/29/2018

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 FOA.

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 Small businesses Others (see text field entitled "Additional Information on Eligibility" for clarification)

Additional Eligibility Category:

2. Additional Information on Eligibility Applicants must be physically located and operate in the state for which work is proposed, and in the application must specifically identify the state in which they will work. Applicants with locations in multiple states must select one state, the state in which that applicant is located, per application. Applicants proposing to work in states other than where the applicant is physically located and operates will be considered non-responsive and will not receive further review.

3. Justification for Less than Maximum Competition

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 www.SAM.gov.

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 “Get Registered” 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

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/portal/public/SAM/ https://grants.gov/ https://www.grants.gov/ https://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

DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number 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 www.sam.gov 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

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. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC OGS staff at 770-488- 2700 or e-mail OGS ogstims@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348.

http://fedgov.dnb.com/webform http://www.sam.gov https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://www.grants.gov https://www.grants.gov mailto:ogstims@cdc.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: 05/14/2018

b. Application Deadline Due Date for Applications: 06/14/2018 , 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 April 25, 2018 3:00 PM - 4:30 PM (eastern daylight time) Join Skype Meeting Trouble Joining? Try Skype Web App Join by phone

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

(855) 644-0229 (Chamblee Dial-in Conference Region) English (United States)

Find a local number

Conference ID: 823049 Forgot your dial-in PIN? |Help

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.

https://www.grants.gov https://webconf.cdc.gov/jru3/D2NHC70B https://webconf.cdc.gov/jru3/D2NHC70B?sl=1 tel:(770)%20488-3600 tel:(855)%20644-0229 https://webaudio.cdc.gov/ https://webaudio.cdc.gov/ https://o15.officeredir.microsoft.com/r/rlidLync15?clid=1033&p1=5&p2=2009 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.

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…