CDC-RFA-IP17-1703.pdf

Image Description: Centers for Disease Control

Centers for Disease Control

National Center for Immunization and Respiratory Diseases

National Organization to Strengthen and Support a Network of Immunization Program Managers

CDC-RFA-IP17-1703

Application Due Date: 06/12/2017

National Organization to Strengthen and Support a Network of Immunization Program Managers

CDC-RFA-IP17-1703

TABLE OF CONTENTS

Part I. Overview Information Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates F.

Executive Summary G.

Part II. Full Text Funding Opportunity Description A.

Award Information B.

Eligibility Information C.

Application and Submission Information D.

Review and Selection Process E.

Award Administration Information F.

Agency Contacts G.

Other Information H.

Glossary I.

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-IP17-1703. 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. Funding Opportunity Title:

National Organization to Strengthen and Support a Network of Immunization Program Managers 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 http://www.cdc.gov/od/science/integrity /docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf.

New-Type 1

D. Agency Funding Opportunity Number:

CDC-RFA-IP17-1703

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

93.185 F. Dates:

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

2. Due Date for Applications: 06/12/2017, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

April 18, 2017 at 2:00pm ET.

Dial-in number: (855) 644-0229

Passcode: 633-261

G. Executive Summary:

1. Summary Paragraph:

The Centers for Disease Control and Prevention (CDC) announces the availability of funds to support immunization program managers through CDC-RFA-IP17-1703, National Organization to Strengthen and Support a Network of Immunization Program Managers. This five year project, with approximately $400,000 available for each 12-month budget period, aids immunization program managers with achieving the goals of CDC-RFA-IP13-1301, Immunization and Vaccines for Children Program, and long-term goals of high immunization coverage rates and low incidence of vaccine-preventable diseases. There are four strategies associated with this funding that focus on training and resource development around select topics, education about and dissemination of practices associated with program improvement, mentoring and leadership development activities, and supporting communication and information sharing among key https://foa.grantsolutions.gov/www.grants.gov https://foa.grantsolutions.gov/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 http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov partners. As a result of this award, it is expected that immunization program managers will have increases in knowledge, capacity, and access to tools/resources to improve program performance, and strengthened ability to manage a federally funded immunization program.

a. Eligible Applicants: Open Competition

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Project Period Funding: $2,000,000

e. Average One Year Award Amount: $400,000

f. Total Project Period Length: 5

g. Estimated Award Date: 08/21/2017

h. Cost Sharing and / or Matching Requirements:

N

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview As documented in a 2011 CDC Morbidity and Mortality Weekly Report (MMWR), one of the ten greatest public health achievements in the 20th century has been the declines in cases, hospitalizations, deaths, and health-care costs associated with vaccine-preventable diseases.[1] Despite these tremendous strides, there are persistent and urgent efforts to assure high vaccination coverage rates, ensure communities are aware of and being vaccinated according to the routinely-updated ACIP recommendations, and respond to periodic outbreaks of vaccine-preventable diseases. This work is carried out by the National Center for Immunization and Respiratory Disease (NCIRD), and the 64 state, territorial, and local immunization programs receiving funds under CDC-RFA-IP13-1301 with technical support from Immunization Services Division’s (ISD) Program Operations Branch (POB).

Each immunization program is led by an immunization program manager who plays a vital role in overseeing the management and operations of the program, including developing and ensuring the achievement of program goals. POB recognizes the importance of providing support to program managers in effective execution of day-to-day activities, and circumstances that impact operations such as changes in vaccine policies or guidance, vaccine pricing, immunization information systems, and more. Moreover, there is additional program-wide benefit in providing a platform for immunization program managers to learn from each other to address challenges, share successes, and improve immunization practices.

Based on work to support immunization program managers in previous cooperative agreements, this FOA (CDC-RFA-IP17-1703) specifically supports immunization program managers by: 1) building capacity and strengthening efforts to address select programmatic topic areas, 2) promoting and enhancing adoption of practices to support program improvement, 3) providing leadership development training and mentoring support, and 4) supporting communication and information sharing among key partners.

[1] Centers for Disease Control and Prevention. Ten Great Public Health Achievements --- United States, 2001-2010. MMWR 2011;60(19):619-623.

b. Statutory Authorities This program is authorized under section 317 of the Public Health Service Act, [42 U.S.C. section 247b], as amended.

c. Healthy People 2020 Outcomes of CDC-RFA-IP17-1703: the National Organization to Strengthen and Support a Network of Immunization Program Managers cooperative agreement support the Healthy People 2020 goals for immunization and infectious disease.

Additional information about the immunization related goals and objectives for Immunization and Infectious Disease section within Healthy People 2020 can be found at: https://www.healthypeople.gov/2020/topics -objectives/topic/immunization-and-infectious-diseases/objectives .

d. Other National Public Health Priorities and Strategies The work of this cooperative agreement supports, in part, goals 1-3 of The National Adult Immunization Plan: 1) Strengthen the adult immunization infrastructure, 2) Improve access to adult vaccines, and 3) increase community demand for adult vaccines. For more information about the US Department of Health and Human Services’ National Vaccine Program Office’s adult immunization plan, please visit: https://www .hhs.gov/nvpo/national-adult-immunization-plan/index.html.

In addition, two strategic directions of the National Prevention Strategy are relevant to this FOA. These include: 1) elimination of health disparities, and 2) clinical and community preventative services. For more information about the National Prevention Strategy, please visit: https://www.surgeongeneral.gov/priorities /prevention/strategy/#TheStrategicDirections

e. Relevant Work CDC’s pursuit to identify a “National Organization to Strengthen and Support a Network of Immunization Program Managers”, CDC-RFA-IP17-1703, builds upon the work of previous FOAs:

CDC-RFA-IP14-1402: “Strengthening a network of immunization program managers to support the NCRID mission to prevent disease through immunization.”

CDC-RFA-IP09-905: “Coordination of Activities between the CDC, NCIRD, and State and Local Immunization Programs”

Through each iteration of the FOA, the activities have been more clearly defined and/or enhanced. Work supported by these awards has included developing resources and trainings to support program improvement, efforts to raise awareness and knowledge around immunization topic areas, and facilitating peer learning.

Work under this new FOA, CDC-RFA-IP17-1703, also supports and is directly related to the focus areas for the "Immunization and Vaccines for Children Program Cooperative Agreement", CDC-RFA-IP13-1301.

CDC-RFA-IP13-1301 funds immunization programs to: enhance stewardship and accountability for all https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives https://www.hhs.gov/nvpo/national-adult-immunization-plan/index.html https://www.hhs.gov/nvpo/national-adult-immunization-plan/index.html https://www.surgeongeneral.gov/priorities/prevention/strategy/#TheStrategicDirections https://www.surgeongeneral.gov/priorities/prevention/strategy/#TheStrategicDirections publicly purchased vaccine and VFC and 317 operations funding, assess program performance for program improvement, assure access to vaccines, assure that the immunization information technology infrastructure supports program goals and objectives, and improve and maintain preparedness.

For additional information about any of the above mentioned cooperative agreements please visit http://www .grants.gov and search the archived opportunities.

2. CDC Project Description

a. Approach

Bold indicates project period outcome.

CDC-RFA-IP17-1703 Logic Model: National Organization to Strengthen and Support a National Network of Immunization Program Managers

Strategies and High-level Activities Short-term Outcomes Intermediate Outcomes

Long-term Outcomes

Build Capacity and Strengthen Efforts to Address Select Programmatic Topic Areas

Develop plan to improve knowledge, skills, and program performance around three topic areas.

Create resources such as webinars, trainings, web-based training tools or information to build capacity and strengthen efforts to address the selected topics.

Develop and maintain continuous quality improvement and evaluation activities.

Promote and Enhance Adoption of Practices to Support Program Improvement

Identify and screen program practices that support immunization program managers in achieving the goals of CDC-RFA-IP13-1301: the Immunization and Vaccines for Children Program Cooperative Agreements Disseminate, promote, and evaluate adoption of program

Increased knowledge, skill, and capacity to address selected programmatic areas.

Increased knowledge of, and access to, practices attributed to program improvement.

Leadership development trainings are based on a training framework that meets program manager needs.

A structured plan to facilitate peer-to-peer support and mentoring is developed and

Improved performance of immunization programs as demonstrated through annual reporting and site visit reports.

Practices for program improvement adopted by program managers and appropriate staff.

Immunization program manager workforce knowledgeable about immunization operations, and capable of

Decrease in vaccine preventable diseases

Increase in vaccine coverage rates practices.

Provide Leadership Development Trainings and Mentoring/Peer-to-Peer Support

Create a mentoring and leadership development plan.

Develop and evaluate trainings and resources to support leadership develop and mentoring.

Support Communication and Information Sharing

Represent unified voice for immunization program managers about arising challenges and resources or support needed Assess immunization programs capacity or activities upon request from ISD/POB.

Provide key informant input to ISD/POB on proposed policies, guidance, or operational changes developed and executed.

Increased satisfaction with information sharing between

POB/ISD,

awardee, and immunization program managers.

leading a federally funded immunization program.

i. Purpose The purpose of this funding opportunity announcement is to support immunization program managers in managing and improving performance of immunization programs. This program focuses on development and management of a network that will emphasize training and resource development around select topics, education and dissemination of practices associated with program improvement, mentoring and leadership development activities, and support communication and information sharing among key partners.

ii. Outcomes The complete list of outcomes associated with the strategies and activities of this cooperative agreement are identified in the logic model and includes short, intermediate, and long-term outcomes. During the five year project period, the awardee is expected to achieve the short-term outcomes, and demonstrate progress toward the intermediate outcomes. These outcomes include:

Short-Term Outcomes:

Increased knowledge, skill, and capacity to address selected programmatic areas.

Increased knowledge of, and access to, practices attributed to program improvement and increases in vaccination rates.

Leadership development trainings are based on a training framework that meets program manager needs.

A structured plan to facilitate peer-to-peer support and mentirong is developed and executed.

Increased satisfaction with information sharing between POB/ISD, awardee, and immunization program managers.

Intermediate Outcomes:

Improved performance of immunization programs as demonstrated through annual reporting and site visit reports.

Practices for program improvement adopted by program managers and appropriate staff.

Immunization program manager workforce is knowledgeable about immunization operations and is and capabale of leading a federally funded immunization program.

iii. Strategies and Activities The following are the strategies and activities the award recipient is expected to implement during the five-year project period. The recipient may identify additional activities necessary to achieve the strategies and should detail them in the work plan.

Build Capacity and Strengthen Efforts to Address Select Programmatic Topic Areas

Throughout the 5-year project period, the recipient will work collaboratively with ISD to build capacity and strengthen efforts among immunization program managers by addressing select programmatic topic areas.

Topics that may be addressed include: adolescent AFIX, immunization information system (IIS) integration, HPV vaccination, IIS sustainability, strategies or practices that align immunization activities to national quality improvement standards and incentives, or an awardee suggested topic. The awardee must identify at least three of the topics listed to address during the 5-year project period, of which only one IIS topic may be selected under this cooperative agreement. Plans to address each topic will be reviewed and approved by POB/ISD prior to implementation. Along with the awardee, POB/ISD will ensure topic specific plans have clearly defined goals, deliverables, and outcomes.

Activities associated with this strategy may include, but are not limited to:

Conduct needs assessment to identify gaps in knowledge and skills among immunization program managers and areas where programmatic improvement is needed.

Develop plan to address identified gaps in knowledge and opportunities for improvement throughout the 5 year project period.

Receive ISD approval prior to executing implementation plan.

Convene stakeholders, including assembling workgroup(s) when appropriate to consult on activities for each topic.

Develop technical assistance resources such as webinars, trainings, web-based training tools or information, and other relevant aids to build capacity and strengthen efforts to address the selected topics.

Develop and maintain continuous quality improvement and evaluation activities.

Develop final report summarizing activities and lessons learned.

Highlight activities through webinars, meeting/conference presentations, abstracts, etc. to further support building capacity and strengthen efforts to address the selected topics.

Promote and Enhance Adoption of Practices to Support Program Improvement

The award recipient will develop written summaries, trainings, and other tools or resources to promote and enhance adoption of practices that will support program improvement. To achieve this task, the recipient will identify and promote emerging, promising, and best practices in use by immunization programs.

Activities may include, but are not limited to:

Proactively identify practices. Resources to identify practices may include: reviewing meeting or conference agendas, interviews, focus groups, or assessments of immunization program managers, or soliciting submissions from immunization program managers and/or POB staff.

Screen identified practices against standardized criteria developed by the awardee in consultation with

ISD.

Collaborate with immunization program managers to develop written summary of practice. This may include awardee leading the development of a practice summary.

Make practices widely available, and electronically accessible, to program managers and ISD.

Develop trainings and resources to support adoption of program practices.

Develop and maintain continuous quality improvement and evaluation activities.

Provide Leadership Development Trainings and Mentoring/Peer-to-Peer Support

The recipient will develop, implement, and evaluate a mentoring and leadership development program that will supplement POB’s immunization program manager’s orientation training and resources; provide ongoing mentoring and peer-to-peer support; and include leadership development resources and quarterly training opportunities. The recipient will work closely with POB staff in developing program orientation resources and activities. POB will provide the recipient with resources related to immunization program requirements.

Activities include, but are not limited to:

Conduct assessment of current mentoring, and leadership development activities/resources for program managers and program manager needs.

Develop a plan to include:

A framework that outlines trainings needs, priority focus areas, methods/modes to conduct trainings, and learning objectives.

A strategy to support immediate needs of newly hired program managers A strategy to meet the training needs of all program managers.

Support of POB program manager’s orientation that complements POB’s activities and resources.

A strategy to provide ongoing mentoring and peer-to-peer support opportunities.

Leadership development resources and training opportunities.

Develop, host, and evaluate quarterly leadership development webinars available to all program managers and POB/ISD.

Develop and maintain continuous quality improvement and evaluation activities.

Support Communication and Information Sharing

The recipient will support real-time communication between immunization program managers and ISD/POB through information gathering and sharing, proposing and implementing strategies or solutions to address emerging issues, and providing stakeholder insight upon request.

Activities include, but are not limited to:

Represent unified voice for immunization program managers by communicating arising programmatic, operational, or policy issues facing most program managers to ISD/POB and identifying strategies, skills, or resources needed to address the issue.

identifying strategies, skills, or resources needed to address the issue.

Assess immunization programs operational capacity, programmatic activities/practices, and policy or legislative activities, upon request from ISD/POB.

Provide key informant input to POB/ISD on proposed policies, guidance, or operational changes.

1. Collaborations

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

Two primary collaborations are necessary for the execution of this award; collaboration with CDC and with federally funded immunization programs.

The primary relationship between CDC and the recipient will occur with NCIRD Immunization Services Division’s Program Operations Branch (POB). POB will provide consultation to the award recipient on trainings, resources, communication, or assistance provided to immunization program managers as a result of this award. Furthermore, federally funded immunization programs serve as both the target audience and a key collaborator. Immunization program managers support of, and partnership with, the award recipient is necessary to carry out all aspects of this award.

Secondary collaborations among other CDC and CDC-funded organizations are encouraged when appropriate. This may include other CDC-funded non-profit organizations and other CDC programs with overlapping topics or target audiences.

b. With organizations not funded by CDC:

When appropriate, the recipient is recommended to work in collaboration with non-CDC funded organizations to leverage resources and support the strategies and activities of this award to achieve the intended outcomes. This may include, but is not limited to: public health organizations, immunization coalitions, professional associations, academic institutions, health departments, etc.

2. Target Populations The target population for this project are immunization program managers from state, territorial, and local health departments that are awardees of the funding opportunity CDC-RFA-IP13-1301, “Immunization and Vaccines for Children Program Cooperative Agreement”.

a. Health Disparities The award recipient is encouraged to incorporate efforts to reduce health disparities and improve social determinants of health in the execution of the cooperative activities, when appropriate. For this project, examples may include, but are not required to be: crafting a best practices summary on increasing vaccination rates among tribal populations, enhacing immunization program efforts to increase vaccination coverage rates among people living in poverty, developing a webinar on efforts to increase awareness and acceptance of HPV vaccination among males, or creating a peer network among rural immunization program managers to support the geographical challenges of conducting AFIX visits.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

CDC and the awardee will evaluate and measure FOA efforts over the entire five year project period. Within six month post-award, CDC and the awardee will collaboratively finalize process and outcome measures related to program short-term outcomes to ensure they are concrete and achievable.

As part of the application, the applicant should define measures that will be used to:

track implementation of awardee strategies and activities (process evaluation) and determine progress on achieving the project period outcomes (outcome evaluation).

Potential measures for the process evaluation:

Strategy 1: Build Capacity and Strengthen Efforts to Address Select Programmatic Topic Areas

Process measures: How many trainings and resources have been developed? How many presentations/trainings were conducted? What analyses or evaluation have occurred? How many reports have been developed?

Strategy 2: Promote and Enhance Adoption of Practices to Support Program Improvement

Process measures: How many practices have been identified? What types of practices have been identified? How many practice summaries have been developed? What types of promotion of practices have occurred? How many practices have been adopted by immunization programs?

Strategy 3: Provide Leadership Development Trainings, and Mentoring and Peer-to-Peer Support

Process measures: How many leadership development trainings and presentations have occurred?

What types and how many resources have been developed? How many program managers are participating in mentoring or peer-to-peer support activities?

Strategy 4: Support Communication and Information Sharing

Process measures: What types of issues are arising among program managers, and what are the resources or support needed to address the issue? What assessments have been conducted? How much and what type of input has been provided to POB/ISD, when requested, on policy, guidance, or operational changes.

Potential measures for outcome evaluation:

Short-Term Outcomes (SO):

SO 1: Increased knowledge, skill, and capacity to address selected programmatic areas.

Outcome measures: % change in reported knowledge obtained as a result of trainings/resources;

% change in reported skill among program managers to address the selected topic areas; % change in reported capacity to address the selected topic areas among program managers.

SO 2: Increased knowledge of, and access to, practices attributed to program improvement and increases in vaccination rates.

Outcome measures: % change in reported knowledge about practices attributed to program improvement among program managers; % change in practice summaries accessed over time.

SO 3: Leadership development trainings are based on a training framework that meets immunization program manager needs.

Outcome measures: % program managers who report leadership training needs met; % immunization program managers satisfied with trainings; % program managers who report increased confidence in serving as program manager/carrying out tasks as program manager

SO 4: A structured plan to facilitate peer-to-peer support and mentoring is developed and executed.

Outcome measures: % program managers participating in a peer network; % new program managers participating in mentoring program; % program managers reporting satisfaction with peer network and/or mentoring activities.

SO 5: Increased satisfaction with information sharing between POB/ISD, awardee, and immunization program managers.

Outcome measures: % reported satisfaction with communication and information sharing between key stakeholders.

Intermediate Outcomes (IO):

IO 1: Improved performance of immunization programs as demonstrated through annual reporting and site visit reports.

Outcome measure: Is there evidence immunization program performance has improved?

IO 2: Practices for program improvement adopted by program managers and appropriate staff.

Outcome measure: Is there evidence of adoption of practices attributed to program improvement by immunization program managers?

IO 3: Immunization program manager workforce knowledgeable about immunization operations, and capable of leading a federally funded immunization program.

Outcome measure: Is there evidence that program managers are equipped to serve in the role?

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the awardee will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this FOA. 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 FOA 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).

Awardees 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 FOA.

c. Organizational Capacity of Awardees to Implement the Approach Applicants must provide information on their organizational capacity which clearly demonstrates an ability to execute the CDC program requirements in a timely and efficient manner. In addition, applicants for this award must demonstrate:

A national perspective and organizational focus dedicated to supporting the work of immunization program managers.

At least 10 years’ experience working with federally funded immunization programs on topics such as:

program management, vaccine management, vaccine storage and handling, information technology and immunization information systems, immunization policy, vaccine funding, health education, and vaccine-preventable disease surveillance.\ Staff, or access to staff, with knowledge and experience in providing mentoring and leadership development opportunities.

Methods of communicating with immunization program managers via, at minimum, a website and email distribution list (e.g., listserv) Capacity to conduct all of the strategies and activities outlined in the FOA.

An existing ability to manage the award, e.g.,:

Program, staffing, and performance management Performance monitoring and evaluation Fiscal management and reporting Technological tools or resources to execute proposed strategies Administrative management of the required procurement efforts including the ability to write and award contracts.

d. Work Plan Applicants must develop a work plan that outlines how the proposed strategies and supporting activities will achieve the outcomes during the five year project period. The work plan will provide both a high-level overview of the five-year project period and a detailed description of the first year of the award. The work plan should incorporate all FOA-related program strategies and activities, and applicants should describe how they plan to monitor each activity. CDC will provide feedback and technical assistance to the award recipient to finalize the work plan within 6 months post award. The work plan must include:

Year 1 Detailed Work Plan:

https://www.cdc.gov/grants/additionalrequirements/ar-25.html

Activities and timelines to support achievement of FOA outcomes. These activities must be aligned with the FOA logic model and should have appropriate performance measures or milestones for accompanying tasks.

Staff, contractors, or consultants to support implementation of the award. Specify staff responsibility for FOA-related activities and qualifications for these roles.

Budget and budget narrative

Five-Year Overview of Project Plan:

Intended activities and outcomes over the course of the project; providing high-level details for years 2-5

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee 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 awardee progress in achieving the desired outcomes.

Ensuring the adequacy of awardee 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 awardees are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with awardees 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 grantees.

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

AGREEMENTS)

In a cooperative agreement, CDC staff are substantially involved in the program activities, above and beyond routine grant monitoring. CDC activities will include:

Provide technical consultation in developing the work plan and evaluation plan, and ongoing technical assistance required to achieve strategies and supporting activities.

Review, as needed, data collection methodology and instruments developed by the recipient to complete activities and required evaluation.

Collaborate with awardee to in identify subject matter experts and required resources to achieve strategies and execute activities.

Provide ongoing monitoring of the work plan, and status of meeting milestones and performance measures including expected outputs and outcomes through regularly occurring conference calls which will provide a forum for discussing challenges, barriers, and progress toward achieving goals.

Hosting periodic opportunities for face-to-face meetings to coordinate and enhance activities.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the CDC Program

Support to Awardees Section.

2. Award Mechanism: H23 Immunization Program

3. Fiscal Year: 2017

4. Approximate Total Fiscal Year Funding:

$400,000

5. Approximate Project Period Funding:

$2,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $2,000,000

6. Total Project Period Length:

5 year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$400,000 Per Budget Period

9. Award Ceiling: $600,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $200,000 Per Budget Period

11. Estimated Award Date: 08/21/2017

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 awardee (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 project period 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: Others (see text field entitled "Additional Information on Eligibility" for clarification)

Additional Eligibility Category:

2. Additional Information on Eligibility

Open to any entity qualifying under 317 of the Public Health Service Act (for-profit entities do not qualify), subject to any additional clarification provided.

Applicants must have an established membership of at least 50 immunization program managers whose immunization program is receiving funding under CDC-RFA-IP13-1301. To demonstrate this, applicants must upload their membership list and any other documentation describing their membership in Grants.gov under “Other Attachment Forms,” and label the document “Documentation of Membership.”

Applicants that do not provide documentation of membership as described, will be considered nonresponsive and will not be passed forward for 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-awardees, those sub-awardees 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 an awardee. 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.

https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/portal/public/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 “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 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 1-866-705-5711Image Description:

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:

866-606-8220Image Description:

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 http://fedgov.dnb.com/webform http://www.sam.gov https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

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 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 770-488-2700Image Description: or e-mail OGS ogstims@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348Image Description: .

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline.

The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by OGS.

a. Letter of Intent Deadline (must be emailed or postmarked by) Due Date for Letter of Intent: N/A https://www.grants.gov https://www.grants.gov mailto:ogstims@cdc.gov

b. Application Deadline Due Date for Applications: 06/12/2017 , 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 18, 2017 at 2:00pm ET.

Dial-in number: (855) 644-0229

Passcode: 633-261

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa)) /Homepage.aspx.

Applicants may follow either of the following processes:

Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx

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

Duplication of Efforts Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year. Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source.

Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted. Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

Report Submission: The applicant must upload the report in Grants.gov under “Other Attachment Forms.”

The document should be labeled: "Report on Programmatic, Budgetary, and Commitment Overlap.”

6. Content and Form of Application Submission Applicants are required to include all of the following documents with their application package at www.grants.gov.

7. Letter of Intent LOI is not requested or required as part of the application for this FOA.

http://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx

8. Table of Contents (There is no page limit. The table of contents is not included in the project narrative page limit.): The applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package.

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum 1 page) A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov.

The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the "Project Abstract Summary" text box at www.grants.gov.

10. Project Narrative (Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12 point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the specified page number will not be reviewed.)

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include all of the following headings (including subheadings): Background, Approach, Applicant Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire project period as identified in the CDC Project Description section. Applicants should use the federal plain language guidelines and Clear Communication Index to respond to this Funding Opportunity Announcement. Note that awardees should also use these tools when creating public communication materials supported by this FOA. 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 project period 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 https://www.grants.gov https://www.grants.gov

Project Description.

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

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

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

How…