CDC-RFA-IP18-1804.pdf

Centers for Disease Control

National Center for Immunization and Respiratory Diseases

Promoting, Strengthening and Enhancing Disease Prevention by Collaboration with Targeted

Stakeholders

CDC-RFA-IP18-1804

Application Due Date: 06/11/2018

Promoting, Strengthening and Enhancing Disease Prevention by Collaboration with Targeted

Stakeholders

CDC-RFA-IP18-1804

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-IP18-1804. 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:

Promoting, Strengthening and Enhancing Disease Prevention by Collaboration with Targeted Stakeholders 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)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-IP18-1804

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: 06/11/2018, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

N/A

G. Executive Summary:

1. Summary Paragraph:

The Centers for Disease Control and Prevention (CDC) announces the availability of funds to support a CDC-RFA-IP18-1804, Promoting, Strengthening and Enhancing Disease Prevention with Targeted Stakeholders. The purpose of this five year project is to provide support for: 1) Communication and education activities to promote and maintain accurate information about vaccines among stakeholders and the general public, and 2) Education of USDA/WIC staff about the latest vaccine recommendations and best practices to facilitate vaccination referrals to WIC participants.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement 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

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $1,375,000

e. Average One Year Award Amount: $275,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/30/2018

h. Cost Sharing and / or Matching Requirements: N Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview Nationally, immunization rates for children have been high and vaccine-preventable disease rates have been low. However, the need to maintain high vaccination coverage is crucial to reduce the burden of disease further and prevent a resurgence of diseases, particularly in populations with lower vaccination coverage. The 2016 childhood National Immunization Survey (NIS) data shows for most vaccines, coverage was lower among black children compared with white children, among children living below the federal poverty level vs.

children living at or above the federal poverty level, and among those who were uninsured or covered by Medicaid compared with privately insured. The latest immunization data for HPV vaccination of adolescents and for vaccination of adults, including pregnant women, are below the HP2020 target. The need to maintain high vaccination coverage for all ages is crucial to reduce the burden of disease and prevent a resurgence of diseases, particularly in populations with lower vaccination coverage.

The US Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federally supported program to provide supplemental foods, health care referrals and nutritional education for low-income pregnant, breastfeeding and non-breastfeeding postpartum women and eligible children up to age 5. Eligibility for the program is based in part on low income, a key predictor of underimmunization. Because immunization rates of low-income children lagged behind those of more affluent children, a White House Executive Memorandum was issued in December 2000 directing WIC staff to screen the immunization records of all infants and children under the age of two years at WIC certification visits. Since the start of the relationship between WIC and the immunization program, many more vaccines have been recommended for children, adolescents, and adults (including pregnant women). Supporting current WIC staff through education and training on current vaccine recommendations is essential.

Complacency with high childhood immunization rates has allowed for a growing subculture of parents to question the need for some vaccines. With an increase in communication channels, there is a continued need for accurate information to be provided by a credible source. The immunization program must avoid missed opportunities in vulnerable populations, including children under the age of five and pregnant women who are at higher risk of complications.

Women who indicated they were planning to delay one or more recommended vaccinations were most likely to rely on Internet searches for childhood vaccine information.

(http://www.ajpmonline.org/article/S0749-3797(15)00352-9/fulltext).

IP13-1303 was successful in promoting and maintaining accurate information about vaccines to stakeholders and in evaluating needs of WIC staff and addressing the gaps in education that were identified. IP18-1804 will continue to promote education of WIC staff and to support accurate information via all communications channels.

b. Statutory Authorities This program is authorized under Section 317(k)(1) of the Public Health Service Act (42 U.S.C.

247b(k)(1))

c. Healthy People 2020 This program addresses the Healthy People 2020 (http://www.healthypeople.gov) focus areas of Immunization and Infectious Disease, Public Health Infrastructure, and Health Communications and Health Information Technology.

d. Other National Public Health Priorities and Strategies Two strategic directions of the National Prevention Strategy are relevant to this NOFO. 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/index.html

e. Relevant Work This NOFO builds upon CDC-RFA- IP13-1303 whose focus areas included: use social media to promote/maintain accurate information about vaccines among stakeholders and general public and to educate USDA/WIC staff about vaccine recommendations and best practices. Work supported by this award included developing resources and trainings to support program improvement, and raising awareness and knowledge about immunization topic areas using current communications channels. Work in CDC-RFA-IP18-1804 will continue to support these focus areas.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-IP18-1804 Logic Model: Promoting, Strengthening and Enhancing Disease http://www.healthypeople.gov/ https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases https://www.healthypeople.gov/2020/topics-objectives/topic/public-health-infrastructure https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology https://www.surgeongeneral.gov/priorities/prevention/strategy/index.html https://www.surgeongeneral.gov/priorities/prevention/strategy/index.html

Prevention by Collaboration with Targeted Stakeholders (SHs) Bold indicates period of performance outcome

Strategies and Activities Short-term Outcomes Long-Term Outcomes

Focus 1: Communication and education activities to promote and maintain accurate information about vaccines among stakeholders and the public.

· Identify current communication and education channels

· Share updated information about ACIP recommendations with SHs and public

· Explore opportunities for promotion through new channels

· Facilitate education and communications by SH including coalitions

· Provide technical assistance to SHs

· SH include accurate information about vaccines in their education and communication materials

· Timely posting of new or updated recommendations on SH's communications

· Increased access to vaccination messages through relevant communication channels

Focus 2: Education of USDA/WIC staff about the latest vaccine recommendations and best practices to facilitate vaccination referrals to WIC participants

· Identify and address WIC staff needs to be able to educate and refer WIC participants, including pregnant women, on needed vaccinations

· Enhance relationship between WIC staff and local Immunization Programs to share resources on educational, promotional and referral

· Increased WIC staff knowledge of recommended vaccines.

· Increased referrals to providers/local clinics for pregnant women in the WIC program and WIC participants

· Increased linkages between WIC and local immunization programs that provide immunizations

· Ensure that children, adolescents and adults receive recommended vaccinations on time

· Reduce childhood immunization barriers

· Reduce morbidity and mortality from vaccine preventable diseases information where feasible

· Provide WIC sites information on current local health clinics and resources

· Conduct an evaluation of the training and materials delivered to WIC staff

· Increased opportunities to promote best practices

i. Purpose This NOFO supports communication and education activities to promote and maintain accurate information about vaccines among stakeholders and the public, and education of USDA/WIC staff about the latest vaccine recommendations and best practices to facilitate vaccination referrals to WIC participants in order to reduce morbidity and mortality from vaccine preventable diseases.

ii. Outcomes Focus Area 1:

Stakeholders include accurate information about vaccines in their education and communication materials

Timely posting of new or updated recommendations on Stakeholders? communications Increased access to vaccination messages through relevant communication channels

Focus Area 2:

Increased WIC staff knowledge of recommended vaccines.

Increased referrals to providers/local clinics for pregnant women in the WIC program and WIC participants Increased linkages between WIC and local immunization programs that provide immunizations Increased opportunities to promote best practices

iii. Strategies and Activities Focus Area 1 Strategy: Communication and education activities to promote and maintain accurate information about vaccines among stakeholders and the public.

Activities may include:

Identify current communication and education channels Share updated information about ACIP recommendations with stakeholders and public

Explore opportunities for promotion through new channels Facilitate education and communications by stakeholders including coalitions Provide technical assistance to stakeholders

Focus Area 2 Strategy: Education of USDA/WIC staff about the latest vaccine recommendations and best practices to facilitate vaccination referrals to WIC participants Activities may include:

Identify and address WIC staff needs to be able to educate and refer WIC participants, including pregnant women, on needed vaccinations

Enhance relationship between WIC staff and local Immunization Programs to share resources on educational, promotional and referral information where feasible

Provide WIC sites information on current local health clinics and resources Conduct an evaluation of the training and materials delivered to WIC staff

1. Collaborations

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

Collaborations among other National Center for Immunization and Respiratory Diseases, 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. The applicant should provide documentation demonstrating evidence of ability to collaborate with the USDA/WIC program at the national and state level.

2. Target Populations Target population includes children and pregnant women at risk of vaccine-preventable diseases, and the public who are looking for accurate information about vaccines and vaccine preventable diseases.

a. Health Disparities This NOFO will reduce poverty-based disparities in immunization rates for recommended vaccines for children and pregnant women that participate in the WIC program. Where appropriate, applicants are encouraged to include communication materials for: tribal organizations; rural populations; non-English speaking populations; lesbian, gay, bisexual, and transgender (LGBT) populations; and people with limited health literacy.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Focus Area 1:Communication and education activities to promote and maintain accurate information about vaccines among stakeholders and the public.

Stakeholders include accurate information about vaccines in their education and communication materials

Timely posting of new or updated recommendations on Stakeholders' communications Increased access to vaccination messages through relevant communication channels

Proposed outcome measures will include:

1. Appropriate stakeholders and education activities identified

2. Communications channels are current and relevant to disseminate immunization information

3. Accurate immunization information is disseminated to stakeholders and the public when recommendations change

4. Technical assistance is being provided to stakeholders

Proposed process measures will include:

1. Number of stakeholders an public that have been reached with accurate information via existing and new communications channels

2. Number of updated information available on websites that are accessed by the target groups

3. Number of stakeholders and the public that have increased interaction on various communications channels

4. Number of technical assistance provided to stakeholders

Sources and Data can be collected through qualitative and quantitative data collected through communications channels as appropriate.

Focus Area 2: Education of USDA/WIC staff about the latest vaccine recommendations and best practices to facilitate vaccination referrals to WIC participants.

Increased WIC staff knowledge of recommended vaccines.

Increased referrals to providers/local clinics for pregnant women in the WIC program and WIC participants Increased linkages between WIC and local immunization programs that provide immunizations Increased opportunities to promote best practices

Proposed outcome measures will include:

1. WIC staff needs identified and plans created to address their needs

2. Resources reaching appropriate staff

3. WIC staff find the updated materials helpful

4. Educational materials shared at the national, state and local levels

5. Best practices identified for collaboration between WIC and the immunization program

Proposed process measures will include:

1. Number of WIC staff that have increased their knowledge of current immunization recommendations

2. Number of referrals made by WIC staff to WIC participants, including pregnant women

3. Number of linkages between WIC and local immunization programs

4. Number of best practices promoted

Sources and data can be collected through qualitative and quantitative data collected from WIC staff, accessibility data to materials and distribution of best practice materials, as appropriate.

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).

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

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.

Applicants must provide a specific evaluation and performance measurement plan that is consistent with the CDC evaluation and performance measurement strategy.

The plan must:

Describe how key program partners will be engaged in the evaluation and performance measurement planning process. Partners including but not limited to: WIC, coalitions, immunization stakeholders.

Describe the type of evaluations to be conducted (i.e. process and/or outcome) Describe key evaluation questions to be answered Describe other information, as determined by the CDC program (e.g., performance measures to be developed by the applicant) that should be included Describe potentially available data sources and feasibility of collecting appropriate evaluation and performance data Describe how evaluation findings will be used for continuous program and quality improvement Describe how evaluation and performance measurement will contribute to development of that evidence base, where program strategies are being employed that lack a strong evidence based of effectiveness

This more detailed evaluation and performance measurement plan should be developed by the recipients within the first 6 months of the award. This more detailed evaluation plan will build on the elements stated in the initial plan. This plan should be no more than 35 pages. At a minimum, and in addition to the elements of the initial plan, it must:

Describe the frequency that evaluation and performance data are to be collected Describe how data will be reported Describe how evaluation findings will be used for continuous quality and program improvement Describe how evaluation and performance measurement will yield findings to demonstrate the value of the NOFO (e.g., impact on improving public health outcomes, effectiveness of NOFO, cost-effectiveness or cost benefit)

Describe dissemination channels and audiences (including public dissemination) Describe other information requested, as determined by the CDC program

c. Organizational Capacity of Recipients to Implement the Approach General Capacity: Applicant should demonstrate skill sets to implement the award such as:

program planning, program evaluation, performance monitoring, financial reporting, budget management and administration, and personnel management.

Applicants should demonstrate relevant experience, reach and capacity (management, administrative, and technical) to implement the activities and achieve the project outcomes.

They should demonstrate experience and capacity to implement the evaluation plan. A project management structure and a staffing plan which clearly defines staff roles sufficient to achieve the project outcomes should be included.

Immunization Specific Capacity: Applicant must show extensive experience in: 1) Engaging stakeholders interested in promoting successful childhood immunization strategies including federal, immunization coalitions and communications partnerships, 2) Targeting WIC staff at the federal, state and local levels, 3) Educating and providing training for WIC staff, 4) Reaching parents through current communication channels using established and innovative approaches, 5) Working with public health programs at a national level and with activities in all 50 states.

d. Work Plan Applicants must provide a detailed work plan for the first year of the project and a high-level work plan for subsequent years. Applicants must identify and address the activities under this NOFO in 20 pages or less. Include specific details on how the proposed strategies will achieve this program?s outcomes. CDC will provide feedback and technical assistance to recipients to finalize the work plan after award. Applicants should consider the following when preparing a work plan:

1. For each selected activity, a descriptive plan, process and timeline with milestones/measures for efforts related to each short-term outcome in the logic model, for the year-one detailed work plan. A high-level work plan for years through five should address how progress will continue;

2. A description of the staff and administrative roles and functions to support the project work plan and outcomes. Applicants should identify and assign staff, contractors, and/or consultants, sufficient in number and expertise, to carry out the activities of this NOFO;

3. A description of administrative and assessment processes to ensure successful implementation, reporting and quality assurance;

4. A description of organizational capacity to successfully achieve the project outcomes, including demonstrated experience leading to collective action;

5. A description of capacity and plans to successfully implement sustainable practices that result in the improved immunization rates of the target population.

The following is a sample work plan the applicant may use in its approach to this section.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities Process Responsible Completion

Measure [from Evaluation and Performance Measurement section]

Position / Party

Date

1.

2.

3.

4.

5.

6.

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

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

Tracking recipient progress in achieving the desired outcomes.

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

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

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

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

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

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

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

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

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

COOPERATIVE AGREEMENTS)

Technical Assistance: CDC will provide technical assistance by: 1) Providing information on the latest immunization recommendation, immunization survey data, evidence-based strategies and program priorities. 2) Facilitating partnering with relevant stakeholders and immunization programs at the federal, state and local levels to identify resources relevant to WIC staff. 3) Providing up-to-date educational and promotional materials and resources that are based on the principles of communication science. 4) Providing assistance in evaluating programs implemented under this NOFO.

Information Sharing between Recipient: CDC will facilitate sharing of information by: 1) Encouraging sharing of best practices, lessons learned and evaluation results between recipient and other relevant stakeholders through conferences, webinars, conference calls and meetings.

2) Providing information for participation in appropriate meetings, committees, and working groups relevant to this co-operative agreement.

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: U38

3. Fiscal Year: 2018

4. Approximate Total Fiscal Year Funding: $275,000

5. Approximate Period of Performance Funding: $1,375,000

This amount is subject to the availability of funds.

Estimated Total Funding: $1,375,000

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

7. Expected Number of Awards: 1

8. Approximate Average Award: $275,000 Per Budget Period

9. Award Ceiling: $275,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $275,000 Per Budget Period

11. Estimated Award Date: 09/30/2018

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: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"

Additional Eligibility Category:

2. Additional Information on Eligibility

Unrestricted, except that for profit entities are not eligible. The award ceiling for this NOFO is $275,000. CDC will consider any application requesting an award higher than this amount as nonresponsive and it will receive no further review.

3. Justification for Less than Maximum Competition N/A

4. Cost Sharing or Matching Cost Sharing / Matching Requirement: No Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

5. Maintenance of Effort Maintenance of effort is not required for this program

D. Application and Submission Information

1. Required Registrations An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

a. Data Universal Numbering System:

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

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 DUNS 9-digit #

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 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 http://fedgov.dnb.com/webform

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

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.

4. Submission Dates and Times 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 mailto:ogstims@cdc.gov

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: N/A

b. Application Deadline Due Date for Applications: 06/11/2018 , 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 N/A

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

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, https://www.grants.gov https://www.grants.gov https://www.grants.gov self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire period of performance as identified in the CDC Project Description section. Applicants should use the federal plain language guidelines and Clear Communication Index to respond to this Notice of Funding Opportunity. Note that recipients should also use these tools when creating public communication materials supported by this NOFO. Failure to follow the guidance and format may negatively impact scoring of the application.

a. Background Applicants must provide a description of relevant background information that includes the context of the problem (See CDC Background).

b. Approach

i. Purpose Applicants must describe in 2-3 sentences specifically how their application will address the public health problem as described in the CDC Background section.

ii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period, as identified in the logic model in the Approach section of the CDC Project Description.

Outcomes are the results that the program intends to achieve and usually indicate the intended direction of change (e.g., increase, decrease).

iii. Strategies and Activities Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the period of performance outcomes. Applicants must select existing evidence-based strategies that meet their needs, or describe in the Applicant Evaluation and Performance Measurement Plan how these strategies will be evaluated over the course of the project period.

See the Strategies and Activities section of the CDC Project Description.

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

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

c. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in 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. The Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities involving information collections (e.g., surveys, questionnaires, applications, audits, data requests, reporting, recordkeeping and disclosure requirements) from 10 or more individuals or non-Federal entities, including State and local governmental agencies, and funded or sponsored by the Federal Government are subject to review and approval by the Office of Management and Budget. For further information about CDC’s requirements under PRA see http://www.hhs.gov/ ocio/policy/collection/.

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, data management plan (DMP), and other relevant data information (e.g., performance measures proposed by the applicant).

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

d. Organizational Capacity of Applicants to Implement the Approach Applicants must address the organizational capacity requirements as described in the CDC Project Description.

11. Work Plan (Included in the Project Narrative’s page limit) Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the recipient plans to carry out achieving the period of performance outcomes, strategies and activities, evaluation and performance measurement.

http://www.hhs.gov/ocio/policy/collection/

12. Budget Narrative Applicants must submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Other categories Contractual costs Total Direct costs Total Indirect costs

Indirect costs could include the cost of collecting, managing, sharing and preserving data.

Indirect costs on grants awarded to foreign organizations and foreign public entities and performed fully outside of the territorial limits of the U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000.

Negotiated indirect costs may be paid to the American University, Beirut, and the World Health Organization.

If applicable and consistent with the cited statutory authority for this announcement, applicant entities may use funds for activities as they relate to the intent of this NOFO to meet national standards or seek health department accreditation through the Public Health Accreditation Board (see: http://www.phaboard.org). Applicant entities to whom this provision applies include state, local, territorial governments (including the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau), or their bona fide agents, political subdivisions of states (in consultation with states), federally recognized or state-recognized American Indian or Alaska Native tribal governments, and American Indian or Alaska Native tribally designated organizations. Activities include those that enable a public health organization to deliver public health services such as activities that ensure a capable and qualified workforce, up-to-date information systems, and the capability to assess and respond to public health needs. Use of these funds must focus on achieving a minimum of one national standard that supports the intent of the NOFO. Proposed activities must be included in the budget narrative and must indicate which standards will be addressed.

Applicants must name this file “Budget Narrative” and upload it as a PDF file at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect cost-rate agreement is required. If the indirect costs are requested, include a copy of the current negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for http://www.phaboard.org those Recipients under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it at www.grants.gov.

13. Funds Tracking Proper fiscal oversight is critical to maintaining public trust in the stewardship of federal funds.

Effective October 1, 2013, a new HHS policy on subaccounts requires the CDC to set up payment subaccounts within the Payment Management System (PMS) for all new grant awards.

Funds awarded in support of approved activities and drawdown instructions will be identified on the Notice of Award in a newly established PMS subaccount (P subaccount). Recipients will be required to draw down funds from award-specific accounts in the PMS. Ultimately, the subaccounts will provide recipients and CDC a more detailed and precise understanding of financial transactions. The successful applicant will be required to track funds by P-accounts/sub accounts for each project/cooperative agreement awarded. Applicants are encouraged to demonstrate a record of fiscal responsibility and the ability to provide sufficient and effective oversight. Financial management systems must meet the requirements as described 2 CFR 200 which include, but are not limited to, the following:

Records that identify adequately the source and application of funds for federally-funded activities.

Effective control over, and accountability for, all funds, property, and other assets.

Comparison of expenditures with budget amounts for each Federal award.

Written procedures to implement payment requirements.

Written procedures for determining cost allowability.

Written procedures for financial reporting and monitoring.

14. Intergovernmental Review Executive Order 12372 does not apply to this program.

15. Pilot Program for Enhancement of Employee Whistleblower Protections Pilot Program for Enhancement of Employee Whistleblower Protections: All applicants will be subject to a term and condition that applies the terms of 48 Code of Federal Regulations (CFR) section 3.908 to the award and requires that recipients inform their employees in writing (in the predominant native language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. 4712.

16. Copyright Interests Provisions This provision is intended to ensure that the public has access to the results and accomplishments of public…