CDC-RFA-OT16-16010301SUPP18.pdf

Centers for Disease Control

Office for State, Tribal, Local and Territorial Support

Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands

CDC-RFA-OT16-16010301SUPP18

Application Due Date: 09/13/2018

Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands

CDC-RFA-OT16-16010301SUPP18

TABLE OF CONTENTS

Part 1. Overview Information Part 2. Full Text of the Announcement

Section I. Funding Opportunity Description Section II. Award Information Section III. Eligibility Information Section IV. Application and Submission Information Section V. Application Review Information Section VI. Award Administration Information Section VII. Agency Contacts Section VIII. Other Information

Part 1. Overview Information Federal Agency Name:

Federal Centers for Disease Control and Prevention (CDC) Notice of Funding Opportunity (NOFO) Title:

Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands Announcement Type:

Revision - Type 3

Agency Notice of Funding Opportunity Number:

CDC-RFA-OT16-16010301SUPP18

Assistance Listings (CFDA) Number:

93.874 Key Dates:

Due Date for Application: 09/13/2018 Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Additional Overview Content:

Executive Summary:

CDC announces supplemental funding for the eligible applicant initially funded under the Funding Opportunity Announcement (FOA) CDC-RFA-OT16-1601: Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands (USAPI) on July 1, 2016. This supplemental NOFO permits the eligible applicant to apply for six new projects that will provide capacity-building assistance (CBA) through the following activities: 1) incorporate tuberculosis prevention strategies into the existing framework related to the development of a comprehensive STD/HIV prevention plan for the Pacific Islands jurisdictions;

2) improve knowledge, competence, and performance of the public health workforce, particularly nurses and outreach workers, on TB control and prevention that will lead to the reduction of the tuberculosis burden in the USAPI; 3) increase access to the Immunization Information System (IIS) at vaccine provider sites and improve the breadth of knowledge and capacity to utilize the IIS across a variety of public health staff; 4) build laboratory coordination capacity across the USAPI; 5) strengthen HIV, STD, and viral hepatitis surveillance and prevention in the USAPI; and 6) build capacity using workforce development and public health system administration to eliminate lymphatic filariasis in American Samoa. The supplemental funding provides additional opportunities to strengthen the USAPI public health system related to workforce development, laboratory quality management implementation, and access to critical information systems.

CBA is defined as activities that strengthen and maintain the infrastructure and resources necessary to sustain or improve systems, and organizational, community, or individual processes and competencies. It is delivered through technical assistance, training, information sharing, technology transfer, materials development, and funding that enables organizations to operate in a comprehensive, responsive, and effective manner. The eligible applicant has the capability, expertise, reach, and history of providing capacity-building assistance relevant to implementing this program’s key strategies and activities to achieve expected outcomes.

The program strategies include workforce development to enhance knowledge, skills, and competencies; organizational development to improve management structures, processes and procedures within and between organizations and public and private sectors; and partnership development to build relationships to address community needs, manage resources, and communicate with the public. The applicant is expected to select three of the six program outcomes and demonstrate measurable progress during the budget year. Program outcomes include improvements in: 1) public health leadership, 2) public health systems and infrastructure, 3) public health workforce, 4) public health laws and policies, 5) public health practices and services, and 6) public health monitoring and surveillance systems. These strategic investments in capacity building for the USAPI are expected to generate advances in the quality, efficiency, and effectiveness of public health services and related outcomes, thus ultimately improving population health.

Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the OSTLTS:

Increase state, tribal, local and territorial public agencies' capacity to efficiently and effectively manage and deliver high quality programs and services to protect the public's health.

Increase the infusion of public health information across governmental and nongovernmental components of the public health system.

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)).

Part 2. Full Text Section I. Funding Opportunity Description

Statutory Authority Section 317(k)(2) of the Public Health Service Act (42 USC 247b(k)(2), as amended), section 1703 (42 USC 300u-2).

Background The U.S.-Affiliated Pacific Islands (USAPI) consist of three U.S. Flag Territories of American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands, along with three Freely 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

Associated States: the Republic of the Marshall Islands, Republic of Palau, and Federated States of Micronesia. The USAPI are populated by more than 500,000 people, its jurisdictions span millions of square miles of ocean and cross five Pacific Time zones. The USAPI face a high incidence of communicable diseases along with an increasing prevalence of non-communicable diseases (NCDs). In addition, the jurisdictions rank among the world’s highest prevalence of obesity and other related NCDs. The USAPI are also burdened by environmental disasters in far excess of the United States. Their health systems are hindered from effectively addressing the growing burden of non-communicable and infectious diseases, high infant mortality, and health threats resulting from climate change.

Public health challenges in this region are exacerbated by widely dispersed populations, limited resources, and fragmented health systems (see Preventing Chronic Disease, 2014, 11, 130344).

A former District Health Officer for the Federated States of Micronesia noted their many challenges include lack of fully trained health workers, unreliable systems (i.e., power grids, government finances, transportation infrastructure), and the organizational complexity and interdependency of these systems account for poor public health delivery (International Journal for Quality in Health Care, 2010, 22[1]). A recent comprehensive assessment of the status of non-communicable diseases across 10 Pacific Island nations demonstrated significant strains on public health systems to deliver services, effect policies, and implement programs (see the Hawaii J Med Public Health, 2013, 72(5;1). Some of the top priorities from the assessment included develop and implement national health plans with viable resources and technical assistance; create national data systems/registries and provision of data training for personnel;

improved collaboration with community partners to provide prevention services in communities; implement strategies that minimize fragmentation of health care and ensure continuity of care; and provide continuing education courses for public health professionals such as physicians, nurses and other health professionals.

For the purpose of this supplemental NOFO, the public health system refers to "activities undertaken within the formal structure of government and the associated efforts of private and voluntary organizations and individuals" (NASEM [formerly IOM], 1988). Specifically, the purpose of this program is to ensure the provision of capacity-building assistance (CBA) to optimize the quality and performance of public health systems, the public health workforce, public health data and information systems, public health practice and services, public health partnerships, and public health resources.

Capacity building is defined as the development and strengthening of human and organizational resources and systems. It involves enhancing the ability to perform functions, solve problems, and achieve objectives at the individual, institutional and societal levels. Capacity building strategies can include workforce development to enhance knowledge, skills, competencies, and create resources; organizational development to enhance management structures, processes and procedures within and between organizations and different sectors (public, private & community); and partnership development to build relationships to effectively address community needs, manage resources, and communicate with the public. Strategic investments in capacity building for the USAPI are expected to generate an increase in the quality, quantity, efficiency, effectiveness and prevention capacity of public health services and related outcomes, thus ultimately improving population health.

Purpose

The purpose of this supplemental funding initiative is to provide CBA through a regional, nonprofit organization to strengthen the USAPI public health health system and infrastructure related to: 1) incorporating tuberculosis into the existing framework related to the development of a comprehensive STD/HIV prevention plan for the Pacific Islands jurisdictions; 2) improving the knowledge, competence, and performance of the public health workforce, particularly nurses and outreach workers, on TB control and prevention that will lead to the reduction of tuberculosis burden in the USAPI; 3) increasing access to the Immunization Information System (IIS) at vaccine provider sites and improve the breadth of knowledge and capacity to utilize the IIS among a variety of public health staff; and 4) building and expanding laboratory coordination capacity across the USAPI.

This NOFO addresses the "Healthy People 2020" focus area of "Public Health Infrastructure".

Infrastructure is the foundation for planning, delivering, and evaluating public health, which is why "Healthy People 2020" establishes goals to ensure that all governmental public health departments have the necessary infrastructure to provide essential public health services in an effective manner (U.S. Department of Health and Human Services, 2011). It also addresses the Topic Area, “Immunization and Infectious Diseases", with a national goal to increase immunization rates and reduce preventable infectious diseases.

Program Outcomes The applicant's CBA program is expected to demonstrate measurable progress among governmental and/or nongovernmental components of the USAPI public health system towards three or more of the following outcomes, particularly those that address USAPI public health systems and infrastructure needs of highest priority. In addition to the program's outcomes, the applicant must demonstrate progress toward the specific outcomes proposed in each of the CIO Project Plans.

Strengthened leadership, governance and accountability:

Enhanced knowledge, skills and awareness of leaders to support current public health priorities.

Increased capacity of leadership to execute strategic plans, policy formulation and program implementation.

Improved multi-sectorial leadership action to strategically address population health needs.

Enhanced public health systems and infrastructure:

Increased implementation of processes that build operational efficiency and effectiveness.

Increased use of performance management systems to monitor and evaluate operational processes.

Improved operational efficiency and effectiveness.

Increased public health workforce capacity:

Increased knowledge, skills, and competencies among public health workers.

Strengthened workforce qualifications, performance and service delivery.

Improved capacity to prepare for and respond to population health needs.

Improved public health laws and policies:

Increased awareness of how laws and policies impact the public's health.

Increased practical, legal- and policy-centered tools and resources for public health practitioners in health departments.

Increased implementation of evidence-based public health laws and policies by public health practitioners in health departments.

Increased delivery of evidence-based public health practices and services:

Increased capacity to deliver the ten essential public health services.

Enhanced capacity to integrate and coordinate effective prevention strategies and actions across multiple settings to effectively address disease prevention and control.

Increased capacity to effectively partner with the health care sector and sectors to deliver public health services.

Enhanced monitoring and surveillance systems capacity:

Increased capacity to develop national health data systems and registries.

Improved collection, maintenance, interpretation and dissemination of population health data.

Improved capacity to identify population health needs through data driven decision making.

Program Strategies The strategies described below stem from national recommendations for CBA and are based on program priorities, program experience, and evidence-based recommendations from the scientific literature and national reports published by federal councils and national organizations, such as the U.S. Department of Health and Human Services, Healthy People 2020, National Academies of Sciences, Engineering, and Medicine (formerly, Institute of Medicine), and the World Health Organization. These capacity building program strategies are designed to position components of the USAPI public health system to fulfill the mission of protecting and promoting population health. The applicant may propose to address at least three or more of the six program strategies to carry out the following activities.

1. Public Health Leadership

2. Public Health System and Infrastructure

3. Public Health Workforce Segments

4. Public Health Laws and Policies

5. Evidence-based Public Health Practices and Services

6. Public Health Monitoring and Surveillance Systems

To the extent that activities lead to the development of tools, materials, collected data, and other materials, the recipient should anticipate sharing project products with CDC.

Evaluation and Performance Measurement The applicant should describe the evaluation measures for each CIO Project Plan. At a minimum, the applicant should describe:

How the development of performance measures, response to the evaluation questions, and use of evaluation findings for continuous program quality improvement.

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

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

Describe 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 [CDC OADS website with information placeholder].

Organization Capacity and Experience Organizational capacity ensures the applicant demonstrate their ability and experience to successfully execute the NOFO project strategies and reach the expected outcomes. Applicant should have adequate infrastructure (physical space & equipment), workforce capacity and competence, relevant skill sets, capable information and data systems, and accessible electronic information, and communication systems to implement the award. Applicant must provide evidence of adequate program management/staffing plans, performance measurement, evaluation, financial reporting, management of travel requirements, workforce development and training, and full capability to manage the required procurement efforts, including the ability to write and award subcontracts in accordance with 45 CFR 75, as applicable. Applicant will be expected to describe the nature of their relationship with the target population and history (including number of years) serving or working with the target population selected for this project. This includes the history of providing CBA, recent examples of the content and format of the CBA provided, and CBA outcomes or benefits that resulted. In addition, applicants will be expected to provide a description of their current CDC-funded capacity building projects.

Flexibility will be allowed to enable applicants to implement FOA requirements based on their own organizational design and approach, unless otherwise required by statute.

Program Implementation

Recipient Activities The activities listed below are not exhaustive and should be augmented on the basis of the priority needs of the target population(s) indicated in each of the five CIO Project Plans. The CIO Project Plans are attached to the NOFO.

1) Public Health Leadership - Activities that build leadership knowledge, skills, and competencies to improve governance, decision making, and accountability:

Assess and identify skills sets, competencies, and needs of health officials and other health agency leaders. Implement evidence-based strategies such as leadership institutes and work groups.

Provide training to health officials and other health agency leaders regarding current USAPI public health priorities and the official responsibilities of the health department and governing entity.

Acquaint leadership on operational definitions and statements of the public health sector roles, responsibilities, and authorities. Strengthen existing leadership platform for effective leadership practice and multi-sector communication to address shared public health concerns.

2) Public Health System and Infrastructure - Activities that strengthen system and agency needs and determine steps to improve operational capacity may include but are not limited to:

Assess and identify strengths and weaknesses related to operational efficiency and effectiveness.

Examine capacity to deliver the core functions and essential public health services and the structures needs to carry out these functions.

Determine needs, develop processes, and establish standards to build performance management capacity.

Develop and implement a health department organizational strategic plan.

Facilitate mobilization of public and private sectors to enhance collaboration and partnerships.

Identify strategies to disseminate health information to targeted populations.

Provide technical assistance on developing effective financial management systems.

3) Public Health Workforce Segments - Activities that enable improvement of competencies and workforce attrition and retention, may include but are not limited to:

Recruit and hire qualified staff with public health backgrounds.

Assess workforce competencies.

Provide training and professional development. Develop and sustain supportive work environments.

Create resources to facilitate achievement of public health workforce competencies.

Provide technical assistance to build and sustain workforce competencies.

Promote public health internships and fellowships to recruit and strengthen workforce.

4) Public Health Laws and Policies* - Activities that strengthen responses to current challenges and the evolving physical, social and built environments that contribute new challenges, may include but are not limited to:

Review, study and disseminate information about existing laws and policies that may have application to public health.

Create and/or engage public health councils of relevant government agencies.

Recruit legal counsel with public health expertise for public health agencies.

Develop practical, legal-centered tools for public health practitioners and policy makers.

Provide consultation and technical assistance to public health agencies.

Evaluate the health effects and costs of legislation, regulations, and policies that could have a meaningful impact on health.

5) Evidence-based Public Health Practices and Services - Activities that strengthen delivery essential public health services in a comprehensive manner, may include but are not limited to:

Provide technical assistance to the delivery of essential public health services.

Review of existing laws and policies to determine cultural, geographical and current relevance and provide revisions as needed.

Translate and disseminate evidence-based public health science.

Promote understanding and use of research results, evaluations, and evidence-based practices.

Facilitate the adoption of initiatives to develop, implement, and evaluate effective strategies that promote health and prevent disease and injury.

Create materials, manuals and tool kits that build knowledge, skills, and practices in public health policy.

6) Public Health Monitoring and Surveillance Systems - Activities that increase the capacity to support integration, maintenance, and interpretation of data and information systems across the public health system, may include but are not limited to:

Provide technical assistance on readiness for implementation, use and maintenance of information systems.

Create manuals and protocols to ensure best practices and standardization of data and information systems.

Establish data governance through the creation of policies and guiding principles to improve the collection, interpretation, and dissemination of population health data.

Foster health information systems buy-in and understanding of agency staff. Provide staff training on data collection, analysis, interpretation, and reporting. Increase information access, data use and sharing across public health agencies. Integrate information systems and public access at the community level.

The applicant is advised that any activities involving information collection (i.e., surveys, questionnaires, etc.) from 10 or more non-Federal individuals/entities are subject to OMB/PRA requirements and may require the CDC to coordinate an OMB Information Collection Clearance was not provided in NOFO.

*For the purpose of this NOFO, laws and policies are considered important tools for improving the health of the population. Policies and laws represent directives, regulations, or position statements that establish the authority of public health agencies and delineate their functions.

They play an increasingly important role in addressing public health threats and emergencies such as food security, health care-associated infections, the Ebola and Zika virus, and the newly emerging opioid crisis.

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

CDC Activities

1. Collaborate to ensure coordination and implementation of strategies to provide capacity building assistance to governmental and nongovernmental components of the public health system.

2. Provide guidance and coordination to funded organizations to improve the quality and effectiveness of work plans, evaluation strategies, products and services, and collaborative activities with other organizations.

3. Support ongoing opportunities to foster networking, communication, coordination, and collaboration, and serve as a conduit for information exchange, including fostering collaboration between funded organizations that would not normally interact with each other or collaborate on public health efforts.

4. Collaborate to compile and publish accomplishments, best practices, performance criteria, and lessons learned during the project period.

5. Collaborate, as appropriate, in assessing progress toward meeting strategic and operational goals and objectives and in establishing measurement and accountability systems for documenting outcomes, such as increased performance improvements and best or promising practices.

6. Collaborate on strategies to ensure the provision of CBA to state, tribal, local and territorial (STLT) health departments on an as needed request basis.

Section II. Award Information Type of Award: Cooperative Agreement CDC substantial involvement in this program appears in the Activities Section above.

Award Mechanism: U38 Uniform National Health Program Reporting System

Fiscal Year Funds: 2018 Approximate Total Supplemental Funding: $1,000,000 This amount is subject to availability of funds. Includes direct costs.

The table below lists the FY2018 CIO Project Plans for this supplemental NOFO, year 3 of the CDC-RFA-OT16-1601: "Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands".

Please note that if any activities involving information collection (e.g., surveys, questionnaires, etc.) from 10 or more non-Federal individuals or entities are subject to OMB/PRA determination requirements and may also require the CDC to coordinate an OMB Information Collection Clearance.

Project Title Proposed Project Funding

Target Population Category

Target Population Description

Addition of Tuberculosis (TB) to the Comprehensive STD/HIV/VH Prevention Plan for the Pacific Islands Jurisdictions

$40,000.00 USAPI Territorial Health Departments

Public health professionals in leadership or a programmatic capacity to guide, influence, and collaborate across health systems and organizations to TB Prevention Programs

Pacific Islands Tuberculosis Nurses Network (PITBNN)

$25,000.00 USAPI Territorial Health Departments

Nurses and outreach workers in tuberculosis (TB) control programs

Increasing vaccination coverage and reducing the threat of vaccine-preventable disease outbreaks through capacity-building of immunization information systems in the U.S.- Affiliated Pacific Islands

$75,000.00 USAPI Territorial Health Departments

Immunization program staff, clinic nurses, and data entry personnel in the following jurisdictions: Republic of the Marshall Islands (RMI), Federated States of Micronesia (FSM), Republic of Palau, and American Samoa.

Strengthening HIV, STD, and Viral Hepatitis Surveillance and Prevention in the U.S.

Affiliated Pacific Islands

$250,000.00 USAPI Territorial Health Departments

Epidemiologists; HIV, STD, Viral Hepatitis program managers; surveillance managers; laboratory managers;

administrators, finance managers

Strengthening Laboratory Management towards Accreditation and Quality Improvement

$350,000.00 USAPI Territorial Health Departments

The laboratories and leadership and laboratory staff serving the territories and affiliated states in the USAPI

Building Capacity using workforce development and public health system administration to eliminate lymphatic filariasis in American Samoa – PART

$260,000.00 USAPI Territorial Departments

Support the American Samoa Department of Health to build the capacity of the public health system

Total $1,000,000.00 Approximate Number of Awards: 1

Approximate Average Award: $1,000,000 This amount is for the budget period only and includes direct costs and indirect costs as applicable.

Floor of Individual Award Range: $25,000 Ceiling of Individual Award Range: $1,000,000 This ceiling is for a 12-month budget period.

Anticipated Award Date: 09/26/2018 Budget Period Length: 9 month(s) Period of Performance Length: 1 year(s)

Section III. Eligibility Information

Eligible Applicants The following recipients may submit an application:

Eligibility Category: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education

One applicant is eligible to apply for the supplemental Notice of Funding Opportunity. The eligible recipient, Pacific Island Health Officers' Association (PIHOA), was initially funded under CDC-RFA-OT16-1601 on July 1, 2016.

The supplemental NOFO is a single eligibility opportunity. Eligibility is limited to only the Pacific Island Health Officers' Association (PIHOA) due to its location in the Pacific and its unique relationship with the collective interests of the Ministers, Secretaries, and Directors of Health of the US-Affiliated Pacific Islands (USAPI) and Freely Associated Territories. PIHOA competed and was successfully awarded under the CDC-RFA-OT16-1601 NOFO in July 1, 2016.

There is no other organization that is geographically located and is specifically designed to and that serves the USAPI health departments/ ministries, the leadership and workforce, and the larger population in the following ways:

1. PIHOA, a non-profit organization, is led by and represents the collective interests of the Ministers, Secretaries, and Directors of Health of the USAPI.

2. It is the only organization that represents the health officials of all of the six US- Affiliated Pacific Islands--the three Territories and three Freely Associated States--by providing a regional voice for all.

3. Its Board of Directors consists of the Ministers, Secretaries and Directors of health for the six USAPI. Other members include deputies, senior staff, and eight members from professional associations such as medicine, nursing, dentistry and cancer control, and education.

4. PIHOA members represent a USAPI population of more than 500,000 people who live on hundreds of islands and atolls spanning millions of square miles, crossing five Pacific Time zones.

5. PIHOA's Affiliate Membership is reserved for Pacific-based and Pacific-governed health professional organizations that are recognized as having a role in the establishment of health policy. These entities sometimes form "sub-committees" where regional work specific to workforce and health systems development can take place.

6. PIHOA is the most appropriate entity to provide capacity building activities in the region because: a) it has offices in Hawaii, Guam and Palau ensuring its presence in the region; b) it possesses culturally-specific knowledge and a long history of working with public health leaders in the Pacific region; and c) PIHOA and its members have collaborated with the World Health Organization across the Pacific region. In addition, the organization uses culturally-sensitive approaches to providing technical assistance to health department leaders and their staff in the Pacific region.

Required Registrations

System for Award Management and Universal Identifier Requirements 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 usually requires not more than five 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 through www.grants.gov, the official HHS E-grant website. Registration information is located at the "Applicant Registration" option at www.grants.gov. All applicant organizations must register with www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants must start the registration process as early as possible.

Cost Sharing or Matching Cost Sharing / Matching Requirement: No

Other

Special Requirements

Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not https://www.grants.gov http://fedgov.dnb.com/webform/displayHomePage.do http://www.sam.gov/ https://www.grants.gov http://www.grants.gov https://www.grants.gov eligible to receive Federal funds constituting a grant, loan, or an award.

Maintenance of Effort

Section IV. Application and Submission Information

Address to Request Application Package Applicants must download the application package associated with this funding opportunity from Grants.gov. If access to the Internet is not available or if the applicant encounters difficulty accessing the forms on-line, contact the HHS/CDC Office of Grants Services (OGS) Technical Information Management Section (TIMS) staff at (770) 488-2700 for further instruction. CDC Telecommunications for the hearing impaired or disable is available at: TTY 1-888-232-6348.

If the applicant encounters technical difficulties with Grants.gov, the applicant should contact Grants.gov Customer Service. The Grants.gov Contact Center is available 24 hours a day, 7 days a week, with the exception of all Federal Holidays. The Contact Center provides customer service to the applicant community. The extended hours will provide applicants support around the clock, ensuring the best possible customer service is received any time it is needed. You can reach the Grants.gov Support Center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by email, fax, CD’s or thumb drives of applications will not be accepted.

Content and Form of Application Submission Unless specifically indicated, this announcement requires submission of the following information:

Unless specifically indicated, this announcement requires submission of the following information:

Including the Project Abstract, the applicant's submission of the Work Plan in response to the five FY2018 CIO Project Plans must address the key headings identified in the template:

Project Description (Project Narrative) Work Plan Implementation Evaluation and Performance Measurement Organizational Capacity to Implement Project Program Experience Related to the Project Expectations for Collaboration -if applicable Budget

A. The proposed budget should be based on the federal funding level stated in the letter from CDC. In a separate narrative, provide a detailed, line-item budget justification of the funding amount requested, including any request to use unobligated funds, to support the activities to be carried out with those funds. Attach in the “Miscellaneous Attachments” section and title it https://www.grants.gov mailto:support@grants.gov

“Budget Narrative”. Document needs to be in the PDF format.

B. The budget justification must be prepared in the general form, format, and to the level of detail as described in the CDC Budget Guidance. The sample budget guidance is provided on CDC’s internet at: http://www.cdc.gov/grants/applying/application-resources.html.

C. Below are instructions on creating multiple tabs (components) in the GrantSolutions Budget Worksheet, if needed:

Click within “Add Activity” box to name each individual component/project.

Click “Add Activity” to create the tab.

Enter the requested amounts within the “requested” column of the worksheet.

Each project calculates and populates the total budget request in the “Totals” worksheet tab.

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at Grants.gov. The Project Narrative must include all of the bolded headings shown in this section. 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.

A Project Abstract must be completed in the Grants.gov application forms. The Project Abstract must contain a summary of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed. It should be informative to other persons working in the same or related fields and insofar as possible understandable to a technically literate lay reader. This abstract must not include any proprietary/confidential information.

For the purpose of this supplemental NOFO, the abstract should broadly include the purposes of the five CIO Project Plans.

A Project Narrative must be submitted with the application forms. The project narrative must be uploaded in a PDF file format when submitting via Grants.gov. The narrative must be submitted in the following format:

Maximum number of pages: 15. If your narrative exceeds the page limit, only the first pages which are within the page limit will be reviewed.

Font size: 12 point unreduced, Times New Roman Double spaced Page margin size: One inch Number all narrative pages; not to exceed the maximum number of pages.

To align with the structure of this supplemental NOFO, the Work Plan represents the Project Narrative. Note that a stand-alone Work Plan should be completed for each CIO Project Plan.

The narratives should complied as one pdf document. The maximum number of pages is 15 for each Work Plan (Project Narrative). Each Work Plan will include an abstract, the project http://www.cdc.gov/grants/applying/application-resources.html description including the selected strategies, activities, outputs, and outcomes; organizational capacity; program experience; anticipated collaborations; and budget narrative. Work Plan in response to the CIO Project Plans should be developed in accordance with the budget period.

The narrative should address activities to be conducted over the entire Period of Performance and must include the following items in the order listed.

Background The recipient must provide a description of relevant background information that includes the context of the problem (See CDC Background and the each CIO Project Plan).

Purpose The recipient must describe in 2-3 sentences specifically how their application will address the public health problem as described in the CDC Background section and in each CIO Project Plan.

Outcomes The recipient must clearly identify the outcomes that are expected to be achieved by the end of the project period, as identified in the CIO Project Plans. Outcomes are the results that the program intends to achieve and usually indicate the intended direction of change (e.g., increase, decrease).

Strategies and Activities Applicant must provide a clear and concise description of the program strategies and accompanying activities that will be used to achieve the budget period outcomes. Applicant must select existing evidence-based strategies that meet specific needs, or describe in the Evaluation and Performance Measurement Plan, how these strategies will be evaluated over the course of the budget period. See the Strategies and Activities section of the CDC Project Description.

Collaborations Applicant 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.

Target Populations Applicant must describe the specific target population(s) that will receive capacity building assistance and describe what methods will be used to deliver the capacity building assistance.

Applicants must describe the specific target population(s) by category (a. Governmental Public Health Officials and Other Agency Leadership, b. Governmental Public Health Agencies Systems and Infrastructure, c. Workforce Segments across Governmental Public Health Agencies, and d. Nongovernmental Public Health Sectors) that will receive capacity building assistance, and explain how the outcomes of the project will be achieved for each selected target populations.

Evaluation and Performance Measurement Plan Applicant should provide an evaluation and performance measurement plan that demonstrates at a minimum:

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

Applicant isadvised that any activities involving information collections (e.g., surveys, questionnaires, applications, audits, data requests, and reporting) 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, see the Paperwork Reduction Act of 1995 (PRA): http://www.hhs.gov /ocio/policy/collection/.

Applicant should provide a description of how key program partners will participate in the evaluation and performance measurement planning processes. Applicant should describe available data sources, feasibility of collecting appropriate evaluation and performance data, DMP, and other relevant data information (e.g., performance measures proposed by the applicant).

Organizational Capacity Applicant must address the organizational capacity requirements as described in the CDC Project Description.

Organization Experience Applicant must address the organizational experience requirements as described in the CDC Project Description.

Additional information may be included in the application appendices. The appendices must be uploaded to the "Other Attachments Form" of application package in Grants.gov. Note:

appendices will not be counted toward the narrative page limit. This additional information includes:

A budget narrative must be provided for each CIO Project Plan.

Additional information submitted via Grants.gov must be uploaded in a PDF file format, and should be named:

Curriculum Vitas/Resumes Organizational Chart Indirect Cost Rate

No more than 5 electronic attachments should be uploaded per application.

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

(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.asp x

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

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

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

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

Duplication of Efforts Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative 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 https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf 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.”

Submission Dates and Times This announcement is the definitive guide on application content, submission, and deadline. It supersedes information provided in the application instructions. If the application submission does not meet the deadline published herein, it will not be eligible for review and the recipient will be notified the application did not meet the submission requirements.

This section provides applicants with submission dates and times. Applications that are submitted after the deadlines will not be processed.

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.

Application Deadline Date Due Date for Applications: 09/13/2018

Explanation of Deadlines: Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

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

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will be subject to a term and condition that applies the terms of 48 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.

Copyright Interest Provisions

This provision is intended to ensure that the public has access to the results and accomplishments of public health activities funded by CDC.