CDC-RFA-OT18-18020201SUPP19 Amend 1.pdf

Centers for Disease Control

Office for State, Tribal, Local and Territorial Support

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health

CDC-RFA-OT18-18020201SUPP19

Application Due Date: 05/31/2019

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health

CDC-RFA-OT18-18020201SUPP19

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 Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health Announcement Type:

Revision - Type 3

Agency Notice of Funding Opportunity Number:

CDC-RFA-OT18-18020201SUPP19

Assistance Listings (CFDA) Number:

93.421 Key Dates:

Due Date for Application: 05/31/2019 Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Additional Overview Content:

This supplemental funding is only available to the organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health.

Executive Summary:

Amendment: The intent of this amendment is to implement the following revision described herein and written in bold, red font. In Table 3: CIO Project Plans – Category C, on p. 16 of 37, each project plan listed in the table should be labeled as Category C.

The purpose of this notice of funding opportunity (NOFO) is to announce the availability of supplemental funding for the organizations that were previously awarded funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. The CDC- RFA-OT18-1802 recipients are eligible to submit applications for new FY19 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18. This supplemental funding opportunity permits recipients to strengthen the nation's public health infrastructure, ensure a competent, current, and connected public health system, and improve delivery of essential services through capacity-building assistance (CBA). CBA is defined as activities that strengthen and maintain the infrastructure and resources necessary to sustain or improve system, organizational, community, or individual processes and competencies. CBA is delivered through technical assistance, training, information sharing, technology transfer, materials development, or funding that enables organizations to serve customers better and operate in a comprehensive, responsive, and effective manner. The goal is to fund recipients that have the capability, expertise, resources, reach, and history of providing capacity building relevant to implementing this program's key strategies, activities, and outcomes. The program strategies include strengthening the capacities of health systems infrastructure; leadership and workforce; data and information systems; communication and information technology; partnerships; laws and policies; and programs and services. Capacity building efforts of this program are expected to strengthen and optimize the public health system and services to improve the nation's 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 health agencies' capacity to more efficiently and effectively manage and deliver high quality programs and services to protect the public's health

Increase the infusion of public health knowledge 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 The program is authorized under sections 317(k)(2) and 307 of the Public Health Service Act (42 U.S.C. Sections 247b(k) and 242(l)), as amended.

Background The Institute of Medicine (IOM) published a landmark report in 1988, The Future of Public Health, that recognized the daunting role of governmental public health in ensuring basic health and safety. It stated that governmental public health agencies--representing the mainstay of the public health enterprise--were fragmented, underfunded, and lacked cross-cutting capabilities.

Recommendations included building key abilities; providing adequate funding for basic services and achieving national goals; and clarifying basic authorities and responsibilities entrusted to public health agencies, boards of health, and health officials.

Persistent challenges such as underfunding, fragmented programs, workforce declines, health disparities and inequities, and emerging health threats continue to strain public health's capacity, resources, and impact. A 2012 IOM report, For the Public's Health: Investing in a Healthier Future, recommended that investments be made in six foundational capacities and capabilities for public health departments: 1) information systems, surveillance, and epidemiology; 2) health planning; 3) partnership development and community mobilization; 4) policy development, analysis, and decision support; 5) communication; and 6) research, evaluation, and quality improvement. These investments were further defined by a national workgroup and then tied to national accreditation standards for public health departments (http://phnci.org/fphs). Both have been cited as complementary and valuable frameworks for strengthening health departments and 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 our nation's public health infrastructure. These needs have also been outlined in two key initiatives: Healthy People 2020 and Public Health 3.0: A Call to Action to Create a 21st Century Public Health Infrastructure.

The public health system represents a complex and broad range of agencies, organizations, and individuals in which each plays a significant role in affecting the health of the population.

Engaging multiple entities facilitates coordination to address public health needs in a systematic manner. Therefore, this CBA program is designed to fund organizations that represent both governmental and nongovernmental components of the public health system.

This program's purposes are to strengthen the nation's public health infrastructure, ensure a competent, current, and connected public health system, and improve delivery of essential public health services through capacity-building assistance (CBA).

This supplemental NOFO provides funding for CBA activities with target populations under three headings: Category A: Governmental Public Health Departments; Category B: Workforce Segments across Governmental Public Health Departments; and Category C: Other Governmental and Nongovernmental Public Health Components.

This supplemental NOFO is only open to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802. Awards will be made to organizations with demonstrated capability, expertise, resources, national reach, and track record to implement one or more of the CBA program strategies: 1) public health systems infrastructure; 2) leadership and workforce; 3) data and information systems; 4) communication and information technology; 5) partnerships; 6) laws and policies; and 7) programs and services in response to CIO Project Plans.

Purpose The purpose of this supplemental notice of funding opportunity (NOFO) is to announce the availability of funding for the organizations that were previously awarded Funding Strategy 1 funding under CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. The CDC-RFA- OT18-1802 recipients are eligible to submit applications for new FY19 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY19. The purposes of the program described within the supplemental NOFO are to strengthen the nation's public health infrastructure, ensure a competent, current, and connected public health system, and improve delivery of essential public health services through capacity-building assistance (CBA).

Program Implementation

Recipient Activities Applicants may propose to address the program outcomes using the following activities. The activities listed below are not exhaustive and should be augmented on the basis of the priority needs of the target population and the outcomes and strategies outlined in the individual CIO Project Plan. CIO Project Plans are attached.

Public Health Systems and Infrastructure--Activities to improve operational capacity, such as policies and plans, administrative and management, and quality improvement. CBA provided will strengthen the target population's ability to

Assess and address gaps in organizational performance, using tools such as national accreditation standards

Assess and reduce agency fragmentation and duplication Develop and implement organizational strategic plans Formulate population health goals and strategies Ensure generation, analysis, and use of information about emerging health trends Ensure organizational structure aligns with health goals and strategies Establish performance management systems to monitor organizational objectives Establish and maintain effective financial management systems Build models that align public health with other sectors Ensure system transparency and accountability Identify, strengthen, and coordinate stakeholders' roles Develop and implement quality improvement processes for practices, processes, and interventions Develop and maintain operational infrastructure to support performance of public health functions Maintain current operational definitions and statements of organizational roles, responsibilities, and authorities

Leadership and Workforce Development--Activities designed to improve leadership and workforce competencies, recruitment, and retention. CBA provided will strengthen the target populations ability to

Strengthen leadership engagement across public and private sectors Determine leaders' engagement in specific public health priorities Establish feedback loops across systems for organizational planning Address existing and emerging public health priorities Address the social determinants of health and health disparities and inequities Perform network analysis to identify opportunities for collaboration Assess workforce training needs Establish and maintain workforce development plan Assess the workforce's scientific skills and subject matter expertise Develop workforce strategy for hiring and retaining employees Develop and implement strategies to sustain supportive work environments Establish relationships with organizations that promote the development of future public health workers Implement activities to scale-up delivery of public health training at lower costs Sustain the working relationship among public health and leaders across sectors

Data and Information Systems--Activities to improve the collection, management, interpretation, and dissemination of data to guide decision-making. CBA provided will strengthen the target population's ability to

Assess health and health-related data sources Assess available information systems used across organizations Develop systems or processes for cross-integration and ease of use Improve system infrastructure for data storage, protection, and management Determine readiness for information system implementation, use, and maintenance Create manuals and protocols to ensure best practices and standardization of data and information systems Establish data governance by creating policies and guiding principles to improve the collection, interpretation, and meaningful use of data Increase information access, data use, and sharing across organizations Develop and implement protocols critical for integrating surveillance and monitoring systems Develop workforce training on managing data and information systems Link public health data, clinical care data, and other relevant data sources to improve surveillance Determine effective ways to use public health data, health care data, and other relevant data sources to monitor the health of populations

Communication and Information Technology--Activities to improve the use of communication and information technology to affect health decisions and actions. CBA provided will strengthen the target population's ability to

Develop communication processes for effective cross-sector collaboration Develop communication procedures to provide information to the public Create communication campaigns that are relevant, culturally competent, and at a sufficient level of health literacy Provide accessible, accurate, actionable, and current information that is culturally sensitive and linguistically appropriate Develop communication systems to enable efficient and effective community-centered dialogue Develop and disseminate educational materials, health communication and marketing activities, and program evaluation and assessment tools Provide information about public health issues and functions to diverse audiences through multiple methods to inform public health decision making

Partnerships--Activities to improve the establishment and maintenance of results-driven partnerships. CBA provided will strengthen the target population's ability to

Assess agency’s current internal and external partnerships Expand organization or program partnerships through community engagement and mobilization Perform network analysis to identify opportunities for collaboration Leverage partnerships to address specific public health issues or population health needs strategically Identify successful practices and develop new mechanisms to inform and mobilize the public and private sectors in collaborative efforts Engage with the public health system and community in identifying and addressing health problems through collaborative processes Engage various sectors in the adoption of Health in All Policies

Laws and Policies--Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health. CBA provided will strengthen the target population's ability to

Conduct systematic surveillance of applicable laws and policies to public health aims and evaluate them

Engage multiple sectors to identify priorities for development of relevant laws and policies based on needs and data

Provide technical assistance and develop tools to support public health practitioners and policymakers in advancing evidence-based or evidence-informed law and policy

Engage multiple sectors in activities that contribute to providing evidence to inform laws and policies that affect public health

Inform governing entities, elected officials, and the public of potential public health effects from laws and policies

Educate individuals and organizations on purpose, benefit, and requirements of laws and policies that affect public health

Identify the common barriers and facilitators of legal and policy strategies that affect health

Note recipients must ensure compliance with Administrative Requirement-12 (Anti- Lobbying) when engaging in all activities, especially those related to laws, policies, and regulations.

Programs and Services--Activities to improve the identification of best practices and implementation of evidence-based/informed programs and services. CBA provided will strengthen the target population's ability to

Identify, prioritize, and fund programs that lower disease rates, prevent injuries, and improve health

Integrate prevention strategies and actions across multiple settings Adopt initiatives to develop, implement, and evaluate effective health promotion and disease prevention strategies Translate and disseminate evidence-based public health science to improve health and lower health care costs Identify effective mechanisms to ensure capable assessment and response to public health needs Develop indicators and measures to determine effectiveness in meeting public health needs Use evidence to implement programs and services that address emerging or real-time priority public health needs Develop and adopt evidence-based interventions that reduce high-burden diseases

Assess access to health care services Identify and implement strategies to improve access to health care services

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

CDC Activities CDC activities for this program are as follows:

1. Collaborate with recipients 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 recipients 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.

4. Serve as a conduit for information exchange.

5. Collaborate with recipients to compile and publish accomplishments, best practices, and lessons learned during the project period.

6. Collaborate, as appropriate, in assessing progress toward meeting strategic and operational goals and objectives and in establishing measurement and accountability systems for documenting outcomes.

7. Collaborate on strategies and activities to ensure the provision of CBA to STLT health departments and other components of the public health system as needed.

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: 2019 Approximate Total Supplemental Funding: $51,930,500 This amount is subject to availability of funds. Includes direct and indirect costs.

The funding levels (e.g., "approximate total supplemental funding," etc.) represent approximate funding across multiple CIO Project Plans. Individual awards will vary depending on the activities and approximate funding available for each CIO Project Plan. The approximate amount available for a particular project is provided in the table below.

The following tables list the CIO Project Plans for this FY19 supplemental NOFO, which is year 2 of the initial CDC-RFA-OT18-1802. Please note 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.

Applicants are eligible to submit applications for FY19 CIO Project Plans according to the Target Population Category and Target Population Description for which they received initial funding in FY18.

Table 1. CIO Project Plans - Category A

Project Title Target Population Category

Proposed Project Funding

1. A pilot project to build capacity for comprehensive state suicide and opioid overdose prevention

Category A $2,000,000.00

2. Advancing Health in All Policies among Local Health Departments through capacity building and technical assistance

Category A $75,000.00

3. Bridging preparedness, infectious disease, maternal-child health and birth defects within cities and counties

Category A $250,000.00

4. Bridging preparedness, infectious disease, maternal-child health and birth defects within states and territories

Category A $250,000.00

5. Building Capacity of Tribes to Support Smoking Cessation

Category A $200,000.00

6. Case Study:

Evaluating opioid crisis response and

Category A $1,400,000.00 building capacity to address adverse childhood experience

7. Case Study:

Understanding reasons behind declining rates of opioid overdose

Category A $200,000.00

8. CDC's National Neurological Conditions Surveillance System Partner Collaboration

Category A $100,000.00

9. Customized leadership development for territorial health officials

Category A $250,000.00

10. Developing the capacity to support older adult fall prevention

Category A $250,000.00

11. Environment and Public Health Nexus:

US EPA-States Collaborative Pilots

Category A $25,000.00

12. Exploring Funding Streams, Processes, and Financial Requirements

Category A $100,000.00

13. Implementing Overdose Prevention Strategies at the Local Level

Category A $10,000,000.00

14. Improving Overdose Surveillance and Prevention Capacity and Readiness of Overdose Data to Action Recipients

Category A $1,500,000.00

15. Indian Country Road Map Action

Category A $100,000.00

Institutes

16. Informing Local Leaders on Effective Policies, Practices and Systems Strategies for Addressing HIV Priorities

Category A $900,000.00

17. Informing State Leaders on Effective Policies, Practices and Systems Strategies for Addressing HIV Priorities in States

Category A $900,000.00

18. Innovations in upstream prevention of congenital syphilis

Category A $450,000.00

19. Maternal Mortality Review: A Potential Strategy for Optimizing Native Women’s Health

Category A $170,000.00

20. National Leadership for Addressing Health Equity Among State Health Officers

Category A $250,000.00

21. NCIPC Injury and Violence Prevention Tribal Convening Sessions

Category A $280,000.00

22. Opioid overdose prevention conference track for tribes and tribal organizations

Category A $150,000.00

23. Pilot Projects to Build the Evidence- Base for Overdose Prevention and Response

Category A $1,000,000.00

24. Project Approach to the Implementation of the USVI Public Health Data Repository –

Category A $734,500.00

Implementation and Operations

25. Promoting and Marketing PHLP Law and Epidemic Emergency Preparedness” (LEEP) course to local jurisdictions

Category A $50,000.00

26. Promoting the Physical Activity Guidelines through Youth Sports at the Local or Community Level

Category A $100,000.00

27. Public Health Associate Program (PHAP) Support and Collaboration Project

Category A $150,000.00

28. Public Health Road Map Action Institutes (HBI Partnerships to Address Dementia)

Category A $250,000.00

29. Strengthening health priority reporting and interoperability across systems

Category A $500,000.00

30. Strengthening USVI Communicable Disease Program

Category A $400,000.00

31. Technical Assistance Toolkit for Applying a Shared Risk and Protective Factor Approach to Injury Prevention

Category A $200,000.00

32. Translation and dissemination of STD program experiences and best practices

Category A $200,000.00

33. USAPI

Performance

Category A $150,000.00

Improvement Initiative

34. Using Law as a Tool to Improve Public Health Through Communication, Collaboration and Coordination

Category A $220,000.00

Table 2. CIO Project Plans - Category B

Project Title Target Population Category

Proposed Project

Funding

1. Avatar Simulation for Prostate Cancer Screening and Treatment Decision- Making

Category B $850,000.00

2. Building a culture of health in communities to accelerate population health priorities

Category B $300,000.00

3. Building Epidemiologic and Surveillance Capacity for Overdose Data to Action

Category B $500,000.00

4. Capacity building and technical assistance for Sickle Cell Data Collection

Category B $1,000,000.00

5. Closing the Gap:

Building Capacity for Smoke-free Cities

Category B $150,000.00

6. Comprehensive Injury Epidemiology Fellowship

Category B $400,000.00

7. Comprehensive Injury Epidemiology Partnership

Category B $400,000.00

8. Coverage and Category B $225,000.00

Reimbursement Analysis of Pharmacy Services to Prevent Chronic Disease

9. Evaluating Policy and Legal Approaches that Improve HIV, Viral Hepatitis, STD, and TB Health Outcomes

Category B $100,000.00

10. Evaluation of health department restaurant inspection programs

Category B $500,000.00

11. HIV Cluster Detection and Response: Data Protection Landscape Assessment and Community Engagement Tool

Category B $300,000.00

12. Identification and Use of Novel and Unique Data Sources for Injury and Violence Prevention

Category B $200,000.00

13. Improving awareness and use of immunization information system among adult care providers

Category B $350,000.00

14. Increasing Community and Clinical Linkages to Arthritis-Appropriate Evidence-Based Interventions (AAEBIs)

Category B $300,000.00

15. Increasing disaster epidemiology capacity to implement data-driven public health programs and services following 2017

Category B $185,000.00 hurricanes

16. Increasing public health preparedness capability among maternal and child health programs

Category B $150,000.00

17. Integrating Alzheimer’s Messages into Chronic Disease Programs

Category B $100,000.00

18. Leveraging Informatics Approaches to Increase STLT System Capacity to Measure Child and Adolescent Mental Health

Category B $500,000.00

19. Leveraging Informatics to Improve Environmental Health Practice and Innovation

Category B $400,000.00

20. Moving upstream together: supporting health plan implementation of population health interventions

Category B $100,000.00

21. Neonatal Abstinence Syndrome Surveillance

Category B $2,000,000.00

22. Operationalizing multi-sector partnership to improve population health

Category B $375,000.00

23. Overdose Data to Action Epidemiology Fellowship Program

Category B $500,000.00

24. Partnering to Improve Disaster- Related Mortality Surveillance in State and Local Health Departments

Category B $280,000.00

25. Prediabetes Awareness and Type 2 Diabetes Prevention National Communication Activities

Category B $2,800,000.00

26. Reproductive Health Assessment After Disaster (RHAD) toolkit 2.0

Category B $150,000.00

27. Skin cancer prevention materials to increase capacity for comprehensive community-wide skin cancer prevention programs

Category B $75,000.00

28. Strengthening Environmental Health Capacity in Public Health Preparedness, Response and Recovery

Category B $225,000.00

29. Strengthening Tuberculosis Prevention Efforts by Leveraging Electronic Medical Record Data to Target High-Risk Individuals

Category B $700,000.00

30. Surveillance of Maternal, Infant and Child Outcomes Following Treatment of Opioid Use Disorder During Pregnancy

Category B $3,900,000.00

31. The Digital Bridge:

Nationwide Scaling of Bidirectional Information Exchange between Healthcare and Public Health

Category B $1,000,000.00

32. The National Syndromic

Category B $450,000.00

Surveillance Program Community of Practice (NSSP CoP)

33. Toxicology/State Unintentional Drug Overdose Reporting System (SUDORS) Fellow

Category B $160,000.00

34. Translation of Provider Training to Improving Mental Health Discussions, Screening, and Treatment of Cancer Survivors

Category B $100,000.00

35. Utility of the Environmental Public Health Tracking Program Data for Environmental Health Professionals

Category B $41,000.00

Table 3. CIO Project Plans - Category C

Project Title Target Population Category

Proposed Project

Funding

1. Building an Ecosystem of Support for Veteran Suicide Prevention

Category C $100,000.00

2. Building Capacity to Improve Pregnancy Outcomes by Supporting Women and Men through the Life Course

Category C $150.000.00

3. Capacity Building for Public Health Analysts in the Overdose Response Strategy

Category C $1,700,000.00

4. Collaboration with clinicians to protect

Category C $250,000.00 infants and children from emerging threats

5. Collaboration with Clinicians to protect pregnant women and their children from emerging threats

Category C $250,000.00

6. Digital Storytelling (DST) as a health promotion tool for young breast cancer survivors, metavivors, and caregivers

Category C $900,000.00

7. Dissemination and evaluation of community-level implementation of the Physical Activity Guidelines for Americans

Category C $100,000.00

8. Dissemination of Culturally Appropriate Brain Health Messages to Urban AI/AN Persons

Category C $80,000.00

9. Division of Oral Health: Medical-Dental Integration Support

Category C $100,000.00

10. Establishment of a Public Health Surveillance System for New Fathers in the Perinatal Period

Category C $300,000.00

11. Evaluation of venous thromboembolism prevention practices in US hospitals and risk assessment as a performance measure

Category C $200,000.00

12. Expanding clear messaging with non-traditional partners to support chronic disease

Category C $200,000.00 prevention

13. Exploring Ethical Issues in Social Media and Online Research

Category C $100,000.00

14. Implementing office-based opioid use disorder treatment with medication assisted treatment

Category C $500,000.00

15. Improving HPV vaccination coverage for healthcare systems and providers

Category C $950,000.00

16. International Workforce Development in Birth Defects and Disabilities Surveillance and Prevention

Category C $45,000.00

17. Professional Development for Primary Care (Brain Health, including Alzheimer's disease and other dementia)

Category C $125,000.00

18. Promoting HIV, Viral Hepatitis, STDs, and LTBI Screening in Hospitals, Health Systems, and Other Healthcare Settings

Category C $200,000.00

19. Promoting Tobacco Use Cessation in Primary Care

Category C $200,000.00

20. Provision of Technical Assistance to Improve Insurance Coverage of Tobacco Cessation Treatments

Category C $150,000.00

21. Scaling-up Quality Adolescent Reproductive Health Services in Community

Category C $200,000.00

Health Centers (CHC)

22. Strategic Road map for Integration of Tobacco Use and Dependence Treatment into Clinical Care

Category C $100,000.00

23. Strengthening health system HPV vaccination capacity through a learning collaborative

Category C $600,000.00

24. Suicide Summit Category C $100,000.00 25.

Supporting pediatrician s to increase HPV and pediatric influenza rates

Category C $600,000.00

26. TB Community Engagement Network

Category C $310,000.00

As a reminder, funding includes direct and indirect costs, and is subject to applicable cooperative agreement regulations and existing indirect cost rate agreements.

Approximate Number of Awards: 40

Approximate Average Award: $275,000 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: $10,000,000 This ceiling is for a 12-month budget period.

Anticipated Award Date: 09/03/2019 Budget Period Length: 11 month(s) Period of Performance Length: 4 year(s)

Section III. Eligibility Information

Eligible Applicants The following recipients may submit an application:

Eligibility Category: Others (see text field entitled "Additional Information on Eligibility" for clarification)

This supplemental funding opportunity is only available to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: "Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health" in August 2018.

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 eligible to receive Federal funds constituting a grant, loan, or an award.

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

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

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:

Submission of Work Plans in response to CIO Project Plans:

The CIO Project Plans are organized in this FY19 supplemental NOFO by Target Population Category (A, B, or C). Each CDC-RFA-OT18-1802 recipient is permitted to submit Work Plans in Response to CIO Project Plans that target the Target Population Category and Target Population Description for which the organization competed and was awarded funds under Funding Strategy 1 in FY18. The CIO Project Plans are included as attachments to this supplemental NOFO. Applicants are permitted to submit responses to multiple CIO Project Plans. Applicants must complete a Work Plan in Response to CIO Project Plan template for each CIO Project Plan for which they would like consideration. Once a template is completed for each, applicants must create and save one master merge of all individual Work Plan in Response to CIO Project Plan PDFs. The submissions must include the proposed strategies and accompanying activities, process measures, outputs, outcomes, and outcome measures for the 11-month budget period. Additionally, each submission must include a description of the recipient’s organizational capacity and program experience as it relates to the work outlined in the corresponding CIO Project Plan. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

Applicants must also create a separate budget narrative to accompany each Work Plan in Response to CIO Project Plan. Once all budgets are created, applicants must create and save one https://www.grants.gov mailto:support@grants.gov master merge of all individual budget narratives. The master budget narrative will be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

Please note, text from some CIO Project Plans was omitted due to a technical glitch in the CSTLTS/NPB SharePoint. Full CIO Project Plans are accessible on the CSTLTS/NPB SharePoint. The Work Plans in Response to CIO Project Plans must be submitted via the CSTLTS/NPB SharePoint and Grants.gov. The National Partnership Branch will provide further instructions on submitting Work Plans in Response to CIO Project Plans via the CSTLTS/NPB SharePoint.

Recipients are expected to carry out program capacity-building strategies and activities to achieve the program outcomes and to identify and document additional outcomes accomplished.

The CBA efforts performed under each project should work toward the short-term and intermediate outcomes outlined in the CIO Project Plan.

Provide the following information for each Program Strategy:

Activities: List the proposed activities related to each strategy selected. Example activity: Planning and hosting a community roundtable offering strategies to convene partners. Propose activities that fit within the description of the selected strategies.

Process Measures: Propose at least one process measure for each strategy selected.

Process measures are used to track implementation progress of the proposed activities.

Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example process measure: To maintain participation level of the previous year, at least 20 of 35 organizations invited will attend the community roundtable event.

Outputs: List the expected outputs related to each strategy selected. Outputs are the direct, tangible results of activities (e.g., resources, tools, and products to be developed).

Example output: Development of a peer-to-peer learning portal for roundtable participants.

Program Outcomes: For each strategy selected, use the dropdown list to select the program outcome that relates to the expected budget period outcome(s) and proposed outcome measure(s). Outcomes are the changes that occur as a result of the work completed.

Budget Period Outcomes: List the expected budget period outcomes related to the selected program outcome. Budget period outcomes are the desired project results achieved by the end of the budget period (July 31, 2020). Program outcomes selected above may be included as budget period outcomes. Example budget period outcome:

Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health.

Outcome Measures: Propose at least one outcome measure for each program outcome selected. Outcome measures are used to track progress toward achieving the expected outcomes. Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example outcome measure: At least 50% of attendees who complete the training evaluation indicate they will partner with at least one new community organization to address a public health need.

Budget Summary Spreadsheet: Recipients must provide a budget summary spreadsheet as part of their Budget Narrative. The summary must be in excel format and should identify the budget line items per project. Recipients should use the spreadsheet template as provided by CDC. The completed document should be uploaded to Grants.gov under "Optional Attachments" in the "Mandatory Attachments" Section.

General instructions for submitting Work Plans in Response to CIO Project Plans on Grants.gov:

1. Submit: individual Work Plans in Response to CIO Project Plans on the CSTLTS/NPB SharePoint

2. Save: master Project Narrative and master Budget Narrative documents

3. Go to: Grants.gov

4. Select: "Applicants"

5. Select: "Apply for Grants"

6. Select: "Get Application Package"

7. Insert the Notice of Funding Opportunity Number only, formatted as: CDC-RFA-

OT18-18020201SUPP19

8. Download application package

9. Complete the Budget Information for Non-constructions Programs (SF424A) form

10. Complete the Application for Federal Domestic Assistance-Short Organizational Form

(SF425)

11. Upload the master Project Narrative and master Budget Narrative documents

12. Upload the Indirect Cost Rate Agreement

13. Follow instructions to submit the application package to Grants.gov

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.

Note: The Project Abstract should reflect the entire submission. If applicants respond to multiple CIO Project Plans, the Project Abstract must cover all applications.

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: 250. 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.

The applicants will use the CSTLTS/National Partnership Branch's "Work Plan" template to create their Work Plan(s) in response to CIO Project Plans. A copy of the work plan template is available as an attachment on Grants.gov. As a reminder, applicants must create and save one master merge of all individual Work Plan PDFs. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov. Applicants will also create and save one master merge of all individual Budget Narratives. The master budget narrative will be uploaded and submitted as the "Budget Narrative" on Grants.gov.

The Work Plans in response to CIO Project Plans must include the proposed outcomes and their accompanying strategies, activities, outputs, and performance measures (process and outcome) for the budget period. The Work Plans include a project description, organizational capacity, and program experience of the applicant as they relate to the CIO Project Plan. Process and outcome measures must also be developed for the budget period. A Performance Progress and Monitoring Report (PPMR) will be required for each Work Plan. The PPMR must provide a status of the proposed performance measures (process and outcome), strategies, activities, outputs, and outcomes. CDC will provide additional information regarding PPMRs post-award.

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

The Project Narrative must include the information as required in the Work Plan template:

1. Project Description - Describe your overall plan for achieving the outcomes outlined in the CIO Project Plan.

2. Work Plan - Describe the activities, outputs, performance measures (process and outcome), and outcomes related to the selected NOFO strategies and outcomes.

3. Organizational Capacity - Describe your capacity to successfully complete the project outlined in the CIO Project Plan. Include your organization's relevant staffing, systems, and resources.

4. Organizational Experience - Describe your experience as it relates to the project outlined in the CIO Project Plan. Include products developed; services, training, and technical assistance provided; and relevant target populations supported

5. Collaborative Work - Describe your plan for collaboration as it relates to the project outlined in the CIO Project Plan. Include specific organizations or entities as applicable.

6. Sub-contractual Work - Describe your plan for sub-contractual work. Include recommended criteria for identifying and selecting subcontractors.

7. Budget Information - Provide a line item budget for the allocation of funds.

8. Additional Attachments - Additional attachments include the Budget Narrative, Indirect

Cost Rate Agreement, Budget Summary Spreadsheet (excel), and Consultant/Contractor Approval Request.

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:

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

The budget can include both direct costs and indirect costs as allowed. 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 modified total direct costs 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 requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required.

Include a copy of the current negotiated federal indirect cost rate agreement or cost allocation plan approval letter.

The applicant can obtain guidance for completing a detailed justified budget on the CDC website, at the following Internet address: https://www.cdc.gov/grants/documents/Budget- Preparation-Guidance.docx

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

Project Abstract Summary Table of Contents for Entire Submission Budget Narrative (compiled as one master pdf file) Work Plans (compiled as one master pdf file) Nonprofit organization IRS status forms, if applicable

Indirect cost rate, if applicable CVs/Resumes for key staff

No more than 10 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/ (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.