CDC-RFA-OT18-18030101SUPP18.pdf

Centers for Disease Control

Office for State, Tribal, Local and Territorial Support

Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative

Agreement CDC-RFA-OT18-18030101SUPP18 (Amendment 1)

CDC-RFA-OT18-18030101SUPP18

Application Due Date: 08/12/2018

Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative

Agreement CDC-RFA-OT18-18030101SUPP18 (Amendment 1)

CDC-RFA-OT18-18030101SUPP18

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:

Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative Agreement CDC-RFA-OT18-18030101SUPP18 (Amendment 1) Announcement Type:

Revision - Type 3 - (Competitive supplement) Additional funds requested to expand the scope of work have elapsed.

Agency Notice of Funding Opportunity Number:

CDC-RFA-OT18-18030101SUPP18

Assistance Listings (CFDA) Number:

93.772 Key Dates:

Due Date for Application: 08/12/2018 Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Additional Overview Content:

Please note: Only the AI/AN tribal nations and regional AI/AN tribally designated organizations that were awarded under CDC-RFA-OT18-1803: Tribal Public Health Capacity- Building and Quality Improvement Umbrella Cooperative Agreement are eligible to submit applications under this NOFO, CDC-RFA-OT18-18030101SUPP18. We encourage OT18-1803 recipients to submit questions beforehand to OSTLTSTRIBALNOFO@CDC.GOV.

August 10, 2018 Amendment This administrative amendment does not affect applicants' or recipients’ budget or application process. This amendment corrects ceiling calculation error.

Ceiling of Individual Award Range

Changed to $3,600,000

July 13, 2018 Amendments Key Dates:

Due date changed from August 1, 2018 to August 12, 2018 mailto:OSTLTSTRIBALNOFO@CDC.GOV

Dates for Informational Conference Calls

First: Friday, July 20, 2018, 3:00 - 4:30 pm (EDT) Final: Monday, July 23, 2018, 3:00 - 4:30 pm (EDT) Conference Call Line (Toll Free): Will be emailed to OT18-1803 recipients.

Pages 10-11 Table 1: CIO Project Plans

Additional CIOs Project Plans have been added. The total of number of CIO Project Plans are 10.

Proposed Project Funding per Recipient for "Support Tribal Health Department Capacity to Accelerate CDC's 6|18 Initiative and Approach" has changed from $80,000 to $50,000.

Approximate Average Award

Changed to $400,000

Ceiling of Individual Award Range:

Added the following language - Please note: The individual award ceiling various among CIO Project Plans. Applicants should review each CIO Project Plan carefully to ensure they do not exceed the ceiling funding amount for a given CIO Project Plan.

Period of Performance Length

Changed to 5 years

Pages 14-16 Content and Form Application Submission

Page 14 (Added the following clarifying language):

o Content: Recipients are expected to carry out program capacity-building and/or quality improvement strategies and activities to achieve the program outcomes and to identify and document additional outcomes accomplished. The capacity-building and quality improvement activities performed under each project should work towards the short-term and intermediate outcomes specified in the CIO Project Plan.

o Work Plans: To align with the structure of this supplemental NOFO, the Work Plan represents the "Project Narrative". Applicants must complete a work plan template (see "Work Plan Template" attached for this supplemental NOFO on Grants.gov) for each CIO Project Plan for which they would like to apply. Once a template is completed for each, applicants must create and save one master merge of all individual Work Plan PDFs.

o Budget Narratives: Applicants must create a separate budget narrative to accompany each Work Plan in response to a CIO Project Plan. Once all budget narratives are developed, applicants must create and save one master merge of all individual budget narratives. The master budget narrative document must be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

Page 15-16 (Added the following clarifying language):

o To align with the structure of this supplemental NOFO, the Work Plan represents the "Project Narrative".

o Applicants must complete a work plan template (see "Work Plan Template" attached for this supplemental NOFO on Grants.gov) for each CIO Project Plan for which they would like to apply. 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. The submitted work plans in response to CIO Project Plans must include the proposed objectives and accompanying activities, outputs, performance measures, and outcomes for the Year 1 budget period. The work plans must indicate how each performance measures are linked to the selected program outcome(s). In addition, each submitted work plan must describe the approach to implement the project, the applicant's organizational capacity, and the applicant's organizational experience, as they relate to the CIO proposed project; detail a plan for collaborative work (if required); and provide a detailed budget narrative.

The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

o Applicants must also create a separate budget narrative to accompany each Work Plan in response to a CIO Project Plan. As a reminder, applicants must create and save one master merge of all individual budget narratives. The master budget narrative document must be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

Page 16:

o Removed word limit for each subsection - please see "Work Plan" template for additional requirement

Application Deadline Date

Changed from August 1, 2018 to August 12, 2018

Funding Restrictions (Added the following clarifying language):

Additional funding restrictions are listed below of each CIO Project Plan:

1. Baseline Assessment of Blood Lead Levels in American Indian/Alaska Native Children - No additional funding restrictions.

2. Building capacity to prevent and control Rocky Mountain spotted fever in Arizona - No additional funding restrictions.

3. Increasing Tribal Public Health Leadership and Capacity - No additional funding restrictions.

4. Inventory of Fall Prevention Activities and Fall Data Sources at IHS Healthcare Facilities - No additional funding restrictions.

5. Linking Tribal and IHS data with National Death Index and Linkage Training for Tribal Epidemiology Centers - No additional funding restrictions.

6. Opioid Overdose Prevention in Tribal Communities -o Drug disposal programs (drop-boxes, bags or other devices, and/or take-back events) are not permissible under this funding opportunity.

o Purchasing naloxone/Narcan is not permissible under this funding opportunity.

o Funds from this cooperative agreement can be used to connect to care (described in the “evidenced-based/culturally-appropriate health interventions” above);

however, funds cannot provide the care itself).

7. Support Tribal Health Department Capacity to Accelerate CDC’s 6|18 Initiative and Approach - No additional funding restrictions.

8. Training for tribal paraprofessionals and expanding AI/AN BRFSS activities in state Tribal communities - No additional funding restrictions.

9. Tribal Motor Vehicle Injury Prevention Project - No additional funding restrictions.

10. An Umbrella Approach to Support Tribes in participating in the National Diabetes

Prevention Program - No additional funding restrictions.

Agency Contact

Changed Naomi Aspaas to Andrea Wooddall (Project Officer) Changed telephone number from 404.498.5523 to 404.498.6792

This administrative amendment does not affect applicants or grantees’ budget or application process.

This amendment corrects ceiling calculation error.

Executive Summary:

CDC announces a supplemental funding opportunity for the American Indian/Alaska Native (AI/AN) tribal nations and regional AI/AN tribally designated organizations that were awarded under CDC-RFA-OT18-1803: Tribal Public Health Capacity-Building and Quality

Improvement Umbrella Cooperative Agreement. The CDC-RFA-OT18-1803 recipients are eligible to submit applications for new fiscal year (FY) 2018 Center, Institute, and Office (CIO) Project Plans according to the geographic categories under which they are awarded. The geographic categories are the following: 1) Category A: HHS Regions I, II, III, and IV; 2) Category B: HHS Regions V, VI, and VII; and 3) Category C: HHS Regions VIII, IX, and X.

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]).

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 non-governmental 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 Under section 317(k)(2) of the Public Health Service Act [42 USC 247(b)(k)(2), as amended].

Background Historically, tribal public health systems have been separated from the larger US public health system, which has led to limited strategic partnerships with federal, state, and local partners;

underdeveloped infrastructure; data access barriers; and diminished public health workforce.

Tribal health systems provide public health services across the United States, and are central to reducing health disparities in tribal nations. Building tribal public health infrastructure enhances Indian Country's capacity to prevent disease, promote health, and prepare for and respond to emerging threats and chronic challenges.

This program will provide resources for American Indian and Alaska Native (AI/AN) tribal nations and regional AI/AN tribally designated organizations to optimize the quality and performance of tribal public health systems, including infrastructure, workforce, data 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 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 information systems, programs and services, resources and communication, and partnerships.

Work in these areas will increase the capacity of Indian Country to identify, respond to, and mitigate public health threats and decrease burden of disease among AI/ANs. This program's ultimate outcomes are: 1) decreased morbidity and mortality among AI/ANs; 2) advanced capacity of Indian Country to identify, respond to, and mitigate public health threats; 3) improved capacity of the workforce to deliver essential public health services; 4) increased culturally appropriate practice-based evidence programs and policies that are effective and sustainable throughout Indian Country; and 5) improved capacity to collaboratively and strategically address AI/AN health needs and advance health equity.

Funding will assist in public health infrastructure improvement; workforce development; tribal data and information systems enhancement; increased tribal public health resources and communication; and tribal public health partnership development to increase the long-term sustainability of the collective tribal public health system.

Purpose The purpose of this supplemental NOFO is to announce the availability of funding for the AI/AN tribal nations and regional AI/AN tribally designated organizations that have been awarded funding under CDC-RFA-OT18-1803: Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative Agreement. The CDC-RFA-OT18-1803 recipients are eligible to submit applications for new FY 2018 CIO Project Plans according to the Geographic Category (A, B, or C)* for which they received initial funding. The goal of this additional funding is to provide resources for to optimize the quality and performance of tribal public health systems, including infrastructure, workforce, data and information systems, programs and services, resources and communication, and partnerships. Work in these areas will increase the capacity of Indian Country to identify, respond to, and mitigate public health threats and decrease burden of disease among AI/ANs.

*The geographic categories are the following: 1) Category A: HHS Regions I, II, III, and IV; 2) Category B: HHS Regions V, VI, and VII; and 3) Category C: HHS Regions VIII, IX, and X.

Program Implementation

Recipient Activities Please review individual CIO Project Plans for specific 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 Plans.

1. Tribal Public Health Systems Infrastructure Improvement: Activities to improve tribal public health operational capacity, such as policies and plans, administration and management, and quality improvement, may include, but are not limited to, the following

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

Establish and maintain a plan with policies and procedures for urgent and non-urgent communications

Conduct a comprehensive planning process resulting in a tribal health improvement plan (Public Health Accreditation Board [PHAB] Standard 5.2)

Assist the target population in building new models that integrate clinical and public health

Develop and implement a health department organizational strategic plan Implement data-driven approaches, such as quality improvement and performance management, within organizational practices, programs, processes, and interventions (PHAB Standards 9.1 and 9.2)

Establish and maintain effective financial management systems Establish and maintain a continuity of operations plan Establish and maintain current operational definitions and statements of the public health roles, responsibilities, and authorities (PHAB Standard 12.1)

2. Tribal Public Health Workforce: Activities to improve tribal public health workforce competencies and retention may include, but are not limited to, the following:

Select or develop culturally appropriate trainings, educational materials, and process evaluation tools to build workforce capacity

Identify and address continuing education for core and discipline-specific competencies and leadership development needs

Incorporate core and discipline-specific competencies for public health professionals into job descriptions and performance evaluations (HP 2020 PHI-1)

Use core and discipline-specific public health competencies, individual training and professional development, and provisions of a supportive work environment to ensure a competent workforce (PHAB Standard 8.2)

Implement culturally appropriate evidence-based and evidence-informed strategies to develop and sustain supportive work environments

Promote the use of internships, fellowships, post-graduate programs, etc., to recruit and strengthen the public health workforce

Inform and educate health officials and other governing leaders on public health issues and functions and their role in strategic workforce development

3. Tribal Data/Information Systems Including Epidemiologic Surveillance Capacity Expansion: Activities to increase the use of data and information systems may include, but are not limited to, the following:

Create policies to establish data governance Identify and implement culturally appropriate strategies and protocols to improve health data collection, interpretation, and dissemination Participate in or lead a collaborative process resulting in a comprehensive community health assessment Develop and implement strategies and protocols critical for integrating surveillance and monitoring systems to improve health data collection, interpretation, and dissemination Create manuals and protocols to improve data quality and standardization of data and information systems Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population (PHAB Standard 1.2)

Develop and implement strategies to promote informatics and health information exchange among health/public health and nongovernmental entities

Provide and use the results of the health data analysis and assessments to develop recommendations regarding public health policy, processes, programs, and interventions (PHAB Standard 1.4)

Provide staff training on data collection, analysis, and reporting

4. Tribal Public Health Programs and Services: Activities to strengthen the ability to meet public health needs in a comprehensive manner may include, but are not limited to, the following:

Provide health education and health promotion policies, programs, processes, and interventions to support prevention and wellness

Assist the target population with identifying and prioritizing programs that efficiently maximize effectiveness in lowering disease rates, preventing injuries, and improving health

Assess healthcare service capacity and access to healthcare services Evaluate the health effects and costs of legislation, regulations, and policies Identify and implement strategies to improve linkage to healthcare services (PHAB

Standard 7.2) Facilitate the target population's cultural adoption of evidence-based and evidence-informed initiatives that promote health and prevent disease and injury Identify and use the best available evidence for making informed public health practice decisions (PHAB Standard 10.1)

5. Tribal Public Health Resources and Communication: Activities to improve provision of public health resources that are readily available and accessible throughout Indian Country may include, but are not limited to, the following:

Provide information about public health issues and public health functions through multiple methods to audiences in multiple sectors and community partners (PHAB Standard 3.2)

Assist the target population with developing and disseminating educational materials, health communication and marketing activities, program evaluation and assessment tools, and training curricula that build their capacity

Promote the target population's understanding of and support for policies and strategies that will improve the public's health

Actively communicate research results, evaluations, and evidence-based and evidence-informed practices in a culturally appropriate manner

Assist the target population in providing and using the results of health data analysis to develop recommendations for public health policy, processes, programs, and/or interventions.

Develop and implement culturally appropriate health communication and marketing activities as a multidisciplinary area of science, practice, and training

Identify successful practices and develop new mechanisms to inform and mobilize the public and private sectors in collaborative efforts to move toward a healthier population

Assist the target population in documenting the status of health disparities and health equity outcomes in a culturally appropriate manner

6. Tribal Public Health Partnerships: Activities to improve development and maintenance of multi-sector, results-driven partnerships at various levels may include, but are not limited to, the following:

Facilitate mobilization of public and private sectors to enhance collaboration and partnerships that address the target population's public health needs

Identify successful practices and develop new mechanisms to inform and mobilize the public and private sectors (e.g., transportation agencies, law enforcement agencies, fire departments, school systems, colleges and universities) in collaborative efforts to move toward a healthier population

Establish and maintain diverse public health partnerships for meaningful cooperation and achievement of evidence-based and evidence-informed public health strategies and interventions

Provide information to the governing entity regarding public health and the official responsibilities of the health department and of the governing entity (PHAB Standard 12.2)

Actively engage with the public health system and community in identifying and addressing health problems through collaborative processes

Increase active participation in partnerships and collaborations with healthcare providers, governmental departments, public health scientific communities, universities, and private sector organizations to pursue identified population health goals

Encourage the governing entity's engagement in the health department's overall obligations and responsibilities

Evaluate existing, emerging, or new models that promote collaboration among key stakeholders to address the health and safety of persons living with the leading causes of mortality, morbidity, and injury

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

CDC Activities CDC anticipates activities funded under this NOFO, including the CIO Project Plans, will lead to the development of resources such as tools, materials, software, trainings, and webinars.

Recipients are expected to share these resources with CDC and will receive further guidance upon funding.

Collaborate with recipients to ensure coordination and implementation of strategies to provide capacity-building and quality improvement assistance to tribal health systems

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

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

Collaborate with recipients to compile and publish accomplishments, best practices, performance criteria, and lessons learned during the period of performance

Collaborate with recipients, 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

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

Award Mechanism: U38

Fiscal Year Funds: 2018 Approximate Total Supplemental Funding: $35,000,000 This amount is subject to availability of funds. Includes direct and indirect costs.

The funding levels represent approximate funding across multiple CIO Project Plans. Individual awards will very depending on the activities and the approximate funding available for each CIO Project Plan.

The table below lists the CIO Projects Plans for this FY 2018 supplemental NOFO, which is Year 1 of the initial CDC-RFA-OT18-1803 NOFO: Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative Agreement. Each CIO Project Plan will be added to the “Related Documents” section on Grants.gov under this supplemental NOFO. Applicants are eligible to submit applications for FY 2018 CIO Project Plans according to the Geographic Category (A, B, or C) for which they received initial funding. The geographic categories are the following: 1) Category A: HHS Regions I, II, III, and IV; 2) Category B: HHS Regions V, VI, and VII; and 3) Category C: HHS Regions VIII, IX, and X.

Please note: Any activities involving information collection (e.g., surveys and questionnaires) from 10 or more non-federal individuals/entities are subject to OMB/PRA requirements and may require CDC to coordinate an OMB Information Collection Clearance.

Table 1: CIO Project Plans

Project Title Proposed Project Funding per Recipient

Eligible Geographic Category

Baseline Assessment of Blood Lead Levels in $150,000 A, B, and C http://www.grants.gov/

American Indian/Alaska Native Children Building Capacity to Prevent and Control Rocky Mountain spotted fever in Arizona

$200,000 - $400,000 C

Increasing Tribal Public Health Leadership and Capacity

$750,000 B

Inventory of Fall Prevention Activities and Fall Data Sources at IHS Healthcare Facilities

$100,000 A, B, and C

Linking Tribal and IHS data with National Death Index, and Linkage Training for Tribal Epidemiology Centers

$2,600,000 C

Opioid Overdose Prevention in Tribal Communities

$250,000 - $1,000,000 A, B, and C

Support Tribal Health Department Capacity to Accelerate CDC’s 6|18 Initiative and Approach

$50,000 A, B, and C

Training for tribal paraprofessionals and expanding AI/AN BRFSS activities in state Tribal communities

$750,000 B

Tribal Motor Vehicle Injury Prevention Project $400,000 A, B, and C Umbrella Approach to Support Tribes in Participating in the National Diabetes Prevention Program

$750,000 B

Approximate Number of Awards: 25 Number of recipients for each individual CIO Project Plan varies. Please review the CIO Project Plans for more details.

Approximate Average Award: $400,000 This amount is for the budget period only and includes direct costs and indirect costs as applicable.

Floor of Individual Award Range: $0 Ceiling of Individual Award Range: $3,600,000 This ceiling is for a 12-month budget period.

Please note: The individual award ceiling various among CIO Project Plans. Applicants should review each CIO Project Plan carefully to ensure they do not exceed the ceiling funding amount for a given CIO Project Plan.

Anticipated Award Date: 08/31/2018 Budget Period Length: 12 month(s) Period of Performance Length: 5 year(s)

Section III. Eligibility Information

Eligible Applicants The following recipients may submit an application:

Eligibility Category: Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments) Others (see text field entitled "Additional Information on Eligibility" for clarification)

Only the American Indian/Alaska Native (AI/AN) tribal nations and regional AI/AN tribally designated organizations that were awarded under CDC-RFA-OT18-1803: Tribal Public Health Capacity-Building and Quality Improvement Umbrella Cooperative Agreement are eligible to submit applications under this supplemental NOFO, CDC-RFA-OT18-18030101SUPP18.

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 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

Cost sharing or matching funds are not required for this program. Although there is no statutory match requirement for this program, CDC strongly encourage recipients to leverage other resources and related ongoing efforts to promote sustainability.

Sources for cost sharing or matching include complementary foundation funding, other US government funding sources, including programs supported by HHS or other agencies (e.g., Department of Agriculture, Department of Education, Department of Housing and Urban Development, Department of Transportation, Environmental Protection Agency, US Park Service) and other funding sources.

Other

If a funding amount greater than the ceiling of the award range is requested, the application will be considered non-responsive and will not be entered into the review process. The recipient will be notified that the application did not meet the eligibility requirements.

Special Requirements Please review individual CIO Project Plans for any additional 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.

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 https://www.grants.gov mailto:support@grants.gov

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

The CIO Project Plans are organized in this FY 2018 supplemental NOFO by Geographic Category (A, B, or C). Each CDC-RFA-OT18-1803 recipient is permitted to submit Work Plans in response to CIO Project Plans that target the Geographic Category for which the recipient competed and was awarded funding under Funding Strategy 1. All CIO Project Plans are included the "FY 2018 CIO Project Plans" attachment for this supplemental NOFO on Grant s.gov. Applicants are permitted to respond to more than one CIO Project Plan.

Content: Recipients are expected to carry out program capacity-building and/or quality improvement strategies and activities to achieve the program outcomes and to identify and document additional outcomes accomplished. The capacity-building and quality improvement activities performed under each project should work towards the short-term and intermediate outcomes specified in the CIO Project Plan. For each program outcome:

Indicate the proposed strategies accompanying activities for accomplishing the identified Outcomes within the budget period.

Identify a performance measure(s), i.e. process and outcome, that are associated with each Outcome.

Provide a timeline for accomplishing proposed objectives, strategies, and activities within the budget period.

Identify and justify any redirection of activities. Explain the methods you will use to implement the new, redirected activities.

Provide line-item budgets and budget narratives for the categories indicated in the template and narratives for each Work Plan.

Work Plans: To align with the structure of this supplemental NOFO, the Work Plan represents the "Project Narrative". Applicants must complete a work plan template (see "Work Plan Template" attached for this supplemental NOFO on Grants.gov) for each CIO Project Plan for which they would like to apply. Once a template is completed for each, applicants must create and save one master merge of all individual Work Plan PDFs. The submitted work plans in response to CIO Project Plans must include the proposed objectives and accompanying activities, outputs, performance measures, and outcomes for the Year 1 budget period. The work plans must indicate how each performance measures are linked to the selected program outcome(s). In addition, each submitted work plan must describe the approach to implement the project, the applicant's organizational capacity, and the applicant's organizational experience, as they relate to the CIO proposed project; detail a plan for collaborative work (if required); and provide a detailed budget narrative. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

Budget Narratives: Applicants must create a separate budget narrative to accompany each Work Plan in response to a CIO Project Plan. Once all budget narratives are developed, applicants must create and save one master merge of all individual budget narratives. The master budget narrative document must be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

http://www.grants.gov/

General instructions for submitting responses to CIO Project Plans:

1. Go to Grants.gov.

2. Select "Applicants."

3. Select "Apply for Grants."

4. Select "Get Application Package."

5. Insert the Supplemental NOFO number only, formatted as: CDC-RFA-OT18-

18030101SUPP18.

6. Download the application package.

7. Complete the Budget Information for Non-Construction Programs (SF424A) form.

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

(SF425).

9. Upload the master Work Plan document under "Project Narrative".

10. Upload the master master Budget Narrative document under "Budget Narrative".

11. Upload the Indirect Cost Rate Agreement.

12. 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.

Please note: The project abstract should reflect the entire submission, if applicants respond to multiple 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: 20. 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 Single 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".

Applicants must complete a work plan template (see "Work Plan Template" attached for this supplemental NOFO on Grants.gov) for each CIO Project Plan for which they would like to apply. 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. The submitted work plans in response to CIO Project Plans must include the proposed objectives and accompanying activities, outputs, performance measures, and outcomes http://www.grants.gov/ http://www.grants.gov/ for the Year 1 budget period. The work plans must indicate how each performance measures are linked to the selected program outcome(s). In addition, each submitted work plan must describe the approach to implement the project, the applicant's organizational capacity, and the applicant's organizational experience, as they relate to the CIO proposed project; detail a plan for collaborative work (if required); and provide a detailed budget narrative. 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 a CIO Project Plan. As a reminder, applicants must create and save one master merge of all individual budget narratives. The master budget narrative document must be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

Please note: An Annual Performance Report (APR) will be required for each work plan. The APR must provide a status of proposed objectives, performance measures (i.e., process and outcome), strategies, activities, outputs, and outcomes. CDC will provide additional information regarding APRs post funding strategy 2 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 Approach: 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. Program 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: Includes 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:

Additional information submitted via Grants.gov must be uploaded in a PDF file format and http://www.grants.gov/ should be titled:

Table of Contents for Entire Submission Project Abstract Summary Work Plans (one master PDF file) Budget Narratives (one master PDF file) CDC Assurances and Certifications Indirect cost rate, if applicable Curriculum Vitas for key staff

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

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. 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.

http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

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 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.

https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

Application Deadline Date Due Date for Applications: 08/12/2018

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. Pursuant to applicable grant regulations and CDC’s Public Access Policy, Recipient agrees to submit into the National Institutes of Health (NIH) Manuscript Submission (NIHMS) system an electronic version of the final, peer-reviewed manuscript of any such work developed under this award upon acceptance for publication, to be made publicly available no later than 12 months after the official date of publication. Also at the time of submission, Recipient and/or the Recipient’s submitting author must specify the date the final manuscript will be publicly accessible through PubMed Central (PMC).