CDC-RFA-SH22-2201.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR HEALTH STATISTICS

State Vital Statistics Improvement Program

CDC-RFA-SH22-2201

05/07/2022

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- SH22-2201. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

State Vital Statistics Improvement Program C. Announcement Type: New - Type 1:

This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52- 2.pdf. Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr- 46/index.html (See section 45 CFR 46.102(d)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-SH22-2201

E. Assistance Listings Number:

93.066 F. Dates:

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

04/03/2022

2. Due Date for Applications:

https://www.grants.gov/ https://www.grants.gov/ https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html

05/07/2022 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

N/A

G. Executive Summary:

1. Summary Paragraph The Centers for Disease Control and Prevention (CDC) intends to establish a cooperative agreement with an organization with established relationships with all state, territorial and city (New York City and District of Columbia) vital statistics offices to enhance the performance of the National Vital Statistics System (NVSS). Vital statistics data are provided through contracts between the National Center for Health Statistics (NCHS) and the jurisdictions legally responsible for the registration of births, deaths, fetal deaths, marriages and divorces. Without full participation by all jurisdictions, using uniform standards of data collection and delivery, reliable information would not be available for critical public health action.

The purpose of this funding opportunity is to enhance the performance of the NVSS by convening states and providing Technical Assistance to aid in:

a) improving vital statistics data quality, timeliness and public health utility,

b) increasing the competencies of the vital statistics workforce, and

c) supporting accreditation of jurisdictional vital statistics programs.

The current Cooperative Agreement has been successful in convening jurisdictions for similar work. This funding opportunity builds on and advances those accomplishments, including promotion of birth data quality training, death data quality metrics and strategies; training of Vital Records office staff; technical assistance; and support of jurisdictions seeking accreditation.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$3,600,000

e. Average One Year Award Amount:

$720,000

f. Total Period of Performance Length:

g. Estimated Award Date:

August 18, 2022

h. Cost Sharing and / or Matching Requirements:

No https://www.grants.gov/

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

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview The National Vital Statistics System (NVSS) is the oldest and most successful example of inter-governmental data sharing in Public Health and the shared relationships, standards, and procedures form the mechanism by which the National Center for Health Statistics (NCHS) collects and disseminates the nation’s official vital statistics. These data are used by national, state, and local public and private entities to measure and evaluate the challenges and progress made in maternal and child health, chronic disease, COVID-19, influenza surveillance, suicide, and drug overdoses.

These data are provided through contracts between NCHS and vital registration systems operated in the various jurisdictions legally responsible for the registration of vital events: births, deaths, marriages, divorces, and fetal deaths. Without full participation by all 50 states, 5 territories, and 2 cities, using uniform standards of data collection and delivery, reliable information would not be available for critical public health action.

The purpose of this funding opportunity is to enhance the performance of the National Vital Statistics System by convening states to aid in:

a) improving vital statistics data quality, timeliness, and utility for public health,

b) increasing the knowledge and competencies of the vital statistics workforce, and

c) promoting accreditation of state vital statistics programs consistent with NCHS goals.

Results from the current Cooperative Agreement (CDC-RFA-SH17-1700) include demonstrated success in convening jurisdictions for similar work, and this funding opportunity builds on and advances those accomplishments to date, including promotion of birth data quality training, training of Vital Records office staff, technical assistance, and support of jurisdictions seeking Vital Records and Health Statistics Public Health Accreditation. For example, under the current Cooperative Agreement, virtual training was developed and allowed for higher participation, accreditation standards were developed, and the first few jurisdictions achieved public health accreditation.

b. Statutory Authorities Public Health Service Act, Sections 304 and 306 (42 U.S.C. Sections 242b and 242k)

c. Healthy People 2030 This program addresses the Healthy People 2030 topic area of Public Health Infrastructure (Public Health Infrastructure - Healthy People 2030 | health.gov) by supporting the accreditation of vital records/health statistics programs and enhancing the use and capabilities of informatics in public health.

d. Other National Public Health Priorities and Strategies https://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructure

This program supports the Centers for Disease Control Surveillance Strategy (Improving Public Health Surveillance | CDC) by supporting the delivery of high quality and timely vital statistics data for rapid release and public health surveillance.

e. Relevant Work This program builds on the current State Vital Statistics Improvement Program Cooperative Agreement, CDC-RFA-SH17-1700 that provides Vital Records workforce training and mentoring, development, and piloting of Public Health Accreditation Board accreditation standards for vital statistics programs, and development and promotion of vital statistics data quality measures and strategies for improvement. Other relevant work among states and NCHS includes the Vital Statistics Cooperative Program contract with all 57 jurisdictional vital statistics programs.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-SH22-2201 Logic Model: State Vital Statistics Improvement Program Bold indicates period of performance outcome

Strategies and Activities

Short-term Outcomes Intermediate Outcomes Long-Term Outcomes

Promote and support jurisdictions in methods to monitor and improve birth, death and fetal death data quality.

Support the work of the joint NCHS/State Birth Data Quality Workgroup

(BDQW).

Coordinate and facilitate the development of staff knowledge and competencies at jurisdiction vital statistics

Jurisdiction vital statistics office staff:

— Are aware of data quality metrics, strategies and resources to monitor and improve data quality.

— Are aware of data provider training and how to access it.

— Are aware of available training opportunities, resources and Technical Assistance.

— Engage regularly in webinars, meetings and other cross-jurisdictional/NCHS information sharing opportunities.

Data users are aware of the quality of mortality data nationally and in their own jurisdictions.

Recommendations on best practices for data collection and reporting are utilized by the jurisdictions.

Birthing facilities across the country are using the birth e-learning training.

Jurisdictions routinely promote and track use of e-learning birth data quality training among all birthing facilities.

Increased number of jurisdiction vital statistics office staff are knowledgeable and

Mortality data is of greater value to public health programs and other data users.

Quality of birth and fetal death data is significantly improved across jurisdictions.

Vital statistics offices have adequate and skilled staff to meet changing needs of the vital statistics workforce.

Jurisdiction vital statistics data are more timely, https://www.cdc.gov/surveillance/improving-surveillance/index.html https://www.cdc.gov/surveillance/improving-surveillance/index.html agencies.

Promote and support jurisdictions in obtaining Vital Records and Health Statistics accreditation.

Provide Technical Assistance to jurisdictions.

— Participate in training and collaborative opportunities.

skilled in methods to improve the timeliness, quality and utility of vital statistics data.

Increased number of jurisdiction vital statistics offices initiate the accreditation process.

Jurisdictions effectively use Technical Assistance to improve business processes and implementation of efficient and effective electronic systems.

higher quality and of greater utility for public health use.

Jurisdiction vital statistics agencies achieve accreditation.

Jurisdictions and data users are aware of impact of accreditation on agency performance and utility of vital statistics data.

Jurisdictions utilize NCHS standards in effectively implementing electronic systems.

i. Purpose The purpose of this funding opportunity is to enhance the performance of the NVSS by supporting vital statistics offices in

a) improving vital statistics data quality, timeliness and public health utility,

b) increasing the competencies of the vital statistics workforce, and

c) supporting accreditation of jurisdictional vital statistics programs.

ii. Outcomes As identified in the logic model above, the outcomes below are expected to be achieved during the period of performance.

Short-term Outcomes:

1. Jurisdiction vital statistics office staff:

Are aware of data quality metrics, strategies and resources to monitor and improve data quality.

Are aware of data provider training and how to access it.

Are aware of available training opportunities, resources and Technical Assistance.

Engage regularly in webinars, meetings and other cross-jurisdictional/NCHS information sharing opportunities.

Participate in training and collaborative opportunities.

Intermediate Outcomes:

1. Recommendations on best practices for data collection and reporting are utilized by the jurisdictions.

2. Jurisdictions routinely promote and track use of e-learning birth data quality training among all birthing facilities.

3. Increased number of jurisdiction vital statistics offices initiate the accreditation process.

4. Jurisdictions effectively use Technical Assistance to improve business processes and implementation of efficient and effective electronic systems.

Long-Term Outcome:

1. Jurisdiction vital statistics agencies achieve accreditation.

iii. Strategies and Activities Strategies and Activities the recipient is expected to achieve include the following:

Promote and support jurisdictions in methods to monitor and improve birth, death and fetal death data quality. At a minimum, activities will include the following:

1. Organize and host webinars at least quarterly on methods to improve the quality of death data.

2. Organize and host webinars at least annually on methods to improve the quality of birth and fetal death data.

3. Collaborate with jurisdictions to compile and/or test best and promising practices in priority areas.

4. As public health needs arise, coordinate meetings and communication with jurisdictions regarding collection of additional birth, death or fetal death items.

Support the work of the joint NCHS/State Birth Data Quality Workgroup (BDQW). Activities will include the following:

1. Promote state participation.

2. Provide a meeting platform, manage meeting agendas, distribute notes and resources for the group.

3. Promote the implementation and use of the birth e-learning training via a) training of field representatives at annual/bi-annual meetings via presentations, etc.; b) providing notice of and link to training on organization’s webpage; c) providing routine reminders of training availability and special notices of training upgrades, etc.; d) tracking and sharing with the BDQW feedback from the training; and e) contacting appropriate professional organizations to encourage awareness and use of training by organization members.

Coordinate and facilitate the development of staff knowledge and competencies at jurisdiction vital statistics agencies, to meet both current needs and future demands. At a minimum, activities will include the following:

1. Provide training to the jurisdiction workforce, including standalone modules for leadership, registration, field services and quality assurance.

2. Plan and coordinate special interest information-sharing groups; topics may include Field Services and Data Quality Assurance and Vital Records Systems.

3. Promote NCHS resources with the jurisdictions, including use of NCHS standards and training.

4. Coordinate monthly webinars and other information sharing opportunities among jurisdictions and NCHS to foster information sharing.

5. Maintain and update at least annually a jurisdictional database of relevant information, including whether jurisdictions have open or closed records, status of electronic systems, organizational structure characteristics (e.g., local registration, Medical Examiner and Coroner systems, etc.)

Promote and support jurisdictions in obtaining Vital Records and Health Statistics accreditation.

1. Identify key jurisdiction staff and officials responsible for stewarding accreditation efforts.

2. Promote accreditation to jurisdiction registrars and health officers through webinars and other means.

3. Assist jurisdictions in a) assessing their office against the standards and developing/recommending strategies to address shortfalls; and b) attaining full accreditation.

4. Develop evaluation measures, document accreditation activities and evaluation results to adjust approach based on results.

Provide Technical Assistance to jurisdictions.

1. Identify jurisdictions in need of Technical Assistance. Assistance topics may include the following:

a. Business process improvement

b. Funding proposal writing

c. Implementation of NCHS standards

d. Implementation of electronic systems

e. Other areas identified during the period of performance that will strengthen the integrity and quality of the National Vital Statistics System

2. Conduct needs assessment and Technical Assistance strategy with jurisdictions requesting Technical Assistance.

3. Conduct Technical Assistance.

4. Develop report to include strengths, weaknesses, assistance provided and recommendations.

In furtherance of the underlying purposes of this NOFO, the recipient is expected to provide copies of and/or access to all data, software, tools, training materials and guidelines developed under this NOFO to CDC, pursuant to 45 CFR 75.

1. Collaborations

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

The recipient is required to collaborate through established relationships with all 57 jurisdictional Vital Statistics offices (all 50 states, New York City, District of Columbia, American Samoa, Guam, Northern Marianas, Puerto Rico, and the U.S. Virgin Islands) by:

a) convening all 57 jurisdictions for meetings and conference calls to advance vital statistics program goals,

b) providing technical assistance and training to vital statistics offices in adoption of NCHS standards, vital statistics best practices and process improvement,

c) supporting improved data quality, and

d) supporting the accreditation of jurisdictional vital statistics offices.

b. With organizations not funded by CDC:

The recipient is required to collaborate with the Public Health Accreditation Board in its technical assistance to jurisdictions seeking accreditation.

2. Target Populations Funded programs are encouraged to include people with disabilities in all aspects of the program (e.g., advisory boards, planning committees, project staff, consultants, etc.). For additional information about disability inclusion, go to http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html.

Where appropriate, applicants are encouraged to also include the following: tribal organizations;

rural populations; non-English speaking populations; lesbian, gay, bisexual, transgender and queer (LGBTQ+) populations.

a. Health Disparities Consistent with the purposes of this NOFO, the applicant is expected to assist the 57 jurisdictions in the collection of vital statistics data, including uniform, complete, and accurate collection of race, gender, age, geography, etc. according to the United States standards and NCHS guidance. These data are routinely used at the federal, state, and local level to identify and address health disparities in maternal and child health indicators, and mortality from a variety of diseases including influenza, COVID-19, chronic diseases, and drug overdoses.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

This section includes both process and outcome measures that the recipient must use as part of its evaluation and performance measurement plan. These measures are presented by Strategy or Activity. Additional process and/or outcome measures may be proposed by the recipient.

Both process and outcome measures are to be monitored and reported to CDC through regular reporting. (See Reporting section below.)

Process measures for the recipient's Strategies and Activities must include:

http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html

1. Promote and support jurisdictions in methods to monitor and improve birth, death and fetal death data quality.

Measures:

Priority webinar topics selected.

Webinar plan and schedule developed.

Webinars marketed to appropriate jurisdiction staff.

Webinars held and feedback solicited from participants for future improvements.

Plan developed to collaborate with jurisdictions to compile and test best and promising practices in improving data quality.

Report produced that includes results of jurisdiction testing and/or recommendations for best and promising practices, to include limitations and next steps.

2. Support the work of the joint NCHS/State Birth Data Quality Workgroup (BDQW).

Measures:

Subgroup members recruited. Process for item review developed.

Webinar held to present item review process with all jurisdictions. Literature review begun on selected items.

Notes of all BDQW meetings and subgroup meetings taken and distributed.

Link to e-learning and notice of training launch added to a webpage available to jurisdictions.

Data provider/user groups identified.

Notes of all BDQW meetings and subgroup meetings taken and distributed.

E-learning training promoted at annual regional meetings and field representative trainings.

Staff competencies at jurisdiction vital statistics agencies coordinated and developed.

3. Coordinate and facilitate the development of staff knowledge and competences at jurisdiction vital statistics agencies, to meet both current needs and future demands.

Measures:

Training plan for stand-alone modules developed.

Standalone training modules developed, published and promoted.

Jurisdictions recruited for at least two Special Interest groups.

Monthly meetings of at least two Special Interest groups held.

Plan developed and promotion begun for the Vital Records and their Administration course.

Vital Records and their Administration course held and evaluation complete (at least 90% positive).

Plan developed for new registrar orientation.

New registrar orientation held and evaluation complete (at least 90% positive).

Plan developed for training data quality and field representative staff.

Data quality and field representative training held and evaluation complete (at least 90% positive).

Jurisdictional database fields developed.

Jurisdictional database updated annually.

NCHS standards, training and other resources incorporated into training products.

Training products are 508 website compliant.

Plan for monthly webinars and other information sharing opportunities developed.

Monthly webinars held.

Reports developed at least quarterly on training attendance, outcomes and lessons learned for continual improvement.

Catalog of all training resources available to jurisdictions created and updated at least annually.

4. Promote and support jurisdictions in obtaining Vital Records and Health Statistics accreditation.

Measures:

Key jurisdiction staff and officials responsible for stewarding accreditation efforts identified.

Plan established to continuously recruit jurisdictions to register for accreditation status.

Plan established to continuously support jurisdictions through the accreditation process.

At least 5-8 jurisdictions initiate the accreditation process annually.

At least 3 jurisdictions complete the accreditation process annually.

5. Provide Technical Assistance to jurisdictions.

Measures:

Plan established for Technical Assistance promotion, delivery and reporting.

Needs assessment completed for at least two jurisdictions requesting technical assistance annually.

Reports completed for Technical Assistance provided, including findings, recommendations and results.

Period of Performance Outcomes Measures must include:

Short-term Outcomes:

Jurisdiction vital statistics office staff:

— Are aware of data quality metrics, strategies and resources to monitor and improve data quality.

Measures: At least 75% of the jurisdictions attend grantee-hosted webinars on data quality metrics, strategies and resources.

— Are aware of data provider training and how to access it.

Measures: At least 75% of the jurisdictions attend grantee-hosted webinar to present e-learning training.

— Are aware of available training opportunities, resources and technical assistance.

Measures: At least 75% of the jurisdictions attend grantee-hosted webinar to present an overview of training opportunities, resources, and technical assistance available.

— Engage regularly in webinars, meetings and other cross-jurisdictional/NCHS information sharing opportunities.

Measures: At least 75% of the jurisdictions attend grantee-hosted webinars and/or meetings related to NCHS/jurisdiction vital statistics initiatives and updates.

— Participate in training and collaborative opportunities.

Measures: Number of jurisdictions participating in training and special interest group opportunities.

Intermediate Outcomes Recommendations on best practices for data collection and reporting are utilized by the jurisdictions.

Measures: The percentage of jurisdictions reporting use of best practices increases by at least 15%.

Jurisdictions routinely promote and track use of e-learning birth data quality training among all birthing facilities.

Measures: Number of jurisdictions that routinely promote and have established policies for following up with hospitals on the use of e-learning training.

Increased number of jurisdiction vital statistics offices initiate the accreditation process.

Measures: At least 15 vital statistics offices volunteer to start the accreditation process.

Jurisdictions effectively use Technical Assistance to improve business processes and implementation of efficient and effective electronic systems.

Measures: At least 8 vital statistics offices report improvements to business processes and implementation of efficient and effective electronic systems.

Long Term Outcomes Jurisdiction vital statistics agencies achieve accreditation.

Measures: Number of jurisdictions accredited.

All performance measures and findings will be used to demonstrate the value of the NOFO and an evidence base for best practices and for continuous program quality improvement.

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

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

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

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

Plans for updating the Data Management Plan (DMP) as new pertinent information becomes available. If applicable, throughout the lifecycle of the project. Updates to DMP should be provided in annual progress reports. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data;

data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additional-requirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, the applicant should be directed to:

Describe the type of evaluations (i.e., process, outcome, or both).

Describe key evaluation questions to be addressed by these evaluations.

Describe other information (e.g., measures, data sources).

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan is not required for this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach The applicant is required to demonstrate they have the following to successfully implement the project activities and expected outcomes of this NOFO:

1. Established relationships with all 57 jurisdictions' vital statistics offices, and experience in

a) development and support of vital statistics standards and best practices; b) training and technical assistance to jurisdictions in all aspects of vital records and vital statistics operations, statistics and electronic systems; c) convening vital statistics offices to advance vital statistics initiatives; d) developing, testing, and promoting vital statistics accreditation standards; and e) established communication mechanisms with all 57 vital statistics offices.

A letter of support written on behalf of the 57 jurisdictions of experience and established relationships with the 57 jurisdiction vital statistics offices must be uploaded in grants.gov;

this file must be named "LOS-JurisdictionalSupport."

2. Program planning skills to implement workforce development activities, vital statistics training and technical assistance, data quality and timeliness initiatives and accreditation planning, promotion, and implementation. Experience utilizing these skills must be described in the narrative.

3. Virtual and in person meeting planning, facilitation and evaluation skills and experience.

Experience using these skills must be described in the narrative.

4. Ability to write and award contracts in accordance with applicable grant regulations.

Relevant experience must be described in the narrative.

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

5. Personnel with skills and experience in vital statistics. CVs/Resumes and Organizational Charts must be uploaded in grants.gov; these files must be named “CVs-Resumes” and “Organizational Charts”.

6. A financial management system that will allow proper funds management and segregation of funds by program and meet the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards: 45 CFR Part

75.302. The financial system should permit the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statutes, regulations, and terms and conditions of the federal award. A description of the organization's financial management system that meets these requirements must be described in the narrative.

d. Work Plan The applicant must provide a detailed work plan for year one of the project and a high-level work plan for the remaining four years. The applicant should make clear how the components in the work plan crosswalk to the strategies and activities, outcomes, and evaluation and performance measures presented in the logic model and the narrative sections of the NOFO.

To assist in this crosswalk, a sample work plan is provided below that provides the required information. In this format, the table must be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure [from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

6.

This format is not required but will ensure the applicant has included all the required information.

e. CDC Monitoring and Accountability Approach

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

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

Tracking recipient progress in achieving the desired outcomes.

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

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

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

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

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

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

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

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

Specific monitoring activities will include a focus on priority performance measures, including:

a) jurisdictions’ awareness and engagement in data quality, training and accreditation activities,

b) jurisdictions' adoption and use of data quality tools and metrics (i.e., e-learning, proposed improvements to birth or fetal death collection, mortality data metrics and strategies),

c) technical assistance results, and

d) number of accredited jurisdiction vital statistics agencies.

CDC will gather this information from the recipient’s regular reporting of performance measures, as well as its own assessment of jurisdiction birth, death and fetal death data quality, jurisdiction feedback, and direct observations on conference calls, trainings and meetings.

f. CDC Program Support to Recipients

CDC will provide consultation and technical assistance in planning and implementation of specific projects proposed by the recipient for activities of this NOFO, in order to ensure the projects meet the overall objectives of this NOFO and are consistent with and meet CDC program-specific objectives and available resources. CDC subject matter experts will be available for participation on workgroups that include recipient and jurisdictional representatives to accomplish the outcomes of this NOFO.

CDC will review and approve any award modifications or sub-awards prior to their award.

CDC will routinely share information related to emerging vital statistics initiatives that may impact this NOFO.

B. Award Information

1. Funding Instrument Type:

CA (Cooperative Agreement) CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism:

U38 – Uniform National Health Program Reporting System

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$720,000

5. Total Period of Performance Funding:

$3,600,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$3,600,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$720,000 Per Budget Period

9. Award Ceiling:

$3,600,000 Per Project Period

This amount is subject to the availability of funds.

10. Award Floor:

$720,000 Per Budget Period

11. Estimated Award Date:

August 18, 2022

12. Budget Period Length:

12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

13. Direct Assistance Direct Assistance (DA) is not available through this NOFO.

If you are successful and receive a Notice of Award, in accepting the award, you agree that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

C. Eligibility Information

1. Eligible Applicants Eligibility Category:

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

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

23 (Small businesses)

20 (Private institutions of higher education)

22 (For profit organizations other than small businesses)

13 (Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education)

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

11 (Native American tribal organizations (other than Federally recognized tribal governments))

08 (Public housing authorities/Indian housing authorities)

07 (Native American tribal governments (Federally recognized))

06 (Public and State controlled institutions of higher education)

05 (Independent school districts)

04 (Special district governments)

02 (City or township governments)

01 (County governments)

00 (State governments)

2. Additional Information on Eligibility The award ceiling in the first 12 months for this NOFO is $720,000. CDC will consider any application requesting an award higher than this amount as nonresponsive and it will receive no further review.

In addition, applications will be considered non-responsive if they do not contain a letter of support written on behalf of the 57 jurisdictions’ vital statistics offices. The letter of support must include the following information or the application will be considered non-responsive:

confirmation that the applicant has established relationships with all 57 jurisdictions’ vital statistics offices, including experience in supporting vital statistics standards and best practices and convening vital statistics offices to advance vital statistics initiatives. To be considered responsive, applicants must file the letter of support, name the file “LOS-JurisdictionalSupport”, and upload it as a PDF file at www.grants.gov.

3. Justification for Less than Maximum Competition N/A

4. Cost Sharing or Matching Cost Sharing / Matching Requirement:

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

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

D. Application and Submission Information

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

PLEASE NOTE: For applications due on or after April 4, 2022, applicants must have a unique entity identifier (UEI) at the time of application submission (SF-424, field 8c). In preparation for the federal government’s April 4, 2022 transition to the Unique Entity Identifier (UEI) from the Data Universal Numbering System (DUNS), applicants must obtain a UEI. The UEI is generated as part of SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and can view it in SAM.gov and grants.gov. Entities registering in SAM.gov prior to April 4, 2022 must still obtain a DUNS number before registering in SAM.gov registration. Additional information is available on the GSA website, SAM.gov, and Grants.gov- Finding the UEI.

http://www.grants.gov https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-systems-information-kit/unique-entity-identifier-update https://sam.gov/content/home https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/ https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/

a. Data Universal Numbering System:

All applicant organizations must obtain a Data Universal Numbering System (DUNS) number to register in SAM.gov prior to April 4, 2022. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B).

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 and a Unique Entity Identifier (UEI). All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC.

If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at SAM.gov and the SAM.gov Knowledge Base.

c. Grants.gov:

The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the "Applicant Registration" option at www.grants.gov.

All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.

Step System Requirements Duration Follow Up

Data Universal Number System

(DUNS)

(Required until April 4, 2022)

1. Click on http:// fedgov.dnb.com/ webform

2. Select Begin DUNS search/request process

3. Select your country or territory and follow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or http://fedgov.dnb.com/webform/displayHomePage.do https://sam.gov/content/home https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fsd.gov%2Fgsafsd_sp%3Fid%3Dgsa_kb_view2%26kb_id%3Df66d8e6cdb76d4100d73f81d0f9619c6&data=04%7C01%7Ccshifflett%40dminc.com%7C8eee7a2adab549a3b3c008d925e9a364%7Cdb7ac9ef779d46e59bca00509580ad6b%7C0%7C0%7C637582507851821018%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=UrR%2B%2FM2wWF2fZG05Z8O6JS2C3FXXSl%2F7B3%2FB45XHRrg%3D&reserved=0 https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fsd.gov%2Fgsafsd_sp%3Fid%3Dgsa_kb_view2%26kb_id%3Df66d8e6cdb76d4100d73f81d0f9619c6&data=04%7C01%7Ccshifflett%40dminc.com%7C8eee7a2adab549a3b3c008d925e9a364%7Cdb7ac9ef779d46e59bca00509580ad6b%7C0%7C0%7C637582507851821018%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=UrR%2B%2FM2wWF2fZG05Z8O6JS2C3FXXSl%2F7B3%2FB45XHRrg%3D&reserved=0 https://grants.gov/ https://www.grants.gov/ http://www.grants.gov/ https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform member(s) to obtain DUNS number, verify & update information under DUNS number call 1-866-705-

System for Award Management

(SAM)

1. Retrieve organizations DUNS number (required until April 4, 2022)

2. Go to SAM.gov and designate an E-Biz POC (You will need to have an active SAM account before you can register on grants.gov). The UEI is generated as part of your registration.

3-5 Business Days but up to 2 weeks and must be renewed once a year

For SAM Customer Service Contact https://fs d.gov/ fsd-gov/ home.do Calls: 86 6-606-8220

3 Grants.gov

1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative

(AOR)

2. Once the account is set up the E-BIZ POC will be notified via email

3. Log into grants.gov using the password the E-BIZ POC received and create new password

4. This authorizes the AOR to submit applications on behalf of the organization

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants MUST obtain a DUNS number and SAM account before applying on grants.gov)

Register early!

Log into grants.gov and check AOR status until it shows you have been approved

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov.

4. Submission Dates and Times If the application is not submitted by the deadline published in the NOFO, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by OGS.

a. Letter of Intent Deadline (must be emailed)

Number Of Days from Publication 60

04/03/2022 https://sam.gov/content/home https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

b. Application Deadline

Due Date for Applications 05/07/2022

05/07/2022 11:59 pm U.S. Eastern Standard Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which grants.gov operations resume.

Due Date for Information Conference Call N/A

5. Pre-Award Assessments Risk Assessment Questionnaire Requirement

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

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

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

Duplication of Efforts

Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal https://www.grants.gov/ https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf year. Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source. Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted. Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

Report Submission: The applicant must upload the report in Grants.gov under “Other Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary, and Commitment Overlap.”

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

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

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

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section.