dd12-1205 foa final 12.8.11.doc

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)

Funding Opportunity Title: National Public Health Practice and Resource Centers on Health Promotion for People with Disabilities Announcement Type: New-Type 1 Funding Opportunity Number: CDC-RFA-DD12-1205 Catalog of Federal Domestic Assistance Number: 93.184 Disabilities Prevention Key Dates:

To receive notification of any changes to CDC-RFA-DD12-1205, return to the synopsis page of this announcement at: www.grants.gov and click on the “Send Me Change Notification Emails” link. An email address is needed for this service.

LOI Deadline Date: December 23, 2011 Application Deadline Date: February 6, 2012 on Grants.gov, 11:59pm U.S. Eastern Standard Time Executive Summary:

The purpose of this cooperative agreement is to promote health, wellness and the adoption of healthy behaviors with the objective of preventing and/or reducing chronic conditions associated with disability. All activities should target people with disabilities that have mobility, physical limitations, and/or intellectual disabilities (hereafter referred to as PWDs). Applicants are encouraged to propose both traditional ( e.g. fact sheets, symposiums, training, websites, etc.) and innovative approaches (e.g., videos, podcasts, blogs, social networking channels, e-games, mobile applications, etc.) that will educate and inform people with disabilities, their family members, health care providers, policy makers, community members, and the public. All activities should be evidence-based. This funding opportunity announcement contains two categories with separate topic areas. Applicants interested in applying for either topic area are required to complete separate applications for:

(a) Physical activity and healthy weight management for people with disabilities; and/or

(b) Improved health of persons with limb loss/limb difference

PART 2. FULL TEXT

1. FUNDING OPPORTUNITY DESCRIPTION

Statutory Authority This program is authorized under Sections 301(a), and 317C of Public Health Service Act.

Background

Disability affects more than 54 million people in the United States Brault, 2008() and annual health care expenditures associated with disability are approaching $400 billion Anderson, Armour, Finkelstein, & Wiener, 2010() . For people with disabilities, prevention of secondary conditions is the key to maintaining optimal health and reducing the risk of morbidity and mortality. Examples of secondary conditions affecting people with disabilities include chronic pain, sleep difficulty, fatigue, depression and falls Kinne, Patrick, & Doyle, 2004() . People with disabilities are more likely to report secondary health conditions, which are preventable health problems that occur after the acquisition of the primary disabling condition. Furthermore, adults with earlier onset disability may experience age-related secondary conditions earlier than someone without a disability Institute of Medicine (IOM), 2007() . Previous studies have reported that adults with disabilities experience higher prevalence of smoking, lower levels of physical activity and poorer self-perceived general health than people without disabilities

ADDIN EN.CITE

(Armour BS et al., 2007; CDC, 2007, 2008)

The Surgeon General’s Call to Action to Improve the Health and Wellness of

Persons with Disabilities U.S. Department of Health and Human Services, 2005() states: “Good health is necessary for persons with disabilities to secure the freedom to work, learn and engage in their families and communities.” The Call to Action delineates four specific goals:

1) People nationwide understand that persons with disabilities can lead long, healthy, productive lives;

2) Health care providers have the knowledge and tools to screen, diagnose and treat with dignity the whole person with a disability;

3) Persons with disabilities can promote their own good health by developing and maintaining healthy lifestyles; and

4) Accessible health care and support services can promote independence for people with disabilities.

Despite progress in science, technology and advocacy, disabilities of all kinds are still equated—incorrectly and by too many people—with ill health, incapacity and dependence. Similarly, much of society still holds persons with mobility difficulties individually responsible for their health problems

ADDIN EN.CITE

(Iezzoni, Davis, Soukup, & O'Day, 2003) . Challenging misconceptions about persons with disabilities and elevating the importance of their health and wellness in the public consciousness are beginning steps that can help improve the health status of persons with disabilities.

Health care providers and their staffs may have many of the same misconceptions about persons with disabilities that are held by the general public. Reports from persons with disabilities suggest that health care providers often focus on the disabling condition rather than on other health issues that might be of concern to the individual Panko Reis J, Breslin ML, Iezzoni LI, & Kirschner KL, 2004() . People with disabilities have noted that when they do find a physician or health care provider willing to engage as partners in care, they spend considerable time educating the health care provider about both the disability and other health concerns unrelated to their disability. As a result, individuals with disabilities often encounter health care professionals who are not prepared to identify and treat a person’s disability and secondary conditions, or other unrelated health and wellness concerns.

Healthy living is a positive concept; a concept that has been highlighted through numerous health promotion and disease prevention efforts, from smoking cessation to obesity control, from the value of exercise to the benefits of mental health. Promoting positive health behaviors and goals across the life span should be no different for people with disabilities than it is for people who do not experience disabilities.

Data from the 2009 Behavioral Risk Factor Surveillance System CDC, 2011() demonstrated that a higher percentage of people with disabilities (PWD) than people without disabilities (PWoD) were obese (37.6 % vs. 23.8%), daily smokers (28.3% vs. 16.1%) and physically inactive (22.0% vs. 10.0%). Similarly, research has shown that by engaging in healthful behaviors such as exercise, people with disabilities can lower the risk of common chronic problems U.S. Department of Health and Human Services, 2005() . Participation in screening, behavior change and exercise programs need to be encouraged by health care providers and others to meet the individual needs of persons with disabilities. Because health care providers often focus solely on a person’s disability rather than their full range of health and wellness needs, they may fail to deliver health promotion messages to PWDs that are routinely communicated to persons who are not disabled Coyle CP & Santiago MC, 2000() . Similarly, many health promotion resource professionals (e.g., wellness counselors and trainers) do not know how to best communicate with people with disabilities and work with them to meet their wellness goals.

Accessibility to the full range of health care services may also affect a PWD’s ability to achieve a healthier lifestyle. Accessibility issues can include finding adequate transportation to a health care facility, gaining entrance to a building, and communicating effectively with health care providers. Failing to receive appropriate care because of accessibility challenges can contribute to poor health conditions. Consequences can also resonate in other aspects of life: decreased productivity, lost wages, increased health care costs, and overall mental health.

Purpose The purpose of the National Public Health Practice and Resource Centers (NPHPRC) on Health Promotion for People with Disabilities program is to fund the development of centers to promote health, prevent disease and improve the quality of life of individuals living with disabilities. The NPHPRC’s mission is to provide information, education, and consultation on disease prevention, and promote health and wellness for people with specific conditions who live with associated disabilities. Others targeted in the health promotion mission are health care professionals, caregivers, media, researchers, policymakers and the public. Health promotion for persons with disabilities requires condition-specific information in addition to information and activities that address common aspects of living with disabilities. Activities of the NPHPRC should include, but are not limited to:

· Serve as a resource for increasing knowledge and changing attitudes and practices;

· Actively reach out to potential consumers (people with disabilities, caregivers, health care professionals, etc.);

· Promote policy implementation that will benefit people with disabilities;

· Build collaborations with consumers, stakeholders, CDC and other relevant partners;

· Contribute to the applicable CDC initiatives;

· Share information about programs, methods, materials and lessons learned

· Measure and document the NPHPRC’s impact; using a common method of evaluation and reporting activities, reach, outcomes/impact, and

· Identify needs and improve the health of people with specific conditions and living with disabilities;

· Participate in applicable CDC-organized meetings.

Core components/activities of NPHPRC include:

· Planning and Leadership

· Information

· Consultation and Referral

· Health Communication

· Policy and Partnerships

· Training

· Evaluation

Measurable outcomes of the NPHPRC program will align with one or more of the following performance goals of the CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD), Division of Human Development and Disability (DHDD):

· Priority 1: Reduce disparities in key health indicators, including obesity in children, youth, and adults with disabilities.

· Priority 4: Identify and reduce disparities in health care access for persons with disabilities.

This program addresses the following “Healthy People 2020” focus area(s):

DH–1 Identification of “people with disabilities” in data systems

DH–2 Surveillance and health promotion programs

DH–4 Barriers to primary care

DH–8 Barriers to health and wellness programs

DH–9 Barriers to participation

DH-13 Participation in social, spiritual, recreational, community, and civic activities

The objectives can be found at HP2020 Disability and Health Topic Area Objective Number and Short Title:

http://www.healthypeople.gov/2020/topicsobjectives2020/pdfs/Disability.pdf This program addresses the following CDC Winnable Battles: www.cdc.gov/winnablebattles

· Obesity/Nutrition/Physical Activity

· Tobacco This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be reviewed. For the definition of research, please see the CDC Web site at the following Internet address:

http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf.

Program Implementation Recipient Activities

This Funding Opportunity Announcement (FOA) supports two NPHPRC focus areas:

· Category A –Physical Activity and Healthy Weight Management in Persons with Disabilities; and

· Category B – Improved Health of Persons with Limb Loss/Limb Difference.

Applicants can propose activities in Category A or Category B or both. If applying for both categories, a separate application must be submitted for each category. Applicants must specify which category they are applying to on the SF424 form, field #15 "Descriptive Title of Applicant's Project" eg: Category A: Applicant's project Title or Category B: Applicant's project Title The approach we have taken for the communication and education planning of NPHPRCs is guided by the communication framework developed by the National Cancer Institute (http://www.cancer.gov/cancertopics/cancerlibrary/pinkbook).

In developing applications, applicants should address the stages below. All stages are important in the development and maintenance of NPHPRCs.

· Planning and Leadership

· Information, Consultation and Referral

· Health Communication

· Policy and Partnerships

· Training

· Evaluation

CATEGORY A:

Planning and Leadership

· Demonstrate ability/experience in implementing policy, health promotion and programmatic change relating to people with disabilities, nutrition, physical activity, healthy weight and/or obesity.

· Establish or retain the minimum staffing requirements of the program to include a representative of the recipient organization’s leadership and a full-time staff employee who is responsible for managing program planning, implementation and evaluation.

· Establish and maintain a sufficient number of staff, contractors and consultants who have the expertise to ensure project success.

· Develop a three-year work plan.

1. Plan should include separate long-term (three years) and supporting (first year) objectives.

· Objectives should be Specific, Measurable, Achievable, Relevant, and Time-bound (SMART). They should describe what is to happen, by when, to what degree, through what methods, and utilizing which staff positions for execution.

· Objectives should be outcome-oriented, rather than focused on processes or outputs. Quantitative baselines should be provided for each objective.

· Long-term goals of the programs should include an implementation plan designed to reach the largest possible segment of the targeted population. Proposed activities should include information, consultation and referral, health communication, evaluation, and other program activities that will lead to the achievement of the stated goals and objectives for people with disabilities. Describe in detail the activities and expected results, methods planned to achieve the results, and the staff position(s) responsible for execution. Applicants are strongly encouraged to propose traditional (fact sheets, trainings, symposiums, etc.) and/or innovative approaches (e.g., videos, podcasts, blogs, social networking channels, e-games, mobile applications, etc.).

· Provide an overall logic model that graphically displays the program activities and intended outcomes. The logic model should be used to define the work, identify outputs and outcomes, and a mechanism for measuring it. It is recommended to include the following components in the logic model: inputs which would depict necessary resources, activities (programs, processes), outputs (interventions/messaging) and outcomes (the results, long-term consequences). See http://www.cdc.gov/eval/resources/index.htm for Logic Model examples and information.

· Provide national leadership in the promotion of healthy weight, physical activity and nutrition policies that are targeted to people with disabilities through participation on expert panels, national committees, and additional appropriate venues.

· In collaboration with the CDC/HHS Office of Minority Health and Health Disparities (OMHHD), design, implement and sustain a comprehensive program of resources/best practices and outreach to address racial and ethnic disparities among people with disabilities.

· Develop a program sustainability plan for prioritizing activities and coordinating resources to ensure implementation of nutrition and physical activity programs in community settings for persons with disabilities. Key components to address are the vision (vision is a long-term view, describing what the organization wants to be), impacts (trends/environmental/policy/partnerships/collaboration), and action plans (initiatives/implementation).

· Establish or strengthen an existing coalition of partners committed to active participation in health promotion planning, implementation and evaluation of programs designed to prevent disease in people with disabilities through improvements in nutrition and physical activity. Partners should include a wide representation of disability leaders and organizations familiar with promoting physical activity and nutrition for people with disabilities. Examples could include representatives from disability advocates; community development/planning agencies; key community-based governmental and non-governmental organizations, health care, voluntary, and professional organizations; business, community, faith-based leaders; local Aging centers and senior centers; universities; and at least one lay person representative of the population to be served. Linkages with mental health/substance abuse organizations, health plans, foundations, and other community partners working together to prevent disease in people with disabilities through improvements in nutrition and physical activity are encouraged.

· Create partnerships with public health agencies, medical organizations, non-governmental agencies (NGOs), the military and veterans groups serving this population.

Information, Consultation and Referral

· Provide information and make recommendations on nutrition, physical activity and healthy weight management for people with disabilities in a variety of accessible formats. The recommended recipients for the information include, but are not limited to: persons with disabilities, caregivers, media, researchers, disability service organizations, community groups, healthcare professionals, policymakers, and the general public.

· Participate in national symposia and conferences; facilitate presentations and sharing of scientific data and best practices on the benefits of physical activity, nutrition, and fitness for people with disabilities.

· Conduct national outreach through training and technical assistance.

· Collaborate with CDC’s Disability and Health state grantees and other state health departments and appropriate organizations to include people with disabilities in the planning of state and local health promotion programs.

· Provide technical assistance for developing inclusive physical activity (i.e. physical activity programs that include people with disabilities), nutrition and healthy weight management programs (e.g., pictures, alternative formats, and training).

· Provide technical assistance and consultation in the design, execution and evaluation of innovative, community-directed physical activity and healthy weight management programs that benefit people with disabilities.

· Provide technical assistance and consultation to CDC’s Disability and Health state grantees and other state and local health departments in the design, execution, and evaluation of innovative, community-directed activities that benefit people with disabilities.

· Maintain a database and tracking system to characterize the nature of internet and telephone inquiries from people with disabilities, caregivers, providers and organizations seeking information on physical activity and healthy weight management. Utilize this data to identify needed resources and targeted activities.

Health Communication

· Develop and maintain a web-based capability to provide personalized guidance for people with disabilities that initiates and sustains physical activity and healthy weight management.

· Develop innovative messaging and materials on fitness and physical activity, that is inclusive of people with disabilities that emphasize the importance of nutrition and healthy weight management for people with disabilities. Use innovative mechanisms for distribution.

· Implement traditional (e.g. fact sheets, symposiums, training, websites, etc.) and/or innovative approaches (e.g. videos, podcasts, blogs, social networking channels, e-games, mobile applications, etc.) to educate and inform people with disabilities about adaptive, inclusive physical activities.

· Collaborate with individuals, agencies and medical professionals to develop, evaluate and disseminate health messages that specifically target people with disabilities. The messages should address nutrition, physical activity, healthy weight, and obesity.

· Develop or enhance a resource directory with information related to nutrition, physical activity and healthy weight management for people with disabilities.

· Document the reach and impact of the health communication program, and identify opportunities to expand these efforts.

· Disseminate information about program activities and program results via presentations and publications to scientific, professional, and lay audiences.

· Determine whether the communication components identified as critical/key impacts are being implemented, the target population is being reached, and the intended outcomes of the program are being met.

· Identify, assess and develop systems that ensure program efforts continue to reach the target population.

· Obtain CDC clearance for program agendas, educational materials and products prior to publication.

Policy and Partnerships

· Conduct a stakeholder analysis that includes discussion of the public health impact of the NPHPRC as identified in the logic model.

· Collaborate with federal and national partners to include physical activity and healthy weight management as components in national health promotion programs for people with disabilities. Examples of potential partners include: CDC’s Division of Nutrition, Physical Activity and Obesity (DNPAO) and Office of Minority Health and Health Equity (OMHHE), The President’s Council on Physical Fitness, and HHS Office on Disability.

· Educate the public and stakeholders about interventions that are based on best practices and/or grounded in science that enhance and increase physical activity for people with disabilities.

Training

· Provide training and technical assistance for primary healthcare providers, rehabilitation specialists, fitness instructors, and others on the importance of nutrition, physical activity, and healthy weight for people with disabilities.

· Develop curriculums for training courses on inclusive, adaptive physical fitness activities.

· Provide training and/or collaborate with partners to increase health promotion and physical activity training opportunities specifically designed for people with disabilities, their family members, caregivers and stakeholders. The training should focus on the health and wellness of the total individual, rather than their disability alone.

· Independently develop and/or collaborate with partners to provide training for health care providers on the importance of physical activity in the health and wellness of people with disabilities.

Evaluation

· Establish methods to measure program effectiveness relating to outreach and outcomes of proposed targeted activities (e.g., increases in public awareness, knowledge, behavior, and overall program benefits). Describe the program’s evaluation design, methods, partners, processes and impact measurements. Applicants are required to provide effectiveness measures that will demonstrate the accomplishment of objectives identified in this cooperative agreement. Effectiveness measures must relate to the performance goals stated in the “Purpose” section of this announcement. Measures must be objective and quantitative, and demonstrate intended outcomes. Details of proposed effectiveness measures must be submitted with the application and will be considered in the overall evaluation of the program.

· Develop and apply systems and procedures to evaluate program activities and establish measureable outcomes. Participate actively in CDC-directed efforts to evaluate the public health impact of the NPHPRC.

· Determine whether key components of the NPHPRC three-year work plan are being implemented, the target population is being reached, and the intended outreach and outcomes of the program are being met.

· Participate in the CDC-coordinated evaluation and reporting system for NPHPRC by providing data on activities, outcomes/impact.

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

CDC Activities

· Provide technical consultation to the grantee using the current knowledge base (including emerging research, literature and epidemiological information) regarding physical activity and healthy weight management for people with disabilities, and assist in the development of information targeted to people with specific disabilities.

· Provide consultation in program planning, development, implementation, and evaluation, which may include consulting with committees or working groups whose operations may have an impact on the proposed program.

· Assist in the development and dissemination of information pertaining to physical activity and healthy weight management to CDC and CDC’s grantees to expand the reach of the populations served.

· Assist with the identification of policies, best practices, and model programs pertaining to physical activity and healthy weight management for people with disabilities.

· Assist in facilitating collaborations with federal, state and local partners (e.g., CDC’s Division of Nutrition, Physical Activity and Obesity and the Office of Minority Health and Health Disparities).

· Provide referrals to state, regional and/or national offices that can assist with building capacity and program activities.

· Assist with planning and evaluation activities, including the development of measures for program impact.

· Develop and provide requirements of the NPHPRC evaluation and reporting system.

· Approve NPHPRC’s clearance methods for developed products (clearance chain may involve the CDC or the NPHPRC’s advisory board).

CATEGORY B:

Planning and Leadership

· Demonstrate ability/experience in implementing policy, health promotion and programmatic change relating to people with limb loss and limb difference.

· Establish or retain the minimum staffing requirements of the program to include a representative of the recipient organization’s leadership and a full-time staff employee who is responsible for managing program planning, implementation and evaluation.

· Establish and maintain a sufficient number of staff, contractors and consultants who have the expertise to ensure project success.

· Develop a three-year work plan.

1. Plan should include separate long-term (three years) and supporting (first year) objectives.

· Objectives should be Specific, Measurable, Achievable, Relevant, and Time-bound (SMART). They should describe what is to happen, by when, to what degree, through what methods, and utilizing which staff positions for execution.

· Objectives should be outcome-oriented, rather than focused on processes or outputs. Quantitative baselines should be provided for each objective.

· Long-term goals of the program should include an implementation plan designed to reach the largest possible segment of the limb loss/limb different population. Proposed activities should include information, consultation and referral, health communication, evaluation, and other program activities that will lead to the achievement of the stated goals and objectives for people with limb loss/limb difference. Describe in detail the activities and expected results, methods planned to achieve the results, and the staff position(s) responsible for execution. Applicants are strongly encouraged to propose traditional (fact sheets, trainings, symposiums, etc.) and/or innovative approaches (e.g., videos, podcasts, blogs, social networking channels, e-games, mobile applications, etc.).

· Provide an overall logic model that graphically displays the program activities and intended outcomes. The logic model should be used to define the work, identify outputs and outcomes, and a mechanism for measuring it. It is recommended to include the following components in the logic model: inputs which would depict necessary resources, activities (programs, processes), outputs (interventions/messaging) and outcomes (the results, long-term consequences). See http://www.cdc.gov/eval/resources/index.htm for Logic Model examples and information.

· Provide national leadership in the development and promotion of programs to improve the health (including healthy weight management) of persons with limb loss/limb difference through participation on expert panels, national committees, and additional appropriate venues.

· In collaboration with the CDC/HHS Office of Minority Health and Health Disparities (OMHHD), design, implement and sustain a comprehensive program of resources/best practices and outreach to address racial and ethnic disparities among people with limb loss and limb difference.

· Develop a program sustainability plan for prioritizing activities and coordinating resources to ensure implementation of programs in community settings designed to improve the health of persons with limb loss/limb difference (including healthy weight management). Key components to address are the vision (vision is a long-term view, describing what the organization wants to be), impacts (trends/ environmental/ policy/ partnerships/ collaboration), and action plans (initiatives/ implementation).

· Establish or strengthen an existing coalition committed to active participation in health promotion planning, implementation and evaluation of programs promoting health, preventing disease and improving quality of life for individuals living with limb loss/limb difference. Partners should include a wide representation of disability leaders and organizations familiar with health promotion planning, implementation and evaluation of programs promoting health, preventing disease and improving quality of life for individuals living with limb loss/limb difference. Examples could include representatives from disability advocates; community development/planning agencies; key community-based governmental and non-governmental organizations, health care, voluntary, and professional organizations; business, community, faith-based leaders; local Aging centers and senior centers; universities; and at least one lay person representative of the population to be served. Linkages with mental health/substance abuse organizations, health plans, foundations, and other community partners working together to prevent disease in people with disabilities through improvements in nutrition and physical activity are encouraged

· Create partnerships with public health agencies, medical organizations and agencies, non-governmental organizations (NGOs), the military and veterans groups serving this population.

Information, Consultation and Referral

· Participate in national symposia and conferences; facilitate presentations and sharing of scientific data and best practices on the benefits of health promotion for people with limb loss/limb difference.

· Conduct national outreach through training and technical assistance.

· Collaborate with CDC’s Disability and Health state grantees and other state health departments to include people with limb loss/limb difference in the planning of health promotion programs (including healthy weight management).

· Provide technical assistance and consultation in the design, conduct and evaluation of community-directed health promotion and disease prevention programs that benefit people with limb loss/limb difference.

· Provide technical assistance and consultation to CDC’s Disability and Health state grantees and other state and local health departments in the design, execution, and evaluation of innovative, community-directed activities that benefit people with limb loss/limb difference.

· Maintain a database and tracking system to characterize the nature of internet and telephone inquiries from people with limb loss/limb difference, caregivers, providers and organizations seeking information on health issues related to limb loss/limb difference or the prevention of limb loss and on healthy weight management. Utilize this data to identify needed resources and targeted activities.

· Develop, evaluate and maintain activities for people with limb loss/limb difference that may include, but are not limited to: youth summer camps, national conferences, community-based amputee networks in the U.S. and globally, multicultural outreach, and a national Limb Loss Task Force.

Health Communication

· Develop and/or revise health information material targeted to people with limb loss/limb difference, including information on healthy weight management.

· Develop and/or maintain a web-based capability to disseminate information and guidance for health promotion (including healthy weight management) and quality of life for people with limb loss/limb difference.

· Develop innovative messaging and materials on inclusive health promotion activities (i.e. health promotion programs/activities that include people with limb loss/limb difference) for people with limb loss/limb difference, caregivers, wellness professionals, and the general public. Use innovative mechanisms for distribution.

· Implement traditional (e.g. fact sheets, symposiums, training, websites, etc.) and/or innovative approaches (e.g. videos, podcasts, blogs, social networking channels, e-games, mobile applications, etc.) to educate and inform people with disabilities about adaptive, inclusive physical activities, nutrition, and healthy weight management.

· Collaborate with individuals, agencies and healthcare professionals to develop, evaluate and disseminate health messages that address healthy weight, obesity, tobacco use cessation, diabetes control and prevention, emergency preparedness, peripheral arterial disease control and prevention, and other appropriate health messages targeted to people with limb loss/limb difference.

· Develop or enhance a resource directory of health information targeted to people with limb loss/limb difference.

· Document the reach and impact of the health communication program, and identify opportunities to expand these efforts.

· Determine whether the communication components identified as critical/key impacts are being implemented, the target population is being reached, and the intended outcomes of the program are being met.

· Identify, assess and develop systems that ensure the program efforts will continue to reach the target population.

· Obtain CDC clearance prior to publication for program agendas, educational materials and products.

Policy and Partnerships

· Conduct a stakeholder analysis that includes discussion of public health impact identified in the logic model.

· Collaborate with federal and national partners on ways to improve the health for people with limb loss and limb difference. Examples of potential partners include: CDC’s Division of Nutrition, Physical Activity and Obesity (DNPAO) and Office of Minority Health and Health Equity (OMHHE), The President’s Council on Physical Fitness, and HHS Office on Disability.

· Educate the public and stakeholders about interventions that are based on best practices and/or grounded in science that improve health for people with limb loss-limb difference.

Training

· Provide training and technical assistance for peer visitation and support to the individual, peer visitation and support targeted to the military and veteran population, resilience and community reintegration programs, support groups and other social and emotional support.

· Provide training and/or collaborate with partners to increase health promotion and wellness training opportunities (including healthy weight management) for people with limb loss/limb difference, their family members, care givers and advocates. The training should focus on the total health and wellness of individuals, rather than their disability alone.

· Independently develop and/or collaborate with partners to provide communication training for health care providers for improved relations with persons with limb loss and limb difference.

Evaluation

· Establish methods to measure program effectiveness relating to outreach and outcomes of proposed targeted activities including healthy weight management (e.g., increases in public awareness, knowledge, behavior, and overall program benefits). Describe the program’s evaluation design, methods, partners, processes and impact measurements. Applicants are required to provide effectiveness measures that will demonstrate the accomplishment of objectives identified in this cooperative agreement. Effectiveness measures must relate to the performance goals stated in the “Purpose” section of this announcement. Measures must be objective and quantitative, and demonstrate intended outcomes. Details of proposed effectiveness measures must be submitted with the application and will be considered in the overall evaluation of the program.

· Develop and apply systems and procedures to evaluate program activities and establish measureable outcomes (including healthy weight management). Participate actively in CDC-directed efforts to evaluate the public health impact of public health practice and resource centers.

· Determine whether key components of the NPHPRC three-year work plan are being implemented, the target population is being reached, and the intended outreach and outcomes of the program are being met.

· Participate in the CDC-coordinated evaluation and reporting system for the NPHPRC by providing data on activities, outcomes/impact.

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

CDC Activities:

· Provide technical consultation to the grantee using the current knowledge base (including emerging research, literature and epidemiological information) regarding health promotion, health care access, and disease prevention for people with limb loss/limb difference, and assist in the development of information targeted to people with limitations related to this condition.

· Provide consultation in program planning, development, implementation, and evaluation, which may include consulting with committees or working groups whose operations may impact the proposed programs.

· Assist with the identification of health-related policies, best practices, and model programs designed to improve the health of people with limb loss and limb difference.

· Assist in the development and dissemination of materials on improving the health of people with limb loss and limb difference (including healthy weight management)to expand the reach of the populations served.

· Provide consultation on program planning, development, implementation and evaluation, which may include consulting with committees or working groups whose operations may impact the proposed programs.

· Assist with the identification of physical activity and healthy weight management policies, best practices and model programs for people with disabilities.

· Assist in facilitating collaborations with CDC’s National Center for Chronic Disease Prevention and Health Promotion, Office of Minority Health and Health Disparities, and other relevant groups.

· Provide referrals to state, regional and/or national offices that can assist with building capacity.

· Assist with planning and evaluation activities, including the development of measures for program impact.

· Approve NPHPRC’s clearance methods for developed products (clearance chain may involve the CDC or the NPHPRC’s advisory board).

II. AWARD INFORMATION

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

Award Mechanism: U59 Disabilities Prevention Cooperative Agreement Program Fiscal Year Funds: 2012 Approximate Current Fiscal Year Funding: Category A: $ 1,000,000; Category B: $1,000,000 Approximate Total Project Period Funding: Category A: $ 3,000,000 inclusive of indirect costs; Category B: $3,000,000 inclusive of indirect costs Approximate Number of Awards: Category A: 1, Category B, 1 Approximate Average Award: Category A: $ 1,000,000, Category B: $1,000,000 (This amount is for the first 12-month budget period and includes both direct and indirect costs.)

Floor of Individual Award Range: $800,000 Ceiling of Individual Award Range: $1,000,000 total costs Anticipated Award Date: April 1, 2012

Budget Period Length: 12 months Project Period Length: 3 years Throughout the project period, CDC’s commitment to continuation of awards will be conditioned on the availability of funds, 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.

III. ELIGIBILITY

Eligible Applicants Eligible applicants that can apply for this funding opportunity are listed below:

· Nonprofit with 501C3 IRS status (other than institution of higher education)

· Nonprofit without 501C3 IRS status (other than institution of higher education)

· For-profit organizations (other than small business)

· Small, minority, and women-owned businesses

· Universities

· Colleges

· Research institutions

· Hospitals

· Community-based organizations

· Faith-based organizations

· Federally recognized or state-recognized American Indian/Alaska Native tribal governments

· American Indian/Alaska native tribally designated organizations

· Alaska Native health corporations

· Urban Indian health organizations

· Tribal epidemiology centers

· State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau)

· Political subdivisions of States (in consultation with States)

· Other (specify)

· A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If applying as a bona fide agent of a state or local government, a legal, binding agreement from the state or local government as documentation of the status is required. Attach with “Other Attachment Forms” when submitting via www.grants.gov.

Required Registrations

Registering your organization through www.Grants.gov, the official agency-wide E-grant website, is the first step in submitting an application online. Registration information is located on the “Get Registered” screen of www.Grants.gov. Please visit www.Grants.gov at least 30 days prior to submitting your application to familiarize yourself with the registration and submission processes. The “one-time” registration process will take three to five days to complete. However, the Grants.gov registration process also requires that you register your organization with the Central Contractor Registry (CCR) and DUN and Bradstreet (D&B) Data Universal Numbering System (DUNS) which will require up to at least 4 weeks to complete registration in its entirety. The CCR registration can require an additional two weeks to complete. You are required to maintain a current registration in CCR. CCR registration must be renewed annually.

Central Contractor Registration and Universal Identifier Requirements Foreign entities only: Prior to registering for CCR, please follow the Special Instructions for acquiring a Commercial and Governmental Entity (NCAGE) Code: http://www.dlis.dla.mil/Forms/Form_AC135.asp

All applicant organizations must obtain a DUN and Bradstreet (D&B) Data Universal Numbering System (DUNS) number as the Universal Identifier when applying for Federal grants or cooperative agreements. The DUNS number is a nine-digit number assigned by Dun and Bradstreet Information Services. An Authorized Organization Representative (AOR) should be consulted to determine the appropriate number. If the organization does not have a DUNS number, an AOR should complete the US D&B D-U-N-S Number Request Form or contact Dun and Bradstreet by telephone directly at 1-866-705-5711 (toll-free) to obtain one. A DUNS number will be provided immediately by telephone at no charge. Note this is an organizational number. Individual Program Directors/Principal Investigators do not need to register for a DUNS number.

Additionally, all applicant organizations must register in the Central Contractor Registry (CCR) and maintain the registration with current information at all times during which it has an application under consideration for funding by CDC and, if an award is made, until a final financial report is submitted or the final payment is received, whichever is later. CCR is the primary registrant database for the Federal government and is the repository into which an entity must provide information required for the conduct of business as a recipient. Additional information about registration procedures may be found at the CCR internet site at www.ccr.gov.

If an award is granted, the grantee organization must notify potential sub-recipients that no organization may receive a sub-award under the grant unless the organization has provided its DUNS number to the grantee organization.

Cost Sharing or Matching

Cost sharing or matching funds are not required for this program.

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 applicant will be notified that the application did not meet the eligibility 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.

IV. Application and Submission Information Submission Dates and Times This announcement is the definitive guide on LOI and 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 applicant will be notified the application did not meet the submission requirements.

Letter of Intent (LOI) Deadline Date: December 23, 2011 Application Deadline Date: February 6, 2012, 5:00pm Eastern Standard Time.

Applicants must download the SF424 application package associated with this funding opportunity from Grants.gov. If access to the Internet is not available or if the applicant encounters difficulty in accessing the forms on-line, contact the HHS/CDC Procurement and Grant Office Technical Information Management Section (PGO TIMS) staff at (770) 488-2700 email:pgotim@cdc.gov Monday-Friday 7:00am – 4:30pm U.S. Eastern Standard Time for further instruction. CDC Telecommunications for the hearing impaired or disabled 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’s needed. You can reach the Grants.gov Support Center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by e-mail, fax, CD’s or thumb drives of applications will not be accepted.

Content and Form of Application Submission

Applicants interested in applying for either category are required to complete separate applications.

All applicants are required to sign and submit CDC Assurances and Certifications that can be found on the CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm Print, scan and upload as an additional attachment into the application package.

Letter of Intent (LOI):

A Letter of Intent (LOI) is requested:

LOI Submission Address: Submit the LOI by express mail, delivery service, fax, or E-mail to:

Don Sharman

CDC/NCBDDD/DHDD

1600 Clifton Road, MS E88

404.498.0236

404.498.3060 dsharman@cdc.gov Although a letter of intent is not required, is not binding, and does not enter into the review of a subsequent application, the information that it contains allows CDC Program staff to estimate and plan the review of submitted applications.

Requested LOIs should be provided not later than by the date indicated in the Section I entitled “Authorization and Intent”.

Note: (Limit file names to 50 characters and do not use special characters (example: &, -,*,%,/,#) including periods (.), blank spaces and accent marks, within application form fields and file attachment names. An underscore (_) may be used to separate a file name. Also, do not attach multiple documents with the same file name.) Please do not Cut & paste information into any fields within the application package all information must be typed.

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.

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: 30- If your narrative exceeds the page…