dd15-1505 final 3.9.15.pdf

Centers for Disease Control and Prevention

National Center on Birth Defects and Developmental Disabilities

National Public Health Practice and Resource Centers for Children with Attention Deficit/Hyperactivity

Disorder or Tourette Syndrome

CDC-RFA-DD15-1505

Application Due Date: 05/11/2015

National Public Health Practice and Resource Centers for Children with Attention Deficit/Hyperactivity Disorder or Tourette Syndrome

CDC-RFA-DD15-1505

TABLE OF CONTENTS

Part I. Overview Information

Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates F.

Executive Summary G.

Part II. Full Text

Funding Opportunity Description A.

Award Information B.

Eligibility Information C.

Required Registrations D.

Review and Selection Process E.

Award Administration Information F.

Agency Contacts G.

Other Information H.

Glossary I.

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Send Me Change Notifications Emails" link to ensure they receive notifications of any changes to CDC-RFA-DD15-1505. 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) B. Funding Opportunity Title:

National Public Health Practice and Resource Centers for Children with Attention Deficit/Hyperactivity Disorder or Tourette Syndrome C. Announcement Type: New - Type 1 This announcement is only for non-research domestic activities supported by CDC. If research is proposed, the application will not be considered Research for this purpose is defined at http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-publi c-health-research-nonresearch.pdf.

D. Agency Funding Opportunity Number:

CDC-RFA-DD15-1505

E. Catalog of Federal Domestic Assistance (CFDA) Number:

93.312 F. Dates:

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

2. Due Date for Applications: 05/11/2015, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 03/18/2015 An informational call for potential applicants will take place on March 18, 2015 at 2 p.m. US Eastern Time, Toll-Free 877-601-5711, Participant Passcode 7999763.

G. Executive Summary:

1. Summary Paragraph:

The purpose of the National Public Health Practice and Resource Centers (NPHPRC) on Health for Children with Attention-Deficit/Hyperactivity Disorder (ADHD) or Tourette syndrome (TS) is to fund centers that have the capacity to develop and provide health promotion programs and health communication and education resources for both professionals and the public regarding ADHD or TS. Program strategies should include 1) Information, Consultation and Referral, 2) Health Communication Programs and Materials Development, and 3) Education and Training. The NPHPRC’s mission is to provide information, education and consultation about assessment, diagnosis, treatment, and health and well-being for children with ADHD or TS. Other target audiences in the NPHPRC’s health promotion mission are health care professionals, education professionals, caregivers, and the public. Health promotion for children with ADHD or TS requires condition-specific information in addition to information and activities that address common aspects of living with ADHD or TS.

The intended long-term outcomes of the program are to promote optimal health and well-being of children with ADHD or TS.

Increased access to and awareness of available support services and treatments for ADHD or TS among the community, public, healthcare, and educational professionals; increased knowledge among individuals about ADHD or TS receiving information or educational materials from the NPHPRC; increased knowledge among individuals attending education programs on ADHD or TS;

increased intention to act on information presented by adopting health behaviors, treatment or educational strategies presented among people attending education programs, receiving educational materials, or other program contents.

a. Eligible Applicants: Open Competition

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 2

d. Total Project Period Funding: $6,800,000

e. Average One Year Award Amount: $800,000

f. Number of Years of Award: 4

g. Estimated Award Date: 09/01/2015 https://foa.grantsolutions.gov/announcementmodule/www.grants.gov https://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov

h. Cost Sharing and / or Matching Requirements: N Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this FOA 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

Attention-deficit/hyperactivity disorder (ADHD) and Tourette Syndrome (TS) have significant impact on children, their families, and society. In 2011, approximately 11%, or 6.4 million children 4-17 years of age had been diagnosed with ADHD; this is an increase of 42% from 2003. Prevalence estimates of TS vary, with recent estimates ranging from 3 to 8 per 1,000 children.

Individuals with ADHD and TS are at increased risk for co-occurring mental, emotional and behavioral conditions (MEBs), as well as other chronic health conditions.

The presence of ADHD or TS creates significant impact across multiple domains, including peer and family relationships, education, health, employment, and cost to individuals and society. Both ADHD and TS are associated with related health risks. For example, ADHD has been associated with increased risk for substance use, injury and contact with the juvenile justice system. In a recent survey, parents of children with TS reported more parenting aggravation, were more likely to be contacted about school problems, and reported having difficulty coordinating the care they needed for their child.

Behavioral and pharmacological treatments are available for both ADHD and TS, but may be complicated by co-occurring MEB conditions and other factors. Clinical guidelines have been published for ADHD and TS; however, clinical practice does not necessarily reflect the guidelines. Specific to ADHD, data show that although behavioral therapy is recommended as the first-line treatment for children 4-5 years of age, a significant proportion of children aged 2-5 years are receiving medication, while less than half are receiving behavioral therapy. Specific to TS, diagnosis may be delayed due to lack of knowledge of the condition among providers, other conditions that may mimic symptoms of TS, and presence of co-occurring conditions. In addition, behavioral therapy for tics, including Comprehensive Behavioral Intervention for Tics (CBIT), has been shown to be effective, but may not be widely available. Thus, education is needed to ensure that both healthcare professionals and the public are informed about the best practices for the diagnosis and treatment of ADHD and TS and that trained professionals are available to provide these evidence-based treatments.

Having ADHD and TS, as well as other co-occurring MEB conditions, can impact school outcomes. Numerous strategies are available for improving the educational experience and outcomes of children with ADHD and TS; however, teachers may not be aware of these strategies or how to implement them. Education professionals need information to better understand ADHD, TS and co-occurring conditions and different methods on how to address them in the school environment.

Children with ADHD and TS may also have problems with social relationships, both directly related to their conditions, but also to stigma associated with limited knowledge of the conditions among the general public. Thus, addressing the social needs of children with these disorders, and educating the public about ADHD and TS may improve the overall health and well-being of these children.

Early identification, accurate diagnoses, and appropriate management of ADHD and TS is necessary to limit the health impairments caused by these disorders and associated MEB conditions, and their overall impact on children, their families and society. Access to quality care and accurate health information is needed to improve the health and well-being of children with ADHD or TS, and can be increased through dissemination of evidence-based information to specific audiences, including healthcare providers, education professionals, families and the general public.

b. Statutory Authorities

This program is authorized under Sections 17C of the Public Health Service Act (42 USC 247b-4).

c. Healthy People 2020

Healthy People 2020 contain national objectives to improve the health of all Americans by encouraging collaborations across sectors, guiding people toward making informed health decisions, and measuring the impact of prevention activities

Healthy People 2020: This cooperative agreement addresses the following “Healthy People 2020” Objectives:

Mental Health and Mental Disorders (MHMD-6), increase the proportion of children with mental health problems that receive treatment

Disability and Health (DH-13), (Developmental) increase the portion of people with disabilities who participate in social, spiritual, recreational, community, and civic activities to the degree that they wish http://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mental-disorders/objectives http://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health/objectives recreational, community, and civic activities to the degree that they wish

Early and Middle Childhood (EMC-2.4), increase the proportion of parents who receive information from their doctors or other health care professionals when they have a concern about their children’s learning, development, or behavior

Health Communication and Health IT (HC/HIT-8), increase the proportion of quality, health-related websites

d. Other National Public Health Priorities and Strategies

In addition to addressing Healthy People 2020 focus areas, the purpose, goal, and objectives of the FOA addressing the health needs of children living with ADHD or TS are consistent with the mission of the Centers for Disease Control and Prevention “… collaborating to create the expertise, information, and tools that people and communities need to protect their health through health promotion, prevention of disease, injury and disability...”, and with the mission of the National Center on Birth Defects and Developmental Disabilities (NCBDDD) to “promote the health of babies, children and adults and enhance the potential for full, productive living” http://www.cdc.gov/ncbddd/aboutus/index.html. The work of National Public Health Practice and Resource Centers (NPHPRC) on Health Promotion for Children with ADHD or TS also aligns with the 2014-2018, Department of Health and Human Services Strategic Plan’s goals to promote early childhood health and development, promote the safety, well-being, resilience, and healthy development of children and youth by educating and empowering individuals and families to lead healthy lifestyles and adopt behaviors that can prevent or delay chronic disease, disability and secondary conditions, thereby improving quality of life and reducing the need for more costly medical interventions http://www.hhs.gov/secretary/about/priorities /priorities.html%20.

e. Relevant Work

The National Center on Birth Defects and Developmental Disabilities (NCBDDD) works to help children develop and reach their full potential. Programmatic work seeks to optimize each child’s development through prevention and by promoting optimal developmental practices within families and other systems that interact with youth, ensuring that all children reach their full potential and be active, productive members of society. Public health activities can improve the lives of individuals with ADHD ( http://www .cdc.gov/ncbddd/adhd/index.html), TS (http://www.cdc.gov/ncbddd/tourette/index.html), their families, and can help support the potential for full, productive living. This FOA builds upon current cooperative agreements, CDC-RFA-DD 1302 National Public Health Practice and Resource Center for Children with ADHD or Tourette Syndrome. This program supported the dissemination of credible health information on recognition, diagnosis, co-occurring conditions, and condition management for individuals with ADHD or TS, their families, health care and education professionals, and the public since 2013. This FOA is designed to complement and further these efforts, and align activities. In addition, previous programmatic work has supported educational opportunities for audiences of medical and allied health professionals, educators, and the general public, including families, on appropriate diagnosis, co-occurring conditions, and best practices for treatment, education, and life management skills for children and adults with ADHD or TS. Evaluation is integrated in all levels of programmatic work.

2. CDC Project Description

a. Approach

This logic model provides a depiction of the way in which CDC envisions this program to operate. The awardees will be expected to achieve the intermediate outcomes as noted in the logic model by bolded font.

Strategies/Activities Intermediate Outcomes Long Term Outcomes

Provide Information, Consultation and/or Referral Programs

Develop Health Communication Programs and Materials

Provide Education and Training

Increased reach to the community, public, healthcare and education professionals with ADHD or TS resources and materials

Increased access to and awareness of available support services and treatments for ADHD or TS among the community, public, healthcare, and educational professionals

Increased knowledge among individuals about ADHD or TS receiving information or educational materials from the NPHPRC

Increased knowledge among individuals attending education programs on ADHD or TS

Improved health and well-being of children with ADHD or TS

Improved life management skills, adoption of healthy behaviors, and appropriate health choices among people who have been affected by ADHD or TS

Strengthened capacity among healthcare professionals to appropriately diagnose and provide evidence-based treatments for ADHD or TS and co-occurring mental, emotional and behavioral conditions associated with ADHD or TS http://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health/objectives http://www.healthypeople.gov/2020/topics-objectives/topic/early-and-middle-childhood/objectives http://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology/objectives http://www.cdc.gov/ncbddd/aboutus/index.html http://www.hhs.gov/secretary/about/priorities/priorities.html%20 http://www.hhs.gov/secretary/about/priorities/priorities.html%20 http://www.cdc.gov/ncbddd/adhd/index.html http://www.cdc.gov/ncbddd/adhd/index.html http://www.cdc.gov/ncbddd/tourette/index.html

Increased intention to act on information by adopting health behaviors, treatment or educational strategies presented among people attending education programs, receiving educational materials, or other program contents.

associated with ADHD or TS

Strengthened capacity among education professionals to implement strategies that facilitate learning and academic success among children with ADHD or TS

Increased acceptance and reduced stigma associated with ADHD or TS among the general public

i. Purpose

The NPHPRC for children with ADHD or TS funds Centers that provide access to evidence-based information to promote the health and well-being of children with ADHD and TS. The Centers should have national reach as well as local support, and provide information to individuals, their families, healthcare and education professionals, and the public. This award will fund only non-research; it is expected that applicants will be able to demonstrate a significant understanding of ADHD or TS and the current gaps in knowledge, attitudes, and behaviors that prevent optimal health and well-being among those with ADHD or TS.

ii. Outcomes

The primary intended long-term outcome of the program is to promote optimal health and well-being of children with ADHD or TS.

The awardee is expected to increase access to and awareness of available support services and treatments for ADHD or TS among the community, public, healthcare, and educational professionals; increase knowledge among individuals about ADHD or TS receiving information or educational materials from the NPHPRC; increase knowledge among individuals attending education programs on ADHD or TS; increase intention to act on information presented by adopting health behaviors, treatment or educational strategies presented among people attending education programs, receiving educational materials, or other program contents.

iii. Strategies and Activities

1. Provide Information/Consultation and Referral Programs (ICRP) as a channel to respond to questions and provide information.

Each NPHPRC should develop a strategy that leads to the implementation of programs that provide timely, evidence-based health information that address identified needs of the population (i.e. children living with ADHD or TS) and are targeted to the specified audiences (i.e. families, healthcare and education professionals, and the general public). Specifically, the activities related to this core strategy may include but are not limited to:

Increase access and awareness of available support services for, and treatments of, ADHD or TS.

Increase knowledge among the target audiences using the services/programs.

Track and characterize the nature of inquiries to further identify resources and activities that are needed to address the needs of the populations.

Respond to requests for information via multiple channels (e.g., telephone, e-mail, web).

Post news and information through electronic and social media.

2. Develop Health Communication Programs and Materials

Each NPHPRC should conduct activities designed to create, update, disseminate, and evaluate educational materials specific to improving the health and well-being of the target population (i.e. children with ADHD or TS) directed to the target audiences (i.e.

families, healthcare and education professionals, and the general public). Specifically, the activities related to this core strategy may include but are not limited to:

Develop a program plan that defines communication objectives and the intended audiences; describes the settings, channels and activities best suited to reach the audience; outline a communication strategy for each intended audience.

Develop evidence–based, accurate health information materials that take into consideration existing materials, addresses information gaps specific to the intended audience, contain tested message concepts, and are acceptable to the intended audience.

Implement programs for the intended audience by promoting or distributing information about the program through appropriate channels (e.g., traditional or new media), and periodically review components and make revisions as necessary.

Evaluate programs to ensure that intended results are achieved and objectives are met within the proposed time frame and to identify areas for improvement (both for information and mode of delivery).

Clear program agendas, educational materials, and products through CDC clearance process as appropriate; co-brand materials developed through this cooperative agreement as appropriate.

Disseminate information about program activities and results in presentations and publications.

3. Offer Education and Training Programs

Each NPHPRC should provide education and training activities for: healthcare professionals on how to recognize and provide evidence-based treatments for people with ADHD or TS, and on treatment strategies to prevent or mitigate secondary co-occurring mental, emotional or behavioral conditions associated with ADHD or TS; education professionals on how to improve teaching strategies and the learning environment for children with ADHD or TS, and co-occurring mental, emotional or behavioral conditions that can impact school performance and; children with ADHD or TS and their family members to improve their understanding of the conditions, and how to access appropriate treatment and support.

Specifically, the activities related to this strategy may include but are not limited to:

Develop instructionally sound (i.e., incorporate adult learning principles and strategies), innovative, and culturally appropriate training programs and materials.

Incorporate training in health literacy and communication skills so that professionals are better prepared to provide information, counseling, and referrals on ADHD or TS.

Develop a plan for marketing training activities and materials to maximize dissemination efforts.

Provide continuing education credits, when possible and appropriate.

Develop and implement an evaluation plan that assesses change in learner knowledge, attitudes, and behavior and informs program improvement.

1.Collaborations

a. With CDC-funded programs:

Applicants (regardless of the category under which they are funded) are expected to collaborate with CDC to develop their materials, programs, and evaluation plans. Additionally they should attend an annual two-day meeting in Atlanta to be coordinated by CDC, and all travel expenses should be included in proposed budget. Applicants are also expected to collaborate with other funded applicants in identifying and sharing common work practices/strategies to accomplish the objectives of the FOA, and participate in stakeholder meetings and provide consultation to CDC and programs as requested.

b. With organizations external to CDC:

Applicants are expected to form and/or continue strategic partnerships and collaborations with organizations that have a role in achieving the FOA outcomes and activities to ensure the highest quality information and resources have the greatest reach possible.

Partners may play a role in development and dissemination of information, and promotion of public health activities, and may include federal agencies ( e.g., SAMHSA, HRSA), state health departments, community based organizations addressing ADHD or TS and associated conditions, schools, medical and university research centers, and professional organizations (e.g., the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Child Neurology Society). Please provide letters of support, memorandum of understanding, and/or memorandum of agreement where applicable (i.e, when the applicant has entered into a collabration).

2. Target Populations

This cooperative agreement should address national outreach and education activities targeted to ADHD or TS populations; applicant must include strategies to address minority and underserved members of these populations. Applicants should propose to address the needs on the basis of the most relevant evidence for the selected target population (i.e., children with ADHD or children with TS).

Organizations may submit no more than one application for this FOA from the categories below.

Category A: National Public Health Practice and Resource Center for children with ADHD—this category is for applicants that propose to provide national education and outreach activities specifically aimed at individuals, families, health care and education professionals, and the public that address the information and educational needs in relation to living with ADHD.

Category B: National Public Health Practice and Resource Center for children with TS—this category is for applicants that propose to provide national education and outreach activities specifically aimed at individuals, families, health care and education professionals, and the public that address the information and educational needs in relation to living with TS.

a. Inclusion

Applicants should address how they will be inclusive of specific groups who can benefit from programmatic strategies. This includes groups such as, non-English speakers, minority and underserved individuals and communities, appropriate age groups, or other groups who may otherwise be missed by the program.

iv. Funding Strategy (for multi-component FOAs only)

N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Because NPHRPCs will provide information dissemination services, develop health education materials, and develop and deliver education and training programs, it will be important that the evaluation of this work include both process evaluation measures (to determine whether information and services are being adequately delivered) and outcome evaluation measures (to determine whether the information provided is having the desired impact). Both types of measures will be used to continuously improve program performance. Key evaluation questions, along with suggested measures to be answered are provided below. Applicants are encouraged to develop additional measures as applicable.

Key Evaluation Question 1: Did the awardee provide information, consultation and/or referral programs?

Process Measures

Number of requests received delineated by type of requestor and subject of request Source and type of requests received Timeliness of request processing Number of missed calls or requests Number and type of electronic media used to disseminate information Internal resource lists are up-to-date and point-of-contacts are verified on a periodic basis Number and type of materials disseminated Number of satisfaction surveys sent/received by people in the target audiences Number of follow-up consumer interviews conducted

Key Evaluation Question 2: Did the awardee develop health communication programs and materials?

Process Measures

Number of health communication programs and materials developed delineated by type and target audience addressed Number and type of health communication programs and materials reviewed annually Number and type of revised/updated health communication programs and materials disseminated

Key Evaluation question 3: Did the awardee provide education and training?

Process Measures

Number of education and training programs delivered for educators Number of education and training programs delivered for health care providers Number of education and training programs delivered for individuals or families Number of revised/updated educational programs delineated by type and target audience addressed Number of evaluation surveys for education and training programs completed

Number and type of continuing education credits provided, if applicable

To achieve the outcomes for this FOA the most important aspect of program evaluation will be collecting outcome measures to determine if the information provided is having the desired effect (i.e. increasing access to programs and materials, increasing knowledge and awareness, or influencing perceptions, beliefs, and attitudes of specific target audiences). Evaluation questions should reflect changes in knowledge, attitudes, and whenever feasible, health related behaviors. Specific questions will address the highlighted outcomes delineated in the logic model. Key outcomes, along with suggested measures to be answered are provided below. Applicants are encouraged to develop additional measures as applicable.

Key Outcomes

Increased access to and awareness of available support services and treatments for ADHD or TS among the community, public, healthcare, and educational professionals.

Number reporting increased access to program components or materials Number reporting program components or materials meets their specific information needs Number reporting improved access to treatment and support

Increased intention to act on information by adopting health behaviors, treatment or educational strategies presented among people attending education programs, receiving educational materials, or other program contents

Number receiving educational program components or materials reporting improved attitudes associated with the conditions and related health behaviors Number receiving educational program components or materials reporting increase in intention to act on information presented Number receiving educational program components or materials reporting a change in behavior following the program activities

Increased knowledge among individuals about ADHD or TS receiving information or educational materials from the NPHPRC.

Number receiving information or materials reporting an increase in knowledge

Findings from the evaluation and performance measurement strategy will encourage continuous program improvement and determine whether the program inputs are appropriate for achieving the desired outcomes, and if the program is reaching the target audiences. The applicant is expected to develop and describe a dissemination plan for their quality control evaluation and lessons learned. The potential audience includes all stakeholders, including program recipients, as well as other providers who can benefit from the lessons learned regarding quality improvement.

NOTE: The program activities in this FOA do not meet the criteria for research, thus, no generalizable results will be forthcoming.

Proposed programs will adhere to all applicable rules and regulations for human participants in non-research projects. All applicants are responsible for adhering to all federal regulations relevant to information collection, including developing Information Collection Requests in according to the Paperwork Reduction Act.

ii. Applicant Evaluation and Performance Measurement Plan

Applicants must provide an initial evaluation and performance measurement plan to show how they will identify progress implementing activities in their program strategies and achieving their selected outcomes. Applicants will have already developed measurable objectives in the work plan described below. In this section the applicants will refine these into performance measures and add details of any additional evaluation to be completed. Applicants should also

Identify key program partners and describe how they will be engaged in the evaluation and performance measurement planning processes, Describe the type of evaluations (i.e., process and outcome) to be conducted, Describe potentially available data sources and feasibility of collecting appropriate evaluation and performance data, Describe how evaluation findings will be used for continuous program/quality improvement, and Describe how evaluation and performance measurement will contribute to development of an evidence base of education and outreach programs.

c. Organizational Capacity of Awardees to Execute the Approach

It is expected that applicants will be able to demonstrate their ability to plan for and lead the work necessary for a NPHPRC. That is, the applicants should have the organizational capacity to develop, implement, and manage health promotion programs that promote the health and well-being of children living with ADHD or TS, by providing information and resources to individuals, families, health and education professionals and the public. The applicant should demonstrate leadership on the health issues on behalf of those living with ADHD or TS and for the wider community. Specifically, the applicant should:

Demonstrate the ability to implement health promotion, health communication and education programs to the identified target audiences in order to promote the health and well-being of the populations of children with ADHD or TS;

Demonstrate a fundamental understanding of their proposed audience’s information needs, including knowledge and understanding of appropriate methods to reach and engage the members of the specified audience;

Demonstrate a significant understanding of ADHD or TS and the current gaps in knowledge, attitudes and behaviors that prevent optimal health and well-being among children with ADHD or TS;

Have expertise working with the target population(s) (i.e., children with ADHD or TS) including knowledge and understanding of appropriate methods to reach and engage the members of the population;

Demonstrate their ability to nationally disseminate, track, and characterize information and service requests;

Demonstrate their expertise to plan, develop, and evaluate health communication and education materials, and distribute this information through the most appropriate channels;

Describe their previous experience with program evaluation activities, including results, successes and challenges;

Describe potential or anticipated obstacles to planned activities, and proposed solutions, based on prior experience or documented evidence;

Engage in partnerships and collaboration in assessing evidence, reaching target audiences, and promoting increased inclusion of children with ADHD or TS;

Have a professional advisory board in place that is at a minimum comprised of health and education professionals, and individuals or family members who can represent the interest of children living with ADHD or TS to ensure that materials and programs provided are relevant, technically accurate and evidence-based; and Plan for the sustainability and continuation of this program after the cooperative agreement period is complete.

d. Work Plan

The Applicant must submit a detailed work plan for year 01 of the award and provide a general summary of work plan activities for Years 02-04 in narrative form. The work plan should align with the FOA logic model and describe how the applicant plans to implement all required activities to achieve the FOA outcomes. Applicants are strongly encouraged to use activities indicated under the “Program Strategy” section, but are expected to augment those activities on the basis of the priority needs of the target population. CDC will provide feedback and technical assistance to awardees to finalize the work plan post-award.

The work plan must include activities and timelines to support the achievement of the FOA outcomes. These activities must align with the FOA logic model and should have performance measures or milestones for accomplishing tasks and

Include measurable objectives, Describe staff and administrative roles and functions to support the implementation of the award, Specify management and leadership positions and qualifications for those roles, Describe administration and assessment process to ensure successful implementation and quality assurance.

See sample work plan below as an example for the framework.

Expected Outcome(s) for the Project Period

Strategies/Activities Performance Measures

Data Sources

Person Responsible

Timeframe

Completion Date

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee 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 awardee progress in achieving the desired outcomes.

Ensuring the adequacy of awardee 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:

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

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

Working with awardees 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.

Other activities deemed necessary to monitor the award, if applicable.

These activities may include 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 grantees.

Program performance will be reported during monthly phone calls and annual summary reports.

f. CDC Program Support to Awardees (THIS SECTION APPLIES ONLY TO COOPERATIVE AGREEMENTS)

In a cooperative agreement, CDC staff members are substantially involved in the program activities, above and beyond routine grant monitoring. Child Development Studies staff, as appropriate, will collaborate with other units within CDC to accomplish the following activities for this cooperative agreement:

Work with the recipients to revise work plans, incorporating any emerging best practices or guidance.

Provide technical consultation to the grantee using the current knowledge base (including emerging research, literature and epidemiological information) regarding ADHD or TS, and assist in the development of materials and programs for the specific target audiences.

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.

Provide mechanism for offering continuing education credits for professional programs.

Assist in the development and dissemination of information pertaining to ADHD or TS to expand the reach of the population served.

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

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

Review for approval the NPHPRC’s clearance methods for developed products (clearance chain may involve the CDC or the NPHPRC’s professional advisory board).

Coordinate annual two-day awardee meeting in Atlanta for planning purposes and information sharing among awardees. All travel expenses should be included in proposed budget.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the CDC Program

Support to Awardees Section.

2. Award Mechanism:

3. Fiscal Year: 2015 Estimated Total Funding: $1,700,000

4. Approximate Total Fiscal Year Funding: $1,700,000

4. Approximate Total Fiscal Year Funding: $1,700,000

5. Approximate Project Period Funding: $6,800,000

6. Total Project Period Length: 4 year(s)

7. Expected Number of Awards: 2

8. Approximate Average Award: $800,000 Per Budget Period

9. Award Ceiling: $900,000 Per Budget Period

10. Award Floor: $800,000 Per Budget Period

11. Estimated Award Date: 09/01/2015 Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (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 project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

12. Budget Period Length: 12 month(s)

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

C. Eligibility Information

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

Government Organizations:

State (includes the District of Columbia) Local governments or their bona fide agents Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Giam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

State controlled institutions of higher education American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

Non-government Organizations:

American Indian or Alaska native tribally designated organizations

Other:

Private colleges and universities Community-based organizations Faith-based organizations

2. Additional Information on Eligibility

N/A

The award ceiling for this FOA is $900,000. CDC will consider any application requesting an award higher than this amount as non- responsive and it will receive no further review. If a pre-application is required, then specify here and include it in the special eligibility requirements section. (http:// www.hhs.gov/ asfr/ ogapa/ aboutog/ hhsgps107.pdf)

3. Justification for Less than Maximum Competition http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

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 FOA 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. Required Registrations

Additional materials that may be helpful to applicants: http://www.cdc.gov/od/pgo/funding/docs/Financial ReferenceGuide.pdf.

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.

a. Data Universal Numbering System: All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or Internet at http:// fedgov.dnb.com/webform/displayHomePage.do. The DUNS number will be provided at no charge.If funds are awarded to an applicant organization that includes sub-awardees, those sub-awardees 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 an awardee. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process usually requires not more than five business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov: The first step in submitting an application online is registering your organization through www.grants.gov, the official HHS E-grant website. Registration information is located at the "Get Registered" option at www.grants.gov.

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

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 funding opportunity at www.grants.gov. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIM@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348.

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. PGO 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 PGO.

a. Letter of Intent Deadline (must be emailed or postmarked by) N/A

b. Application Deadline Due Date for Applications: 05/11/2015, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov. If Grants.gov is inoperable http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.grants.gov http://fedgov.dnb.com/webform/displayHomePage.do http://fedgov.dnb.com/webform/displayHomePage.do https://www.SAM.gov http://www.Grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov https://foa.grantsolutions.gov/announcementmodule/PGOTIM@cdc.gov%20

Due Date for Applications: 05/11/2015, 11:59 p.m. 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.

Date for Informational Conference Call: 03/18/2015

An informational call for potential applicants will take place on March 18, 2015 at 2 p.m. US Eastern Time, Toll-Free 877-601-5711, Participant Passcode 7999763.

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html.

Complete the applicable assurances and certifications on an annual basis, name the file “Assurances and Certifications” and upload it as a PDF file at www.grants.gov Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc. gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx

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

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 FOA.

8. Table of Contents (No page limit and not included in Project Narrative 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. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum 1 page)

A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the "Project Abstract Summary" text box at www.grants.gov.

10. Project Narrative (Maximum of 20 pages, single spaced, Calibri 12 point, 1-inch margins, number all pages. Content beyond 20 pages will not be considered. The 20 page limit includes the work plan. For a multi-component FOA, maximum page limit is 25.)

The Project Narrative must include all of the bolded headings shown in this section. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire project period as identified in the CDC Project Description section. Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov.

a. Background Applicants must provide a description of relevant background information that includes the context of the problem (See CDC Background).

b. Approach

i. Purpose Applicants must describe in 2-3 sentences specifically how their application will address the problem as described in the CDC Background section.

http://www.grants.gov http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html http://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://www.grants.gov http://www.grants.gov http://www.grants.gov

ii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period. Outcomes are the results that the program intends to achieve. All outcomes must indicate the intended direction of change (e.g., increase, decrease, maintain). (See the logic model in the Approach section of the CDC Project Description.)

iii. Strategies and Activities Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the project period outcomes. Applicants must select existing evidence-based strategies that meet their needs, or describe in the Applicant Evaluation and Performance Measurement Plan, how these strategies will be evaluated over the course of the project period. (See CDC Project Description: Strategies and Activities section.)

1. Collaborations Applicants must describe how…