DD16-1602 amendment 2.pdf

Centers for Disease Control and Prevention

National Center on Birth Defects and Developmental Disabilities

National Centers on Health Promotion for People with Disabilities

CDC-RFA-DD16-1602

Application Due Date: 01/15/2016

National Centers on Health Promotion for People with Disabilities

CDC-RFA-DD16-1602

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-DD16-1602. 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 Centers on Health Promotion for People with Disabilities 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- public- health- research- nonresearch. pdf.

D. Agency Funding Opportunity Number:

CDC-RFA-DD16-1602

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

93.184 F. Dates:

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

2. Due Date for Applications: 01/15/2016, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 12/03/2015 An informational conference call will take place on December 3rd, 2015 from 3:00 pm to 4:00 pm EST. The conference call can be accessed by calling the following toll free number 1- 877- 931-8815 and entering the participant passcode #7157577.

G. Executive Summary:

1. Summary Paragraph:

The purpose of this 5-year Funding Opportunity Announcement (FOA) will be to fund and support state controlled institutions of higher education, non-government organizations and private colleges and universities that work with people with mobility limitations and/or intellectual disabilities (ID) and have national reach through a network of 15 or more state/local programs, chapters and/or affiliates across the United States. These national centers or organizations (referred to as National Centers on Disability) may apply to develop, implement, evaluate, and disseminate non-research activities aimed at reducing health disparities and improving the health of people with mobility limitations and/or intellectual disabilities across their lifespans. This new FOA will provide support to up to three National Centers on Disability to: (1) improve knowledge and awareness about the usefulness and effectiveness of health promotion programs and policy, systems and environmental improvements for people with mobility limitations and/or intellectual disabilities, (2) develop, implement, evaluate, and disseminate multi-level strategies (e.g., programmatic, policy, systems and environmental changes) that improve the health and quality of life of people with mobility limitations and/or intellectual disabilities, (3) implement the Healthy Athletes Program for people with ID, and (4) collaborate with and support states and academic centers to improve the health of people with mobility limitations and/or intellectual disabilities.

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

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 3

d. Total Project Period Funding: $32,500,000

e. Average One Year Award Amount: $2,166,667

f. Number of Years of Award: 5

g. Estimated Award Date: 03/31/2016

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 Disabilities affect over 53 million adults in the United States -- cutting across the boundaries of age, race, sex, and socioeconomic status. State-level disability estimates range from a low of 16.4% to a high of 31.5%. People with functional disabilities experience numerous health disparities and are more likely than people without disabilities to have higher rates of chronic conditions and related risk factors. Adults living with disabilities are more likely than people without disabilities to report poorer health and are more likely to be obese (38.4% vs 24.4%), smoke (30.3% vs 16.7%), have high blood pressure (41.7% vs 26.3%) and be physically inactive (36.3% vs 23.9%).

People with disabilities need public health programs and health care services for the same reasons anyone does—to be healthy, active, and a part of the community. Individuals with disabilities are best served by public health when they are included in mainstream public health activities. Disability inclusion allows for people with disabilities to take full advantage of the benefits of the same health promotion activities experienced by people who do not have a disability. Examples of these activities include: educational programs and policies that promote physical activity, improve nutrition, or reduce tobacco use; and screening and referrals for diabetes or heart disease. It also involves identifying and eliminating barriers to participation. As an example, many barriers can be eliminated through the use of universal design, which involves the creation of environments that are usable by the largest number of people, regardless of their abilities.

People with mobility disabilities and those with intellectual disabilities (ID) represent a large segment of the disability population. Men, women, and children of all backgrounds live with complications associated with these conditions. Therefore, the priority populations for activities supported by this announcement are people with mobility disabilities and/or ID. This FOA is intended to support the development, implementation, evaluation, and dissemination of non-research activities aimed at: (1) raising knowledge and awareness of the health needs of people with mobility limitations and/or ID; (2) developing and disseminating health promotion models, strategies, tools, and health promotion materials; (3) providing training and education to health care professionals and others that provide support and/or services to people with mobility limitations and/or ID; (4) improving access to health care screenings and services; and (5) promoting the adoption of healthy behaviors aimed at reducing health disparities for people with mobility limitations and/or ID.

State controlled institutions of higher education, non-government organizations and private colleges and

State controlled institutions of higher education, non-government organizations and private colleges and universities that work with people with mobility and/or intellectual disabilities and have national reach through a network of 15 or more state/local programs, chapters and/or affiliates may apply for this announcement. These National Centers on Disability are uniquely positioned to have a significant impact on the nation's health. Given their widespread visibility, political acumen, broad reach through a network of local and state affiliates, programs and partners, and established infrastructure, Category A and B awardees will be expected to individually and collectively improve inclusion and accessibility for people with disabilities through health promotion programs.

Recipient activities will vary by category and address the following priority topic areas:

Category A – Mobility Disabilities

Physical activity, nutrition, healthy weight

Category B- Healthy Athletes Program and Intellectual Disabilities

Physical activity, nutrition, healthy weight, tobacco use and exposure, hypertension, oral health

Applicants may only apply for one category of funding.

b. Statutory Authorities This program is authorized under Section 317(k) (2) and Section 317C of the Public Health Service Act [42 U.S.C. Section 247b -4], as amended.

c. Healthy People 2020 This program addresses the Healthy People 2020 focus areas of Disability and Health (DH) and Physical Activity (PA). This FOA specifically supports the following Healthy People objectives: DH-2 "Increase the number of States and the District of Columbia that have health promotion programs for people with disabilities," DH-4 "Reduce the proportion of people with disabilities who report delays in receiving primary and periodic preventive care due to specific barriers," DH-8 "Reduce the proportion of people with disabilities who report (encountering) physical or program barriers to local health and wellness programs," DH-13 "Increase the proportion of people with disabilities who participate in social, spiritual, recreational, community, and civic activities to the degree they wish," and PA-1, "Reduce the proportion of adults who engage in no leisure-time physical activity." Additional information on Healthy People 2020 is available at http://www.healthypeople.gov.

d. Other National Public Health Priorities and Strategies This FOA supports NCBDDD's strategic goals and priorities which are are available at: http://www.cdc.gov /ncbddd/aboutus/documents/ncbddd_strategicplan_2-10-11.pdf.

e. Relevant Work This Funding Opportunity Announcement (FOA) builds on 15 years of CDC-funded disability programs in chronic disease prevention and health promotion as well as the experience of national disability organizations and state programs nationwide. Specifically, this FOA is an extension of the lessons learned that supports making programmatic, policy, systems, and environmental changes to impact the health and well-being of people with disabilities. As emphasized in the Health Impact Pyramid, public health interventions will achieve greater impact when changing the environmental context so that individuals can easily take healthy actions in the normal course of their lives. In addition, the Socio-Ecological Model denotes the importance of influencing factors within and across levels (i.e., individual, intrapersonal, organizational, community, societal) that affect personal health. Each level provides potential support for the initiation and maintenance http://www.healthypeople.gov/ http://www.cdc.gov/ncbddd/aboutus/documents/ncbddd_strategicplan_2-10-11.pdf http://www.cdc.gov/ncbddd/aboutus/documents/ncbddd_strategicplan_2-10-11.pdf http://www.cdc.gov/ncbddd/disabilityandhealth/ http://www.cdc.gov/ncbddd/disabilityandhealth/ http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2009.185652 http://heb.sagepub.com/content/42/1_suppl/8S.full.pdf+html of healthy behaviors; however, individual behavior change is best achieved if reinforced and supported by organizational and community level improvements. This FOA supports the implementation of multi-level public health programs that can advance sustainable impact on the health and well-being of people with disabilities as well as the need for evaluation and dissemination of best practices.

2. CDC Project Description

a. Approach

Bold indicates project period outcome.

The following logic model outlines strategies and outcomes for each component addressed in this FOA.

CDC-RFA- DD16-1602 Logic Model: National Centers on Health Promotion for People with Disabilities Strategies and Activities Short-Term

Outcomes Intermediate Outcomes

Long-Term Outcomes

Overarching Strategy

Improve inclusion and accessibility for people with disabilities in health promotion programs

Category A

Assess, develop and disseminate community models, tools, and resources Deploy evidence-based health promotion programs adapted for people with mobility limitations

Category B

Conduct health screening assessments and events Enhance data collection activities Deploy evidence-based health promotion programs adapted for people with ID

Category A and B

Enhance and expand partnerships Provide training and education Promote evidence-based and innovative programmatic, Increased availability and use of community models, tools, and resources Increased access to health care screenings and referrals for other health care services Improved data collection methods Increased knowledge and awareness of health risk factors Improved collaborations with partners

Increased screening for health risk factors Improved evidence-base for health promotion programs Increased use of programmatic, policy, systems, and environmental changes Increased participation in evidence-based and innovative health promotion programs Improved organizational capacity

Increased healthy behaviors Decreased prevalence of chronic disease risk factors Decreased prevalence of chronic diseases Improved sustainability of programmatic, policy, systems, and environmental improvements policy, systems, and environmental changes Develop and disseminate inclusion strategies, resources and tools Provide technical assistance Evaluate program impact

Bold indicates outcomes expected to be achieved during the project period.

Category A - Mobility Disabilities (priority topics include: physical activity, nutrition, healthy weight)

Category B - Healthy Athletes Program and Intellectual Disabilities (priority topics include: physical activity, nutrition, healthy weight, tobacco use and exposure, hypertension, oral health)

i. Purpose The overarching strategy for this FOA is to improve inclusion and accessibility for people with disabilities in health promotion programs in the following two categories:

Category A - Mobility Disabilities

This FOA will support national organizations to implement, evaluate, and disseminate non-research activities aimed at reducing health disparities and improving the health of people with mobility limitations across their lifespans.

Category B - Healthy Athletes Program and Intellectual Disabilities

This FOA will support national organizations to implement, evaluate, and disseminate non-research activities aimed at reducing health disparities and improving the health of athletes and people with intellectual disabilities across their lifespans.

ii. Outcomes Awardees will be responsible for measuring short-term and intermediate outcomes. Monitoring progress on short-term and intermediate outcomes provides an opportunity for awardees to make adjustments to strategies to ensure increased long-term health impact. The following key outcomes are expected to be achieved by the end of the project period:

Category A - Mobility Disabilities

Short-term Outcomes

Increased availability and use of community models, tools, and resources Increased knowledge and awareness of health risk factors Improved collaborations with partners

Intermediate Outcomes

Improved evidence-base for health promotion programs Increased use of programmatic, policy, systems, and environmental changes Increased participation in evidence-based and innovative health promotion programs Improved organizational capacity

Category B - Healthy Athletes Program and Intellectual Disabilities

Short-term Outcomes

Increased access to health care screenings and referrals for other health care services Improved data collection methods Increased knowledge and awareness of health risk factors Improved collaborations with partners

Intermediate Outcomes

Increased screenings for health risk factors Improved evidence-base for health promotion programs Increased use of programmatic, policy, systems, and environmental changes Increased participation in evidence-based and innovative health promotion programs Improved organizational capacity

As part of the National Center Evaluation Plan, CDC will be responsible for estimating long-term outcomes for both categories including:

Increased healthy behaviors Decreased prevalence of chronic disease risk factors Decreased prevalence of chronic diseases Improved sustainability of programmatic, policy, systems, and environmental improvements

iii. Strategies and Activities Applicants for this award must implement strategies and activities to achieve and measure the outcomes described in the logic model above. Strategies for Category A and B are listed below and include examples of potential activities.

Category A

Assess, develop and disseminate community models, tools, and resources assess gaps in community models, information and resources aimed at improving nutrition and assess gaps in community models, information and resources aimed at improving nutrition and increasing physical activity (e.g., models and guidelines for creating an inclusive community) promote access and inclusion through development, evaluation and dissemination of community models (e.g., inclusive fitness centers) develop models and recommendations that can be scaled and replicated in various settings (e.g., develop and evaluate physical activity and nutrition guidelines for people with mobility limitations) implement policy, systems, and environmental improvements (e.g., universal design approaches that increase access to physical activity, nutritional guidelines that increase availability of healthy food options in group homes)

Deploy evidence-based health promotion programs adapted for people with mobility limitations use existing guidelines and recommendations to customize evidence-based programs for people with mobility limitations (e.g., adapt Common Community Measures for ObesityPrevention for people with mobility limitations)

Category B

Conduct health screening assessments and events train health care professionals about the health needs of people with ID host health promotion screening events for athletes and people with ID develop and implement a referral program linking people with ID to appropriate health care services provide an annual report summarizing screening events

Enhance data collection activities improve tracking and monitoring of key health indicators for people with ID promote the use of standardized questions and protocols for health screenings (e.g., develop health assessment guide)

Deploy evidence-based health promotion programs adapted for people with ID implement the Healthy Athletes Program (e.g., host state or national screening events) implement health promotion programs (e.g., adaptive physical activity programs, nutrition policy to restrict the availability of less healthy foods and beverages)

Category A and B

Enhance and expand partnerships expand collaborations between National Centers on Disability and other CDC-funded programs, including State-based Disability and Health Programs (e.g., disseminate referral toolkit through CDC-funded partners) initiate joint projects with CDC State-based Disability and Health Programs (e.g., inclusive fitness center model implemented in multiple states and/or communities) establish an advisory committee, including representation from people with disabilities

Provide training and education train select audiences (e.g., state health departments, advocates, public) about health risk factors, health disparities, and policies that affect people with disabilities train health care professionals to provide quality health screenings and assessments (e.g., build professional competencies, identify adaptive equipment)

Promote evidence-based and innovative programmatic, policy, systems, and environmental changes develop/pilot innovative strategies (e.g., adapt Common Community Measures for Obesity Prevention for people with mobility limitations) implement/disseminate evidence-based strategies (e.g., inclusion policy) test a new program model in multiple states and/or communities

Develop and disseminate inclusion strategies, resources and tools disseminate key findings and lessons learned through multiple communication modes (e.g., http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm disseminate key findings and lessons learned through multiple communication modes (e.g., conference presentations, manuscripts, tweets/social media, webinars, and websites) create and disseminate success stories and policy briefs (e.g., promote programs and policies that improve the health of people with disabilities among disability stakeholders)

Provide technical assistance support people with disabilities and their families, health care providers, organizations serving people with disabilities, state health departments, and the general public

Evaluate program impact utilize tools to document and monitor program performance (e.g., assess intervention reach, track outcomes)

Awardees may not use funds for research or clinical care.

1.Collaborations

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

Applicants are expected to collaborate with other National Centers on Disability supported under this award and with CDC-funded programs, including the state-based disability and health programs. Applicants are encouraged to initiate at least one collaborative project with at least one or more disability and health state programs.

b. With organizations not funded by CDC:

Collaborations between consumer groups, national or community-based organizations, clinicians, and researchers are encouraged. If collaborations are proposed, it is expected that the nature of these collaborations are clearly described in the proposal and letters of support, and/or MOUs/MOAs are included in the appendix. If contractual agents or agencies will be used, describe potential contractors, how contractors will be selected, and the role of the applicant as compared to those of the contractor.

2. Target Populations The target populations for the proposed projects are as follows:

Category A - People with mobility disabilities, their families, health care providers, organizations serving people with disabilities, and the general public.

Category B - People with intellectual disabilities, healthy athletes, people who influence and/or guide a person with ID (e.g., a family member, friend, coach (life, job, athletic, or health), health professional, service provider, advocate or caregiver other than family), and the general public.

It is expected that applicants will describe the specific target population, identify applicable health disparities, and develop and evaluate program objectives and related activities to reduce or eliminate these disparities.

a. Inclusion Funded programs must include people with disabilities in all aspects of the program (e.g., advisory boards, planning committees, project staff, consultants, etc.) Where appropriate, applicants are encouraged to also include: tribal organizations; rural populations; non-English speaking populations; lesbian, gay, bisexual, and transgender (LGBT) populations; and people with limited health literacy.

iv. Funding Strategy (for multi-component FOAs only) Multiple funding streams will be used to support Category A and Category B components. Applicants may

Multiple funding streams will be used to support Category A and Category B components. Applicants may only apply for one category of funding. Annual funds available are as follows:

Category A - Mobility Disabilities; up to $1,500,000 is available for this category. The ceiling for individual awards is $1,500,000.

Category B - Healthy Athletes Program and Intellectual Disabilities; up to $5,000,000 is available for this category. The ceiling for individual awards is $4,500,000.

Awardees may not use funds for research or clinical care.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and performance measurements help demonstrate achievement of program objectives; build a stronger evidence base for specific program interventions; clarify applicability of the evidence base to different populations, settings, and contexts; drive continuous program improvement; and help determine if program strategies are scalable and effective at reaching target populations.

As part of their evaluation plan, awardees will be responsible for measuring short-term and intermediate outcomes. Monitoring progress on short-term and intermediate outcomes provides an opportunity for awardees to make adjustments to strategies to ensure increased long-term health impact. All awardees will be expected to measure and report short-term outcomes (including reach, or number of people impacted by an intervention) that align to objectives included in their work plans.

If selected for funding, CDC staff will work with the grantees to finalize program specific measures. These will include both process and outcome measures, such as:

Process evaluation measure examples:

Assess, develop and disseminate community models, tools, and resources Summary list of current models, tools, and resources, numbers and types of materials developed, language and literacy of materials, methods of dissemination, audiences reached, numbers of resources requested and distributed, quality assessment of materials, web metrics

Deploy evidence-based health promotion programs adapted for people with mobility limitations Summary of current literature, list of evidence-based programs, description of adaptations

Conduct health screening assessments and events Number and location of screening events hosted, list of assessment tools, number of healthy athletes and people with ID screened

Enhance data collection activities List available data sources

Deploy evidence-based health promotion programs adapted for people with ID Summary of health programs being implemented, location and accessibility of activities, type of recruitment, evidence of reaching targeted audience (i.e., healthy athletes), number of participants engaged

Enhance and expand partnerships List of collaborators and their roles and responsibilities, type of interagency agreements

Provide training and education List and types of training provided, number of people who received training

Promote evidence-based and innovative programmatic, policy, systems, and environmental changes Summary of literature on evidence-based programs, policy, system, or environmental changes, summary of promotional activities and events, documentation of reach

Develop and disseminate inclusion strategies, resources and tools List of resources, tools and strategies, number of resources disseminated, documentation of reach

Provide technical assistance Number of technical assistance requests, list of organizations requesting assistance, summary of technical assistance provided, Evaluate program impact Documentation of an evaluation plan and logic model, documentation of program reach

Short-term outcome evaluation measure examples:

Increased availability and use of community models, tools, and resources Pre/post evaluation of knowledge or models implemented, key informant interviews, focus groups

Increased access to health care screenings and referrals for other health care services Pre/post survey of participants, volunteers, and health care providers, number of people screened, number of people referred for follow-up care, reasons for referral

Improved data collection methods Standardized protocols, analyses and documentation of findings

Increased knowledge and awareness of health risk factors Pre/post evaluation of knowledge and awareness

Improved collaboration with partners Pre/post assessment of number of partners or joint projects, activities conducted and meetings held

Intermediate outcome evaluation measure examples:

Increased screening for health risk factors Numbers of consumers screened, number of people referred for follow-up care, number of people receiving follow-up care, changes in provider practices

Improved evidence-base for health promotion programs Pre/post evaluation of knowledge, key informant interviews, focus groups

Increased use of programmatic, policy, systems, and environmental changes Pre/post survey of inclusive policy, systems, and accessible environments, key informant interviews, number of accessibility assessments, new policies initiated

Increased participation in evidence-based and innovative health promotion programs Pre/post evaluation of participant behavior

Improved organizational capacity Pre/post survey of staff competencies, key informant interviews

CDC emphasis will be supporting awardees to measure process, short-term, and intermediate outcomes, as outlined in the logic model. As part of the National Center Evaluation Plan, CDC will be responsible for estimating overall FOA impact based on performance monitoring and progress achieved by all awardees.

CDC will also have routine calls with grantees to track progress of objectives outlined in the work plans and provide feedback or guidance around issues, such as finalizing logic models and evaluation plans and measuring program impact. CDC will use evaluation findings and performance measures for continuous program quality improvement and demonstrate the impact of the FOA.

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

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

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

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

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

Awardees will be required to submit a more detailed Evaluation and Performance Measurement plan within the first 6 months of award, as described in the Reporting Section of this FOA.

Applicants must provide an evaluation and performance measurement plan that is consistent with the CDC strategy. The plan must:

Affirm their ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy Describe how key program partners will participate in the evaluation and performance measurement planning process Describe how evaluation findings will be used for continuous program quality improvement Describe the type of evaluation (i.e., process, outcome, or both) and timeline Describe key evaluation questions to be addressed by these evaluations Identify available data sources and discuss the feasibility of collecting these data Explain how the evaluation and performance measures will contribute to developing an evidence base for programs that employ strategies lacking strong evidence

c. Organizational Capacity of Awardees to Implement the Approach Applicants must demonstrate the ability to execute the CDC strategies and activities and meet project period outcomes.

Applicants should:

Describe the current status of programs conducted by their organization, and describe their understanding of the need for this program as well as their agency's capacity in implementing and evaluating the activities within the proposed plan.

Describe the anticipated level of organizational capacity applicants will need in order to implement the award. Organizational capacity includes skill sets such as: program planning, program evaluation, performance monitoring, financial reporting, budget management and administration, and personnel management.

Applicants should demonstrate relevant experience and capacity (management, administrative, and technical) to implement the activities and achieve the project outcomes, experience and capacity to implement the evaluation plan, and a staffing plan and project management structure sufficient to achieve the project outcomes and clearly define staff roles.

Applicants are encouraged to submit up to three success stories that demonstrate program accomplishments. Each success story should not exceed one page and may be included in the appendix.

Applicants must be capable of managing the required procurement efforts, including the ability to write and award contracts in accordance with applicable grants regulations, and meet reporting requirements related to federal programmatic, financial, and management benchmarks as required in the FOA.

d. Work Plan Applicants must provide a detailed work plan for the first year of the project period and a high-level description that covers the remaining four years of the project period. The work plan must cross walk to the strategies and activities, short-term and intermediate outcomes, and performance measures presented in the logic model and narrative sections of the FOA. The workplan should include the objectives and associated performance measures, program strategies and activities, target dates for completion, and person(s) responsible for the activities. Applicants are strongly encouraged to use the sample Excel-based workplan available at http://www.cdc.gov/ncbddd/disabilityandhealth/funding-opportunity-announcements.html . The sample work plan includes several tabs which relate to strategies that should be captured in the work plan--infrastructure, models, programs, training, technical assistance, tools and dissemination. Within each tab is a project period objective that further describes the strategy and related annual objectives. All proposed objectives must be specific, measurable, achievable, realistic and time-phased (SMART). Proposed measures can be summarized in this template under the "measures" tab and should align to the short-term and intermediate outcomes.

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.

http://www.cdc.gov/ncbddd/disabilityandhealth/funding-opportunity-announcements.html

Other than those listed above, no additional monitoring activities are required.

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

AGREEMENTS)

CDC will have substantial involvement throughout the project period. To ensure the success of the cooperative agreement, CDC will provide the following:

Technical Assistance:

CDC staff will provide access to subject matter experts in disability, public health practice and evaluation.

CDC staff will conduct routine conference calls with grantees and will assist, as needed, with program planning, work plan development, implementation, performance measurement and evaluation.

Where appropriate, CDC staff will collaborate in the development of health promotion materials, presentations, and publications associated with these activities.

Information Dissemination:

CDC staff will share information, best practices, and lessons learned among partners through meetings, conferences, listservs, webinars, and other social media.

CDC staff will also share information between awardees through routine conference calls and facilitate information exchanges between grantees and the existing state disability and health programs.

Additional Support

CDC staff will provide regular feedback on work plans, evaluation plans and required reports.

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: U-27

3. Fiscal Year: 2016 Estimated Total Funding: $6,500,000

4. Approximate Total Fiscal Year Funding: $6,500,000

This amount is subject to the availability of funds.

5. Approximate Project Period Funding: $32,500,000

6. Total Project Period Length: 5 year(s)

7. Expected Number of Awards: 3

8. Approximate Average Award: $2,166,667 Per Budget Period

This amount is subject to the availability of funds.

9. Award Ceiling: $4,500,000 Per Budget Period

The award ceiling for Category A is $1,500,000.

The award ceiling for Category B is $4,500,000.

10. Award Floor: $500,000 Per Budget Period

11. Estimated Award Date: 03/31/2016

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: Public and State controlled institutions of higher education

Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification)

Additional Eligibility Category:

Other:

Private colleges and universities

2. Additional Information on Eligibility N/A.

The award ceiling for this FOA is $4,500,000. 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 This announcement is limited to state controlled institutions of higher education, non government organizations and private colleges and universities that work with people with mobility limitations and/or intellectual disabilities and have national reach through a network of 15 or more state/local programs, chapters and/or affiliates. These National Centers on Disability are uniquely positioned to have a significant impact on the nation's health. Given their widespread visibility, political acumen, broad reach through a network of local and state affiliates, programs and partners, and established infrastructure, awardees will be expected to individually and collectively improve inclusion and accessibility for people with disabilities through health promotion programs.

This FOA will limit applicants to state controlled institutions of higher education, non-government http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

This FOA will limit applicants to state controlled institutions of higher education, non-government organizations and private colleges and universities. These centers and organizations have: national reach though local affiliates, chapters, and programs; credibility and influence in their targeted communities (e.g., developed and/or participated in existing community coalitions, events, and activities); direct access to targeted audiences; a variety of existing communication platforms (e.g., websites, newsletters, conferences, special events, etc.); demonstrated ability to inform a national dialogue and garner the attention of national and local media; and demonstrated ability to leverage additional resources and partnerships.

Applicants that do not demonstrate the appropriate infrastructure and resources necessary to fulfill the requirements of this project as described above, will be limited in their ability to achieve the goals and objectives of this project.

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 can require 10 or more 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 at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the “Get Registered” option at www.grants.gov.

http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/portal/public/SAM/ http://grants.gov/ http://www.grants.gov/ http://www.grants.gov/

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

Step System Requirements Duration Follow Up 1 Data Universal

Number System

(DUNS)

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

2. Select Begin DUNS search/request process

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

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under

DUNS number

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or call 1-866-705-5711

2 System for Award Management (SAM) formerly Central Contractor Registration (CRR)

1. Retrieve organizations DUNS number

2. Go to www.sam.gov and designate an

E-Biz POC (note CCR username will not not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

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

For SAM Customer Service Contact www.fsd.gov/US Calls: 866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new

DUNS number to become an authorized organization representative (AOR)

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

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

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

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants

MUST obtain a

DUNS number and SAM account before applying on grants.gov)

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

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

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this 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.

http://www.grants.gov/ http://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://www.sam.gov/ http://www.fsd.gov/US http://www.grants.gov https://foa.grantsolutions.gov/announcementmodule/PGOTIM@cdc.gov%20

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline.

The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by OGS.

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

b. Application Deadline Due Date for Applications: 01/15/2016, 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: 12/03/2015 An informational conference call will take place on December 3rd, 2015 from 3:00 pm to 4:00 pm EST. The conference call can be accessed by calling the following toll free number 1- 877- 931-8815 and entering the participant passcode #7157577.

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa)) /Homepage.aspx.

Applicants may follow either of the following processes:

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