dp15-1503pphf amendment 1 5.18.15.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

PPHF 2015: Asian Language Tobacco Quitline - financed solely by 2015 Prevention and Public Health Funds

CDC-RFA-DP15-1503

Application Due Date: 06/29/2015

PPHF 2015: Asian Language Tobacco Quitline - financed solely by 2015 Prevention and Public Health Funds

CDC-RFA-DP15-1503

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-DP15-1503. 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:

PPHF 2015: Asian Language Tobacco Quitline - financed solely by 2015 Prevention and Public Health Funds 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-DP15-1503

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

93.735 F. Dates:

1. Due Date for Letter of Intent (LOI): 05/22/2015

2. Due Date for Applications: 06/29/2015, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 05/19/2015 From 3:00 pm - 4:00 pm EST

Join Lync Meeting: https://webconf.cdc.gov/zho7/1HN5JZ58

Join by phone: (855)-644-0229 Toll Free English (United States)

Conference ID: 5701377

Questions related to this FOA may be submitted at http://www.cdc.gov/tobacco/about/foa/asian-quitline/form /index.htm

A list of Frequently Asked Questions will be available at http://www.cdc.gov/tobacco/about/foa/asian-quitl ine/faq/index.htm

G. Executive Summary:

1. Summary Paragraph:

Tobacco cessation telephonic counseling services are an evidence-based intervention for smoking cessation.

However, such services are limited for Asian immigrants with limited English proficiency. Several subgroups of Asian Americans have smoking rates that are higher than the general population. This includes men who predominantly speak Chinese (including Cantonese and Mandarin), Korean, and Vietnamese languages (CKV). Traditional state quitline services have not adequately met the needs of callers who predominantly speak these languages. Providing culturally and linguistically appropriate services and promotion for an Asian quitline is highly specialized and can be challenging with limited expertise available.

CDC plans to directly support a national Asian language quitline with $1 million in annual funding for a 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 https://webconf.cdc.gov/zho7/1HN5JZ58 http://www.cdc.gov/tobacco/about/foa/asian-quitline/form/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/form/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/faq/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/faq/index.htm period of three years.

a. Eligible Applicants: Open Competition

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Project Period Funding: $3,000,000

e. Average One Year Award Amount: $1,000,000

f. Number of Years of Award: 3

g. Estimated Award Date: 08/01/2015

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, such as state tobacco control programs, insurers, and employers, and community organizations that serve CKV-speaking populations to promote sustainability is strongly encouraged .

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview

Telephone quitlines increase quit rates among smokers trying to quit, have broad reach, and are effective with diverse populations. Proactive quitlines are quitlines that initiate calls as well as receiving calls. For example, proactive quitlines schedule follow-up calls with smokers who are trying to quit in order to support them throughout their quit attempt. There are currently eleven quitline providers operating state quitlines in the U.S.

State quitlines exist in every state, the District of Columbia, Guam, and Puerto Rico; however, limited capacity to provide linguistically and culturally appropriate services may create barriers that contribute to tobacco-related disparities among several subgroups of Asian Americans. Based on the California Smokers’ Helpline's previous experience serving callers who speak Asian languages, the Centers for Disease Control and Prevention (CDC) provided additional funding to California beginning in 2012 to extend these services nationwide. The Asian Smokers’ Quitline (ASQ) has been serving Chinese, Korean, and Vietnamese (CKV)-speaking populations on a national basis since October 2012. In order to further formalize this service, to place it on a more stable, sustainable basis, and to further extend its reach, CDC plans to directly support a national Asian language quitline with $1 million in annual funding for a period of three years. This project complements the national portals 1-800-QUIT-NOW (transfers English-speaking callers to English-language services available through their state quitlines) and 1-855-DEJELO-YA (transfers Spanish-speaking callers to Spanish-language services available through their state quitlines). Most state quitlines do not have staff with the necessary language skills to provide in-language services to CKV-speaking callers.

b. Statutory Authorities

This program is authorized under Section 4002 of the Affordable Care Act, Prevention and Public Health Fund.

c. Healthy People 2020

This FOA relates to following Healthy People 2020 objectives in the topic area of Tobacco Use (TU):

TU-4; Increase smoking cessation attempts by adult smokers;

TU-5: Increase recent smoking cessation success by adult smokers;

TU-8: Increase comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in states and the District of Columbia;

TU-9: Increase tobacco screening in health care settings;

TU-10: Increase tobacco cessation counseling in health care settings.

d. Other National Public Health Priorities and Strategies

This program supports the Government Performance Results Modernization Act (GPRA) Long-term Objective 4.6: Reduce Death and Disability Due to Tobacco, and the following measures: 4.6.3: Reduce the proportion of adults (age 18 and over) who are current cigarette smokers.

In addition, this program supports the following national initiatives and strategic plans:

• CDC’s Winnable Battles – Tobacco: http://www.cdc.gov/winnablebattles/tobacco/index.html

• The National Prevention Council’s National Prevention Strategy – Americas Plan for Better Health (Tobacco Free Living): http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf

• U.S. Department of Health & Human Services’(HHS) Strategic Plan (Promote Prevention and Wellness – Reduce Cigarette Consumption Among Adults and Proportion of Adolescents who are Current Cigarette Smokers): http://www.hhs.gov/secretary/about/message.html

• HHS’s Ending the Tobacco Epidemic: A Tobacco Control Strategic Action Plan for the Department of Health and Human Services: http://www.hhs.gov/ash/initiatives/tobacco

e. Relevant Work

The proposed national Asian language quitline is based on a strong body of evidence generated by the California Smokers’ Helpline (CSH) that science-based, linguistically and culturally tailored quitline services are effective in reaching CKV-speaking smokers and helping them quit. Beginning in 1993, CSH developed a protocol designed specifically for California callers who speak CKV languages and promoted it to these groups. CSH researchers reported results showing that Asians speaking these languages were just as likely to call the CSH as English-speaking whites and that the protocol increased callers' quit rates and was effective for each of the different Asian populations served. A pilot project conducted from January 2010-July 2012 to test the feasibility and impact of implementing this protocol in six additional states yielded positive outcomes.

Subsequently, the national quitline for Asian speakers that began operating in 2012 has demonstrated the feasibility of operating such a service and has shown that there is substantial and widespread demand for such a service. This FOA also supports FOA DP14-1410PPHF14: Tobacco Use Prevention – Public Health Approaches for Ensuring Quitline Capacity, which has the purpose of ensuring and expanding state quitline capacity. This project is one component of CDC's comprehensive approach to reduce overall tobacco use, which includes efforts to promote tobacco cessation and to eliminate tobacco related disparities.

http://www.cdc.gov/winnablebattles/tobacco/index.html http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf http://www.hhs.gov/secretary/about/message.html http://www.hhs.gov/ash/initiatives/tobacco

2. CDC Project Description

a. Approach

i. Purpose

The CDC proposes to fund one applicant to operate and promote a fully linguistically and culturally appropriate nationwide quitline service for tobacco users who predominantly speak Chinese, Korean, and Vietnamese languages as well as their family members. Several subgroups of Asian Americans have smoking rates that are higher than the general population. This includes men who predominantly speak CKV languages. Traditional state quitline services have not adequately met the needs of callers who predominantly speak these languages. The project will also include, as appropriate, the distribution of FDA-approved cessation medications to quitline callers.

ii. Outcomes

As depicted in the logic model, awardees are expected to achieve the following short-term outcomes (Years 1-2) and intermediate outcomes (Year 3) by the end of the 3-year grant period. Numbers following each outcome (in parentheses) correspond to the numbered outcomes in the logic model.

Short Term Outcomes (1-2 years)

Increased awareness of the quitline among community partners and media reaching CKV-speaking populations(2) Increased awareness of the quitline among health care providers/health systems (3) Increased awareness of the quitline among state/large city tobacco control and chronic disease programs (4) Increase in partnerships between the quitline and community partners serving CKV-speaking populations (5) Increased earned media about the quitline in media outlets reaching CKV-speaking populations (6) Increased referrals to the quitline from health care providers and health systems serving CKV-speaking patients (7)

Intermediate Outcomes (2-3 years)

Increased quitline call volume (10) Increased number of intakes and CKV-speaking tobacco users who call the quitline for help quitting (11) Increased number of CKV-speaking tobacco users receiving counseling and/or FDA-approved cessation medications via the quitline (12) Increased quit attempts among quitline callers (13) Increased cessation among quitline callers (14)

iii. Strategies and Activities

The program strategies for this FOA are based on (1) Best Practices for Comprehensive Tobacco Control Programs-2014; (2) The Guide to Community Preventive Services; (3) the 2008 Public Health Service Clinical Practice Guideline on Treating Tobacco Use and Dependence; (4) the CDC guide Telephone Quitlines: A Resource for Development, Implementation, and Evaluation; and (5) current research on the effectiveness of tobacco cessation interventions, and specifically quitline interventions. The CDC/OSH strategy is a population-based environmental and systems change model designed to produce durable changes in social norms that, among other effects, motivate tobacco users to quit and make it easier for them to do so.

This strategy is focused on approaches with the greatest reach in order to impact the largest population.

The proposed strategies are also based on a strong body of evidence that science-based, linguistically and culturally tailored quitline services are effective in reaching CKV-speaking smokers and helping them quit.

This evidence base has been generated by the California Smokers’ Helpline (CSH) over 20 years of providing quitline services to these populations.

For this FOA, awardees must address all of the following required activities:

1) Deliver a culturally tailored, evidence-based treatment protocol in the Chinese (Mandarin and Cantonese), Korean, and Vietnamese (CKV) languages that includes a 2 week supply of FDA-approved smoking cessation medications for eligible participants.

The awardee will provide effective, linguistically and culturally appropriate quitline services to CKV-speaking populations using evidence-based quitline protocols that have been tailored to the special context and needs of these populations.

The awardee will ensure that adequate quitline infrastructure exists to meet the demand for quitline services, including demand generated by the CDC’s Tips From Former Smokers national tobacco education campaign. Specifically, this infrastructure should include: 1) sufficient staff to support quitline operations; 2) at least three distinct toll free numbers, one per language, with adequate capacity for multiple simultaneous call handling; 3) evidence-based quitline protocols that have been tailored to the special context and needs of these populations; 4) partnerships and established communication systems that support state quitlines and cessation interventions; 5) use of engaged data for the purposes of cessation program planning, implementation, and evaluation; and 6) effective management of resources, including demonstrating and maintaining adequate staff and partnerships, as well as the requisite communication and administrative skills to execute the work plan and the cooperative agreement.

Awardee will ensure, at minimum, the following:

The quitline should be in operation from Monday through Friday from 9 am to midnight Eastern Standard Time;

All tobacco users calling the quitline should be offered one intake/initial call and four proactive coaching calls;

Each call should be answered live or by a caller-friendly interactive voice response system that provides information and access to automated or live services;

85% of calls should be answered within 30 seconds during hours of operation;

The abandonment rate for calls waiting more than 30 seconds since the initial client queue messages should be less than 5%;

All voicemail and email messages should be returned within one business day;

All referrals and registrations received through means other than live calls should be followed up within two business days;

Up to three attempts should be made to contact an individual in order to complete a proactive call before documenting the person as unreachable;

Callers should be provided with quit tips and encouragement to assist with quit attempts, including addressing barriers and helping callers make a plan and set a quit date, and providing support around staying quit;

Callers should be referred to resources to assist them with quitting based on eligibility, including information on how to access medications through their health insurance;

The quitline should make FDA-approved cessation medications available to quitline callers in a safe and effective manner, including screening for and addressing contraindications and having a system in place to fulfill requests for these medications in a timely manner;

The quitline should be able to receive, respond to, track, and report calls transferred or referred to the Asian language quitline from state quitlines or community-based organizations;

The quitline should be able to receive, respond to, track, and report on electronic referrals and fax referrals from health care providers, including supplying providers with feedback reports documenting whether the patients were successfully reached, the services and FDA-approved cessation medications they received, and their quit status;

The quitline should have systems and processes in place for call center supervision and for assessing quitline counselors’ performance and call quality and caller satisfaction, including communication, adherence to evidence-based tobacco cessation protocols, addressing relapse, and supporting proper use of FDA-approved cessation medications;

The quitline should provide initial and ongoing training for quitline counselors

* The level of service specified above may be adjusted in consultation with CDC if necessary to increase reach.

2) Identify, prioritize, and target markets for promotion and outreach to CKV-speaking populations, and deliver targeted promotion through earned and paid media.

The awardee will promote the national Asian quitline and the availability of free cessation medications to

The awardee will promote the national Asian quitline and the availability of free cessation medications to eligible quitline callers in order to maximize awareness and use of the Asian quitline among CKV-speaking tobacco users. This includes:

Conducting and evaluating paid media activities, potentially including print, out-of-home, and radio advertising, in CKV-language channels that are appropriate to reach CKV-speaking populations. This includes coordinating these activities with the Asian-language component of CDC’s Tips From Former Smokers campaign as well as with other national, state, and local tobacco education media campaigns.

Conducting earned media activities, including issuing press releases, holding public events, showcasing results, success stories, and testimonials, and reaching out to reporters to generate news media coverage.

3) Promote awareness and facilitate referrals among health care providers and systems that serve CKV-speaking patients.

The awardee will develop, maintain, and use a system to facilitate referrals of CKV-speaking patients from health care providers to the quitline and feedback reports from the quitline to these providers. This includes:

Conducting outreach and providing technical assistance to health care systems, organizations of health care providers, and other organizations that work with health care providers serving CKV-speaking populations to promote e-referrals and fax referrals from health care providers to the national Asian quitline as well as to promote the availability of free cessation medications to quitline callers.

4) Collaborate with and conduct outreach to national, state, and local organizations and community partners that reach CKV-speaking populations

The awardee will at minimum conduct outreach to the following entities to increase awareness of, transfers to, referrals to, and utilization of the national Asian language quitline:

State tobacco control programs and state quitlines National, state, and local organizations and community partners that serve Asian populations with limited English proficiency.

5) Participate in monitoring, evaluation, and reporting efforts

The awardee will be expected to evaluate their efforts and use the resulting data for quality improvement. In addition to collecting and reporting required performance measures, the awardee should work with stakeholders to answer evaluation questions of importance to the program. The awardee will be expected to make improvements in data collection when such improvements are requested by CDC. Findings should be shared with stakeholders. An evaluation plan and a final evaluation report should be submitted to CDC. The awardee will be expected to use the guidelines in the Evaluation and Performance section of the FOA to guide these efforts.

1.Collaborations

It is highly recommended and/or required that applicants collaborate with relevant partners in this work.

Partnerships may include insurers, healthcare entities, employers, various chronic disease prevention and health promotion programs within state health departments, etc. Awardees are required to collaborate with CDC and CDC funded programs as well as programs external to CDC, with respect to their role in implementing and evaluating evidence-based interventions and strategies outlined in this FOA. Working with partners includes appropriate capacity-building with organizations through training, technical assistance, and consultation, as well as collaboration on implementing evidence-based quitline interventions and strategies.

Evidence-based interventions and strategies supported by this award should align with the National Prevention Strategy Tobacco-Free Living, be consistent with OSH Best Practices 2014 and the Guide to Community Preventive Services, support the four CDC National Tobacco Control Program goal areas and the CDC National Center for Chronic Disease Prevention and Health Promotion four Domain areas.

a. With CDC-funded programs:

Collaboration with CDC-funded tobacco control programs within state health departments and the CDC-funded National Networks to Impact Populations Experiencing Tobacco-Related and Cancer Health Disparities is required. Awardee is encouraged to identify and leverage opportunities, which will also enhance the recipient’s work with entities and programs that address related chronic diseases or their underlying risk factors. This may include, but is not limited to, joint planning and leadership activities, cost sharing activities that cut across stakeholders and relate to recipient program activities, as well as supplemental funding for complementary activities based on stakeholder needs.

Letters of support are strongly encouraged from the following:

State tobacco control programs funded through DP15-1509 National State-Based Tobacco Control Programs

b. With organizations external to CDC:

The awardee is encouraged to expand partnerships with organizations external to CDC working with Asian populations, especially CKV-speaking populations and immigrant populations. This may include for example, community, health, business, and social organizations. The awardee should also consider collaborations with other organizations external to CDC as appropriate. This may include for example; state and local health departments; state and local organizations; voluntary health organizations; and educational institutions.

Letters of support are strongly encouraged from the following:

National organizations primarily working with Asian populations Community organizations that primarily serve Asian populations in distinct states, especially CKV-speaking populations and immigrant populations

2. Target Populations

The awardee will specifically target the Chinese, Korean, and Vietnamese (CKV)-speaking populations with limited English fluency and those organizations and entities that have the potential to reach these populations.

English-speaking callers will be transferred to the national portal, 1-800-QUIT-NOW to receive English-language services available through their state quitlines.

a. Inclusion

The awardee is required to collaborate with organizations working with and representing low socioeconomic status (low SES) populations and individuals with mental health and substance abuse disorders with potential to reach the CKV-speaking population as well as with state tobacco control programs. This FOA specifically focuses on Chinese, Korean, and Vietnamese (CKV) tobacco users with limited English proficiency and their families. In reaching these populations, the awardee should include strategies and collaborations that are inclusive of and reach individuals with disabilities; lesbian, gay, bisexual, and transgender (LGBT) persons;

persons with limited health literacy; persons of low SES; and persons with mental health and substance abuse disorders.

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

N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Throughout the three-year project period, CDC will provide technical assistance to the awardee to develop a comprehensive monitoring and evaluation plan which encompasses process evaluation, outcome evaluation, and performance measurement. The awardee will be expected to collect data on the performance measures and outcomes detailed below. In addition, they must detail how they plan to use performance measures to conduct quality improvement in service delivery, and how they plan to use other evaluation results for overall program improvement. The plan must be consistent with the CDC Framework for Evaluation in Public Health (http://www.cdc.gov/eval/framework.htm), including stakeholder involvement, developing evaluation questions, ensuring use of evalution findings, and sharing lessons learned.

Evaluation questions that CDC is interested in exploring include:

Are states maximizing the use and impact of the national Asian quitline by promoting it to CKV-speaking smokers and warm transferring quitline callers to it?

Are states maximizing the use and impact of the national Asian quitline by promoting it to health care providers and working with them to refer patients to the quitline?

How effective are specific promotional strategies at driving tobacco users to the quitline?

Are the states with the largest CKV populations utilizing the national Asian quitline at levels proportional to the size of their CKV-speaking population?

In jurisdictions where reach (i.e., the proportion of CKV-speaking smokers in a jurisdiction who call the Asian quitline) can be calculated, is reach increasing over time?

Is the cost per quit decreasing over time as awareness, partnerships, and transfer/referral systems improve?

CDC will assess outcomes using the following measures:

http://www.cdc.gov/eval/framework.htm

CDC plans to use the above outcomes and performance measures provided by the awardee to evaluate the success of this FOA. Within six months, CDC will work with the awardee to finalize these performance measures and the data reporting/collection format. CDC will incorporate the specified performance measures into the National Quitline Data Warehouse (NQDW). The NQDW is a repository of data on tobacco quitline services and usage for all 50 states, the District of Columbia, Puerto Rico, and Guam. (See http://www.cdc.gov /tobacco/quit_smoking/cessation/nqdw/pdfs/nqdw-fact-sheet.pdf.)

http://www.cdc.gov/tobacco/quit_smoking/cessation/nqdw/pdfs/nqdw-fact-sheet.pdf http://www.cdc.gov/tobacco/quit_smoking/cessation/nqdw/pdfs/nqdw-fact-sheet.pdf

The following table shows the linkages between the strategies/activities and the performance measures, and provides the required reporting frequency for the performance measures. Note: Data collected on caller characteristics are for statistical purposes only to be used for program planning and improvement.

ii. Applicant Evaluation and Performance Measurement Plan

Applicants must describe how they will collect the required performance measures, and how they develop an evaluation plan that is consistent with the CDC evaluation and performance measurement section of this FOA. In addition, they must detail how they plan to use performance measures to conduct quality improvement in service delivery, and how they plan to use other evaluation results for overall program improvement.

Applicants are required to submit a draft evaluation plan with the application. Within six months of award, the awardee is expected to integrate the performance measures and outcomes into a comprehensive monitoring and evaluation plan. This plan should supplement the performance measures with additional evaluation strategies based on stakeholder feedback. This plan is expected to include the seven-month follow-up performance measures detailed above as part of the outcome evaluation. Guidance and tools on developing a useful evaluation plan can be found in Developing an Evaluation Plan (http://www.cdc.gov/obesity/downl oads/cdc-evaluation-workbook-508.pdf). Throughout the three-year project period, CDC will provide technical assistance to the awardee to ensure a useful plan which encompasses process evaluation, outcome evaluation, and performance measurement. The final plan must:

Describe how program staff and partners will be engaged in the evaluation planning process;

Describe how evaluation findings and performance measurement will be used for continuous program http://www.cdc.gov/obesity/downloads/cdc-evaluation-workbook-508.pdf).

http://www.cdc.gov/obesity/downloads/cdc-evaluation-workbook-508.pdf).

and quality improvement;

Describe evaluation questions, methods, findings, and how results will be disseminated and shared with various stakeholder audiences.

It is expected that the final evaluation report will, at minimum, describe how the above were implemented in the course of the evaluation, in addition to the 7 month Follow-up cessation Outcome Indicators specified in the Performance Measurement section.

c. Organizational Capacity of Awardees to Execute the Approach

The applicant must have at least 3 years of experience in providing proactive tobacco cessation quitline telephonic counseling in the Chinese (including both Mandarin and Cantonese), Korean and Vietnamese languages, using a culturally tailored, tested, evidence-based service protocol. Quitline calls must have been conducted in the callers’ predominant languages by counselors fluent in the respective language, rather than through the use of translation services. The applicant must provide evidence of the effectiveness of their past approach.

The applicant must have at least 3 years of experience in the distribution of FDA-approved cessation medications to eligible callers.

The applicant must have at least 3 years of experience collaborating with and conducting outreach to community partners serving CKV-speaking populations regarding the availability of quitline services.

The applicant must demonstrate at least 3 years of experience working with media partners that reach CKV-speaking populations to develop and implement quitline promotions in Asian language media outlets. The applicant must provide evidence of the existence and outcomes of such partnerships and promotions.

The applicant must demonstrate the presence of a full-time quitline manager, a medical director, and adequate supervisory and program staff with sufficient workforce capacity and competence to ensure successful, sustained delivery of evidence-based, linguistically and culturally competent quitline services.

The applicant must demonstrate the ability to coordinate and collaborate with state health department chronic disease prevention and health promotion programs and other partners to leverage limited resources and maximize reach and impact.

The applicant must demonstrate adequate financial management procedures to ensure on-time reporting for PPHF funding and compliance with other federal reporting requirements.

d. Work Plan

Applicants will develop a detailed work plan for Year 1 of the award and this should be submitted with the application. A sample work plan template is available for use at http://www.cdc.gov/tobacco/osh/foa.

Applicants are not required to use the work plan template, but are required to include all of the elements listed within the template.

Applicants must submit a detailed work plan for Year 1 that at a minimum includes: (1) evidence-based quitline interventions, strategies and activities to support achievement of FOA outcomes (interventions, strategies, and activities must be in alignment with the Asian Language Tobacco Quitline Logic Model and should have appropriate performance measures); (2) staff roles and responsibilities to support implementation of recipient activities, and (3) project monitoring and evaluation processes to ensure successful implementation.

Project period and annual objectives should be written in SMART (specific, measurable, achievable, realistic, and timely) format. Quantitative baselines should be provided for each objective that leads to an increase, decrease, or maintenance over time.

CDC will provide feedback and technical assistance to awarded applicants to finalize the work plan post-award.

http://www.cdc.gov/tobacco/osh/foa post-award.

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.

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

AGREEMENTS)

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring. CDC activities for this program are as follows:

Provide ongoing guidance, technical assistance, training, consultation and support in implementing evidence-based cessation/quitline interventions and strategies.

Access to CDC’s Office on Smoking and Health Media Campaign Resource Center and CDC’s Tips from Former Smokers campaign resources.

Collaborate with selected sites on the evaluation of innovative strategies addressing priority populations including publication of results.

Provide surveillance and evaluation technical assistance through a variety of mediums including phone, guidance tools, and webinar trainings.

Provide technical assistance if requested for the development of quitline success stories and publish selected success stories on the CDC/OSH website as appropriate.

Provide technical assistance if requested with the submission of data to the National Quitline Data Warehouse (NQDW).

Facilitate the development of the evidence base, especially with regard to innovative strategies for reaching targeted populations and eliminating tobacco-related disparities.

Use evaluation to inform technical assistance, best practices development, future FOAs, and peer reviewed publications.

Provide resources and technical assistance to develop and enhance monitoring and surveillance systems.

Provide guidance to identify indicators that can be used to monitor and evaluate awardee efforts.

Collect and analyze data that can be used to monitor and evaluate cessation/quitline initiatives.

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: $1,000,000

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

5. Approximate Project Period Funding: $3,000,000

6. Total Project Period Length: 3 year(s)

7. Expected Number of Awards: 1

8. Approximate Average Award: $1,000,000 Per Budget Period

9. Award Ceiling: $1,000,000 Per Budget Period

10. Award Floor: $750,000 Per Budget Period

11. Estimated Award Date: 08/01/2015 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: State governments

County governments City or township governments Special district governments Independent school districts Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities 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 Private institutions of higher education

For profit organizations other than small businesses Small businesses Others (see text field entitled "Additional Information on Eligibility" for clarification) 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, Guam, 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 This funding requires immediate implementation to ensure there is no lapse in access to care, which would contribute to the existing disparity for this population. Applicants must currently operate a proactive tobacco cessation telephone quitline that provides counseling in Chinese (Mandarin and Cantonese), Korean and Vietnamese languages, using a culturally tailored, tested, evidence-based service protocol. These calls must be answered in the callers’ predominant languages by counselors fluent in the respective language, rather than through the use of translation services.

The award ceiling for this FOA is $1,000,000. 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

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

No http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

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, such as state tobacco control programs, insurers, and employers, and community organizations that serve CKV-speaking populations 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 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 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

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) Due Date for Letter of Intent: 05/22/2015

b. Application Deadline Due Date for Applications: 06/29/2015, 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: 05/19/2015

From 3:00 pm - 4:00 pm EST

Join Lync Meeting: https://webconf.cdc.gov/zho7/1HN5JZ58

Join by phone: (855)-644-0229 Toll Free English (United States)

Conference ID: 5701377

Questions related to this FOA may be submitted at http://www.cdc.gov/tobacco/about/foa/asian-quitline/form /index.htm

A list of Frequently Asked Questions will be available at http://www.cdc.gov/tobacco/about/foa/asian-quitline /faq/index.htm

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

A letter of intent is requested but optional

Descriptive title of proposed project:

Name, address, telephone number, and email address of the Principal Investigator or Project Director, or both Name, address, telephone number, and e-mail address of the primary contact for writing and submitting this application http://www.grants.gov https://webconf.cdc.gov/zho7/1HN5JZ58 http://www.cdc.gov/tobacco/about/foa/asian-quitline/form/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/form/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/faq/index.htm http://www.cdc.gov/tobacco/about/foa/asian-quitline/faq/index.htm http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html http://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx submitting this application Number and title of this FOA

LOI must be sent via U.S. express mail, delivery service, fax, or email to:

Anna Schecter

CDC, NCCDPHP

Address:

CDC 4770 Buford Hwy, NE MS F-79 or for fed-ex/direct delivery: 4770 Buford Hwy, NE Bldg 107 Rm 7225.2

Atlanta, GA 30341

Telephone number: 770-488-2499

Fax: 770-488-5767

Email address: zho7@cdc.gov

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.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).