DP15-1513BRFSS.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

Behavioral Risk Factor Surveillance System (BRFSS)

CDC-RFA-DP15-1513

Application Due Date: 12/30/2014

Behavioral Risk Factor Surveillance System (BRFSS)

CDC-RFA-DP15-1513

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-DP15-1513. 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:

Behavioral Risk Factor Surveillance System (BRFSS) 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-DP15-1513

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

93.336 F. Dates:

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

2. Due Date for Applications: 12/30/2014, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: N/A

G. Executive Summary:

1. Summary Paragraph:

The CDC announces the availability of fiscal year (FY) 2015 funds to implement CDC-RFA-DP15-1513, the Behavioral Risk Factor Surveillance System. The CDC established the BRFSS in 1984 with 15 states participating in monthly data collection. Since that time, the BRFSS has grown to be the only continuous, state-based, health surveillance system that is conducted nationwide. The purpose of this FOA is to continue to provide financial and technical assistance to state and territorial health departments to maintain behavioral surveillance through the BRFSS and increase the use of BRFSS data by health departments to inform public health actions to improve health. The project period for this FOA is five years with a 12-month budget period and an anticipated award date of March 29, 2015. By the end of the five-year project period, recipients are expected to have achieved the short- and mid-term outcomes that will result from the recipient activities specified within this FOA.

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 57

d. Total Project Period Funding: $70,000,000

e. Average One Year Award Amount: $250,000

f. Number of Years of Award: 5

g. Estimated Award Date: 03/30/2015 http://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview

Although health monitoring is being conducted on a national level, in many cases national surveillance data do not adequately describe the health risk behaviors and health status of populations in a state. In addition, there is growing demand for data that corresponds with smaller, sub-state geographic areas such as metropolitan statistical areas and counties. Therefore, state and sub-state level surveillance data are needed to better understand and address the health status, health risk behaviors, and health disparities within states across the nation.

Chronic diseases and conditions are among the most common and preventable of all health problems.

As of 2012, about half of all adults have one or more chronic health conditions and one in four has two or more. These chronic health problems account for the majority of U.S. health care and economic costs and also account for the majority of the leading causes of death in the United States. State and local governments rely on surveillance data to monitor the prevalence of health risk behaviors that are associated with these chronic health problems as well as with preventable injuries. This type of surveillance data provide the information that public health practitioners and decision-makers need to inform public health actions aimed at reducing the morbidity and mortality associated with chronic diseases, injuries, and associated health risk behaviors.

b. Statutory Authorities

Section 301 of the Public Health Service Act (as amended)

c. Healthy People 2020

Data collection activities within this FOA align with several Healthy People 2020 topic areas including Cancer, Social Determinants of Health, Access to Health Services, and Health-Related Quality of Life and Well-Being for all Individuals. Of the Healthy People 2020 objectives, this FOA supports the collection of data used to monitor progress towards Diabetes (D-9, D-11, D-13, and D-14), Disability and Health (DH-17) and Older Adults (OA-2.1 and OA-2.2) targets. See http://www.healthypeople.gov

d. Other National Public Health Priorities and Strategies

This FOA aligns with HHS Strategic Goal 2, Objective E to “improve laboratory, surveillance, and epidemiology capacity.”

e. Relevant Work

This FOA continues the financial and technical assistance that CDC has provided to states and territories through CDC-RFA-SO11-1101 and CDC-RFA-SO11-1102 to collect data on health risk behaviors, health status, health care access, and preventive health practices. These data have been used to assist states and localities in monitoring population health, planning and evaluating public health interventions, and setting and tracking public health objectives.

2. CDC Project Description http://www.healthypeople.gov/

a. Approach

Recipient Strategies/Activities Short- and Mid-term Outcomes

Long-term/Distal Outcomes

Planning

Engage partners Develop and implement an inclusive planning process Identify needs, gaps, priorities, and opportunities Develop a strategic plan to address priorities and related outcomes

Data Collection and Surveillance

Construct a state-specific BRFSS questionnaire Collect and submit data using BRFSS surveillance methodologies and protocols Form and/or maintain collaborations among chronic disease prevention programs and surveillance system administrators Participate in CDC-sponsored training opportunities Disseminate data and findings to users through multiple channels Track how health department staff use BRFSS data

Health department has access to annual BRFSS data set for their jurisdiction Health department uses BRFSS data to inform public health actions

Increase the use of data to inform the development and implementation of public health programs and policies Reduction in the incidence and prevalence of preventable diseases Reduction in morbidity and mortality associated with chronic diseases, injury, and health risk behaviors Reduction in health disparities

i. Purpose

The purpose of this program is to help state and territorial health departments conduct effective health monitoring, priority setting, program and policy planning, and evaluation by supporting the collection and increased use of surveillance data, collected through the BRFSS, of the health risk behaviors that contribute to the occurrence of chronic diseases, disabilities, and injuries in the adult population.

ii. Outcomes

Awardees are expected to achieve the short- and mid-term outcomes specified in the logic model within the five-year project period. These include:

Health department has access to annual BRFSS data set for their jurisdiction Health department uses BRFSS data to inform public health actions

It is expected that the short- and mid-term outcomes achieved under this FOA will contribute beyond the project period to the following long-term outcomes:

Increase the use of data to inform the development and implementation of public health programs and policies Reduction in the incidence and prevalence of preventable diseases Reduction in morbidity and mortality associated with chronic diseases, injury, and adverse health risk behaviors Reduction in health disparities

iii. Strategies and Activities

As noted in the logic model, recipients are to implement the following strategies and component activities Planning

Engage partners: Programs should engage with partners to stay current on new methodologies and share facts in the field of data collection.

Develop and implement an inclusive planning process that engages all relevant state partners in delineating data needs to address state public health concerns.

Identify needs, gaps, priorities and opportunities for BRFSS data collection that link directly to state public health issues and concerns.

Develop a strategic plan to address priorities and related outcomes. [If state health departments do not have a primary responsibility for developing or implementing the state’s overall strategic plan, evidence of participation in the planning process and clear role delineation with other agencies or organizations.]

Surveillance and Data

Annually construct a new state-specific BRFSS questionnaire by taking part in decision making on the BRFSS core questionnaire and making appropriate optional module selections that meet the state’s individual needs.

Collect and submit data to the Population Health Surveillance Branch at CDC, using BRFSS surveillance methodologies and protocols including adherence to the guidelines provided by annual BRFSS protocol documents, use of BRFSS data editing programs, submitting requests for sampling on a timely basis and using BRFSS websites for uploading/downloading data and documentation.

Form and/or maintain collaborations among chronic disease prevention programs and surveillance system administrators Participate in CDC-sponsored BRFSS training opportunities.

Disseminate data and findings to users through multiple channels e.g., publications, website, and press releases.

Track how state and local staff uses BRFSS data to inform public health actions such as program development, allocating public health funds, setting public health objectives, etc

1.Collaborations

BRFSS is supported by numerous Centers, Institutes, and Offices (CIOs) at CDC, including the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), the National Center for Immunization and Respiratory Diseases (NCIRD), the National Center for Environmental Health (NCEH), the National Institute of Occupational Safety and Health (NIOSH), and the National Center for Injury Prevention and Control (NCIPC). In addition to the internal partners listed above the BRFSS has and is collaborating with other agencies such as but not limited to the Substance Abuse and Mental Health Services Administration (SAMHSA), the Administration on Aging (AoA), and the Veterans Administration (VA) have contributed questions to the BRFSS.

a. With CDC-funded programs:

BRFSS is supported by numerous Centers, Institutes, and Offices (CIOs) at CDC, including the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), the National Center for Immunization and Respiratory Diseases (NCIRD), the National Center for Environmental Health (NCEH), the National Institute of Occupational Safety and Health (NIOSH), and the National Center for Injury Prevention and Control (NCIPC).

b. With organizations external to CDC:

The Substance Abuse and Mental Health Services Administration (SAMHSA), the Administration on Aging (AoA), and the Veterans Administration (VA) have contributed questions to the BRFSS

2. Target Populations

The Behavioral Risk Factor Surveillance System (BRFSS) is the primary source of state-specific surveillance information about health risk behaviors and health status among the states’ resident population.

BRFSS is a state-based system of random digit-dialing telephone and mixed-mode health surveys that target non-institutionalized adults, ages 18 years and older

a. Inclusion

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

N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

CDC will work with awardees to develop and implement jurisdiction-specific evaluation plans and ensure accurate evaluation and performance measurement reporting.

PERFORMANCE MEASURES

Strategies/Activities and Process Measures:

Planning

Develop inclusive planning process

Evidence of participation in state data users workgroup

Develop a strategic plan to address priorities and related outcomes

Evidence of a strategic plan that addresses data needs and how BRFSS data will be used

Data/Surveillance

Construct state-specific BRFSS questionnaire

Degree to which the questionnaire construction process was followed Collect and submit data using BRFSS surveillance methodologies and protocols

Submission of edited preliminary and final data sets to CDC by monthly/ quarterly deadlines

Participate in CDC-sponsored training opportunities

Percentage of CDC-sponsored training opportunities attended (e.g., annual BRFSS conference, regional training, training workshop) out of those offered

Disseminate data and findings to users through multiple channels

Number and types of channels thru which data and findings were disseminated (e.g., website, publications, conferences, webinars, etc.)

Track how health department staff use BRFSS data

Existence of a strong and comprehensive system for determining use of BRFSS data

Outcomes and Measures:

Health department has access to annual BRFSS data set for their jurisdiction

Health department releases their public use data set by July 1 of each year

Health department uses BRFSS data to inform public health actions

Evidence of BRFSS data use provided in progress reports

ii. Applicant Evaluation and Performance Measurement Plan

EVALUATION QUESTIONS:

In addition to these performance measures, recipients will be expected to engage in some evaluation of their activities and outcomes. Evaluation plans should include process and outcome evaluation questions such as the following:

What were the challenges and barriers in implementing each of these activities?

To what extent has implementation and performance of these activities improved?

To what extent did the planning process contribute to the utility of BRFSS data?

Process evaluation results will be used by CDC and awardees to monitor the extent to which planned activities were successfully completed and to inform quality improvements in questionnaire construction, data collection and submission, partnership building, data dissemination, and/or data use tracking. Outcome evaluation results and awardee reporting on performance measures will be used to demonstrate program impact during the project period.

BRFSS awardees will be required to conduct an evaluation and report on performance measures annually.

In addition, applicants must provide an overall jurisdiction-specific evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy as stated above.

c. Organizational Capacity of Awardees to Execute the Approach

Leadership and Collaboration

Programs should provide leadership for statewide, and local partnerships that support the goal of reducing or eliminating the health and economic burden of chronic diseases, as identified by state strategic plans. This leadership includes active collaboration and partnership involvement in developing and implementing the plan and developing an effective communication system with partners at the state, and local levels, based on a culture of shared responsibility among the state program and other partners (internal, external, traditional, or nontraditional).

Program Management Staff

A full-time program Coordinator is strongly recommended to administer the BRFSS Program. The Coordinator should have or develop knowledge and skills in areas as appropriate to support the Project Work Plan and should possess the appropriate competencies to lead and manage the BRFSS Program.

Fiscal Management

Programs must use funding to support state and local programs that focus on population-based strategies that are science-based, that reach diverse population groups, and that focus on social determinants of health.

Specifically, programs must

Develop and maintain systems for sound fiscal management, including:

Monitor the cooperative agreement award and program contracts and grants, ensuring that funds are expended in support of approved activities.

Accurately track expenditures in a timely manner.

Project categorical balances accurately.

Prevent excessive unobligated balances.

Establish an effective communication system with appropriate state fiscal management staff and develop a process for regularly assessing status of funds.

Define and describe the program manager’s role in fiscal management.

d. Work Plan

A five-year Project Work Plan that includes implementation of the activities and progress on project period outcomes, including:

Submitting a state specific BRFSS questionnaire including core and optional module components for CDC review by November 30 of each calendar year.

Collecting and submitting cleaned and edited BRFSS data to CDC in accordance with specified monthly data submission protocols.

Participating annually in at least one CDC sponsored training or Conference on the BRFSS methodology or analysis of BRFSS data.

Submitting a summary of how the health department staff has used the BRFSS data by December 30, of each year.

Engaging with partners—what the applicant’s leadership role will be in developing partnerships and how these partnerships will contribute to the accomplishment of program goals and objectives.

Forming and or maintaining collaborations among chronic disease prevention and health promotion programs – what specific steps will be taken to better coordinate among these programs and other States Angencies.

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.

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)

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

CDC activities for this program are as follows and represent a combined description of support activities for chronic disease prevention and health promotion programs:

Provide ongoing guidance, consultation, technical assistance, and training as related to the recipient activities.

Provide resources, training, technical assistance, and consultation to develop, maintain, and enhance monitoring and surveillance systems.

Provide resources, training, and technical assistance, and consultation to support and facilitate collection and use of data.

Develop, disseminate, and evaluate culturally and linguistically appropriate health communication materials, resources, and tools to support specific program efforts for chronic disease prevention and health promotion.

Maintain electronic mechanisms for information sharing, program planning, and progress reporting.

Maintain Web sites that provide links to databases (such as the State Activities Tracking and Evaluation System and BRFSS) that contain state-specific information and comparable measures that are critical to chronic disease prevention and health promotion activities.

Serve as a convener and resource for the continued expansion of the science base of chronic disease prevention and health promotion programs

Promote and actively engage in collaboration among CDC chronic disease prevention and health promotion programs, other appropriate CDC programs, and related public health programs across state health agencies.

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. Funding Activity Category: Health

3. Fiscal Year: 2015 Estimated Total Funding: $14,000,000

4. Approximate Total Fiscal Year Funding: $14,000,000

5. Approximate Project Period Funding: $70,000,000

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

7. Expected Number of Awards: 57

8. Approximate Average Award: $250,000 Per Budget Period

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

10. Award Floor: None

11. Estimated Award Date: 03/30/2015

12. Budget Period Length: 12 month(s) Throughout the project period, CDC will continue the award based on the availability of funds, the evidence

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).

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category: State governments

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

Government Organizations:

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

2. Additional Information on Eligibility

YES

The award ceiling for this FOA is $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

Reasons to Justify Limited Competition, where eligibility is not limited by statute or regulation and the circumstances are not urgent.

Competition for this project is limited to those previously funded states and territories that are uniquely positioned to collect, analyze, and evaluate surveillance state based data. Previous FOAs focused on collaborative programmatic efforts to reduce and eliminate chronic disease morbidity and mortality and its related risk factors. This current FOA continues surveillance, assessment and evaluation efforts to measure the public health impact, with a focus on behavioral surveillance. State Health Departments and Territorial Departments of Health are the only entities that can collect state based data and meet these criteria.

We hereby certify that the above information is accurate and complete.

Recommend Approval http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

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

No

5. Maintenance of Effort

Maintanance 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 http://www.SAM.gov http://www.Grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://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: N/A

b. Application Deadline Due Date for Applications: 12/30/2014, 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.

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm.

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

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

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

7. Letter of Intent

LOI is not requested or required as part of the application for this FOA.

8. Table of Contents (No page limit and not included in Project Narrative limit): The applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package.

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum 1 page)

A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov.

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

10. Project Narrative http://www.grants.gov http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm http://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://www.grants.gov http://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.

ii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period.

Outcomes are the results that the program intends to achieve. All outcomes must indicate the intended direction of change (e.g., increase, decrease, maintain). (See the logic model in the Approach section of the CDC Project Description.)

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

1. Collaborations Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC.

Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC.

Applicants must file the MOU or MOA, as appropriate, name the file “MOUs/MOAs”, and upload it as a PDF file at www.grants.gov

Applicants must file letters of support, as appropriate, name the file “Letters of Support”, and upload it as a PDF file at www.grants.gov.]

2. Target Populations Applicants must describe the specific target population(s) in their jurisdiction and explain how such a target will achieve the goals of the award and/or alleviate health disparities. Refer back to the CDC Project Description section – Approach: Target Population.

http://www.grants.gov http://www.grants.gov/ http://www.grants.gov/

Applicants must describe the specific target population(s) in their jurisdiction and explain how such a target will achieve the goals of the award and/or alleviate health disparities. Refer back to the CDC Project Description section – Approach: Target Population

c. Applicant Evaluation and Performance Measurement Plan Applicants must provide an overall evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy section of the CDC Project Description of this FOA. Data collected must be used for ongoing monitoring of the award to evaluate its effectiveness, and for continuous program improvement.

The plan must:

Affirm the ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy. (For guidance regarding the Paperwork Reduction Act, please visit http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html) Describe how key program partners will participate in the evaluation and performance measurement planning processes.

Describe how evaluation findings will be used for continuous program quality improvement.

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

Describe the type of evaluation(s) (i.e., process, outcome, or both) to be conducted.

Describe key evaluation questions to be addressed by these evaluations.

Describe other information relevant to the evaluation (e.g., measures, data sources)

Applicants must provide an evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy section of the CDC Project Description of this FOA.

Data collected must be used for ongoing monitoring of the award to evaluate its effectiveness, and for continuous program improvement.

The plan must:

Affirm the ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy. (For guidance regarding the Paperwork Reduction Act, please visit http ://www.hhs.gov/ocio/policy/collection/infocollectfaq.html) Describe how key program partners will participate in the evaluation and performance measurement planning processes.

Describe how evaluation findings will be used for continuous program quality improvement.

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

Describe the type of evaluation(s) (i.e., process, outcome, or both) to be conducted.

Describe key evaluation questions to be addressed by these evaluations.

Describe other information relevant to the evaluation (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 the project, as outlined in the reporting section of the FOA

Describe other information relevant to the evaluation (e.g., measures, data

Awardees will be required to submit a more detailed evaluation and performance measurement plan within the first 6 months of the project, as outlined in the reporting section of the FOA.

d. Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC Project Description.

http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html

Applicant must address the organizational capacity requirements as described in the CDC Project Description.

Applicants must name this file "CVs/Resumes" or "Organizational Charts" and upload it at www.grants.gov.

11. Work Plan (Included in the Project Narrative’s 20 page limit)

Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the awardee plans to carry out achieving the project period outcomes, strategies and activities, evaluation and performance measurement.

Applicants must name this file "Work Plan" and upload it as a PDF file at www.grants.gov.

Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the awardee plans to carry out achieving the project period outcomes, strategies and activities, and evaluation and performance measurement.

The Applicant must name this file “Work Plan” and upload it as a PDF file at www.grants.gov.

12. Budget Narrative Applicants must submit an itemized budget narrative, which may be scored as part of the Organizational Capacity of Awardees to Execute the Approach. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Other categories Contractual costs Total Direct costs Total Indirect costs

Indirect costs will not be reimbursed under grants to foreign organizations, international organizations, and foreign components of grants to domestic organizations (does not affect indirect cost reimbursement to the domestic entity for domestic activities). The CDC will not reimburse indirect costs unless the recipient has an indirect cost rate covering the applicable activities and period.

For guidance on completing a detailed budget, see Budget Preparation Guidelines at: http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm.

If applicable and consistent with the cited statutory authority for this announcement, applicant entities may use funds for activities as they relate to the intent of this FOA to meet national standards or seek health department accreditation through the Public Health Accreditation Board (see: http://www.phaboard.org).

Applicant entities to whom this provision applies include state, local, territorial governments (including the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau), or their bona fide agents, political subdivisions of states (in consultation with states), federally recognized or state-recognized American Indian or Alaska Native tribal governments, and American Indian or Alaska Native tribally designated organizations. Activities include http://www.grants.gov/ http://www.grants.gov http://www.grants.gov/ http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm http://www.phaboard.org governments, and American Indian or Alaska Native tribally designated organizations. Activities include those that enable a public health organization to deliver public health services such as activities that ensure a capable and qualified workforce, up-to-date information systems, and the capability to assess and respond to public health needs. Use of these funds must focus on achieving a minimum of one national standard that supports the intent of the FOA. Proposed activities must be included in the budget narrative and must indicate which standards will be addressed.

Applicants must name this file “Budget Narrative” and upload it as a PDF file at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect cost-rate agreement is required. If the indirect costs are requested, include a copy of the current negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for those Grantees under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it at www.grants.gov.

Applicants must submitan itemized budget narrative, which may be scored as part of the Organizational Capacity of Awardees to Execute the Approach. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Other categories Contractual costs Total Direct costs Total Indirect costs

Indirect costs will not be reimbursed under grants to foreign organizations, international organizations, and foreign components of grants to domestic organizations (does not affect indirect cost reimbursement to the domestic entity for domestic activities). The CDC will not reimburse indirect costs unless the recipient has an indirect cost rate covering the applicable activities and period

13. Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies.

Unless otherwise explicitly permitted under the terms of a specific CDC award, no funds associated with this FOA may be used to implement the optional policies, and no applicants will be evaluated or scored on whether they choose to implement these optional policies.

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhand smoke exposure, and to promote healthy nutrition. CDC encourages all awardees to implement the following optional recommended evidence-based tobacco and nutrition policies within their own organizations. The tobacco policies build upon the current federal commitment to reduce exposure to secondhand smoke, specifically The Pro-Children Act, 20 U.S.C. 7181-7184, that prohibits smoking in certain facilities that receive federal funds in which education, library, day care, health care,or early childhood development services are provided to children.

Tobacco Policies:

Tobacco-free indoors: Use of any tobacco products (including smokeless tobacco) or electronic1.

cigarettes is not allowed in any indoor facilities under the control of the awardee.

Tobacco-free indoors and in adjacent outdoor areas: Use of any tobacco products or electronic cigarettes is not allowed in any indoor facilities, within 50 feet of doorways and air intake ducts, and in courtyards under the control of the awardee.

2.

Tobacco-free campus: Use of any tobacco products or electronic cigarettes is not allowed in any indoor facilities or anywhere on grounds or in outdoor space under the control of the awardee.

3.

Nutrition Policies:

Healthy food-service guidelines must, at a minimum, align with HHS and General Services Administration Health and Sustainability Guidelines for Federal Concessions and Vending Operations.

These guidelines apply to cafeterias, snack bars, and vending machines in any facility under the control of the awardee and in accordance with contractual obligations for these services (see: http://www.gsa.gov/ graphics/pbs/Guidelines_for_ Federal_ Concessions_and_Vending _ Operations.pdf).

1.

Resources that provide guidance for healthy eating and tobacco-free workplaces are:2.

http://www.cdc.gov/ nccdphp/dnpao/hwi/ toolkits/ tobacco/index.htm http://www. thecommunityguide.org/ tobacco/index.html http://www.cdc.gov/ chronicdisease/resources/ guidelines/food-service-guidelines.htm

14. Health Insurance Marketplaces A healthier country is one in which Americans are able to access the care they need to prevent the onset of disease and manage disease when it is present. The Affordable Care Act, the health care law of 2010, creates new Health Insurance Marketplaces, also known as Exchanges, to offer millions of Americans affordable health insurance coverage. In addition, the law helps make prevention affordable and accessible for Americans by requiring health plans to cover certain recommended preventive services without cost sharing.

Outreach efforts will help families and communities understand these new options and provide eligible individuals the assistance they need to secure and retain coverage as smoothly as possible. For more information on the Marketplaces and the health care law, visit: www.HealthCare.gov.

15. Intergovernmental Review

The application is subject to Intergovernmental Review of Federal Programs, as governed by Executive Order 12372, which established a system for state and local intergovernmental review of proposed federal assistance applications. Applicants should inform their state single point of contact (SPOC) as early as possible that they are applying prospectively for federal assistance and request instructions on the state's process. The current SPOC list is available at: http://www.whitehouse.gov/omb/grants_spoc/.

16. Pilot Program for Enhancement of Employee Whistleblower Protections Pilot Program for Enhancement of Employee Whistleblower Protections: All applicants will be subject to a term and condition that applies the terms of 48 CFR section 3.908 to the award and requires that grantees inform their employees in writing (in the predominant native language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. 4712.

17. Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are:

Awardees may not use funds for research.

Awardees may not use funds for clinical care.

Awardees may use funds only for reasonable program purposes, including personnel, travel, supplies, and services.

Generally, awardees may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly identified in the budget.

Reimbursement of pre-award costs is not allowed.

http://www.gsa.gov/ graphics/pbs/Guidelines_for_ Federal_ Concessions_and_Vending _ Operations.pdf http://www.gsa.gov/ graphics/pbs/Guidelines_for_ Federal_ Concessions_and_Vending _ Operations.pdf http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/tobacco/index.htm http:// www.thecommunityguide.org/ tobacco/index.html http://www.cdc.gov/ chronicdisease/resources/ guidelines/food-service-guidelines.htm http://www.HealthCare.gov http://www.whitehouse.gov/omb/grants_spoc/

Other than for normal and recognized executive-legislative relationships, no funds may be used for:

publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body

See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on…