CDC-RFA-DP21-2104.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

Promoting Cancer Surveillance Workforce, Education, and Data Use

CDC-RFA-DP21-2104

Application Due Date: 03/30/2021

Promoting Cancer Surveillance Workforce, Education, and Data Use

CDC-RFA-DP21-2104

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Assistance Listings (CFDA) Number F. Dates G. Executive Summary

Part II. Full Text A. Funding Opportunity Description B. Award Information C. Eligibility Information D. Application and Submission Information E. Review and Selection Process F. Award Administration Information G. Agency Contacts H. Other Information I. Glossary

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- DP21-2104. 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) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

Promoting Cancer Surveillance Workforce, Education, and Data Use C. Announcement Type: New - Type 1 This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https://www.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52. Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

Non- Research Cooperative Agreement

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DP21-2104

E. Assistance Listings (CFDA) Number:

93.832 F. Dates:

1. Due Date for Letter of Intent (LOI): 02/11/2021

2. Due Date for Applications: 03/30/2021, 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:

This announcement provides funds to a successful recipient to support the National Program of Cancer Registries’ (NPCR) to enhance national cancer data and statistics in order to help public health professionals understand and address the nation’s cancer burden. Cancer registrars’ knowledge of the cancer disease process and data standards necessary to capture registry information represent fundamental skill sets and competencies that help create cancer data experts who are essential to the operation of successful registries. This cooperative agreement will support continuing education requirements, strengthen the workforce, and enhance dissemination of the cancer data. The recipient will implement the following strategies and accompanying activities: 1) Enhance the development and implementation of educational https://www.grants.gov https://www.grants.gov https://www.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52 https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov infrastructure for cancer registry professionals; 2) Enhance utilization of existing cancer surveillance data via technology, training and workforce development resources; and 3) Modernize technology for increased utilization of existing cancer registries data systems technology.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $2,500,000

e. Average One Year Award Amount: $500,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/01/2021

h. Cost Sharing and / or Matching Requirements: N No

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview The charge of the National Program of Cancer Registries (NPCR) is to enhance national cancer data and statistics in order to help public health professionals understand and address the nation's cancer burden. Cancer is a reportable disease in all NPCR-funded states. Certified Tumor Registrars (CTRs) ensure that timely, accurate, and complete data are maintained on all types of cancer diagnosed and /or treated within a health care institution or within a defined population. Consequently, registrars at medical facilities (including hospitals, physicians’ offices, therapeutic radiation facilities, freestanding surgical centers, and pathology laboratories) and registrars employed by the central registries are actively involved in reporting accurate, timely and complete data. These data are then submitted annually to CDC by each NPCR funded central cancer registry, resulting in national cancer data that is dependent upon the cancer registrar workforce.

A well trained, highly qualified workforce is critical to the success of NPCR and the value of all cancer data. The registry profession is small compared to other allied health professions (Health Information Management 40,000 versus Certified Tumor Registrars at 5,657). Lack of knowledge about the profession and available educational opportunities contribute to the small number of certified registrars. A limited job market results in a profession that must be promoted to recruit new cancer registrars and retain current ones. The 2013 National Cancer Registrars Association (NCRA) Workload and Time Management Study: Guidelines for Central

Cancer Registry Programs supports earlier studies stating that the factor most frequently cited by informants as influencing the supply of cancer registrars was the lack of visibility of the profession.

This NOFO will build upon the success of the National Program of Cancer Registries (NPCR) by expanding opportunities to enhance registrars’ capacity, resources to support recruitment and retention and promote cancer surveillance data. Moreover, the iteration of this project will build upon the DP16-1605 and the successes and lessons learned from that project. The strengthening of the cancer surveillance workforce in this project will bolster NPCR registries' capacity to comply with Public Law 102 – 515, the Cancer Registries Amendment Act, which requires the complete, timely and accurate reporting of all malignancies and benign central nervous system tumors.

CDC has been moving towards modernization of the cancer surveillance system with real-time reporting. One specific area is with childhood cancer. In 2018, the Childhood Cancer Survivorship, Treatment, Access and Research (STAR) Act was signed into law, encouraging CDC to enhance and expand the current infrastructure to develop practices to ensure early inclusion of childhood, adolescent, and young adult cancer cases in State cancer registries using health information technology (HIT). Success may depend on a cancer registrar workforce that is equipped with current knowledge. As we move towards more automation and machine learning, CTRs will be in high demand to review and validate the findings. A successful implementation of this project will contribute to this and other cancer surveillance rapid reporting initiatives.

b. Statutory Authorities This project will help NPCR registries comply with the Public Health Service Act, (42 USC 280e-280e-4; Public Law 102-515), as amended

c. Healthy People 2030 This NOFO addresses the Healthy People 2030 focus areas of cancer and health literacy.

d. Other National Public Health Priorities and Strategies This project will help NPCR registries comply with Public Law 102 – 515, the Cancer Registries Amendment Act, which requires the complete, timely and accurate reporting of all malignancies and benign central nervous system tumors. Similarly, it will support implementation of the Survivorship, Treatment, Access and Research (STAR) Act, which mandates CDC to enhance and expand current infrastructure to track the epidemiology of adolescent and young adult cancers, and capture cases within weeks of diagnosis. Success in this endeavor will improve timeliness and completeness of all cancer registry data.

https://www.cdc.gov/cancer/NPCR/npcrpdfs/publaw.pdf

e. Relevant Work This NOFO will build upon work previously established in the NOFO DP16-1605 (https://www https://www.healthypeople.gov/sites/default/files/ObjectivesPublicComment508.pdf https://www.healthypeople.gov/sites/default/files/ObjectivesPublicComment508.pdf https://www.grants.gov/web/grants/view-opportunity.html?oppId=283436

.grants.gov/web/grants/view-opportunity.html?oppId=283436 ) that supported workforce certification, recruitment and retention for cancer surveillance, education and training opportunities, and data use.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

If successfully implemented, this NOFO will result in a sufficient and well trained CTR workforce to support the operation of cancer registries and contribute to innovating to meet future challenges.

The recipient is expected to implement the strategies and activities outlined in this NOFO and to monitor and report on progress.

Strategies and Activities

Short-term Outcomes Intermediate Outcomes Long-Term Outcomes

Provide high quality educational opportunities that support infrastructure for cancer registry professionals

Foster innovative approach to establish and maintain collaborations that promote public awareness of the impact of cancer surveillance data use

Develop tools to support and enhance data quality and completeness

• Increased training opportunities for National Program of Cancer Registries (NPCR) cancer registry professionals

• Increased coordination, and communication among existing and new cancer partners.

• Increased coordination and communication between NPCR registries and reporting facilities.

• Increased knowledge of best practices for the collection of required NPCR data items among cancer registries and registrars.

• Increased number of collaborative meetings among standard setters and stakeholder

• Improved development and implementation of educational infrastructure available to cancer registry professionals

• Enhanced standards and operations for collecting and reporting of cancer surveillance data.

• Increased utilization of existing cancer registries data systems technology

• Improved public awareness of the impact of cancer surveillance data use

• Increased timeliness, completeness, and quality of data reported to NPCR registries.

• Increased percent of cancer registry professionals passing the Certified Tumor Registrars exam.

• Strengthened, motivated, and prepared cancer surveillance workforce equipped with current knowledge, skills, and necessary resources

• A skilled and diverse workforce able to meet changing data requirements and an innovative technical cancer surveillance environment https://www.grants.gov/web/grants/view-opportunity.html?oppId=283436 addressing alignment of data standards yearly.

i. Purpose The intent of this project is to continue and build upon the success of the National Program of Cancer Registries (NPCR) by expanding opportunities to enhance registrars’ capacity, resources to support recruitment and retention and promote the cancer surveillance data. This strengthening of the cancer surveillance workforce in this project will strengthen NPCR registries' capacity to comply with Public Law 102 – 515, the Cancer Registries Amendment Act, which requires the complete, timely and accurate reporting of all malignancies and benign central nervous system tumors.

ii. Outcomes The outcomes have been listed below:

Short-term Outcomes:

• Increased training opportunities for NPCR cancer registry professionals

• Increased coordination, communication, and participation among cancer surveillance standard setters and key partners on data standardization and best practices.

Long-term Outcome:

• Increased percent of cancer registry professionals passing the Certified Tumor Registrars exam

Performance Measures:

• Number of CTR professionals passing the CTR certification test

• Number of tools provided to the cancer surveillance community addressing recruitment, retention and training efforts to improve ongoing supply of the highly skilled workers needed to maintain the integrity of the NPCR data

• Number of tools and/ or best practices developed and disseminated to strengthen registries’ capacity to partner and communicate effectively with data reporters to improve data quality and standardization completeness, timeliness, and foster coordinated responses to changes in data requirements and collection.

iii. Strategies and Activities Recipient will be expected to implement all the strategies and activities outlined below.

Provide high quality educational opportunities that support infrastructure for cancer registry professionals

Increase recruitment and retention of under-represented populations in the workforce.

Establish and maintain relationships with national organizations to promote recognition and support of cancer surveillance professionals Facilitate, manage and establish education standards for the certification of cancer registrars that will support continued growth, proficiency and technological advances in the field of cancer data management

Conduct professional development opportunities for cancer surveillance professionals for continuing education credits

Lead coordination of education and training opportunities for Central Cancer Registries Encourage the participation of cancer surveillance professionals in research and public health applications using cancer registry data to facilitate these activities Create better communication and collaboration between those collecting the data and those who use it Provide tools and guidance to strengthen NPCR registries' capacity to meet the future challenges of outsourcing of tumor registry functions.

Support the cancer surveillance profession with recruitment, retention and training efforts to ensure ongoing supply of the highly skilled workers needed to maintain the integrity of the NPCR data and promote data use

Foster innovative approach to establish and maintain collaborations that promote public awareness of the impact of cancer surveillance data use

Conduct activities to enhance the awareness of the availability of cancer surveillance data and how it can be used in innovative ways to address public health issues

Provide Certified Tumor Registrar (CTR) subject matter expertise support to the National Program of Cancer Registries and the cancer surveillance community

Develop resources to assist NPCR registries for cancer surveillance data promotional efforts

Develop tools to support and enhance data quality and completeness

Develop tools to strengthen registries capacity to partner and communicate effectively with data reporters to improve data quality, completeness and timeliness.

Collaborate with partners to assess barriers to real-time reporting and the use of Electronic Medical Records in order to decrease reporting delays, increase the data items available for collection and improve data quality.

Support efforts to assess new data elements requirements and pilot testing of key data items that support innovation and improvement in data completeness and accuracy.

While Outputs are not included in the Logic Model, recipient is encouraged to develop outputs from the activities to support effective monitoring and evaluation. Some examples of Outputs may include:

Number of newly certified applicants

Number of educational opportunities coordinated for Central Cancer Registries Percentage of new CTRs who represent an underrepresented populations (e.g., minority and under-served groups) Number of National Committees that CTR SMEs is a member of Percentage of current CTRs who achieve re-certification

1. Collaborations

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

Recipients are expected to demonstrate current experience and capacity to work with the Cancer Surveillance Branch, and partners including the 50 NPCR funded registries, the North American Association of Central Cancer Registries (NAACCR) and the American College of Surgeons Commission on Cancer (CoC).

Specifically related to the NPCR funded registries, applicant should demonstrate how they will support their education and training efforts, recruitment and retention of CTRs and other activities specified under these two headings in the Activities section of the NOFO:

1. Provide high quality educational opportunities that support infrastructure for cancer registry professionals

2. Develop tools to support and enhance data quality and completeness

Recipients should include any letters of support, as appropriate. Letters must be dated within 30 days of the application. Each letter should describe the organizations proposed role in implementation of the program and the expertise that they will provide.These files should be uploaded as a PDF with the application and named “Letters of Support” to www.grants.gov under “Other Attachment Forms”.

b. With organizations not funded by CDC:

The recipient is expected to collaborate with relevant external partners such as the American Joint Committee on Cancer (AJCC), National Cancer Institute Surveillance, Epidemiology and End Results Program (SEER), and the American Health Information Management Association (AHIMA) and other appropriate partner organizations to support successful implementation.

Collaborations with these key surveillance partners should be demonstrated to further the work and activities described under the following strategy:

Foster innovative approach to establish and maintain collaborations that promote public awareness of the impact of cancer surveillance data use www.cancerstaging.org www.seer.cancer.gov www.ahima.org Recipients should include any letters of support, as appropriate. Letters must be dated within 30 http://www.grants.gov/ http://www.cancerstaging.org/ http://www.seer.cancer.gov/ http://www.ahima.org/ days of the application. Each letter should describe the organizations proposed role in implementation of the program and the expertise that they will provide.These files should be uploaded as a PDF with the application and named “Letters of Support” to www.grants.gov under “Other Attachment Forms”.

2. Target Populations

The cancer surveillance workforce NPCR Funded Cancer Registries

a. Health Disparities Successful recipient is encouraged to ensure recruitment and retention of under-represented populations including minority populations into the workforce. Furthermore, recipient is encouraged to assess the existence of special challenges faced by these groups and to identify and implement initiatives to support successful certification.

iv. Funding Strategy

NA

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy A utilization-focused evaluation is planned for this program. Utilization-focused evaluation is an approach based on the primary philosophy that states an evaluation should be judged on its usefulness to its intended users. It should also be noted that this evaluation will seek to answer questions derived from clearly identified, primary intended users who have responsibility to apply evaluation findings and implement recommendations. The evaluation plan that will assess this program will follow the CDC Framework for Program Evaluation in Public Health which will ensure that the resulting evaluation does not merely involve gathering accurate evidence and drawing valid conclusions but will also produce results that are used to improve the program.

Throughout the five-year period, CDC will work with the recipients to track the implementation of the strategies and activities and assess progress on achieving the five-year NOFO outcomes.

Through monitoring and review of the process and outcome measures CDC will seek to answer the following questions:

1. (Approach) How has the implementation of this NOFO improved the recruitment and retention of qualified Certified Tumor Registrars to support the operations of NPCR funded cancer registries?

2. (Effectiveness) To what extent has the successful implementation of this NOFO improved successful collection and adherence to NPCR Program Standards?

3. (Impact) To what extent has the successful implementation of this NOFO will improve access to high quality cancer surveillance data

CDC will use an evaluation approach that consists of (1) ongoing monitoring and evaluation http://www.grants.gov/ through the collection and reporting of performance measures, (2) a CDC-led Program Evaluation Instrument conducted with the funded recipients bi-annually and (3) recipient-led evaluations.

Moreover, the performance measures developed for this program correspond to the strategies and outcomes described in the logic model. CDC will work with the recipient on operationalizing and further defining each performance measure and guidance will be provided prior to the first year of reporting. Performance measures will be reported annually to CDC and CDC will manage and analyze the data to identify recipient program improvements, respond to broader technical assistance needs, and to report to stakeholders. In addition to performance measures reported by recipients, CDC will track relevant outcome measures through national data sets or the national evaluation activities.

CDC will analyze the following Performance Measures to assess the successful implementation of this project:

• Number of CTR professionals passing the CTR certification test

• Number of tools provided to the cancer surveillance community addressing recruitment, retention and training efforts to improve ongoing supply of the highly skilled workers needed to maintain the integrity of the NPCR data

• Number of tools and/ or best practices developed and disseminated to strengthen registries’ capacity to partner and communicate effectively with data reporters to improve data quality and standardization completeness, timeliness, and foster coordinated responses to changes in data requirements and collection.

Recipients are required to report progress to CDC on a regular basis so that CDC can monitor progress toward achieving specific outcomes of the NOFO. Recipient will participate in monthly/bi-monthy meetings with CDC and provide report on progress in implementing NOFO. The recipient will also provide results of surveys or other instrument used to monitor progress of the CTR workforce to CDC.

Recipient is encouraged to develop a Process Evaluation based on activities and should develop some Outputs to support monitoring of the activities.

Some Evaluation Outputs may include:

Number of newly certified applicants Number of educational opportunities coordinated for Central Cancer Registries Percentage of new CTRs who represent an underrepresented (e.g., minority and under-served populations) population Number of National Committees that CTR SMEs is a member of Percentage of current CTRs who achieve re-certification

A Data Management Plan is not required for this NOFO.

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

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

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

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

Plans for updating the Data Management Plan (DMP) as new pertinent information becomes available, if applicable, throughout the lifecycle of the project. Updates to DMP should be provided in annual reports. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans.

For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additional-requirements/ar-25.html.

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach Recipient should have the ability and relevant experience to achieve the goals of the project.

Moreover, the organization is expected to place a primary focus on education and certification of cancer registry professionals. The recipient should have a proven history of identifying and documenting educational needs in addition to a demonstrated ability to lead the way with cutting-edge technological advances. The cancer registry field is specialized, and the recipient should have current and past collaborations with NPCR to address educational needs specifically related to changing trends in cancer data management.

https://www.cdc.gov/grants/additional-requirements/ar-25.html

The recipient should be experienced with conducting job task analysis required for driving educational objectives toward certification of cancer registry professionals and experience establishing educational standards and curriculum for college degree programs as well as setting certification requirements.

The ability and experience certifying cancer registrars should be evident through documented experience with development and implementation of testing and credentialing capabilities.

Recipients are expected to describe in their narrative, current experience and capacity to work with the Cancer Surveillance Branch, and partners including the 50 NPCR funded registries, the North American Association of Central Cancer Registries (NAACCR) and the American College of Surgeons Commission on Cancer (CoC).

Recipients should include any letters of support, Resumes/CV's, and Organizational Charts as appropriate. Letters must be dated within 30 days of the application. Each letter should describe the organizations proposed role in implementation of the program and the expertise that they will provide.These files should be uploaded as a PDF with the application and named “Letters of Support”, "Resumes/CVs", "Organizational Charts" to www.grants.gov under “Other Attachment Forms”.

d. Work Plan Recipient must provide a detailed work plan for the first year of the period of performance and a high level plan in narrative form for subsequent years in support of the NOFO. Activities must be in alignment with the proposed outcomes and the program strategies list.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure [from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

6.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

http://www.grants.gov/

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking recipient progress in achieving the desired outcomes.

Ensuring the adequacy of recipient 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 deemed necessary to monitor the award:

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

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

Working with recipients 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.

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 recipients.

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

COOPERATIVE AGREEMENTS)

Collaborate with the recipient to ensure that reports and associated activities support the work of funded registries

Monitor recipient's progress in achieving goals and objectives through participation in conference calls and review of interim progress reports.

Actively participate on committees and related work groups that develop recruitment activities, education, and competencies for cancer registrars that result in high quality cancer data

B. Award Information

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

2. Award Mechanism: U58

3. Fiscal Year: 2021

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

5. Approximate Period of Performance Funding: $2,500,000

This amount is subject to the availability of funds.

Estimated Total Funding: $2,500,000

6. Approximate Period of Performance Length: 5 year(s)

7. Expected Number of Awards: 1

8. Approximate Average Award: $500,000 Per Budget Period

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

This amount is subject to the availability of funds.

10. Award Floor: $300,000 Per Budget Period

11. Estimated Award Date: 09/01/2021

12. Budget Period Length: 12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. 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 period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

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

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

Additional Eligibility Category:

Government Organizations:

State governments or their bona fide agents (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

2. Additional Information on Eligibility

3. Justification for Less than Maximum Competition N/A

4. Cost Sharing or Matching Cost Sharing / Matching Requirement: No No

5. Maintenance of Effort No

D. Application and Submission Information

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-recipients, those sub-recipients 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 a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do procedures may be found at https://www.sam.gov/index.html.

c. Grants.gov:

The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the "Applicant Registration" option at www.grants.gov.

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

Step System Requirements Duration Follow Up 1 Data

Universal Number System

(DUNS)

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

2. Select Begin DUNS search/request process

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

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

1-2 Business Days

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

2 System for Award Management

(SAM)

formerly Central Contractor Registration

(CCR)

1. Retrieve organizations DUNS number

2. Go to https://www.sam.gov/index.

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

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

For SAM Customer Service Contact https://fsd.gov/ fsd-gov/ home.do Calls:

866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative (AOR)

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

3. Log into grants.gov using

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

Register early!

Log into grants.gov and check AOR status until it shows you have been approved https://www.sam.gov/index.html https://grants.gov/ https://www.grants.gov/ http://www.grants.gov https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform https://www.sam.gov/index.html%20 https://www.sam.gov/index.html%20 https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do the password the E-BIZ POC received and create new password

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

MUST

obtain a

DUNS

number and

SAM

account before applying on grants.gov)

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 notice of funding opportunity at www.grants.gov.

4. Submission Dates and Times If the application is not submitted by the deadline published in the NOFO, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by

OGS.

a. Letter of Intent Deadline (must be emailed or postmarked by) Due Date for Letter of Intent: 02/11/2021

b. Application Deadline Due Date for Applications: 03/30/2021 , 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 Information Conference Call

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

Applicants may follow either of the following processes:

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

Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov

Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx

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

Risk Assessment Questionnaire Requirement CDC is required to conduct pre-award risk assessments to determine the risk an applicant poses to meeting federal programmatic and administrative requirements by taking into account issues such as financial instability, insufficient management systems, non-compliance with award conditions, the charging of unallowable costs, and inexperience. The risk assessment will include an evaluation of the applicant’s CDC Risk Questionnaire, located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, as well as a review of the applicant’s history in all available systems; including OMB-designated repositories of government-wide eligibility and financial integrity systems (see 45 CFR 75.205(a)), and other sources of historical information. These systems include, but are not limited to: FAPIIS (https://www.fapiis.gov/), including past performance on federal contracts as per Duncan Hunter National Defense Authorization Act of 2009; Do Not Pay list; and System for Award Management (SAM) exclusions.

CDC requires all applicants to complete the Risk Questionnaire, OMB Control Number 0920- 1132 annually. This questionnaire, which is located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, along with supporting documentation must be submitted with your application by the closing date of the Notice of Funding Opportunity Announcement. If your organization has completed CDC’s Risk Questionnaire within the past 12 months of the closing date of this NOFO, then you must submit a copy of that questionnaire, or submit a letter signed by the authorized organization representative to include the original submission date, organization’s EIN and DUNS.

When uploading supporting documentation for the Risk Questionnaire into this application package, clearly label the documents for easy identification of the type of documentation. For example, a copy of Procurement policy submitted in response to the questionnaire may be labeled using the following format: Risk Questionnaire Supporting Documents _ Procurement Policy.

Duplication of Efforts Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year.

Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding https://www.grants.gov http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source.

Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.

Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

Report Submission: The applicant must upload the report in Grants.gov under “Other Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary, and Commitment Overlap.”

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 requested but optional. The purpose of an LOI is to allow CDC program staff to estimate the number of and plan for the review of submitted applications.

If an LOI is submitted, it must be emailed or postmarked by February 11, 2021, 11:59 p.m.

U.S. Eastern Standard Time LOIs may be sent via email, U.S. express mail or delivery service to:

Sarah J. Manson CDC, NCCDPHP, Division of Cancer Prevention and Control Centers for Disease Control and Prevention 4770 Buford Hwy F-76 (cubicle 4162.3) Atlanta, GA 30341 Phone: 770.488.4635 Email: ize5@cdc.gov

8. Table of Contents (There is no page limit. The table of contents is not included in the project narrative page 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 (Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12 point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the specified page number will not be reviewed.)

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include all of the following headings (including subheadings): Background, Approach, Applicant Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to Implement the Approach, and Work Plan. 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 period of performance as identified in the CDC Project Description section. Applicants should use the federal plain language guidelines and Clear Communication Index to respond to this Notice of Funding Opportunity. Note that recipients should also use these tools when creating public communication materials supported by this NOFO. Failure to follow the guidance and format may negatively impact scoring of the application.

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 public health 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, as identified in the logic model in the Approach section of the CDC Project Description.

Outcomes are the results that the program intends to achieve and usually indicate the intended direction of change (e.g., increase, decrease).

iii. Strategies and Activities https://www.grants.gov https://www.grants.gov

Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the period of performance 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 the Strategies and Activities section of the CDC Project Description.

1. Collaborations Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC. Applicants must address the Collaboration requirements as described in the CDC Project Description.

2. Target Populations and Health Disparities 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. The applicants must also address how they will include specific populations that can benefit from the program that is described in the Approach section. Applicants must address the Target Populations and Health Disparities requirements as described in the CDC Project Description.

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

How applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement. The Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities involving information collections (e.g., surveys, questionnaires, applications, audits, data requests, reporting, recordkeeping and disclosure requirements) from 10 or more individuals or non-Federal entities, including State and local governmental agencies, and funded or sponsored by the Federal Government are subject to review and approval by the Office of Management and Budget. For further information about CDC’s requirements under PRA see https://www.cdc.gov/od/science/integrity/reducePublicBurden/.

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

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

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

https://www.cdc.gov/od/science/integrity/reducePublicBurden/

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

Describe key evaluation questions to be addressed by these evaluations.

Descri…