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Centers for Disease Control and Prevention

OFFICE OF THE DIRECTOR, CENTERS FOR DISEASE CONTROL & PREVENTION

Strategic Planning: South America

CDC-RFA-CD21-2102

07/19/2021

Table of Contents 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 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- CD21-2102. 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:

Strategic Planning: South America 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.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52- 2.pdf. 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)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-CD21-2102

E. Assistance Listings Number:

93.318 F. Dates:

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

The LOI date will generate once the Synopsis is published if Days or a Date are entered.

2. Due Date for Applications:

https://www.grants.gov/ https://www.grants.gov/ https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html

07/19/2021 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

N/A

G. Executive Summary:

1. Summary Paragraph The goal of this NOFO is to support the mission and goals of CDC’s global health regionalization strategy and advance global health security. Activities will include the planning, coordinating, and convening of annual strategic and other planning meetings to address public health priorities and capacity building for the region. Public health stakeholders in the region will communicate, coordinate, and collaborate to address regional health priorities.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$ 250,000

e. Average One Year Award Amount:

$ 50,000

f. Total Period of Performance Length:

g. Estimated Award Date:

September 30, 2021

h. Cost Sharing and / or Matching Requirements:

No Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview To date, CDC has launched four regional platforms: South America, based in Brasilia, Brazil;

Eastern Europe/Central Asia, based in Tbilisi, Georgia; Middle East/North Africa, based in Muscat, Oman, and Southeast Asia, based in Hanoi, Vietnam. This funding opportunity is specific to the South America Region and includes the following countries: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, French Guiana, Guyana, Paraguay, Peru, Suriname, Uruguay, and Venezuela.

https://www.grants.gov/

Through these regional platforms, CDC is working to advance global health security and maintain a sustainable global health presence that will strengthen its ability to respond rapidly, efficiently and effectively to health threats wherever they occur. Working together with subject matter experts from CDC headquarters and country offices, the CDC regional platforms coordinate activities in the region as a whole and facilitate engagement with CDC programs, priorities, and scientific expertise. In addition, the regional platforms work closely with partners to advance global health security activities across multiple countries in the region.

The regional platforms focus on implementing activities across the entire region and build broad-based capacities in 4 key areas: surveillance and data use, laboratory, workforce development, and emergency preparedness/outbreak response. In addition, the platforms work to develop targeted, specific capacities in infection prevention and control, antimicrobial resistance, vaccine preparedness and disease prevention, border health, and special public health investigations. This dual approach ensures that regional platforms address capacities needed to strengthen public health infrastructure for a broad range of threats, as well as those needed to target specific public health priorities such as COVID-19.

Initial activities for the platforms include implementing projects that were funded through the Coronavirus Aid, Relief, and Economic Security (CARES) Act and other funding sources to address COVID-19, developing and strengthening relationships with ministries of health and key partners in the region, and identifying priority activities to be included in the 5-year strategies for each region.

In order to achieve the goals and capacity building activities in the region, the recipient of this NOFO will collaborate with the regional platform to convene annual meetings of key stakeholders from across the region to share information, identify needs and priorities including a special focus on health disparities affecting the region, develop strategies and solutions, and collaborate to ensure regional public health readiness.

Although CDC has partnered with some South American countries on shared health priorities, CDC has a limited presence in South America. The CDC South America regional office will become a trusted technical partner well-known to the individual countries and can serve as convener to strengthen regional relationships, especially those coordinated through the Pan American Health Organization. The South America regional office will work to strengthen core public health capabilities throughout the region including public health workforce development, One Health, regional laboratory and surveillance networks, infection prevention and control/anti-microbial resistance, emergency operations centers, and vaccine-preventable diseases.

b. Statutory Authorities Section 307 of the Public Health Service Act [42 USC 242l] and Section 301(a) [42 USC 241(a)] of the Public Health Service Act.

c. Healthy People 2030 Healthy People 2030’s global health objective is to prevent, detect, and respond to public health events worldwide.

Additional Information can be found at: Healthy People 2030, Global Health Objectives: https://health.gov/healthypeople/objectives-and-data/browse-objectives/global-health.

d. Other National Public Health Priorities and Strategies This funding opportunity supports CDC’s 2019-2021 Global Health Strategy, which focuses on:

Health Impact—Saving lives, improving health outcomes, and fostering healthy populations globally

Health Security—Protecting Americans and populations across the globe by strengthening global public health prevention, detection, and response

Public Health Science Leadership—Leading and influencing the advancement of global public health science and practice

Additional information can be found at: CDC Global Health Strategy.

e. Relevant Work This funding opportunity supports CDC’s global health security efforts and relevant work within the South America region, including partnerships with regional stakeholders such as Pan American Health Organization, United Nations organizations, bilateral partners, and others. This work includes public health priority programs to address Incection Prevention and Control/Anti- Microbial Resistance; supporting regional zoonotic disease programs; limiting the losses the regional immunization programs suffered during COVID-19 pandemic with specific focus on Venezuelan migrants in neighboring countries; and integration of public health workforce training into regional priority activities.

Information can be found at: Global Health Security

2. CDC Project Description

a. Approach Bold indicates period of performance outcome.

Strategies & Activities Short-term Outcomes Intermediate Outcomes Long-term

Outcomes Strategy 1: Conduct regional landscape analysis

Strategy 2: Coordinate the creation of a regional public health strategy and action plans, where needed

Public health stakeholders and assets in region mapped

Regional public health strategic plan created

Strategic understanding of existing regional partnerships, funding, funding mechanisms, assets, activities, and needs

National public health partners equipped to ensure coordination and implementation of

Reduced redundancy and imp roved communications am ong CDC and public health partners

Public health functions and programs maximize https://health.gov/healthypeople/objectives-and-data/browse-objectives/global-health https://health.gov/healthypeople/objectives-and-data/browse-objectives/global-health https://www.cdc.gov/globalhealth/strategy/default.htm https://www.cdc.gov/globalhealth/security/

Strategy 3: Develop network of regional public health stakeholders

National and regional action plans and policies are enacted

Strong communicatio ns system established to ensure an effective approach to global health security

Collaborative relationships between regional public health partners established essential public health functions

CDC and regional partners leverage systems to take a comprehensive and cohesive approach to address public health needs their regional potential

i. Purpose This NOFO supports the mission and goals of CDC’s global regionalization strategy through support for complex high-level regional strategic planning processes. This funding opportunity will support this objective by working across countries in the region to improve capacity to prevent, detect, and respond to public health threats. Strategic planning across countries will identify gaps and opportunities to improve public health throughout the region, including in the areas of surveillance and reporting, workforce development, lab science, and emergency and outbreak response.

ii. Outcomes As reflected in the logic model, the strategies have a related set of activities and short- and intermediate-term outcomes for the five-year period of performance. Measurable progress on these outcomes will contribute to the specified long-term outcomes.

Applicants will assess their existing resources and technical expertise, partner network, and training resources and determine whether they can successfully achieve the specified outcomes. Recipients are only expected to achieve those outcomes identified in the application and for which they receive funding.

Short-Term Outcomes:

Public health stakeholders and assets in region mapped

National and regional action plans and policies are enacted

Strong communications system established to ensure an effective approach to global health security

Collaborative relationships between regional public health partners established

iii. Strategies and Activities

Activities will include the planning, coordinating, and convening of annual strategic and other planning meetings to address an overarching theme of importance to the public health capacity of the region. Public health stakeholders in the region will communicate, coordinate, and collaborate to address regional health issues.

Strategy 1: Conduct regional landscape analysis

1. Identify public health stakeholders (ministries of health, academia, non-governmental organizations, community-based organizations, etc.) in each country and regionally

2. Map existing partnerships between stakeholders, relevant assets (resources), and activities in each country and regionally

3. Review existing regional needs assessments or conduct as necessary

Strategy 2: Coordinate the creation of a regional public health strategy and action plans, where needed

1. Convene public health stakeholders at annual meeting to discuss regional priorities and needs

2. Develop a regional strategic plan in collaboration with public health stakeholders and CDC regional platform

Strategy 3: Develop network of regional public health stakeholders

1. Coordinate, and where appropriate, establish intra-regional communications between public health stakeholders

1. Collaborations

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

As appropriate, recipients may be required to coordinate with various CDC entities, including CDC staff and programs in region and at headquarters.

b. With organizations not funded by CDC:

As appropriate, recipients may be required to coordinate with various organizations not funded by CDC, including ministries of health; local country officials; Pan American Health Organization, United Nations, World Bank, and other partners and stakeholders including academia, governmental, and nongovernmental organizations (NGOs).

2. Target Populations The target population includes ministries of health and public health partners in the South America region and the populations they serve (countries include: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, French Guiana, Guyana, Paraguay, Peru, Suriname, Uruguay, and Venezuela).

a. Health Disparities This funding opportunity will reduce health disparities and improve social determinants of health among people throughout South America, including populations at heightened risk for adverse health outcomes.

iv. Funding Strategy

If COVID-19 Response Funds are used to fund this NOFO, the following terms and conditions apply:

Coronavirus Disease 2019 (COVID-19) Funds: A recipient of a grant or cooperative agreement awarded by the Department of Health and Human Services (HHS) with funds made available under the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123); the Coronavirus Aid, Relief, and Economic Security Act, 2020 (the “CARES Act”) (P.L. 116-136); the Paycheck Protection Program and Health Care Enhancement Act (P.L. 116-139); the Consolidated Appropriations Act and the Coronavirus Response and Relief Supplement Appropriations Act, 2021 (P.L. 116-260) and/or the American Rescue Plan of 2021 [P.L. 117-2] agrees, as applicable to the award, to: 1) comply with existing and/or future directives and guidance from the Secretary regarding control of the spread of COVID-19; 2) in consultation and coordination with HHS, provide, commensurate with the condition of the individual, COVID-19 patient care regardless of the individual’s home jurisdiction and/or appropriate public health measures (e.g., social distancing, home isolation); and 3) assist the United States Government in the implementation and enforcement of federal orders related to quarantine and isolation.

In addition, to the extent applicable, Recipient will comply with Section 18115 of the CARES Act, with respect to the reporting to the HHS Secretary of results of tests intended to detect SARS–CoV–2 or to diagnose a possible case of COVID–19. Such reporting shall be in accordance with guidance and direction from HHS and/or CDC. HHS laboratory reporting guidance is posted at: https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf.

Further, consistent with the full scope of applicable grant regulations (45 C.F.R. 75.322), the purpose of this award, and the underlying funding, the recipient is expected to provide to CDC copies of and/or access to COVID-19 data collected with these funds, including but not limited to data related to COVID-19 testing. CDC will specify in further guidance and directives what is encompassed by this requirement.

This award is contingent upon agreement by the recipient to comply with existing and future guidance from the HHS Secretary regarding control of the spread of COVID-19. In addition, recipient is expected to flow down these terms to any subaward, to the extent applicable to activities set out in such subaward.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and performance measurement help demonstrate achievement of program outcomes;

build a stronger evidence base for specific program strategies; clarify applicability of the evidence base to different populations, settings, and contexts; and drive continuous program improvement. Evaluation and performance measurement can also determine if program strategies are scalable and are effective at reaching target populations. Evaluation findings and performance measures will be used to demonstrate the value of this program and describe effective implementation of the funding opportunity.

Evaluation and Performance Measure Strategy https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf

Recipients will be responsible for data collection and reporting. Data collection and reporting requirements will be limited to data that will be analyzed and used for program monitoring and quality improvement. Recipients will submit to CDC the required data and other information required under this NOFO. These data and information will be used by CDC to monitor indicators, document progress, and generate feedback reports regarding program accomplishments related to this funding opportunity.

At the core of the evaluation and performance measure strategy is a set of process measures and outputs to track implementation of the strategies, and outcome measures to monitor achievement of the outcomes expected in the period of performance. CDC and recipients will jointly develop formal performance measures shortly after award.

Process Measures and Outputs

The process measures for each strategy will be based on the strategies presented in the logic model. The component activities in each strategy are intended to lead to strong deliverables (outputs); these, in turn, indicate that the strategy is being implemented faithfully and successfully.

CDC will work with recipients to determine if the strategies and activities have been implemented as expected and if the intended period of performance outcomes have been achieved. This is key information to keep the recipients on track, to demonstrate the effectiveness of the funding opportunity, and/or to suggest ways to improve the program. This includes routine and ongoing communication and collaboration between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting). Such monitoring may also include the following activities for each strategy:

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 the outcomes within stated timelines.

Working with recipients on adjusting the work plan based on achievement of outcomes 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.

Below are example outputs that would be measured by recipients:

Strategies

Strategy 1: Conduct regional landscape analysis

Documented analysis of regional public health landscape

Strategy 2: Coordinate the creation of a regional public health strategy and action plans, where needed

Number of meetings convened for regional public health strategy development

Number and proportion of countries in region who have representation at regional strategy meeting

Strategy 3: Develop network of regional public health stakeholders

Documented communication plan between regional stakeholders

Outcome Measures

In addition to evaluating the activities and outputs for response, select outcomes will also be measured. These are examples for illustration only. Program and performance measures may include but are not limited to:

Public health stakeholders and assets in region mapped

Number of relevant public health stakeholders in region identified

Number of relevant public health assets in region identified

National and regional action plans and policies are enacted

Percent of public health partners who have adopted regional action plan

Percent of countries in region that have adopted a national action plan

Strong communications system established to ensure an effective approach to global health security

Documented communications plan outlining the frequency and means of regular communication between public health stakeholders in region

Percent of planned communications that occur within stated timeframe

Collaborative relationships between regional public health partners established

Documented examples of regional stakeholder collaboration

Percent of public health partners who have established a new relationship with another public health partner in the region

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 the 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 progress 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/additionalrequirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, the applicant 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 Applicants must clearly describe their organization’s experience and institutional capacity to achieve the outcomes of the NOFO with documented good governance practices, including:

Managing personnel

Conducting program planning

Managing program resources and activities

Conducting program evaluation and performance monitoring

Complying with programmatic and financial reporting requirements

Collecting, analyzing, and monitoring performance data

Efficient and effective budget planning

Conducting audits of expenditures

Managing funds in accordance with the HHS Grants Policy Statement, which can be found at Grants Policy Statement (hhs.gov)

Applicants should provide an organizational chart and CVs or resumes for key personnel which describe relevant experience in these areas CVs/Resumes should include file names as follows:

"LastName_FirstName" and be saved as a PDF on www.grants.gov.

Applicants should provide a staffing plan and project management structure that will be sufficient to achieve the project outcomes and clearly defines staff roles.

https://www.cdc.gov/grants/additionalrequirements/ar-25.html https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf#:~:text=The%20Department%20of%20Health%20and%20Human%20Services%20Grants,are%20common%20across%20all%20HHS%20Operating%20Divisions%20(OPDIVs) http://www.grants.gov

Applicant must clearly describe their organization’s experience and institutional capacity to implement the strategies and achieve the outcomes of the NOFO, including:

Develop and strengthen relationships and communication systems with public health partners in the region

Planning and convening large meetings (in person and virtual) with participants from multiple countries in multiple time zones, speaking many languages

Access to a virtual meeting platform that will allow for breakout rooms and interpretation between many languages simultaneously

Access to translation and simultaneous interpretation services in other languages used in the region

Landscape analysis

Coordination of national and regional action plans

Develop and strengthen relationships and communication systems with public health partners

Budget management and administration

Experience with USG business operations (esp. HHS, CDC)

Previous experience working in the specified geographic region, and with marginalized groups in this region

d. Work Plan Applicants should provide a detailed work plan for the first year of the project and a high-level work plan for subsequent years. The work plan should crosswalk the strategies and activities, outcomes, and evaluation and performance measures presented in the logic model and the earlier narrative sections of the NOFO. The work plan(s) must, at a minimum, include:

1. Intended outcomes for the period of performance.

2. Program strategies and activities to be used during the first year of the period of performance.

3. Outcomes for the first year of the period of performance.

4. Timeline for the first year of the period of performance.

CDC will provide feedback and technical assistance to recipients to finalize the work plan(s) post-award.

A suggested work plan format is provided below. If using this format, the table should be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

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.

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).

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.

B. Award Information

1. Funding Instrument Type:

CA (Cooperative Agreement) CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism:

U3H: Global Healthcare Detection and Response (Non-Research)

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$ 50,000

5. Total Period of Performance Funding:

$ 250,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$ 250,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$ 50,000 Per Budget Period

9. Award Ceiling:

$ 0 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$ 0 Per Budget Period

11. Estimated Award Date:

September 30, 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.

If you are successful and receive a Notice of Award, in accepting the award, you agree that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

C. Eligibility Information

1. Eligible Applicants Eligibility Category:

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

2. Additional Information on Eligibility

3. Justification for Less than Maximum Competition

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

No Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

5. Maintenance of Effort Maintenance of effort is not required for this program.

D. 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.

http://fedgov.dnb.com/webform/displayHomePage.do

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 procedures may be found at SAM.gov and the SAM.gov Knowledge Base.

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

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-

System for Award Management

(SAM)

formerly Central Contractor Registration

(CCR)

1. Retrieve organizations DUNS number

2. Go to SAM.gov 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://fs d.gov/ fsd-gov/ home.do Calls: 86 6-606-8220

3 Grants.gov

1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized

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

Log into grants.gov and check AOR status https://sam.gov/content/home https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fsd.gov%2Fgsafsd_sp%3Fid%3Dgsa_kb_view2%26kb_id%3Df66d8e6cdb76d4100d73f81d0f9619c6&data=04%7C01%7Ccshifflett%40dminc.com%7C8eee7a2adab549a3b3c008d925e9a364%7Cdb7ac9ef779d46e59bca00509580ad6b%7C0%7C0%7C637582507851821018%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=UrR%2B%2FM2wWF2fZG05Z8O6JS2C3FXXSl%2F7B3%2FB45XHRrg%3D&reserved=0 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://sam.gov/content/home https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do organization representative

(AOR)

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

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

4. This authorizes the AOR to submit applications on behalf of the organization applicants MUST obtain a DUNS number and SAM account before applying on grants.gov) until it shows you have been approved

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

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

The LOI date will generate once the Synopsis is published if Days or a Date are entered.

b. Application Deadline

07/19/2021 11:59 pm 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.

Due Date for Information Conference Call N/A

5. Pre-Award Assessments 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 https://www.grants.gov/ https://www.grants.gov/ https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf 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 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.

https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

7. Letter of Intent LOI is not requested or required as part of the application for this NOFO.

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 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

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

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

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

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:

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 the DMP elements) within the first 6 months of award, as described in the Reporting Section of this NOFO.

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

11. Work Plan (Included in the Project Narrative’s 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 recipient plans to carry out achieving the period of performance outcomes, strategies and activities, evaluation and performance measurement.

12. Budget Narrative Applicants must submit an itemized budget narrative. 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 could include the cost of collecting, managing, sharing and preserving data.

Indirect costs on grants awarded to foreign organizations and foreign public entities and performed fully outside of the territorial limits of the U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000. Negotiated indirect costs may be paid to the American University, Beirut, and the World Health Organization.

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 NOFO 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 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 NOFO.

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