Foa_Content_of_CDC-RFA-CE-24-0120.pdf

National Center for Injury Prevention and Control (NCIPC) Division of Violence Prevention (DVP)

Notice of Funding Opportunity Application due April 16, 2024 - 11:59 p.m. ET

Rape Prevention and Education: Enhancing Capacity for Sexual Violence Prevention among Tribal Sexual Assault Coalitions Opportunity number: CDC-RFA-CE-24-0120

Contents Before you begin 3

Step 1: Review the Opportunity 4

Basic information 5

Eligibility 6

Program description 7

Funding policies & limitations 25

Step 2: Get Ready to Apply 28

Get registered 29

Step 3: Prepare Your Application 30

Application contents & format 31

Step 4: Learn About Review and Award 37

Application review 38

Award notices 42

Step 5: Submit Your Application 43

Application submission & deadlines 44

Application checklist 45

Step 6: Learn What Happens After Award 46

Post-award requirements & administration 47

Contacts & support 51

Agency contacts 52

Grants.gov 52

SAM.gov 52

Reference websites 53

Endnotes 54

Contents 2

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registration is active and up-to-date.

SAM.gov registration (this can take several weeks) You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days) You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by April 16, 2024 Applications are due by 11:59 p.m. Eastern Time on April 16, 2024.

Before you begin 3 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 5

Eligibility 6

Program description 7

Funding policies & limitations 25

Step 1: Review the Opportunity 4

Basic information Centers for Disease Control and Prevention (CDC)

National Center for Injury Prevention and Control (NCIPC)

Division of Violence Prevention (DVP)

Preventing sexual violence through evidence-based public health approaches

Summary The purpose of this NOFO is to prevent sexual violence (SV) perpetration and victimization by increasing protective factors and decreasing risk factors. We aim to achieve this through a public health approach of implementing and evaluating comprehensive strategies based on the best available evidence and Indigenous Knowledge.

We will fund up to 10 Tribal Sexual Assault (SA) Coalitions (Tribal SA Coalitions) to implement and evaluate evidence-informed and Indigenous Knowledge-informed strategies that address Indigenous Determinants of Health (IDOH) across Indian Country.

Our goal is to help you advance health equity through prevention efforts. To do so, we require you to:

• Build infrastructure to support SV prevention activities

• Develop a Tribal SV Primary Prevention Action Plan

• Use data to inform action

• Implement SV prevention strategies that advance health equity to prevent SV

• Foster meaningful engagement and coordination with State/Territory/Tribal Health Departments and SA Coalitions

The strategies and activities are expected to:

• Result in increased implementation of SV primary prevention strategies and programs that work to reach communities with increased risk for violence.

• Help Tribal SA Coalitions strengthen and build the infrastructure to decrease SV perpetration and victimization rates in tribal communities.

• Reduce disparities in SV by addressing associated inequities in IDOH.

Have questions? See Contacts & Support.

Key facts

Opportunity Name: Rape Prevention and Education:

Enhancing Capacity for Sexual Violence Prevention among Tribal Sexual Assault Coalitions

Opportunity Number: CDC-RFA-CE-24-0120

Federal Assistance Listing: 93.136

Step 1: Review the Opportunity 5

Key dates

Informational webinar: March 1, 2024, at 2 p.m. EST

Application deadline: April 16, 2024

Expected award date: May 30, 2024

Expected start date: June 30, 2024

Funding details Type: Grant

Expected total program funding over the performance period:

$3,600,000

Expected total program funding per budget period: $900,000

Expected awards: Up to 10

Maximum funding per applicant per budget period: $90,000

We plan to award projects using four 12-month budget periods for a 4-year period of performance (48 months).

The number of awards is subject to available funds and program priorities.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac).

Eligibility Who can apply

Eligible applicants Only these types of entities may apply:

• Tribal Sexual Assault Coalitions

Other required qualifying factors Under the Violence Against Women Act (2022) and 34 U.S.C.

12291, only designated Tribal Sexual Assault Coalitions are eligible to apply. See the definition in the Overview section.

Other Program Eligibility:

• Tribal Sexual Assault Coalition applicants: You must state that you are a Tribal Sexual Assault Coalition and include your coalition’s name in the project abstract. If you do not state it and include it in the project abstract, we will deem your application nonresponsive and not review it.

Cost sharing and matching funds This program has no cost-sharing requirement or matching funds requirement. If you choose to include cost-sharing funds as a contribution to the award, we won’t consider it during review of your application. If you receive an award, voluntary cost-sharing funds will be a requirement of your award and you will need to report on them.

Step 1: Review the Opportunity 6

Program description Background Overview The Violence Against Women Act (VAWA) Reauthorization Act of 2022 authorizes CDC funding to sexual assault coalitions to coordinate and provide prevention activities, assisting prevention programs, and collaborating and coordinating with applicable federal, state, Tribal, and local entities engaged in SV prevention.

The Rape Prevention and Education (RPE) Program within CDC works to prevent sexual violence by providing funding to all 50 states, the District of Columbia, Puerto Rico, the U.S.

Virgin Islands, and Tribal Sexual Assault Coalitions.

American Indian and Alaska Native (AI/AN) peoples have experienced historical trauma and unequally experience sexual violence, adverse childhood experiences (ACEs), and systemic inequities. These disparities highlight the need to address IDOH. Preventing SV is crucial for addressing many mental and physical health issues that affect AI/AN communities.

Advancing health equity requires ongoing societal efforts to:

• Address injustices

• Overcome obstacles to health and health care access

• Eliminate preventable health inequities

• Address root causes that disproportionately disadvantage individuals and communities

Community and societal-level prevention strategies are key in reducing SV and creating lasting change. These strategies focus on settings that increase or shield against the risk for violence as shown in the outer levels of the Social-Ecological Model (SEM). The SEM provides a basis for understanding the way risk and protective factors at one level relate with those at another level.

Related work This NOFO builds on previous accomplishments and lessons learned from the Rape Prevention and Education Program, as well as the following funding opportunities and guidance documents but not limited to:

• CDC-RFA-CE-23-0006 Rape Prevention and Education:

Assessing Coalition Capacity to Advance Primary Prevention

• CDC-RFA-CE19-1902 Rape Prevention and Education:

Using the Best Available Evidence for Sexual Violence Prevention

• Adverse Childhood Experiences (ACEs)

• Social Determinants of Health at CDC

• Violence Prevention in Practice - VetoViolence - CDC

• Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence

For more information, visit Violence Prevention on the CDC website.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 7 https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf https://www.cdc.gov/violenceprevention/about/social-ecologicalmodel.html https://www.cdc.gov/violenceprevention/about/social-ecologicalmodel.html https://www.cdc.gov/violenceprevention/sexualviolence/rpe/index.html https://www.cdc.gov/violenceprevention/aces/ https://www.cdc.gov/about/sdoh/index.html https://vetoviolence.cdc.gov/apps/violence-prevention-practice/#!/ https://www.cdc.gov/violenceprevention/pdf/connecting_the_dots-a.pdf https://www.cdc.gov/violenceprevention/pdf/connecting_the_dots-a.pdf https://www.cdc.gov/violenceprevention/index.html

Purpose We will fund up to 10 Tribal SA Coalitions to prevent sexual violence through primary prevention at the community and societal levels. This NOFO helps advance health equity in SV prevention efforts. It will also foster meaningful engagement and coordination among State/Territory/Tribal Health Departments and State SA Coalitions.

We will require you to work on SV prevention through community and societal level approaches that address IDOH.

This will be done through:

• Building infrastructure to support SV prevention activities

• Developing and enhancing a Tribal SV Primary Prevention Action Plan

• Implementing SV prevention strategies that advance health equity

• Using data to inform action

• Fostering meaningful engagement and coordination with State/Territory/Tribal Health Departments and SA Coalitions

Approach Overview The following logic model includes the strategies and activities required under this NOFO. It also includes the program’s expected outcomes. The following outcomes indicated by an asterisk (*) are those we expect you to achieve during the 4-year period of performance.

Outcomes are the results that you intend to achieve and usually show the intended direction of change, such as increase or decrease.

Not all outcomes apply to all strategies. The table shows how they apply. You will use these outcomes as a guide for developing performance measures.

Program logic model The logic model shows the strategies and activities of the program along with the outcomes we expect over time. We will require you to report on the following outcomes indicated by an asterisk (*).

Step 1: Review the Opportunity 8

Strategies and Activities Short-term Outcomes Intermediate Outcomes Long-Term Outcomes

Strategy 1. Assess Capacity for Primary Prevention of Sexual Violence (Year 1)

• Activity 1.1: Complete a primary prevention capacity assessment.

Strategy 2. Develop a Tribal Sexual Violence Primary Prevention Action Plan (Year 2)

• Activity 2.1 Develop a Tribal Sexual Violence Primary Prevention Action Plan

Strategy 3. Implement Primary Prevention Action Plan and Evaluate Progress (Years 2-4)

• Activity 3.1 Build Capacity

• Activity 3.2 Strengthen Partnerships/Collaborations

• Activity 3.3: Implement SV Prevention Programs/Policies/ Practices

• Activity 3.4: Increase access to and use of data for program improvement and evaluation.

• 1.1 Increased understanding of current capacity to implement and evaluate primary prevention of SV in Indian Country*

• 1.3 Increased awareness of data available to support understanding of inequities within tribal populations and communities with disproportionately high rates of SV*

• 2.1 Increased partner and tribal community awareness of efforts to prevent SV and the disproportionate burden of

SV*

• 2.2 Increased efforts to align the needs of tribal populations with SV prevention strategies that advance health equity and reduce inequities in IDOH*

• 3.1 Increased capacity for program implementation and SV prevention across Indian Country*

• 3.2 Increased partner coordination and collaboration among partners support to implement, evaluate, and adapt SV prevention strategies in Indian Country*

• 3.3 Increased implementation of primary prevention strategies among tribal communities and populations with disproportionately high rates of SV that seek to prevent SV by addressing IDOH*

• 3.4 Increased access to data to understand inequities within tribal populations and communities with disproportionately high rates of

SV*

• 3.5 Increased use of data for decision making to reduce inequities impacting tribal populations and communities with disproportionately high rates of

SV*

• Increased reach of prevention strategies that impact tribal communities and populations with disproportionately high rates of SV

• Increase in protective factors and decrease in risk factors associated with SV

IMPACT:

• Decrease in rates of SV, particularly in communities disproportionately burdened with high rates of SV

• Improved health outcomes for people experiencing disparities and inequities related to SV

Step 1: Review the Opportunity 9

Required strategies & activities See application instructions: Strategies and Activities

See merit review criteria: Background and Approach

This section elaborates on the strategies and activities described in the logic model and provides details about our expectations of you to implement the NOFO.

We designed these strategies to increase the sustainability of the program beyond the performance period. We selected them for their potential to advance health equity.

We expect you to use the public health approach to implement programs, policies, and practices. Click here for more information on the public health approach.

Applications may also use Indigenous Knowledge methods and approaches. Indigenous Knowledge is “a body of observations, oral and written knowledge, innovations, practices, and beliefs developed by Tribes and Indigenous Peoples through interaction and experience with the environment, and related practices, if not yet rigorously evaluated, are considered innovative community-based strategies. Indigenous Knowledge is based in ethical foundations often grounded in social, spiritual, cultural, and natural systems that are frequently intertwined and inseparable, offering a holistic perspective” (Prabhakar & Mallory, 2022)[1].

You must implement all of the following Strategies and Activities. In your application, you will address how you will do so.

Strategy 1: Assess capacity for primary prevention of sexual violence (Year 1)

Activity 1.1 Complete a primary prevention capacity assessment

Recipients without an existing primary prevention capacity assessment

During the first year of this NOFO we require you to conduct a primary prevention capacity assessment to determine current capacity to enhance and expand primary prevention and health equity work. The assessment must include:

• Approval and support for the plan from tribal leadership

• Current capacity and infrastructure to implement primary SV prevention

• Current SV prevention approaches using Indigenous Knowledge, tribal data, the Indian Way, or Traditional Knowledge

• Available data to monitor trends, track SV outcomes and changes in specific IDOH, and inform SV prevention efforts

• Current partnerships and resources

Working with and gathering information from your tribal communities is crucial. You may choose to facilitate and host a Gathering of Native Americans (GONA) or Gathering of Alaska Natives (GOAN) as part of your capacity assessment to identify risk and protective factors, encourage storytelling, foster a sense of community empowerment, and promote cultural activities & rituals.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 10 https://vetoviolence.cdc.gov/apps/main/prevention-information/47 https://vetoviolence.cdc.gov/apps/main/prevention-information/47

Upon award, CDC will provide further guidance for conducting a primary prevention capacity assessment with a focus on health equity.

All recipients

We will require you to submit a summary of your complete primary prevention capacity assessment approximately 18 months post award. Upon award, we will provide further guidance for completing and submitting this summary.

Strategy 2: Develop a tribal sexual violence primary prevention action plan (Year 2)

Activity 2.1 Develop a tribal sexual violence primary prevention action plan

Upon completion of Strategy 1, based on established recommendations from your primary prevention capacity assessment, you will develop a Tribal Sexual Violence Primary Prevention Action Plan to help strategically and intentionally plan, prioritize, and establish a comprehensive approach to SV prevention based on Indigenous Knowledge to prevent SV.

The first draft of your Tribal Sexual Violence Primary Prevention Action Plan is due by the end of year 2. This is a living document that you will update at least annually throughout the funding cycle.

You must include the following components in your plan:

• The ways you will leverage the findings from your primary prevention capacity assessment to increase infrastructure and capacity for SV primary prevention and health equity efforts

• The ways you will increase or maintain coordination with partners and state and territorial health departments and sexual assault coalitions working to prevent SV

• The ways that you and your partners will prioritize primary prevention at the outer layers of the SEM

• The ways you will address health inequities and disproportionate burden using tribal data, the Indian Way, Traditional knowledge, or Indigenous Knowledge

• A sustainability section that describes how you will sustain RPE work

• Approval and support for the plan from tribal leadership

• Include your plan for all activities in Strategy 3 (see the following)

Strategy 3: Implement primary prevention action plan and evaluate progress (Years 2-4)

Activity 3.1 Build capacity

We expect you to continually build your internal capacity to facilitate, implement, and evaluate SV prevention efforts and to achieve the required strategies and activities.

You should leverage the findings from your capacity assessment to build your organizations’ infrastructure and capacity for SV primary prevention and health equity work.

Examples of how you can leverage the capacity assessment include:

Step 1: Review the Opportunity 11

• Identifying where gaps exist in capacity to provide primary prevention and address health equity

• Developing recommendations to fill gaps in capacity that will help improve primary prevention

• Identifying and tailoring Indigenous Knowledge practices for tribal communities to prevent sexual violence and advance health equity

• Sharing findings and recommendations

• Using the findings, recommendations, and relevant data sources to inform discussions about SV prevention and health equity

• Using the findings, recommendations, and relevant data sources to inform decision making around:

◦ Program priorities

◦ Allocating resources and staffing

◦ Training and professional development needs

◦ Strengthening partnerships

◦ Enhancing evaluation

◦ Integrating health equity into SV prevention programming

Activity 3.2 Strengthen partnerships/collaborations

We encourage you to work with other RPE-funded recipients and SV organizations as well as other tribal, local, state, and national partners to build capacity for SV prevention in tribal communities. Some examples of how you can meaningfully engage with SV collaborators include:

• Providing technical assistance to SV partners

• Including SV partners in SV Action Planning to align SV work across the Tribe(s)

• Collaborating with RPE-funded SHDs and State/ Territorial/Tribal SA Coalitions

You should identify potential public and private partnerships that can help to implement and evaluate your programs.

Once you identify potential partners, establish partnerships.

You might do this through mechanisms such as contracts, consultations, or memorandums of understanding. Some examples of functions that partners could perform include:

• Facilitating the GONA/GOAN

• Collaborating on program selection and implementation

• Providing guidance on program evaluation and data use

• Providing population-specific support

• Providing technical assistance to build sub-recipients’ program implementation and evaluation capacity

Step 1: Review the Opportunity 12

Activity 3.3: Implement SV prevention programs, policies, and practices

By the end of the grant period, you must implement at least one SV primary prevention program, practice, or policy in one of the following three focus areas. We encourage you to propose Indigenous Knowledge programs, practices, or policies relevant to your communities. Select program, practice, or policy efforts that meet the following criteria:

• Fits within one of the focus areas of this NOFO

• Addresses risk and protective factors for SV

• Describe the link between the theory of your program, practice, or policy effort and targeted outcomes addressing SV

• Is feasible to implement and evaluate

SV prevention strategy focus areas

We based the specific focus areas for the SV prevention strategies and approaches of interest on guidance from CDC’s VetoViolence Violence Prevention in Practice tool.

Communities can use these resources to prioritize their efforts on activities with the greatest potential to reduce multiple forms of violence. You are encouraged to propose additional approaches within the three Focus Areas that are inclusive of Indigenous Knowledge and support from the communities you plan to work with.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 13 https://vetoviolence.cdc.gov/apps/violence-prevention-practice/#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/#!/

Table: NOFO Focus Areas

Focus Area Description Approaches

Strengthen Economic Supports

Employment, stable housing, financial stability, and food security are important protective factors for women’s risk of SV victimization.

Policies and programs that work to improve financial stability can also reduce the risk factors associated with SV victimization.

Strengthen household financial security

Family-friendly policies

Create Protective Environments

SV prevention should include strategies that change community characteristics, so they are safe, healthy, and protective.

Community- and societal-level prevention strategies go beyond changing individuals and focus on modifying community structures, social norms, environment, and policies.

Improving school climate and safety

Improve organizational environments

Reduce exposure to community-level risks

Modify the physical and social environment

Promoting Social Norms That Protect Against Violence

Approaches that focus on changing the social norms (group-level beliefs and expectations of members behavior) related to the acceptance of violence and restrictive gender norms of priority groups have the potential to reduce rates of SV perpetration and victimization.

Bystander approaches

Men and boys as allies in prevention

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 14 https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/218#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/218#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/35#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/211#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/154#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/139#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/139#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/209#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/209#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/212#!/ https://vetoviolence.cdc.gov/apps/violence-prevention-practice/node/214#!/

Activity 3.4: Increase access to and use of data for program improvement and evaluation

We expect you to identify and gather data on community- or tribal-level SV indicators to monitor, track, and inform your SV prevention efforts.

Indicators

Indicators, for the purpose of this NOFO, are measures or risk factors with links to SV. We encourage you to select indicators for which there are publicly accessible data that can measure SV outcomes. These may include SV outcomes, risk and protective factors, IDOH, or conditions that can be associated with SV rates. We expect indicators to link back to the outcome evaluation component of the evaluation plan. As publicly accessible data may not be available for all indicators of interest, you should seek to build your data collection capacity.

Risk factors

Risk factors are associated with a greater likelihood of SV perpetration or victimization. They are contributing factors and might not be direct causes. A combination of individual, relational, community, and societal factors contribute to the risk of becoming a person who perpetrates SV.

Understanding these factors can help identify various opportunities for prevention.

Some examples of risk factors include:

• Historical trauma

• Acculturation

• Community violence

• Violent programming

• Harmful norms around masculinity and femininity

• Social norms that support aggression toward others

• Diminished economic opportunities or high unemployment rates

• Alcohol and drug misuse

Protective factors

Protective factors may lessen the likelihood of sexual violence victimization or perpetration. These factors can exist at individual, relational, community, and societal levels.

Some examples of protective factors include:

• Social support

• Cultural identification

• Spirituality

• Connection to family and kinship ties

• Shared sense of collective community and community pride

Tracking and monitoring indicators

After identifying indicators, develop a plan to track and monitor trends in SV outcomes, risk and protective factors, and IDOH. Specify:

• Selected indicators

• Data sources

• Data collection methods

Step 1: Review the Opportunity 15

• Timing of data collection

• Who is responsible for data collection

Data identified and gathered should inform your SV prevention efforts by helping you understand how IDOH inequities link with disproportionate risk of violence within their intended communities.

We recommend you use guidance provided by CDC and support or consultations with CDC or CDC-supported technical assistance providers to support these data gathering activities. You may use existing guidance on selecting indicators from the VetoViolence Violence Indicator Guide & Database.

We require you to develop and implement an RPE indigenous evaluation plan. You can find more information on the specifics of the evaluation plan in the Data, Monitoring, & Evaluation section.

Outcomes See application instructions: Outcomes

See merit review criteria: Background and Approach

You must achieve the bolded outcomes in the logic model within the period of performance.

• You must achieve the short-term outcomes within the first two years of the project.

• You must achieve the intermediate outcomes within three to four years from award.

• Use the provided outcomes as a guide to align your activities and expand on these outcomes. You may add more outcomes specific to your activities and community context. When expanding and adjusting an outcome to better fit your program activities, indicate specific details such as connections and relationships among community partners, SHDs, State/Territorial SA Coalitions, and other Tribal SA Coalitions and local level activities, and specific risk and protective factors.

Focus populations See application instructions: Focus Populations and Health Disparities

See merit review criteria: Background and Approach

You will use data to identify priority populations, communities, and environments that experience inequities and are at greater risk for SV perpetration or victimization.

Some sources of evidence may include:

• A map of the community data, such as tribal census tract, zip code, on and off tribal land, relevant to the selected population

• Demographic makeup of the selected areas or communities of focus

• Population with income at or below 100% of the federal poverty level

• SV prevalence, risk, and protective factor data for selected populations showing disproportionate risk for

SV

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 16 https://vetoviolence.cdc.gov/apps/violence-indicators-guide-database/database https://vetoviolence.cdc.gov/apps/violence-indicators-guide-database/database

• My Tribal Area Data Tool from the U.S. Census Bureau

• The Office of Minority Health and Health Equity

• Minority Health Related to AI/AN Populations

• National Intimate Partner and Sexual Violence Survey (NISVS)

• Youth Risk Behavior Surveillance System (YRBSS)

Health disparities The goal of health equity is for everyone to have a fair and just opportunity to attain their highest level of health. Health inequities are systematic differences in the health status of different population groups. They often occur when populations do not have the ability to influence the forces and systems affecting their daily lives.

Indigenous Determinants of Health (IDOH) include social, physical, spiritual, mental, emotional, transgenerational, and other factors that affect a wide range of health, functioning, and quality-of-life outcomes and risk for Indigenous Peoples (Riveros et al., 2023)[2].

You will work to reduce SV perpetration and victimization risk factors across the entire population of focus. In your work, place special emphasis on eliminating health inequities that contribute to higher rates of violence victimization and perpetration among some groups. Additionally, focus on increasing protective factors among your population of focus.

Resources to help communities address IDOH:

• Promoting health equity; a resource to help communities address social determinants of health

• Health of American Indian and Alaska Native Population

• Indigenous Social Determinants of Health

Additional resources will be provided post-award.

Organizational capacity See application instructions: Organizational capacity

See merit review criteria: Organizational capacity

Your organization must:

• Have experience working with tribal nation(s)

• Describe organizational infrastructure and capacity to implement and evaluate SV prevention programming in Indian County

• Describe your staffing plan including:

◦ Key staff who will work on this grant and their responsibilities for the grant (provide resumes for key staff in your Attachments)

◦ The role of any partner organizations or contracted organizations that will have a major role in this grant

◦ Staff availability to attend CDC-sponsored virtual trainings, meetings, and events

◦ You will also include an organizational chart in your Attachments

• Have experience developing and maintaining multi-sectoral partnerships, including approaches for engagement

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 17 https://www.census.gov/tribal/ https://www.cdc.gov/minorityhealth/index.html https://www.minorityhealth.hhs.gov/american-indianalaska-native-health https://www.cdc.gov/violenceprevention/datasources/nisvs/index.html https://www.cdc.gov/violenceprevention/datasources/nisvs/index.html https://www.cdc.gov/healthyyouth/data/yrbs/index.htm https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/pdf/sdoh-workbook.pdf?

https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/pdf/sdoh-workbook.pdf?

https://www.cdc.gov/nchs/fastats/american-indian-health.htm https://www.indigenousphi.org/isdoh/isdoh#:~:text=As%20native%20people%2C%20our%20connections%20to%20land%20and,and%20materials%20to%20support%20tribal%20public%20health%20systems

• Have experience implementing sexual violence prevention and/or response strategies and activities

• Have the capacity to develop and implement an evaluation plan in collaboration with the RPE-funded State and Territorial Health Department and SA Coalition (if applicable)

Collaborations This NOFO supports meaningful engagement, coordination, and capacity building across tribal organizations and partners. We encourage you to work with partners with expertise in SV and health equity/IDOH, including but not limited to:

• Rape crisis centers

• Tribal organizations

• CDC-funded technical assistance providers for capacity building technical assistance and training

• University or academic institutions

• Indian Health Service

• Tribal Governments

• Tribal departments of health and behavioral health departments

• Tribal culture departments and language programs, such as the Administration for Native Americans Language Preservation Programs

• Tribal schools or local school systems

• Other federally funded Tribal programs, such as Tribal Extension Programs, Food Distribution on Indian Reservations, and Supplemental Nutrition Assistance (SNAP Ed) Programs

• SAMHSA Native Connections Programs

You should also partner with other CDC-funded programs.

We have several existing programs that have served AI/AN populations. We list a few as follows:

• DELTA AHEAD

• Rape Prevention and Education (CDC-RFA-CE-24-0027)

• Rape Prevention and Education (CDC-RFA-CE-24-0068)

• Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action

• Preventing Violence Affecting Young Lives (PREVAYL)

• National Centers of Excellence in Youth Violence Prevention (YVPC)

• National Violent Death Reporting System (NVDRS)

• Advancing Violence Epidemiology in Real Time (AVERT) / Firearm Injury Surveillance Through Emergency Rooms

(FASTER)

• Core State Injury Prevention Program (Core SIPP)

• Injury Control Research Centers (ICRCs)

Once funded, we encourage you to participate in national opportunities for sharing program experiences with other recipients.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 18 https://www.cdc.gov/violenceprevention/intimatepartnerviolence/delta/ahead/index.html https://www.cdc.gov/violenceprevention/sexualviolence/rpe/index.html https://www.cdc.gov/violenceprevention/sexualviolence/rpe/index.html https://www.cdc.gov/violenceprevention/aces/EfC-PACE-datatoaction.html https://www.cdc.gov/violenceprevention/aces/EfC-PACE-datatoaction.html https://www.cdc.gov/violenceprevention/youthviolence/prevayl.html https://www.cdc.gov/violenceprevention/youthviolence/yvpc/index.html https://www.cdc.gov/violenceprevention/youthviolence/yvpc/index.html https://www.cdc.gov/violenceprevention/datasources/nvdrs/index.html https://www.cdc.gov/violenceprevention/firearms/funded-surveillance.html https://www.cdc.gov/violenceprevention/firearms/funded-surveillance.html https://www.cdc.gov/violenceprevention/firearms/funded-surveillance.html https://www.cdc.gov/injury/stateprograms/index.html https://www.cdc.gov/injury/erpo/icrc/centers.html

Data, monitoring, & evaluation See application instructions: Evaluation & Performance Measurement Plan

See merit review criteria: Evaluation & Performance Measurement

CDC strategy We expect you to conduct an evaluation of the required strategies and activities and progress made toward NOFO outcomes in years 2-4 of the project period.

The evaluation plan must propose methods to answer the following evaluation questions:

• To what extent has the Coalition accomplished the short term and intermediate outcomes in the NOFO logic model?

• Which factors are critical for implementing selected SV prevention strategies and approaches in Indian Country?

• To what extent has the Coalition leveraged multi sector partnerships and resources toward SV prevention?

• To what extent was the Coalition able to address IDOH and health equity and how they relate to SV into their SV prevention planning, implementation, and evaluation?

• To what extent has the Coalition increased use of data-driven decision-making throughout Indian country as well as monitoring of trends, related to SV prevention and

IDOH?

In your evaluation:

• Focus on the use of available AI/AN data to develop the evaluation plan

• Identify and track indicators that address community and tribal-level risk and protective factors for SV that align with the prevention strategies and approaches you are implementing.

Upon award:

• We will provide any needed support to finalize your evaluation plan and provide feedback on identified indicators and data sources. Specific indicators do not need to be proposed in your application.

• We will provide you with guidance and a template for the evaluation plan.

• You will be required to report annually on the selected performance measures, evaluation findings, and NOFO activities.

• Each year, we will review your submitted indicators to better understand program impact in addition to performance monitoring and continuous program improvement.

Example indicators Following are the draft indicators you may choose to report on after award. We will provide any support needed to refine and finalize indicators before we require you to submit any data.

Step 1: Review the Opportunity 19

Table: Draft indicators

Outcomes Possible Indicators

Capacity

• Short term: Increased understanding of current capacity to implement and evaluate primary prevention of SV in Indian Country

• Intermediate: Increased capacity for program implementation and SV prevention across Indian Country

• # of new staff acquired

• # of current staff

• % of staff retained

• # of trainings conducted to build internal capacity to facilitate and monitor SV prevention strategy implementation

• # of trainings conducted to advance health equity

• # of staff who have attended a training/workshop related to primary prevention

• # of staff who have participated in a CDC-sponsored program or activity

Partnerships

• Short term: Increased partner and tribal community awareness of efforts to prevent SV and the disproportionate burden of SV

• Intermediate: Increased partner coordination and collaboration among partners support to implement, evaluate, and adapt SV prevention strategies in Indian Country

• # and type of partners (sectors)

• # and type of partners (new vs. established)

• # and types of methods used to engage partners

• # and types of partners engaged in primary prevention efforts

Data Use

• Short term: Increased awareness of data available to support understanding of inequities within tribal populations and communities with disproportionately high rates of SV

• Intermediate: Increased access to data to understand inequities within tribal populations and communities with disproportionately high rates of SV

• Types of data used to identify and select prevention strategies.

• Types of data used to identify priority populations.

• Types of data used to identify inequities

• Types of data used to improve SV strategy implementation

• Types of data used to monitor SV strategy implementation

Step 1: Review the Opportunity 20

Outcomes Possible Indicators

• Intermediate: Increased use of data for decision making to reduce inequities impacting tribal populations and communities with disproportionately high rates of SV

• # and types of data used to track SV outcomes

• # and types of data used to track changes in IDOH

• # and types of data sharing agreements with partners

• # and types of partners engaged in evaluation plan development

Implementation

• Short term: Increase efforts to align the needs of tribal populations with SV prevention strategies that advance health equity and reduce inequities in IDOH

• Intermediate: Increased implementation of primary prevention strategies among tribal communities and populations with disproportionately high rates of SV that seek to prevent SV by addressing IDOH

• # of individuals from high-burden communities/ populations reached

• Types of high-burden communities reached

• # and type of strategies addressing IDOH identified, implemented, or adapted

• # and type of community-level risk factors addressed

• # and type of community-level protective factors addressed

• Prevalence of community-level risk factors

• Prevalence of community-level protective factors

Step 1: Review the Opportunity 21

Evaluation & performance measurement plan You must provide an evaluation and performance measurement plan. The evaluation plan will be due one year after award. This evaluation plan should be updated regularly throughout the NOFO as you make changes to your programmatic and evaluation activities. You will be required to submit an updated evaluation plan every year with your Annual Performance Report.

Include the following elements.

Methods You must provide a logic model that demonstrates the overall efforts of the NOFO and include the selected strategies and approaches, as well as expected short-term, intermediate, and long-term outcomes.

Describe:

• How you will:

◦ Identify and collect indicators

◦ Respond to the evaluation questions

◦ Use evaluation findings for continuous program quality improvement

◦ Discuss how findings will contribute to reducing or eliminating health inequities, if relevant

◦ Incorporate evaluation and performance measurement into planning, implementation, and reporting of project activities

▪ How key program partners will participate in the evaluation and performance measurement process

▪ How you will share evaluation findings with communities and populations of interest in a way that meets their needs

Data management For all public health data you plan to collect, describe:

• The data you plan to collect and available data sources

• The feasibility of collecting appropriate evaluation and performance data

• A data management plan (DMP) that includes:

◦ The data you will collect or generate

◦ If there are reasons why you cannot share data collected or generated under this award with CDC.

These could include legal, regulatory, policy, or technical concerns

◦ Who can access data and how you will protect it

◦ Data standards that ensure released data have documentation that describes collection methods, what the data represent, and data limitations

◦ Archival and long-term data preservation plans

◦ How you will update the Data Management Plan (DMP) as new information is available over the life of the project. You will provide updates to the DMP in annual reports. For more information about CDC’s

Step 1: Review the Opportunity 22 policy on the DMP, see Data Management and Access Requirement at CDC’s website

• Other relevant data information, such as performance measures you propose.

For a definition of “public health data” and other key information, see AR 25: Data Management and Access on our website.

Evaluation activities You must:

• Describe the process and outcome evaluations.

• Describe key evaluation questions addressed by these evaluations.

• Describe other information such as measures and data sources.

You will submit a summary describing your plans for evaluation of this NOFO with your application. You must submit the full Evaluation and Performance Measurement Plan one year after award. See Reporting.

Work Plan See application instructions: Work Plan

See merit review criteria: Background & Approach

In your Project Narrative, you must provide a work plan for your project. The work plan connects your period of performance outcomes, strategies and activities, and measures. It provides more detail on how you will measure outcomes and processes.

At the time of application, you will submit one work plan, which includes specific details for the first year of the project and a high-level overview that estimates the work that will be completed for the remaining three years of the NOFO. Each year when you submit your Annual Performance Report and continuation application, you will have an opportunity to update your proposed work plan.

Additionally, the work plan must describe any anticipated challenges to successfully completing NOFO activities and how you plan to address those challenges.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 23 https://www.cdc.gov/grants/additional-requirements/ar-25.html https://www.cdc.gov/grants/additional-requirements/ar-25.html https://www.cdc.gov/grants/additional-requirements/ar-25.html

Table: Sample work plan Strategy #: (Corresponds to Logic Model Strategy) _________

Activity #: (Corresponds to Logic Model Activity)

Milestone Description Provide a concise statement of the milestone

Key Activities Provide a brief description of activities that will be conducted to complete the milestone

Start Date Anticipated milestone start date

End Date Anticipated milestone end date

Paperwork Reduction Act Any activities involving information collections from 10 or more individuals or organizations, may require you to follow the Paperwork Reduction Act (PRA). This requires review and approval by the White House Office of Management and Budget. For further information about CDC’s requirements under PRA see CDC Paperwork Reduction Act Compliance.

Collections include items like surveys and questionnaires.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 24 https://www.cdc.gov/os/integrity/reducepublicburden/index.htm

Funding policies & limitations General guidance

• Your budget is arranged in eight categories: salaries and wages, fringe benefits, consultant costs, equipment, supplies, travel, other, and contractual.

• You may use funds only for reasonable program purposes consistent with the award, its terms and conditions, and federal laws and regulations that apply to the award. Pose questions about this determination to the grants management specialist.

• Generally, you may not use funds to purchase furniture or equipment. Clearly identify and justify any such proposed spending in the budget.

• If needed, you may use funds to meet national standards or seek health department accreditation or reaccreditation through the Public Health Accreditation Board (PHAB). This allowability applies only to state, Tribal, local, and territorial government agencies within the US and its territories. Include the proposed activities and a description of the connection to national standards or accreditation achievement in the budget narrative.

• Policy Analysis is an allowable activity using federal funds.

Allowable activities include:

◦ Reviewing literature and conducting an environmental scan to identify gaps and describe policy options

◦ Assessing policy options according to health impact or other impact on preventing sexual violence, feasibility, and economic and budgetary impacts

• According to the HHS Policy Statement, Severance Pay is allowable only to the extent that such payments are:

◦ Required by law

◦ Included in an employer employee agreement

◦ Part of an established policy effectively constituting an implied agreement on the part of the organization or meet the circumstances of the particular employment

Consult the applicable cost principles regarding the different treatment of severance pay in regular and mass termination situations.

Unallowable costs You may not use funds for:

• Research

• Clinical care except as allowed by law

• Pre-award costs unless CDC gives you prior written approval

• Other than for normal and recognized executive-legislative relationships:

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 25 https://phaboard.org/ https://phaboard.org/

◦ Publicity or propaganda purposes, including preparing, distributing, or using any material designed to support or defeat the enactment of legislation before any legislative body

◦ The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body

◦ See Guidance on Lobbying for CDC Recipients

• Reimbursement of pre-award costs generally is not allowed unless the CDC provides written approval to the recipient.

• You must adhere to Congressional legislation (Section 393B of the Public Health Service Act [42 U.S.C. 280b-1b]).

The legislation stipulates the following:

◦ You may not use more than five percent of the amount received for each fiscal year for administrative expenses. This five percent limitation is in lieu of, and replaces, the indirect cost rate. You can still submit and use an IDC rate if after calculations the total IDC is no more than five percent of total received in the fiscal year.

◦ You may not use more than two percent of the amount received for each fiscal year for surveillance studies or prevalence studies.

◦ You must use amounts provided to you to supplement, and not supplant Preventive Health and

Health Services Block grant, other federal, state, and local public funds expended to provide the activities described above.

◦ You may not use funds to provide direct counseling, treatment, or advocacy services to victims or perpetrators of sexual violence, except for hotlines.

◦ You may not use funds for media or awareness campaigns that exclusively promote awareness of where to receive victim services.

Indirect costs Indirect costs are those for a common or joint purpose across more than one project and that cannot be easily separated by project. Learn more at 45 CFR 75.414, Indirect Costs and CDC Budget Preparation Guidelines.

To charge indirect costs you can select one of two methods:

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency.

Justification: Provide a summary of the rate. Enclose a copy of the current approved rate agreement in the Attachments.

Method 2 – De minimis rate. Per 45 CFR 75.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. If you are awaiting approval of an indirect cost proposal, you may also use the de minimis rate. If you choose this method, costs included in the indirect cost pool must not be charged as direct costs.

1. Review 2. Get ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 26…