Foa_Content_of_CDC-RFA-CE21-2105.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

Collecting Violent Death Information Using the National Violent Death Reporting System

(NVDRS)

CDC-RFA-CE21-2105

05/03/2021

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- CE21-2105. 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:

Collecting Violent Death Information Using the National Violent Death Reporting System

(NVDRS)

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-CE21-2105

E. Assistance Listings (CFDA) Number:

93.136 F. Dates:

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

03/15/2021 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

2. Due Date for Applications:

05/03/2021 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

March 26, 2021 @ 2:00 PM Eastern Time Conference Number: (855) 644-0229 Conference ID: 1304938 Web URL: https://webconf.cdc.gov/vqh3/Z9CF6S45

G. Executive Summary:

1. Summary Paragraph This announcement provides funds to recipients to collect and disseminate surveillance data on homicides, suicides, deaths from legal intervention, deaths of undetermined intent, and unintentional firearm deaths for 2022 in a targeted area to improve the planning implementation and evaluation of violence prevention programs. Eligible applicants include: U.S. state governments, U.S. territorial governments, and political subdivisions of states, which includes counties, cities, townships, and special districts of their bona fide agents. Only one application will be funded from each eligible state or territory. Recipients will be required to collect standard data elements provided by CDC on all violent deaths in their targeted area and submit this information in de-identified form to CDC using a CDC web-based data entry system. Data elements must be collected from three sources: death certificates, coroner/medical examiner reports including toxicology reports, and law enforcement reports. Recipients will disseminate data to key stakeholders in their jurisdiction including government officials, organizations working to prevent violence and injuries that result from violence, and the public through a variety of strategies including reports, presentations, or fact sheets. The collection and use of these data are designed to support the national goal of preventing violent death across all 50 states, the District of Columbia and U.S. territories.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$ 3,255,055

e. Average One Year Award Amount:

$ 325,506 The total period of performance is one year, so there will only be one budget period for this

NOFO.

f. Total Period of Performance Length:

g. Estimated Award Date:

September 01, 2021 https://www.grants.gov/ https://webconf.cdc.gov/vqh3/Z9CF6S45

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 Violence is a major public health problem. Over 67,000 people died violently in the U.S. in 2018. These violent deaths included 48,344 suicides and 18,830 homicides. Violent deaths have been estimated to cost more than $90 billion in medical care and lost productivity in the U.S.

Violence is preventable. Interventions, strategies, and policies are increasingly available that stop violence before it happens. Preventing violence is a critical public health goal because violence inflicts a substantial toll on individuals, families, and communities throughout the U.S. In order to prevent violence, we must first know the facts about violent deaths. This NOFO builds on previous and current work within the Division of Violence Prevention (DVP) at the Centers for Disease Control and Prevention (CDC) to conduct surveillance of violence and to prevent violence. In 2002, CDC began implementing the National Violence Death Reporting System (NVDRS, OMB No. 0920-0607). NVDRS is a state-based surveillance system that uses CDC guidelines and a CDC web-based data entry system to link data from Death Certificates (DC), Coroner/Medical Examiner (C/ME) reports including toxicology reports, and Law Enforcement (LE) reports to assist each participating state, territory, or district in designing and implementing tailored prevention and intervention efforts ((See http://www.cdc.gov/violenceprevention/nvdrs/index.html). As a state-based system, recipients collect and analyze data for their target area while CDC provides guidance to ensure the data are collected in a standardized manner and supplies access to a web-based data entry system. All recipients share their de-identified data with CDC. CDC combines recipient data into a multi-state database that informs national stakeholders. NVDRS summary data from 2003 to 2018 are available at: http://www.cdc.gov/injury/wisqars /nvdrs.html.

NVDRS collects information on characteristics of victims of violent deaths, where victims are killed, when they are killed, and what factors were perceived to contribute to or precipitate the death. A violent death is defined as a death resulting from the intentional use of physical force or power (e.g., threats or intimidation) against oneself, another person, or against a group or community. This includes all homicides, suicides, and deaths occurring when law enforcement exerts deadly force while acting in the line of duty. In addition, recipients will be required to collect information about unintentional firearm injury deaths (i.e., incidents in which the person causing the injury did not intend to discharge the firearm) and on deaths where the intent cannot be determined ("undetermined deaths") but where there is evidence that force was used.

Although these deaths are not considered violent deaths by the above definition, information is collected on these types of death because some of these deaths may have been violent.

NVDRS is the first system to: 1) provide detailed information on circumstances precipitating all types of violent deaths including brief narratives that summarize what happened in the violent https://www.cdc.gov/violenceprevention/datasources/nvdrs/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Fnvdrs%2Findex.html https://www.cdc.gov/injury/wisqars/nvdrs.html death incident, 2) combine information across multiple data sources, and 3) link multiple deaths that are related to one another (e.g., multiple victim homicides, suicide pacts, and cases of homicide followed by the suicide of the suspect). The NVDRS Implementation Manual is available at: https://www.cdc.gov/violenceprevention/pdf/2014-NVDRS-Implementation- Manual -and-Appendix_Combined.pdf.

b. Statutory Authorities This program is authorized under sections 392(a)(1) of the Public Health Service Act, as amended (42 USC § 280b-0(a)(1).

c. Healthy People 2030 NVDRS supports the Healthy People 2030 objectives of preventing unintentional injuries and violence and reducing its consequences (See http://healthypeople.gov and www.cdc.gov/violence prevention).

d. Other National Public Health Priorities and Strategies By providing comprehensive descriptions of violence-related deaths that can be used to target, select, and evaluate violence prevention initiatives, NVDRS supports the National Strategy for Suicide Prevention to reduce suicide (See http://actionallianceforsuicideprevention.org/nssp).

e. Relevant Work NVDRS is part of the Division of Violence Prevention’s (DVP) broad approach to reducing violence (See http://www.cdc.gov/violenceprevention/) that includes:

Monitoring violence-related behaviors, injuries, and deaths;

Conducting research on the factors that put people at risk for or protect them from violence;

Creating and evaluating the effectiveness of violence prevention programs, practices, and policies;

Helping state and local partners plan, implement, and evaluate prevention efforts; and Conducting research on the effective adoption and dissemination of violence prevention strategies.

In addition, DVP has developed technical packages to help states and communities take advantage of the best available evidence to prevent violence (see https://www.cdc.gov/violenceprevention/pub/technical-packages.html).

Past relevant work also includes NOFOs CDC-RFA-CE14-1402, CDC-RFA-CE16-1607, CDC- RFA-CE18-1804, and CDC-RFA-CE19-1905: Collecting Violent Death Information Using the National Violent Death Reporting System (NVDRS). Additional information on the previous NVDRS NOFOs is located on Grants.gov.

2. CDC Project Description

a. Approach Bold indicates period of performance outcome.

2. CDC Project Description https://www.cdc.gov/violenceprevention/pdf/2014-NVDRS-Implementation-Manual-and-Appendix_Combined.pdf https://www.cdc.gov/violenceprevention/pdf/2014-NVDRS-Implementation-Manual-and-Appendix_Combined.pdf https://health.gov/healthypeople https://www.cdc.gov/violenceprevention/ https://www.cdc.gov/violenceprevention/ https://theactionalliance.org/ https://www.cdc.gov/violenceprevention/ http://www.cdc.gov/violenceprevention/ https://www.cdc.gov/violenceprevention/pub/technical-packages.html

a. Approach:

CDC-RFA-CE21-2105 Logic Model for Collecting Violent Death Information Using the National Violent Death Reporting System (NVDRS) Strategies Outcomes Activities Outputs Short / Medium

Term Long Term

CREATE A PLAN: Create and update a plan in collaboration with key partners to implement NVDRS in targeted areas across agencies and jurisdictions Later Activity

Modify design of NVDRS in response to feedback and evaluation findings from CDC, data providers, and advisory groups.

Meet with advisory group members

DATA COLLECTION: Collect and abstract comprehensive data on violent deaths from DC, CME reports including toxicology reports, and LE reports using a web-based data entry program and standards provided by CDC Later Activity

Initiate data entry on violent deaths occurring in 2022 within 120 days from the date of death

Complete data entry/abstraction for all violent deaths occurring during 2022 in targeted areas within 16 months of the year in which the violent death occurred.

Maintain data collection as transitions occur within NVDRS and across partners

DATA DISSEMINATION: Disseminate NVDRS data to stakeholders and the public Later Activity

Solicit and respond to concerns, needs, and values of partners and stakeholders

Disseminate violent death data to partners and the public using multiple methods (e.g., data requests, reports, presentations)

EXPLORE INNOVATIVE METHODS: Access and report state specific data into NVDRS to improve timeliness and increase data utilization for prevention efforts Later Activity

Development of a continually improving surveillance system that collects high quality and comprehensive violent death information in a timely manner that complies with CDC guidelines

Dissemination of reports, data briefs, factsheets, presentations, publications, policy briefs, webinars, brochures, etc. to support violence prevention*

Improve/strengthen relationships with key partners*

Continued or expanded participation in providing data to

NVDRS,

Requests for NVDRS data or reports (e.g., factsheets, data briefs) and, Providing other support (e.g., garner support of other data providers) to the NVDRS program.

Increased timely receipt of data, related to violence prevention activities, by partners and the public*

Applicant data integrated into a multi-state database maintained by CDC to inform national stakeholders

Partners use data to inform programmatic and policy decisions

Improved and innovative strategies for streamlining data collection, data

Increased use of NVDRS data by partners to design, target, implement, and evaluate violence prevention programs.

More effective violence prevention efforts in applicants’ target areas

Reduced morbidity and mortality due to violence

Increased innovative methods of utilizing state specific NVDRS data

i. Purpose The purpose of NVDRS is to collect and disseminate accurate, timely, and comprehensive surveillance data on all violent deaths in a targeted area using CDC guidelines and the CDC web-based data entry system to inform violence prevention efforts and reduce morbidity and mortality related to violence.

ii. Outcomes As displayed in the logic model, the two key outcomes of this project by the end of the period of performance are:

1) Strong working relationships with key partners as evidenced by the following:

a. Continued or expanded participation in providing timely data NVDRS

b. Requests for NVDRS data or reports from data providers, violence prevention stakeholders, and the public (e.g., factsheets, data briefs), and

c. Providing other support (e.g., garner support of other data providers) to the NVDRS program.

2) The public and partner receive and use NVDRS data related to their violence and possibly

Explore and implement innovative strategies to collect data more quickly from data providers

Explore and implement strategies to abstract and enter data more quickly

Explore and implement new partnerships to enhance use of data to prevent violence sharing, and reporting data

Increased timeliness of accessing and reporting state specific data

*These are the two key outputs and two key outcomes to be accomplished during the project year.

injury prevention activities. Over time these two outcomes, coupled with resources, are expected to reduce violence by increasing the ability of violence prevention partners to design, target, implement, and evaluate prevention programs.

To achieve these two outcomes, recipients will need to focus on producing two key outputs, which are described in the Strategies and Activities Section of the NOFO: 1) establishing a surveillance system and 2) disseminating data to partners and the public to support violence prevention. The logic model provides a quick reference to key outputs and their corresponding outcome measures.

iii. Strategies and Activities Recipients shall engage in the following strategies and activities:

1. Use the CDC Case Definition For this cooperative agreement, the case definition of violent deaths includes deaths coded on the death certificate as a suicide (ICD-10 X60-X84, Y87.0), a homicide (ICD-10 X85-X99, Y00Y09, Y87.1), a death of undetermined intent (ICD-10 Y10-Y34, Y87.2), a death from legal intervention (ICD-10 Y35.0-Y35.4, Y35.6-Y35.7, Y89.0), a death related to terrorism (ICD-10 U01-U03), an "accidental" death from a firearm (ICD-10 W32-W34, and those cases coded Y86 where a firearm is the source of injury) and those cases coded Y89.9 where the death is later determined to be due to violence or unintentional firearm injury. Note that the defining code ranges explicitly include the sequelae or "late effects" of violent injuries.

2. Create and Update a Plan to Implement NVDRS.

Recipients must collect data on all violent deaths occurring during the one year of funding in their targeted area.

Recipients must select one of two options for targeting and implementing data collection efforts.

Each option is considered to be equally responsive to the Notice of Funding Opportunity (NOFO). Additionally, any option other than statewide data collection, is considered intermediate. The ultimate goal is that data will eventually be collected statewide in the full jurisdiction. A few states, territories, and the District of Columbia do have counties or have areas that are not included in counties. For the purpose of this NOFO, these should be handled in the following ways: 1) Louisiana should treat parishes as “counties.” 2) Two states (Missouri and Nevada) contain incorporated places that are independent of any county organization, and these incorporated places should be treated as “counties.” Territories and the District of Columbia are considered not to have counties and cannot apply using Option 2.

Option 1:

o Recipients applying under Option 1 must collect data on all violent deaths occurring during the budget year of funding in their state or jurisdiction (e.g., all violent deaths in the state of the state government and all violent deaths in a territory or district for U.S. territories and the District of Columbia) Or

Option 2: This option is only available to large states. A large state is defined as a state/jurisdiction that has at least 2500 violent deaths occurring in their state/jurisdiction during the budget year of funding.

o Recipients must collect data on all violent deaths occurring in selected counties during the budget year that represents at least 40% of all violent deaths that occur in the state. Collectively, the selected counties must capture a minimum of 40% of the suicides and 40% of homicides that occurred in their entire state in 2016 according to National Center for Health Statistics (NCHS). Applicants may obtain NCHS data by using the Detailed Mortality File search options in the CDC WONDER data query system, at the following link: http://wonder.cdc.gov/ o Recipients under Option 2 must obtain a complete census of violent deaths by collecting death certificate data for all violent deaths within their state.

When creating a plan to implement NVDRS, recipients shall:

List the purpose, objectives, and planned uses of NVDRS within their state/territory.

Describe the integration of NVDRS with other required data sources (e.g., vital statistics, coroners, medical examiners, and law enforcement).

Form an advisory committee that includes partners who provide data and use data to prevent violence.

Revise implementation and dissemination plans based on partner feedback during the project period.

Use CDC surveillance evaluation criteria to assess their surveillance system and make improvements, including improvements related to obtaining quality and timely data (See http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm).

3. Collect Data

All recipients must collect the following information:

Recipients must abstract information from the DC, C/ME reports including toxicology reports, and LE reports on all violent deaths occurring in 2022 in their targeted areas within 16 months of the end of the calendar year in which the death occurred (e.g., April 30, 2024 for 2022 data). Recipients must initiate reporting of violent deaths occurring in 2022 in the CDC web-based data entry system within four months of the date of the victim’s death. For more information on the specific data elements captured within NVDRS, please see the NVDRS Coding Manual (https://www .cdc.gov/violenceprevention/pdf/NVDRS-WebCodingManual.pdf).

Recipients must link violent deaths that are related and occur within 24 hours of each other such as multiple victim homicides or homicides followed by the suicide of the suspect.

Recipients must monitor and assess the data collection process and implement improvements based on findings.

https://wonder.cdc.gov/ https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm https://www.cdc.gov/violenceprevention/pdf/NVDRS-WebCodingManual.pdf https://www.cdc.gov/violenceprevention/pdf/NVDRS-WebCodingManual.pdf

All recipients are required to obtain detailed information or data elements on violent deaths from three sources:

Death certificates;

Coroner/medical examiner (C/ME) records including toxicology reports; and

Law enforcement (LE) reports.

To access information from these three sources, applicants will be required to obtain Letters of Support (LOS) from vital statistics as well as local, regional, and/or state C/ME agencies and LE agencies. These documents verify that the applicant has access to data, including circumstance information, and can acquire this information in a timely manner, if funded. A copy of each signed LOS must accompany the application.

The minimum requirements for LOS are listed below. LOS are required for the following:

State agency or department in charge of statewide death certificates.

Coroners/Medical Examiners working in a minimum of three counties within their state or jurisdiction (e.g., a total of three LOS are required from C/ME agencies working in three different counties/jurisdictions).

Law Enforcement agencies working in a minimum of three counties within their state or jurisdiction (e.g., a total of three LOS are required from LE agencies working in three different counties/jurisdictions).

Applicants submitting LOS from C/ME or LE agencies that cover multiple counties will be evaluated based on the number of counties for which data will be provided (e.g., an application containing a LOS from a centralized medical examiner covering ten counties within the applicant’s state or jurisdiction will be viewed as having met the minimum requirement of Coroners/Medical Examiners working in a minimum of three counties within their state or jurisdiction).

Each signed LOS must note the most recent year for which data are available to the applicant, whether the data are available electronically, how the applicant can access the data, how often data will be provided (e.g., weekly, monthly, or quarterly), and the target area(s) for which data will be provided (e.g., name of counties/jurisdictions).

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

Recipients may consider linking data from additional optional data sources, such as Supplemental Homicide Reports, Child Fatality Review Reports, Emergency Medical Services, and electronic health records. Although not required, data from optional sources may provide a more complete picture of the circumstances surrounding the death.

http://www.grants.gov/

Surveillance data collection efforts should maximally leverage existing tools and systems and should adhere to national data and technology standards when possible.

4. Disseminate Data

Recipients shall:

Build relationships with partners who can use data to prevent violence.

Disseminate collected information on violent deaths through a variety of mechanisms (e.g., responses to data requests, brief reports, presentations, data dashboards, or other publications) to data providers, stakeholders working to prevent violence, and the public.

5. Explore Innovative Methods of Accessing, Reporting, and Sharing Data

Recipients shall:

Explore innovative strategies for improving the timeliness and completeness of data collection.

Test and implement strategies to collect complete data more quickly from data providers.

Test and implement strategies to abstract and enter data more quickly.

Explore innovative strategies for disseminating data to support violence prevention activities.

Test and implement new ways of disseminating data.

Test and implement new partnerships to enhance use of data to prevent violence.

As indicated in the logic model, these activities will result in production of the following two outputs: 1) establishing a surveillance system and 2) disseminating data to partners and the public to support violence and possibly injury prevention. The most critical output of this NOFO is establishing a surveillance system that collects high quality and comprehensive violent death information in a timely manner that complies with CDC guidelines. This is the most critical output because all other outputs and outcomes rely on obtaining high quality surveillance information.

As noted later in the CDC evaluation and Performance Measurement Strategy section, CDC will monitor the timeliness, completeness, and quality of data collected on violent deaths occurring in 2022 in the recipient's state or jurisdiction.

1. Collaborations

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

CDC funds a variety of violence and injury prevention activities whose efforts could be informed, supported, or coordinated with NVDRS. Building collaborations with these and other CDC-funded programs is encouraged and can enhance the ability of the recipient to disseminate NVDRS data. These programs include, but are not limited to:

Overdose Data to Action (See https://www.cdc.gov/drugoverdose/states/state_prevention.html and https://www.cd c .gov/drugoverdose/foa/state-opioid-mm.html)

Core Violence and Injury Prevention Program (Seehttp://www.cdc.gov/injury/stateprograms/index.html)

Essentials for Childhood Framework (Seehttp://www.cdc.gov/violenceprevention/childmaltreatment/essentials.htm lhttp://www.cdc.gov/violenceprevention/childmaltreatment/essentials.html)

Rape Prevention and Education program (Seehttp://www.cdc.gov/violenceprevention/rpe/index.htmlhttp://www.cdc.gov/violencep revention/rpe/index.html)

Striving to Reduce Violence Everywhere (Seehttps://www.cdc.gov/violenceprevention/STRYVE/https://www.cdc.gov /violenceprevention/STRYVE/)

Injury Control Research Centers (Seehttp://www.cdc.gov/injury/erpo/icrc/http://www.cdc.gov/injury/erpo/icrc/)

National Institute for Occupational Safety and Health (Seehttps://www.cdc.gov/niosh/oep/statesurv.htmlhttps://www.cdc.gov/niosh/oep/ statesurv.html and https://www.cdc.gov/niosh/oep /ercportfolio.html)

Preventing Adverse Childhood Experiences: Data to Action (See Preventing Adverse Childhood Experiences: Data to Action | Injury Center | CDC)

Firearm Injury Surveillance Through Emergency Rooms (FASTER) (See https://www.cdc.gov/injury/fundedprograms/faster/

Building collaborations with CDC-funded organizations is also encouraged, as it can enhance the ability of the recipient to disseminate NVDRS data. Applicants are encouraged to describe plans to collaborate with local representatives from these organizations. These organizations include, but are not limited to:

American Public Health Association (See https://apha.org/)

National Association of Medical Examiners (See https://www.thename.org/)

National Association for Public Health Statistics and Information Systems (See https ://www.naphsis.org/)

National Sheriffs’ Association (See https://www.sheriffs.org/)

International Association of Chiefs of Police (See https://www.theiacp.org/)

b. With organizations not funded by CDC:

To describe how they will collaborate with programs and organizations not funded by CDC, applicants must:

https://www.cdc.gov/drugoverdose/states/state_prevention.html http://www.cdc.gov/drugoverdose/states/state_prevention.html http://www.cdc.gov/drugoverdose/foa/state-opioid-mm.html http://www.cdc.gov/drugoverdose/foa/state-opioid-mm.html http://www.cdc.gov/injury/stateprograms/index.html http://www.cdc.gov/violenceprevention/childmaltreatment/essentials.html http://www.cdc.gov/violenceprevention/childmaltreatment/essentials.html http://www.cdc.gov/violenceprevention/rpe/index.html http://www.cdc.gov/violenceprevention/rpe/index.html https://www.cdc.gov/violenceprevention/STRYVE/ https://www.cdc.gov/violenceprevention/STRYVE/ http://www.cdc.gov/injury/erpo/icrc/ https://www.cdc.gov/niosh/oep/statesurv.html https://www.cdc.gov/niosh/oep/statesurv.html http://www.cdc.gov/niosh/oep/ercportfolio.html https://www.cdc.gov/injury/fundedprograms/preventing-adverse-childhood-experiences/index.html https://www.cdc.gov/injury/fundedprograms/preventing-adverse-childhood-experiences/index.html https://www.cdc.gov/injury/fundedprograms/faster/ https://apha.org/ https://www.thename.org/ https://www.naphsis.org/ https://www.naphsis.org/ https://www.sheriffs.org/ https://www.theiacp.org/

Describe the involvement of the essential data providers (i.e. vital records office, coroners/medical examiners, and law enforcement).

Describe if and how the applicant will provide monetary assistance to collect data.

Describe involvement of stakeholders who could use NVDRS to support prevention activities.

Develop and/or maintain an advisory committee that will provide advice regarding 1) data collection issues, 2) data collection strategies, and 3) efficient collection and dissemination of required data to stakeholders working to prevent violence. At a minimum, membership should include representatives from agencies that collect required documents: DC, C/ME records including toxicology reports, and LE reports.

Describe plans to collaborate with local representatives from national organizations such as the International Association of Coroners and Medical Examiners (IACME).

2. Target Populations Recipients are required to collect data on violent deaths for populations within their targeted areas, which include, but are not limited to, populations living under vulnerable conditions such as those populations in rural areas, children and adolescents, non-English speaking populations, lesbian, gay, bisexual, and transgender (LGBT) populations, veterans, homeless, and tribal populations.

a. Health Disparities Recipients are required to collect data on all violent deaths in their targeted areas in order to address the violence of all populations, which include, but are not limited to, people with disabilities, non-English speaking populations, tribal populations, people who live in rural areas and other geographically underserved communities, sexual and gender minorities, racial and ethnic minorities, and people with limited health literacy.

iv. Funding Strategy Funding to recipients is determined by the number of violent deaths for which data are to be collected. The number of violent deaths is estimated using 2016 data from the National Center for Health Statistics. NVDRS state budget estimates are provided below in Table 1.

Table 1: NVDRS State Budget Estimates (Based on collecting data for all violent deaths in the state)

Alabama $315,224 - $318,224 California $939,085 - $942,085 Delaware $174,341 - $177,341 District of Columbia (Washington) $175,398 - $178,398 Louisiana $315,086 - $318,086 Missouri $354,064 - $357,064 Nebraska $191,245 - $194,245

Table 1: NVDRS State Budget Estimates (Based on collecting data for all violent deaths in the state)

Nevada $264,984 - $267,984 Puerto Rico $269,935 - $272,935 West Virginia $225,720 - $228,720

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

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.

Applicants must provide a jurisdiction specific evaluation and performance measurement plan that is consistent with the CDC strategy described above. At a minimum, the plan must:

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

Describe how the applicant plans to monitor and verify data quality including completeness, accuracy, and timeliness.

Describe how the applicant will monitor data requests, data dissemination, and stakeholder engagement, including maintenance of a tracking sheet.

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

Describe who will be responsible for conducting evaluation activities.

Describe how the applicant will work with stakeholders on the evaluation such as consulting the advisory committee on key topics and findings.

Use CDC surveillance evaluation criteria (See http://www.cdc.gov/mmwr/preview

/mmwrhtml/rr5013a1.htm) to assess the system and make improvements.

Applicants must also provide a preliminary draft or outline of a Data Management Plan (DMP). The preliminary DMP should provide or indicate the intention to develop plans for each of the following:

A brief description of the data that will be collected using these NOFO funds (e.g., timeframe, where the data are maintained).

Standards used for collecting the data (e.g., methods and procedures for ensuring data quality).

Mechanisms for or limitations to providing access to and sharing the data (e.g., if/how data will be shared beyond sharing with CDC).

Statement of the use of data standards that ensure all released data have documentation describing methods of collection, what the data represent, and data limitations (e.g., indication that CDC standards will be followed).

Archival and long-term data preservation plans (e.g., description of any state-specific plans).

Plans for updating the Data Management Plan (DMP), for accuracy throughout the lifecycle of the project. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

Recipient may work with CDC to update and finalize the DMP throughout the life cycle of the award. Note, NVDRS has received OMB approval (#0920-0607).

c. Organizational Capacity of Recipients to Implement the Approach The following skills and resources lead to successful execution of the project. The applicant should provide evidence and comment on any relevant experience and skills on their part or the part of their organizations/agencies within the following domains:

Experience devising and implementing plans for complex surveillance system(s). It is preferred, but not required, that this experience involves integrating data from multiple data sources and/or across jurisdictions such as state, county, and city.

In order to collect data on all violent deaths in the targeted area from vital statistics, C/ME agencies, and LE agencies using CDC guidelines and web-based data collection systems, applicants are encouraged to have:

o Experience conducting mortality surveillance of public health problems.

o Experience performing injury or violence mortality surveillance is preferred.

https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm https://www.cdc.gov/grants/additionalrequirements/ar-25.html o Experience managing and conducting quality assurance activities on large databases.

o Experience accessing, collecting, linking, editing, managing, and analyzing surveillance information from more than one source. It is preferred that the applicant has experience working with one or more of the following types of information: death certificates, C/ME records including toxicology reports, and LE reports.

o Experience building and sustaining collaborative relationships with key data providers (e.g., coroners, medical examiners, law enforcement, and vital statistics) across levels and jurisdictions such as state, county, and city.

The NVDRS uses a web-based data entry system that has the following minimal requirements:

Computer workstations (already owned or acquired) running the current version of a modern internet browser such as Microsoft Internet Explorer version 10.0 or higher, Microsoft Edge release 25 or higher, Google Chrome release 47 or higher, or Mozilla Firefox release 43 or higher.

A computing environment that supports required technologies for the CDC web-based application, including Java Script for all work stations and Java for at least one administrative workstation in order to support data export.

Reliable high-speed internet connection capable of supporting download speeds of at least 10 megabits per second and upload speeds of at least 10 megabits per second.

Network latency, as measured by a ping test to a local server, should be at most 30 milliseconds. This information should be obtained using a speed diagnostic service and testing should be done during standard work hours. Examples of speed diagnostic services are www.speedtest.net, www.att.com/speedtest; or www.speakeasy.net/speedtest

In order to analyze and disseminate data to the public and stakeholders working to prevent violence, applicants are encouraged, but not required to have:

Experience using and generating data reports using statistical software such as SAS, SPSS, or STATA.

Experience disseminating data to support the reduction and prevention of public health problems.

Experience in disseminating injury or violence data is preferred.

(Please provide curriculum vitaes [CVs] and/or resumes as evidence of experience. Additionally, please name the file "CVs/Resumes" and upload it at www.grants.gov.)

CDC recommends that applicants have separate individuals assume the roles of principal investigator and program manager. If the same individual is in both roles, the applicant must include the name of the supervisor of this person in the application.

d. Work Plan Applicants must provide a detailed work plan that covers the period of performance. At a minimum, the work plan must demonstrate how the strategies, activities, outputs, timelines, and staffing/collaborations work together. Additional information on performance measures, data sources, and data collection can also be included. Please use the template below when describing your work plan.

http://www.speedtest.net/ http://www.att.com/speedtest http://www.speakeasy.net/speedtest

Expected Output(s) for the Period of Performance (i.e., Outcome)

A continually improving surveillance system that collects high quality and comprehensive violent death information in a timely manner that complies with CDC guidelines. To accomplish this goal, the applicant will need to create a plan to implement NVDRS as well as collect and abstract the required data.

Dissemination of data to partners and public to support violence prevention

Applicant may add other outputs/outcomes here

Program Strategies and Activities (i.e., what are the key parts of your program)

Performance Measures (i.e., how will you measure whether the strategy was successful)

Data Sources (i.e., where are you going to get the information for the performance measure)

Target (i.e., what level of the performance measure are you trying to achieve. For

Timeline (i.e., when will the strategy be implemented and what are the timing of key milestones) example, collect data from 90% of coroners)

Activities (i.e., what specific actions are you going to take to achieve your program strategy)

Program Strategy (Note: the activity links to this program strategy which should also be described above)

Person/Group Responsible

Estimated Activity Completion Dates

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.

Other activities deemed necessary to monitor the award:

A minimum of one monthly call with recipients to discuss program implementation. The structure of the monthly call can be modified at any time to the format that best meets the needs of the program (e.g., webinar or having calls with a subset of states instead of all states).

Recipients will be required to file standard progress and end of the year reports which include successes and challenges. Progress and annual performance reports will be reviewed to ensure the plans are feasible and address the requirements of the NOFO.

Periodic site visits or reverse site visits conducted on an as needed basis and as funding is available. The visits will assess the progress of the recipient and identify challenges as well as opportunities to meeting the NOFO requirements.

Conference calls initiated by either the recipient or CDC to discuss emerging challenges or opportunities.

Summary reports on data quality will be provided by CDC to recipients at least once every year.

Each recipient will be assigned a project officer and a science officer who will be responsible for monitoring and answering programmatic and technical questions on an as needed basis.

If resources are available, CDC will conduct enhanced assessments such as providing successful recipients with interim data quality reports assessing timeliness, data completeness, and data entry errors.

f. CDC Program Support to Recipients

If funded, a cooperative agreement, as defined by the Federal Grant and Cooperative Agreement Act of 1977 (P.L. 95-224, 31 USC 6301 et seq.), will be used as the funding mechanism to award funds. CDC will have substantial programmatic involvement after the award is made. Substantial involvement is in addition to all post-award monitoring, technical assistance, and performance reviews undertaken in the normal course of stewardship of federal funds and is not intended to gain stricter controls. CDC will coordinate, facilitate, collaborate, and/or intervene to programmatically effectuate performance under the award. The substantial involvement responsibilities enumerated in this NOFO and any additional substantial involvement responsibilities will be used to benefit the program.

CDC will provide technical assistance to recipients through the following mechanisms described below:

Provide case definitions as well as documentation and descriptions of how to collect required data elements;

Provide a web-based system to enter data, export data to the recipients, and share data with CDC. The web-based data entry system will also support data quality by providing data summaries and implementing data entry rules, including restricting data entry to valid values;

Provide training on how to use the web-based data entry system;

Provide recipient results from CDC monitoring and evaluation activities including updates on key performance measures, CDC Data Quality Reports, CDC case reviews, and observations from CDC site and reverse site visits when resources are available;

Work with recipients to solve challenges identified in evaluation and monitoring activities such as problems of missing or inaccurate data; and

Provide technical assistance in solving problems in all aspects of the system through monthly conference calls, discussions with science and project officers, maintaining a help desk for abstraction questions and questions about the web-based data entry system, and periodic recipient site or reverse site visits as resources are available.

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:

U17-Applied Methods in Violence-Related or Accidental Injury Surveillance Cooperative Agreement

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$ 3,255,055

5. Total Period of Performance Funding:

$ 3,255,055 This amount is subject to the availability of funds.

Estimated Total Funding:

$ 3,255,055

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$ 325,506 Per Budget Period

The total period of performance is one year, so there will only be one budget period for this

NOFO.

9. Award Ceiling:

$ 942,085

Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$ 177,314 Per Budget Period

11. Estimated Award Date:

September 01, 2021

12. Budget Period Length:

12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category:

00 (State governments)

01 (County governments)

02 (City or township governments)

04 (Special district governments)

Additional Eligibility Category:

Government Organizations:

State governments or their bona fide agents (includes the District of Columbia)

Local governments or their bona fide agents

Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau

2. Additional Information on Eligibility Eligible applicants include: U.S. state governments or their bona fide agents; U.S. territorial governments or their bona fide agents; and political subdivisions of states, which includes local governments such as counties, cities, townships, and special districts or their bona fide agents. If applying as a bona fide agent of a state, territory, or local government, a legal binding agreement from the state, territory, or local government as documentation of the status is required. States or their bona fide agents who are currently funded under CDC-RFA-CE18-1804 or CDC-RFA- CE19-1905 are NOT eligible to apply under this NOFO.

This program is authorized under sections 392(a)(1) of the Public Health Service Act, as amended (42 USC § 280b-0(a)(1)).

Applicants must provide evidence of their ability to collect data from all three required data sources (DCs, C/ME reports including toxicology reports, and LE reports). The following documents are required to be included as part of the application:

LOS from the state agency or department in charge of statewide death certificates.

LOS from LE agencies in a minimum of three counties within the applicant’s state or jurisdiction.

LOS from C/MEs in a minimum of three counties within the applicant’s state or jurisdiction.

Applicants must upload the LOS as PDF files under “Other Attachment Forms” and name the file “Letters of Support”.

If any of the above required documents are missing, CDC will view the application nonresponsive. Non-responsive applications will not advance for further review.

3. Justification for Less than Maximum Competition Not applicable.

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

No…