Foa_Content_of_CDC-RFA-CE22-2205_modification.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

Drug-Free Communities (DFC) Support Program- NEW

CDC-RFA-CE22-2205

04/11/2022

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- CE22-2205. 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:

Drug-Free Communities (DFC) Support Program- NEW 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-CE22-2205

E. Assistance Listings Number:

93.276 F. Dates:

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

N/A

2. Due Date for Applications:

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

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

3. Due Date for Informational Conference Call:

All applicants are strongly encouraged to attend the Drug-Free Communities - Applicant Workshop Webinar on February 24th, 2022, from 2:00pm – 3:30pm EST. Please register in advance using the following link:

https://ww2.eventrebels.com/er/Registration/StepRegInfo.jsp?ActivityID=39794&StepNumber=

G. Executive Summary:

1. Summary Paragraph Please Note: As of March 21, 2022, this NOFO has been modified to include guidance regarding the DFC Pandemic Relief Act. For more information, refer to the Cost Sharing and / or Matching Requirements of this NOFO.

The Drug-Free Communities (DFC) Support Program was created by the Drug-Free Communities Act of 1997 (Public Law 105-20). The Executive Office of the President, Office of National Drug Control Policy (ONDCP), and the Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC) is accepting applications for Fiscal Year (FY) 2022 Drug-Free Communities (DFC) Support Program Grants. The purpose of the DFC Support Program is to fund applicants who have never received DFC funding to carry out the two goals of the program. In accordance with the DFC Act, the DFC Support Program has two goals:

1. Establish and strengthen collaboration among communities, public and private non-profit agencies, as well as federal, state, local, and tribal governments to support the efforts of community coalitions working to prevent and reduce substance use among youth (individuals 18 years of age and younger).

2. Reduce substance use among youth and, over time, reduce substance use among adults by addressing the factors in a community that increases the risk of substance use and promoting the factors that minimize the risk of substance use.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

G (Grant)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$31,250,000

e. Average One Year Award Amount:

$125,000

f. Total Period of Performance Length:

g. Estimated Award Date:

https://www.grants.gov/ https://ww2.eventrebels.com/er/Registration/StepRegInfo.jsp?ActivityID=39794&StepNumber=1 https://ww2.eventrebels.com/er/Registration/StepRegInfo.jsp?ActivityID=39794&StepNumber=1

August 30, 2022

h. Cost Sharing and / or Matching Requirements:

Yes Please Note: The Consolidated Appropriations Act, 2022 includes the passage of the DFC Pandemic Relief Act. This Act provides relief to DFC applicants and recipients that are having difficulty meeting the match requirement during FY 2020 – FY 2022 as a result of the public health emergency declared pursuant to section 319 of the Public Health Service Act with respect to COVID–19. Applicants applying for FY 2022 DFC funding are encouraged to apply even if they are unable to meet the match requirement during the first year of award. If applicants do not meet the match requirement, they will still be deemed eligible as long as they meet all of the other statutory eligibility requirements as outlined in the NOFO. Applicants are expected to work toward meeting as much of the match requirement as possible. If awarded, DFC grant recipients will be expected to meet the match requirements outlined in the NOFO beginning in FY 2023.

The DFC authorizing legislation requires recipients to demonstrate that they have non-federal matching funds (“match”) from non-federal sources equivalent to or greater than federal funds requested from the DFC Support Program. Applicants must itemize the match separately in the budget and explain the match in the Budget Narrative. CDC budget preparation guidelines can be found at https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.pdf. Applicants in Years 1-6 of the DFC funding are required to have 100 percent match (1:1) from non-federal sources. Beginning in Year Seven, the percentage increases. The below table indicates the percentage of match required for DFC grant recipients in each year of the grant. Cash or in-kind support may be used for the match requirement.

Percentage of Match

Year of Funding Request Matching Requirement

1-6 100%

7 - 8 125%

9 - 10 150% Examples of ACCEPTABLE in-kind support/match include the following (not limited to)

The value of goods and services donated to the operation of the DFC coalition, including but not limited to office space, volunteer secretarial services, pro bono accounting services, and other volunteer services to support the coalition’s work.

Other volunteer services can include youth hours worked on events.

In-kind support can include training programs sponsored by other coalitions or partners for the community.

Coalitions that include a representative with expertise in the field of substance use from the Bureau of Indian Affairs, the Indian Health Service, or a tribal government agency and that are serving a tribal community can use additional federal funding as match.

Examples of UNACCEPTABLE in-kind support/match include the following (not limited to):

https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.pdf

Federal funds, including those passed through a state or local government, (e.g., CARA, STOP, etc.)

All in-kind/match must follow federal cost principles (see Administrative and National Policy Requirements Section within the NOFO). In-kind/match support must align with allowable expenses under the DFC program. If an applicant has sufficient match to allow a budget request of the full required match amount, the applicant should round up the final budget figures to equal the required amount. A match level over the required amount will not result in a higher merit review score. All proposed match is an obligation on the part of the applicant.

Based on the CDC Budget Preparation Guide, the applicant must provide a budget narrative for the non-federal match similar to the budget narrative for the federal request with the application. NOTE: As per both HHS/CDC and ONDCP guidelines, and applicable Anti- Lobbying provisions, impermissible lobbying with federal dollars is not permitted. Additionally, such costs for impermissible lobbying cannot be used as match.

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview Substance use is a global public health issue affecting individuals, families, and communities.

Provisional data indicate approximately 99,331 drug-overdose deaths occurred in the United States in the 12-months ending in February 2021, with these deaths being driven largely by fentanyl, synthetic opioids, cocaine, and methamphetamines. These changes represent a worsening of the drug overdose epidemic during the COVID-19 pandemic and the largest number of drug overdoses within a 12-month period. These data underline the need to implement primary prevention strategies designed to prevent substance use before it begins–for instance, by implementing programs, policies, and practices to prevent initiation of substance use among youth.

Preventing the initiation of and use of substances among youth is critical because substance use during childhood and adolescence may increase the risk of overdose later in life. Substance use at a young age is associated with negative impacts on brain physiology, engagement in risky behaviors, and increased risk for harmful substance use. While youth substance use has declined over time, recent data from CDC’s Youth Risk Behavior Survey (YRBS) show that more than 29% of high school students consumed alcohol, with almost 14% of high school students engaging in binge drinking. Tobacco use also remains common, with nearly 7 of every 100 middle school students (6.7%) and about 24 of every 100 high school students (23.6%) reporting current use of a tobacco product, mainly driven by e-cigarette use. Approximately, 22% reported current marijuana use and 7% reported current prescription opioid use.

Youth substance use patterns also differ among populations. Black and Hispanic youth are significantly more likely to use prescription drugs, cocaine, and methamphetamines, while non- Hispanic White youth report higher rates of current alcohol use and binge drinking. Also, youth who identify their sexual orientation as lesbian, gay, bisexual, transgender queer questioning or are uncertain of their sexuality (LGBTQ+) report higher rates of substance use. Regardless of age, gender, race or ethnicity, income education, geographic location, disability, or sexual orientation, every person in every community across the nation deserves equal access to their best health.

Social determinants of health (SDOH), or the conditions in which people live, work, learn, and play, can also contribute to health inequities and result in an intergenerational risk for substance use and overdose. The root causes and risk factors related to substance use include adverse childhood experiences (ACEs), lack of parental involvement, positive parental attitudes towards substance use behavior, family rejection of sexual orientation, lack of involvement in school, availability, and accessibility of substances, and community norms favorable to substance use.

In contrast, protective factors can include youth engagement, parental involvement, social and emotional learning within the school setting, the availability of resources and after-school activities, and policies that limit the availability and accessibility to substances. The implementation of comprehensive strategies to address the individual, family, and community level risk and protective factors requires partnership across a broad array of organizations and sectors within communities.

This funding opportunity is designed to prevent and reduce substance use among youth into adulthood.

b. Statutory Authorities Drug-Free Communities Act, 21 USC 1531 et seq.,P.L.105-20

c. Healthy People 2030 This NOFO addresses the proposed Healthy People 2030 focus areas of alcohol, tobacco, injury, violence prevention, and substance use.

d. Other National Public Health Priorities and Strategies This NOFO supports the following public health priorities and strategies:

HHS Overdose Prevention Strategy (https://www.hhs.gov/overdose-prevention/) The National Prevention Council’s National Prevention Strategy – America’s Plan for

Better Health (Tobacco-Free Living) (https://ldh.la.gov/assets/docs/GovCouncil/MinHealth/NationalPreventionStrategyJune20 11.pdf)

The Office of National Drug Policy Priorities (https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf)

e. Relevant Work Drug-Free Communities (DFC) Support Program-New (CDC-RFA-CE21-2102) Drug-Free Communities (DFC) Support Program-Competing Continuation (CDC-RFA-CE20-

2004CC21)

Office of National Drug Control Policy | The White House: https://www.whitehouse.gov/ondcp/

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use https://health.gov/healthypeople/objectives-and-data/browse-objectives/injury-prevention https://health.gov/healthypeople/objectives-and-data/browse-objectives/violence-prevention https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use https://www.hhs.gov/overdose-prevention/ https://ldh.la.gov/assets/docs/GovCouncil/MinHealth/NationalPreventionStrategyJune2011.pdf https://ldh.la.gov/assets/docs/GovCouncil/MinHealth/NationalPreventionStrategyJune2011.pdf https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf) https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf) https://www.whitehouse.gov/ondcp/

The establishment of a cohesive multi-sectoral community coalition can facilitate the effective implementation of evidence-based and practice-based youth substance use prevention strategies within a community. Grant funds are specifically intended to support a comprehensive approach to address the youth substance use issues in communities and aims to fund coalitions with the capacity to maintain active sector membership and collaboration, assess the scope and nature of the problem, including the root causes and local conditions driving youth substance use, promote health equity, implement proven strategies, and monitor progress. The community coalition must be 501(c)(3) organization, or the coalition can partner with an outside organization that is eligible to receive federal funds to serve as the Fiscal Agent on behalf of the coalition.

The DFC Framework (Table 1) outlines a comprehensive approach with recommended strategies and activities based on the Seven Strategies for Community-Level Change (refer to the CDC Project Description: Strategies and Activities section for additional information) and identifies the intended short-term, immediate, and long-term outcomes for this NOFO.

Table 1: DFC Framework

Drug-Free Communities (DFC) Framework

CDC RFA-CE22-2205

Goal: Strengthen community coalitions and reduce/prevent youth substance use

Strategies and Activities Short-Term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Provide information to the general public and key stakeholders about youth substance use.

Enhance skills among relevant stakeholders so youth/adults can engage in positive social and decision-making capabilities.

Provide support to increase opportunities that increase involvement in drug-free/healthy alternative activities.

Enhance access, reduce barriers, and improve connections between systems and services that help prevent youth substance use.

Change consequences to incentivize positive practices and disincentivize negative practices.

Improved knowledge regarding patterns of youth substance use.

Improve knowledge of coalition efforts to address youth substance use in the community.

Increase outreach to relevant sectors of the community to address youth substance use.

Increase the capacity of local agencies and/or organizations to address youth substance use.

Increase

Reduce factors in the community that increase the risk of substance use.

Increase the promotion of factors that minimize the risk of substance use.

Increase the ease, ability, and opportunity for youth to access settings, such as programs emphasizing self-efficacy and learning skills that prevent

Establish and strengthen collaboration among community stakeholders and organizations to address youth substance use.

Reduce substance use among youth, and over time, reduce substance use among adults.

Change physical design of the community to enhance protection against or to reduce the risk for youth substance use.

Educate and inform about modifying/ changing policies that reduce access and availability to substances among youth.

intergovernmental cooperation, coordination, and collaboration to change the conditions that impact youth substance use.

substance use.

Decrease the ease, ability, and opportunity for youth to access substances.

i. Purpose The purpose of the DFC Support Program is to establish and strengthen collaborations to support the efforts of community coalitions working to prevent and reduce substance use among youth by addressing the factors in a community that increase the risk of substance use and promote the factors that minimize the risk of substance use.

ii. Outcomes A series of short-term, intermediate, and long-term outcomes are expected to be achieved as a result of recipient efforts (shown in Table 1 DFC Framework) by the end of the period of performance. The short-term, intermediate, and long-term outcomes should be tailored in the detailed performance measurement plan.

iii. Strategies and Activities Applicants are expected to work with youth, community members, and leaders of their communities to identify, discuss, plan, and implement evidence-based and practice-based prevention strategies to reduce the use of at least two named substances that are selected using a community needs assessment or other local data and create sustainable community-level change.

These strategies should seek to: (1) limit access to substances; (2) change the culture and context within which decisions about substance use are made; (3) shift the consequences associated with youth substance use and (4) address issues related to health disparities and promote health equity. Well-conceived strategies, activities, and policies at the local, state and national levels are powerful tools communities can reference and utilize to reduce youth substance use in their communities. Please see Appendix B: Evidence-Based Resources for more information.

Applicants are expected to provide as part of their application, strategies and activities that are comprehensive and can be implemented during the period of performance (12-months) using the Seven Strategies for Community-Level Change. The seven strategies, described below, are included in the DFC Framework and include efforts that affect individuals as well as the entire community.

Seven Strategies for Community-Level Change The Seven Strategies for Community-Level Change include efforts that affect individuals as well as an entire community and are described below.

1. Provide information about youth substance use: educational presentations, workshops or seminars, and data or media presentations (e.g., Public Service Announcements (PSAs), brochures, town halls, forums, web communication, social media).

2. Enhance skills so youth/adults and community members can build positive social skills and enhance their decision-making capabilities: Workshops, seminars, or activities designed to increase the skills of participants, members, and staff (e.g., training and technical assistance, parenting classes, strategic planning retreats, model programs in schools).

3. Provide support to increase opportunities that reduce risk factors or enhance protective factors for youth/adults: Creating opportunities for participation in activities that reduce risk or enhance protection (e.g., alternative activities, mentoring, referrals for services, support groups, youth clubs).

4. Enhance access, reduce barriers, and improve connections between systems and services that help prevent youth substance use: Improving systems/processes to increase the ease, ability, and opportunity to utilize those systems and services (e.g., assuring transportation, housing, education, safety, recreational facilities, and cultural sensitivity) in prevention initiatives.

5. Change consequences to incentivize positive practices and disincentivize negative practices: Increasing or decreasing the probability of a behavior (incentives/disincentives) by altering the consequences for performing that behavior (e.g., recognition programs for merchants who pass compliance checks; publicizing businesses non-compliant with local ordinances).

6. Change the physical design of the community to reduce the risk for and enhance protection against youth substance use: Changing the physical design of the environment to reduce risk or enhance protection (e.g., re-routing foot/car traffic, adjusting park hours, alcohol/tobacco outlet density). NOTE: DFC federal funds cannot support landscape and lighting projects, or construction projects. As such, costs for these projects cannot be used as a match.

7. Educating and informing about modifying or changing policies that reduce access and availability to substances among youth: Change in written procedures, by-laws, proclamations, rules, or laws, to the extent applicable law and policies allow (e.g., workplace initiatives, law enforcement procedures, and practices, public policy actions, systems change).

For more information on the Seven Strategies for Community Change, visit http://www.cadca.org/resources/coalition-impact-environmental-prevention-strategies.

To help inform the strategies and activities, recipients are encouraged to use the Strategic Prevention Framework found at https://www.samhsa.gov/sites/default/files/20190620-samhsa-strategic-prevention-framework-guide.pdf for assessment, planning, and decision-making.

Cultural competence and sustainability should be considered throughout all five steps of the process.

In addition, recipients are encouraged to use the National Coalition Institute’s (NCI) coalition logic model to identify root causes and local conditions to address youth substance use. The results of that analysis are used to determine the strategies and activities that will be http://www.cadca.org/resources/coalition-impact-environmental-prevention-strategies https://www.samhsa.gov/sites/default/files/20190620-samhsa-strategic-prevention-framework-guide.pdf https://www.samhsa.gov/sites/default/files/20190620-samhsa-strategic-prevention-framework-guide.pdf https://www.samhsa.gov/sites/default/files/20190620-samhsa-strategic-prevention-framework-guide.pdf https://www.samhsa.gov/sites/default/files/20190620-samhsa-strategic-prevention-framework-guide.pdf implemented in this grant to support the outcomes identified in the DFC Framework. For more information on the CADCA's coalition logic model, visit https://www.cadca.org/sites/default/files/cadca_logic_model.pptx. Submission of a coalition’s logic model is not required.

1. Collaborations

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

Recipients are encouraged to, where applicable and appropriate, collaborate with CDC programs that are implementing evidence-based and practice-based prevention strategies that align with the strategies identified in the Strategies and Activities Section of this NOFO. Memoranda of Understanding (MOUs) or Memoranda of Agreement (MOAs) are not required. Examples of relevant CDC programs include, but are not limited to:

Overdose Data to Action (OD2A) https://www.cdc.gov/drugoverdose/od2a/index.html Opioid Response Strategy (ORS), High-Intensity Drug Trafficking Areas (HIDTA)

Program https://www.hidta.org/ors/ Division of Adolescent and School

Health https://www.cdc.gov/healthyyouth/partners/index.htm Suicide Prevention, Division of Violence

Prevention https://www.cdc.gov/violenceprevention/suicide/index.html Office of Smoking and Health https://www.cdc.gov/tobacco/about/osh/ Office of Tribal Affairs and Strategic Alliances https://www.cdc.gov/tribal/tribes-organizations-health/index.html Good Health and Wellness in Indian Country

CDC https://www.cdc.gov/healthytribes/ghwic.htm Division of Violence Prevention (DVP) Youth Violence Prevention

Centers https://www.cdc.gov/violenceprevention/

b. With organizations not funded by CDC:

Recipients receiving DFC funds are expected to collaborate with other organizations and leaders that have a role in conducting the proposed activities and achieving the project outcomes. In addition to the sectors represented on the coalition, collaborations can include federal, national, state, local, and tribal organizations that can assist in identifying and addressing local youth substance use problems and help create sustainable community-level change through the implementation of evidence-based and practice-based prevention strategies. Memorandums of Understanding (MOUs) or Memorandums of Agreement (MOAs) are not required.

2. Target Populations Applicants are expected to define the communities they propose to serve, using various geographic boundaries including neighborhoods, census tracts, zip codes, and school districts, as well as townships, counties, or parish lines, among others defining properties. Applicants should carefully consider the size and population of the area in which the coalition is established so they will have the ability to affect change. For example, choosing a community that is too large may be problematic due to the inclusion of multiple neighborhoods that have distinct problems or conditions that need to be addressed to affect change.

https://www.cadca.org/sites/default/files/cadca_logic_model.pptx https://www.cdc.gov/drugoverdose/od2a/index.html https://www.hidta.org/ors/ https://ahidta.org/content/overdose-response-strategy https://www.cdc.gov/healthyyouth/partners/index.htm https://www.cdc.gov/violenceprevention/suicide/index.html https://www.cdc.gov/tobacco/about/osh/ file:///C:/Users/qmj7/Downloads/� https://www.cdc.gov/tribal/tribes-organizations-health/index.html https://www.cdc.gov/tribal/tribes-organizations-health/index.html https://www.cdc.gov/healthytribes/ghwic.htm https://www.cdc.gov/violenceprevention/

Applicants must also include the rationale for the selection of their chosen community and describe how their selection will help to achieve the program purpose of preventing and reducing substance use among youth.

a. Health Disparities CDC is committed to addressing health inequities and to ensuring health equity, which is achieved when every person has the opportunity to live a healthy life. Health disparities are differences in health outcomes and their causes among groups. Health inequities can contribute to increased overdose deaths and other negative health outcomes, especially among groups that have been marginalized. Reducing health disparities and improving the social determinants of health among populations at greatest risk brings us closer to health equity.

Applicants should focus efforts on youth (i.e.,18 years of age or younger), with an emphasis on promoting health equity, reducing disparities that impact youth substance use, and addressing the risk and protective factors that negatively impact health outcomes in communities.

Applicants are encouraged to pay particular attention to communities or populations disproportionately affected by substance use. Those communities include but are not limited to those with reduced economic stability; limited education attainment, access or quality; limited healthcare access or quality; non-English populations; tribal populations; rural communities;

geographically underserved areas; racial/ethnic minority groups; and sexual/gender minority groups.

iv. Funding Strategy All DFC applications will be jointly screened by ONDCP and CDC to determine whether an applicant meets all the DFC Support Program Statutory Eligibility Requirements identified in Table 3. DFC Statutory Eligibility Requirements. Applications submitted by eligible coalitions that demonstrate they meet all requirements will then be scored through a merit review process according to the evaluation criteria described in Section E. Review and Selection Process of this NOFO. Each year, DFC recipients must demonstrate compliance with all the Statutory Eligibility Requirements to be considered for continuation funding. See Appendix A. Review and Selection Process for additional information.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement are tools used to highlight program accomplishments;

monitor the implementation and demonstrate the effectiveness of NOFO strategies and activities; build an evidence base for program strategies; clarify the applicability of the evidence base to different populations, settings, and contexts; and drive continuous program improvement.

The DFC National Cross-Site Evaluation is intended to measure the effectiveness of the DFC Support Program in achieving its goals of increasing collaboration and reducing/preventing youth substance use. The collection of key data is a critical component of this award.

DFC recipients are required to participate in the DFC National Cross-Site Evaluation, which includes providing data every two years on core measures for alcohol, tobacco, marijuana, and prescription drug use in three grades (6th-12th). It is recommended to include at least one grade at the middle school level and one grade at the high school level.

Data will be collected for the following measures:

Past 30-Day Use The percentage of survey respondents who reported using alcohol, tobacco, or marijuana (prevalence of use) or misusing prescription drugs at least once within the past 30 days (prevalence of misuse).

Perception of Risk: The percentage of survey respondents who perceived that the use of a given substance has moderate risk or great risk.

Perception of Parental Disapproval: The percentage of survey respondents who perceived their parents would feel that regular use of alcohol (one or two drinks nearly every day), or engaging in any use of tobacco, marijuana, or misuse of prescription drugs is wrong or very wrong.

Perception of Peer Disapproval: The percentage of survey respondents who perceived their friends would feel it would be wrong or very wrong for them to drink alcohol regularly (one or two drinks nearly every day), or engage in any use of tobacco, marijuana, or misuse of prescription drugs.

It will be the responsibility of the recipient to know the National Cross-Site Evaluation reporting schedule (every 2 years for the substances named in the respective grade levels). Failure to submit the core measures means the recipient is out of compliance with Award Terms and Conditions.

In addition, recipients will be required to submit semi-annual progress reports that outline the community profile, sector and youth engagement, coalition capacity, risk, and protective factors, and implementation of youth substance use prevention strategies. Recipients should also identify and monitor measures of short-term, intermediate, and long-term outcomes, which can serve as benchmarks for measuring programmatic progress and impact.

CDC requires recipients for projects that involve the collection or generation of data with federal funds to develop, submit and comply with a Data Management Plan (DMP) for each collection or generation of public health data undertaken as part of the award and, to the extent appropriate, provide access to, and archiving/long-term preservation of, collected or generated data. These reports are due within the first six months of the award. For more information about CDC’s policy on the DMP, see Additional Requirement – 25 | Grants | CDC

Applicants are not required at the time of application to be in compliance with the DFC National Cross-Site Evaluation’s Requirements nor the DMP requirement; however, recipients will be required to comply with the evaluation requirements once awarded. This includes submitting any survey(s) used to collect core measure data for review and approval through the DFC Me system; and submitting the core measure data in specified increments (every 2 years) for the substances named in the respective grade levels.

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

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/additional-requirements/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.

Additional information on reporting requirements is described in the Reporting Section of the NOFO and will be specified in the Terms and Conditions of award. Award recipients will receive additional training, evaluation technical assistance and ongoing evaluation guidance on recipient-level evaluation and performance measures, including requirements for the evaluation plan and reporting. Applicants may contact the current DFC Evaluation Team (DFC_Evaluators@ICFI.com) for assistance in gathering the necessary information as it relates to the DFC National Cross-Site Evaluation.

c. Organizational Capacity of Recipients to Implement the Approach Applicants must demonstrate the organizational capacity to manage and implement the grant.

This includes 1) organizational structure, 2) key personnel, and 3) the community coalition described below.

1) Organizational Structure The applicant must describe the organizational structure of the recipient organization and how it will support the implementation of the grant. The organization must have the capacity to https://www.cdc.gov/grants/additional-requirements/ar-25.html mailto:DFC_Evaluators@ICFI.com complete and submit reports, provide fiscal oversight of federal grant funds, and provide adequate communication. If the applicant is serving as a fiscal agent on behalf of a coalition, indicate that in this section and provide a memorandum of understanding describing the relationship between the fiscal agent and the community coalition. If the coalition is applying on its own behalf as a 501(c)(3), indicate that in this section.

2) Key Personnel At a minimum, the following key personnel are required:

Authorized Organization Representative (AOR): The AOR is the representative of the applicant/recipient organization with authority to act on the organization’s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. These responsibilities include overseeing the financial aspects of the grant and the performance of the grant-supported project or activities as specified in the approved application This person must be an employee of the recipient organization.

Program Director/Principal Investigator (PD/PI): The PD/PI is the person who provides programmatic oversight of the grant and is accountable to officials of the recipient organization. The PD/PI must be an employee of the recipient organization and cannot be the same person as the AOR.

Project Coordinator: The Project Coordinator manages the work of the coalition and program activities, including training, coalition communication, data collection, and information dissemination. The PD/PI and the Project Coordinator can be the same person.

Staff selected to fulfill key personnel positions should have skills in non-research program administration: program planning and implementation, program evaluation, performance monitoring, financial management and reporting, budget management and administration, personnel management, or project management. To demonstrate proficiency in these topic areas, applicants must submit resumes for positions currently filled (no more than 2 pages in length) and position descriptions for vacant positions (no more than 1 page in length) for key personnel outlined above. Resumes should be combined into one pdf with the title: Key Personnel Resumes.

For key personnel positions that are not filled, applicants can provide the position description, which should include:

1. Title of key personnel position;

2. Brief description of duties and responsibilities; and

3. 1-2 sentences on how the applicant plans to fill the position, including the expected timeframe.

NOTE: Regarding financial management, applicants are required to demonstrate that they have a primary party that is responsible for overseeing the financial aspects of the grant (e.g.

bookkeeping or accounting services) and a financial management system that will allow for proper funds management and segregation of funds by program and meet the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for

HHS Awards found at https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75(45

CFR 75.302).

The financial system should permit the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statutes, regulations, and the terms and conditions of the federal award.

3) Community Coalition The applicant is required to describe the role of the community coalition in this section. For the purposes of this program, a community coalition is defined as a community-based formal arrangement for cooperation and collaboration among 12 required sectors of a community in which each group retains its identity, but all agree to work together toward a common goal.

Required sectors include:

1. Youth: An individual 18 years of age or younger (must provide age of youth) in a public, private, homeschooled, or alternative school.

2. Parent: An individual legally responsible for a child, grandchild, or foster child.

3. Business: A representative of a business-related organization that provides services that are not in conflict with the goals and objectives of the DFC program.

4. Media: A representative of a communication outlet that provides information to the community. Through an appropriate media platform, this representative should be capable of communicating and disseminating information that furthers the coalition’s mission (e.g., print, electronic, or social media).

5. School: A representative of the school system with influence in school policies and procedures.

6. Youth-serving organization: A representative of an organization that provides services to support youth.

7. Religious/Fraternal organization: A representative of a faith-based organization or representative from a fraternal organization that is based on a common tie or pursuit of a common goal. The organization must have a substantial program of fraternal activities.

8. Law enforcement: A representative of a law enforcement agency. The representative must be an active sworn, law enforcement officer, not retired.

9. Civic/Volunteer groups: A representative of an organization that provides civic or volunteer activities that serves the community (not a coalition member). Examples include Lions Clubs, Rotary Clubs, etc.

10. Healthcare professional or organization: An individual and/or organization licensed to provide physical, mental, or behavioral healthcare services (i.e., pediatrician, CEOs, pharmacist, etc.).

11. State, local, or tribal governmental agency with expertise in the field of substance use: A representative of a government-funded agency with a focus on substance use prevention, treatment, or recovery support services.

12. Other organizations involved in reducing substance use: A representative of a community organization that addresses substance use.

Responsibilities of the coalition should include: formulate coalition goals and objectives; oversee operations of activities and programs; develop and carry out the 12-month action plan; create a credible and relevant sustainability plan; and retain and recruit members, in particular youth https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75 sector representatives. Coalitions should demonstrate substantial participation from volunteer leaders in the community who have worked together on substance use reduction initiatives.

Responsibilities of sector representatives can include, but are not limited to:

Being a community leader amongst the represented sector and acting as a positive role model for youth, families, and peers.

Attending coalition meetings, participating on committees, and engaging in coalition-sponsored training, town hall meetings, and other community events.

Ensuring clear communication between the sector represented and the coalition.

Contributing to the strategic action planning process and participating in sustaining the coalition’s capacity, involvement, and goals.

Promoting evidence-based and practiced-based environmental strategies.

Using his/her activities as match, if applicable.

d. Work Plan Applicants are required to provide a detailed work plan (12-Month Action Plan) for the current performance period (2022-2023). The action plan should demonstrate a comprehensive approach to the reduction of the use of at least two substances and create sustainable community-level change.

Applicants should develop the 12-month action plan following the template provided (in Table 2: Detailed Work Plan (12-Month Action Plan)) and ensure the action plan:

Outlines the specific objectives, strategies, and activities that are in alignment with the DFC goals, including who is responsible and the anticipated timeframe.

Addresses at least two named substances that are selected based on a community needs assessment or other local data. Note: Vaping is not a substance, it is a substance delivery method. The selection of these substances should include a rationale based on data such as school suspension rates, school suspensions, juvenile court data, emergency room data, or other applicable data. Strategies and activities should be specific to the selected substances.

Includes activities that address risk and protective factors, including root causes that may be driving substance use in the community (e.g. ACEs, mental health, health disparities).

Uses existing frameworks, such as the SPF and Seven Strategies for Community-Level Change.

Includes objectives that are specific, measurable, achievable, realistic, and time-bound

(SMART).

Examples of SMART objectives

Regular Objective SMART Objective

Reduce substance use rates for adolescents.

By July 31, 2023, reduce the percent of 9th graders in Random County who have used (specific substance) from 8% baseline to 7% as indicated in our annual youth survey.

Meet with 12 high schools to inform them about drug drop box programs.

Public Health Staff will meet with key stakeholders at all high schools in our jurisdiction resulting in 3 out of 4 high schools committing to work on educating about and implementing drug drop box programs by June 2023 as indicated in our annual school partner survey.

Table 2: Detailed Work Plan (12-Month Action Plan) DFC Goal One: Establish and strengthen collaboration among community stakeholders and organizations to address youth substance use.

Objective 1: Provide a SMART objective Strategy 1: Provide specific strategy

Activity Who is Responsible? By When?

Strategy 2: Provide specific strategy

DFC Goal Two: Reduce substance use among youth and, over time, reduce substance use among adults by addressing the factors in a community that increases the risk of substance use and promoting the factors that minimize the risk of substance use.

Objective 2: Provide a SMART objective Strategy 1: Provide specific strategy

Strategy 2: Provide specific strategy

Applicants are also required to provide a general summary (up to one paragraph) of what they aim to achieve at the end of the 5 years and how the objectives and strategies outlined in the 12-month action plan will help contribute to the long-term outcomes to foster sustainable, community-level change.

Recipients will have the flexibility to modify and finalize the work plan post-award and following the completion of the National Coalition Academy (NCA) as described in the section below.

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.

Attending required trainings and conferences is critical for building and maintaining the skills of the staff with responsibility for carrying out the requirements of this NOFO. This NOFO requires attendance at specific trainings and conferences as a term and conditions of this award. Specific meeting dates and guidance related to travel will be provided at a later date. Listed below are the Required Trainings for newly funded recipients:

New Recipient Virtual Training: The New Recipient Virtual Training offered by the Office of National Drug Control Policy (ONDCP) in collaboration with CDC’s National Center for Injury Prevention and Control (NCIPC) and the Office of Grant Services (OGS). The Program Director/Principal Investigator (PD/PI), Project Coordinator, and the Authorized Organization Representative (AOR) must participate in all the training sessions. Training dates and topics will be shared within 90 days post award.

National Coalition Academy: The National Coalition Academy (NCA) is a comprehensive training program developed by CADCA’s National Coalition Institute and teaches leaders “what they need to know” (the core competencies) and “what their team needs to do” (the essential processes) to establish or maintain a highly effective anti-drug coalition. All Year 1 DFC Recipients are required to attend and complete the NCA during their first year of funding. Year 6 DFC Recipients are recommended to attend, especially if there is change in staff, but attendance is not required.

At the end of the NCA, recipients will have the opportunity to work with staff to develop and finalize a community assessment, logic model, strategic and action plan, evaluation plan, and sustainability plan.

B. Award Information

1. Funding Instrument Type:

G (Grant)

2. Award Mechanism:

HD4

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$6,250,000

5. Total Period of Performance Funding:

$31,250,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$31,250,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$125,000 Per Budget Period

9. Award Ceiling:

$125,000

Per Budget Period

This amount is subject to the availability of…