Foa_Content_of_CDC-RFA-DP-23-0009 Revised.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH

PROMOTION

National Organization for Chronic Disease Prevention and Health Promotion

CDC-RFA-DP-23-0009

05/15/2023

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-DP- 23-0009. 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:

National Organization for Chronic Disease Prevention and Health Promotion 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-DP-23-0009

E. Assistance Listings Number:

93.809 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

F. Dates:

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

04/15/2023

2. Due Date for Applications:

05/15/2023 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

Monday, May 8, 2023 3:00 p.m. Eastern Time 1-888-994-4478, passcode:802987602# United States (Toll-free) Phone Conference ID: 802 987 602# Click here to join the meeting

G. Executive Summary:

1. Summary Paragraph The purpose of this notice of funding opportunity (NOFO) is to build on the National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) efforts to strengthen the capacity and capabilities of the states’ chronic disease prevention and health promotion public health workforce. This program is expected to result in adoption of evidence-based chronic disease prevention and health promotion approaches and effective use of public health tools and resources. This 5-year NOFO supports strengthening the leadership and expertise among chronic disease health departments to transform the practice of chronic disease prevention and health promotion in state health departments and accelerate improvements in population health.

Focusing on the priorities and goals of NCCDPHP, this program will support the development of effective state chronic disease programs through implementation of practice-based learning and leadership development strategies.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$15,000,000

e. Average One Year Award Amount:

$3,000,000

f. Total Period of Performance Length:

5 year(s)

g. Estimated Award Date:

August 31, 2023

h. Cost Sharing and / or Matching Requirements:

No https://www.grants.gov/ https://teams.microsoft.com/l/meetup-join/19%3ameeting_ZDE5MmIxMDQtZDdlMi00YjZmLWI2ZjEtZDE0MjAzODk4OGQz%40thread.v2/0?context=%7b%22Tid%22%3a%229ce70869-60db-44fd-abe8-d2767077fc8f%22%2c%22Oid%22%3a%2268aaa19e-c57c-4b73-ab12-44ce3db6df62%22%7d

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 The public health workforce is facing many challenges, including retirement of the current workforce, evolving public health practice, changing public health needs that do not match current skills and capacity, lack of workforce strategic planning, turnover and burden of managing chronic disease programs during the COVID-19 pandemic. In CDC's Modernizing the Workforce for the Public's Health: Shifting the Balance, contributors representing academic, governmental, and non-governmental public health workers concluded that the workforce would benefit from training, mentoring and cross-training, as well as leadership development.

The National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) prioritizes improving health equity, training related to data modernization, and Social Determinants of Health (SDOH) to ensure systemic supports for health. Health equity can be realized by addressing SDOH like education, employment opportunities, or health care access, including a sustained commitment to tackle root causes of health disparities, such as systemic racism, poverty, poor access to quality education, housing insecurity, unemployment, lack of access to healthy food, commercial tobacco-free policies, and safe spaces for physical activity.

Inequities in SDOH contribute to stark and persistent chronic disease disparities among population groups based on race, ethnicity, socioeconomic status, and other characteristics, systematically limiting opportunities and resources needed to live healthy lives. To maximize public health impact, public health staff need training to improve knowledge on data modernization, policy, systems, environmental, programmatic, and infrastructure strategies and activities that address factors that adversely impact health outcomes to narrow disparities in many chronic diseases by removing systemic and unfair barriers to practicing healthy behaviors.

This NOFO will focus on strengthening the capacity and capabilities of the public health workforce, with particularly focus on health department staff across the United States, territories, and freely associated states. It will support the development of effective state chronic disease programs through peer-to-peer meetings, practice-based learning and leadership development activities for chronic disease leadership and staff, and outreach and networking with local health departments. This NOFO will result in better-equipped state health department chronic disease leadership, improved ability to coordinate across program areas and with non-traditional partners, and engagement in strategic workforce planning that addressed changing technology, an aging workforce, and evolving public health workforce needs.

b. Statutory Authorities This program is authorized under sections 301(a) and 317(k)(2) of the Public Health Service Act, [42 U.S.C. Section 241(a) and 247b(k)(2)], as amended.

https://stacks.cdc.gov/view/cdc/20695 https://stacks.cdc.gov/view/cdc/20695

c. Healthy People 2030 This NOFO may address the following Healthy People 2030 focus areas including: Arthritis; Cancer; Chronic Kidney Disease; Diabetes; Heart Disease and Stroke; Oral Conditions; Overweight and Obesity; Pregnancy and Childbirth; Nutrition and Healthy Eating; Physical Activity; Preventive Care; Sleep; Tobacco Use; Workforce; Public Health Infrastructure; and social determinants of health such as Health Care Access and Quality, Neighborhood and Built Environment, and Social and Community Context

d. Other National Public Health Priorities and Strategies This program supports strategies to improve multiple chronic diseases and the risk factors associated with the following public health risk factors: tobacco use and exposure to secondhand smoke; poor nutrition, including diets low in fruits and vegetables and high in sodium and saturated fats; physical inactivity; cancer screening; excessive alcohol use, and maternal and child health as outlined in the following national plans and guidelines:

Chronic Disease Prevention System How We Prevent Chronic Diseases and Promote Health | CDC Million Hearts National Diabetes Prevention Program National Public Health Workforce Strategic Roadmap The Surgeon General's Call to Action to Improve Maternal Health The Surgeon General’s Call to Action to Control Hypertension 2020 – 2025 Dietary Guidelines for Americans Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation

e. Relevant Work This NOFO complements work implemented in the past five years under the National Organization for Chronic Disease Prevention and Health Promotion NOFO, CDC-RFA-DP18- 1814. The purpose of that NOFO was to strengthen the leadership and expertise in the chronic disease prevention system domains to transform the practice of chronic disease prevention and health promotion among the chronic disease workforce, and accelerate improvements in population health.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

Strategies and Activities

Short-term Outcomes Intermediate Outcomes

Long-Term Outcomes

Strategy 1: Conduct organizational and staff capacity assessments to

Increase chronic disease public health staff access to and utilization of

Improve chronic disease public health workforce identification and

Improve reach and effectiveness of public health initiatives https://health.gov/healthypeople/objectives-and-data/browse-objectives/arthritis https://health.gov/healthypeople/objectives-and-data/browse-objectives/cancer https://health.gov/healthypeople/objectives-and-data/browse-objectives/chronic-kidney-disease https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke https://health.gov/healthypeople/objectives-and-data/browse-objectives/oral-conditions https://health.gov/healthypeople/objectives-and-data/browse-objectives/oral-conditions https://health.gov/healthypeople/objectives-and-data/browse-objectives/overweight-and-obesity https://health.gov/healthypeople/objectives-and-data/browse-objectives/pregnancy-and-childbirth https://health.gov/healthypeople/objectives-and-data/browse-objectives/nutrition-and-healthy-eating https://health.gov/healthypeople/objectives-and-data/browse-objectives/nutrition-and-healthy-eating https://health.gov/healthypeople/objectives-and-data/browse-objectives/physical-activity https://health.gov/healthypeople/objectives-and-data/browse-objectives/preventive-care https://health.gov/healthypeople/objectives-and-data/browse-objectives/sleep https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use https://health.gov/healthypeople/objectives-and-data/browse-objectives/workforce https://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructure https://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructure https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality https://health.gov/healthypeople/objectives-and-data/browse-objectives/neighborhood-and-built-environment https://health.gov/healthypeople/objectives-and-data/browse-objectives/social-and-community-context https://www.cdc.gov/chronicdisease/index.htm/#:~:text=National%20Center%20for%20Chronic%20Disease%20Prevention%20and%20Health,and%20excessive%20drinking%2C%20and%20getting%20regular%20health%20screenings.

https://www.cdc.gov/chronicdisease/center/nccdphp/how.htm https://millionhearts.hhs.gov/ https://www.cdc.gov/diabetes/prevention/index.html https://www.cdc.gov/csels/dsepd/strategic-workforce-activities/ph-workforce/roadmap.html https://www.hhs.gov/sites/default/files/call-to-action-maternal-health.pdf https://www.hhs.gov/sites/default/files/call-to-action-to-control-hypertension.pdf https://www.dietaryguidelines.gov/resources/2020-2025-dietary-guidelines-online-materials https://pubmed.ncbi.nlm.nih.gov/24830053/ identify skill, competency, and infrastructure gaps within public health organizations.

Strategy 2: Identify, tailor, and disseminate educational curriculum, tools, and resources across multiple modes of technology to improve reach, knowledge saturation, and leadership capacity among public health workforce

Strategy 3: Convene public health workforce to share effective practice-based program approaches resources and tools to address leadership, chronic disease prevention approaches, and priority topics

Increase chronic disease public health workforce knowledge, skills, and competencies to support public health through participation in trainings including Social Determinants of Health and Health Equity.

Improve chronic disease public health workforce knowledge of organizational systems and infrastructures that are flexible and responsive to changing public health needs

Improve coordination and networking across public health practitioners to address public health needs implementation of tailored, culturally appropriate, evidence-based chronic disease programs to address public health needs.

Increase adoption of sustainable organizational systems and structures that are flexible and responsive to changing public health needs

Increase health and well-being of individuals with chronic diseases

Improve chronic health conditions and health equity

i. Purpose The purpose of this NOFO is to expand the capacity and capabilities of the public health workforce to plan, implement and evaluate public health activities, and enhance critical leadership and communication skills for effective public health practice. The recipient will improve access and utilization of tools and resources; increase the public health workforce’s knowledge, skills, and competencies to support public health; and improve public health workforce knowledge of organizational systems.

ii. Outcomes During the 5-year period of performance, the recipient is expected to implement the cooperative agreement strategies and activities to achieve the cooperative agreement outcomes. The activities performed under this cooperative agreement should work toward the short-term outcomes outlined in the logic model, including:

Increase chronic disease public health staff access to resources and tools to address leadership, chronic disease prevention approaches and priority topics, Improve chronic disease public health workforce knowledge, skills, and competencies that support public health, including Social Determinants of Health and Health Equity, and

Improve public health workforce knowledge of workforce structures and systems that are flexible and responsive to changing public health needs

iii. Strategies and Activities All strategies and activities should be implemented among chronic disease public health workforce. The strategies described in the NOFO are intended to direct the recipient organization to focus their strengths and experience on : (1) improving the capacity of chronic disease public health workforce to implement public health programs and (2) advancing NCCDPHPs strategic priorities through training and collaboration. Applicants may propose additional strategies and activities (beyond what is included in the logic model) to achieve the outcomes, but at a minimum, the recipient will be expected to engage in the following strategies and activities:

Strategy 1: Conduct organizational and staff capacity assessments to identify skill, competency, and infrastructure gaps within public health organizations.

Activity 1: Assess public health workforce skills and competencies, and assess the type, frequency, and method of public health workforce trainings that have worked well to identify, tailor, and disseminate evidence-based interventions and develop a corresponding curriculum and training action plan.

Activity 2: Examine the organizational infrastructure and systems within state health departments across the United States, territories, and freely associated states to identify opportunities for improved support, efficiency, and cohesiveness.

Strategy 2: Identify, tailor, and disseminate educational curriculum, tools, and resources across multiple modes of technology to improve reach, knowledge saturation, and leadership capacity among public health workforce

Activity 1: Identify, continually update, and sustain accessible educational tools and resources to improve public health impact, with specific emphasis on evaluation, coordinated health impact, and NCCDPHP SDOH priorities (e.g. Built Environment, Community-Clinical Linkages, Food and Nutrition Security, Social Connectedness, and Tobacco-Free Policy)

Activity 2: Provide tailored evidence-based (or emerging) training approaches to deliver training to public health workforce, including health department staff across the United States, territories, and freely associated states, to improve skills and competencies for evidence-based intervention implementation. Ensure delivery of specialized training / certificate programs for public health workforce, including immersive field training opportunities.

Strategy 3: Convene public health workforce to share effective practice-based approaches

Activity 1: Coordinate and facilitate hybrid meeting opportunities among public health workforce, including health department staff across the United States, territories, and freely associated states, to highlight current, effective, applied implementation strategies that improve public health.

1. Collaborations

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

Collaboration with chronic disease programs funded by CDC is encouraged. Applicants should describe collaborations with CDC-funded organizations and CDC programs and outline how these partnerships will help achieve expected outcomes for this NOFO.

b. With organizations not funded by CDC:

Collaborations with a variety of public and private partners that are not funded by CDC, are encouraged to leverage resources and maximize reach and impact. The recipient will be encouraged to build and sustain strategic partnerships and collaborations with organizations that have a role in implementing this NOFO’s strategies and activities and achieving the expected outcomes. Key collaborations may include the business community, hospitals, non-governmental organizations, non-profit agencies, other federal or local government agencies, public health community organizations, Tribes or tribal organizations, professional organizations, quality improvement organizations, and federally qualified health centers. Applicants should describe their experience collaborating with a broad range of partners to support coordination of public health program implementation and training public health workforce members.

2. Target Populations This NOFO will improve and expand the leadership abilities and expertise of the state health department chronic disease prevention workforce, resulting in chronic disease population health improvements in state health department catchment areas. The target populations for this NOFO are:

State Chronic Disease Directors State Chronic Disease Prevention and Health Promotion Staff

a. Health Disparities This NOFO will strengthen national infrastructure to increase evidence-based interventions and practices aimed at reducing health disparities and improving health outcomes related to chronic disease. Health equity and health disparities are core topics that will be addressed through this NOFO’s outreach, training, and partner collaborations, with the intent of educating public health practitioners on evidence-based interventions to support national implementation of chronic disease programs.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan is not required for this NOFO. Evaluation and performance measurement will monitor the extent to which planned activities are completed successfully; show the effectiveness of practice-based learning and leadership development activities; and demonstrate achievement of NOFO outcomes. CDC uses evaluation findings to ensure continuous NOFO quality improvement, document successful learning and leadership development approaches, and to inform decisions about future workforce learning and development strategies.

The CDC strategy for monitoring and evaluating recipient and NOFO performance will be consistent with the logic model and approach presented earlier. The recipient is expected to track implementation of practice-based learning and leadership development strategies and activities and to determine progress in achieving outcomes. CDC will use information collected from recipient progress reports and annual performance reports to document project status and completion. As needed, conference calls with the recipient will include discussion of project updates, technical assistance needs, and challenges in completing activities.

The recipient is expected to report on the following performance measures:

Outcome Performance Measure

Increase chronic disease public health staff access to and utilization of resources and tools to address leadership, chronic disease prevention approaches, and priority topics

Number of chronic disease public health workforce utilizing educational tools and resources across public health topic areas (e.g. SDOH, evaluation health equity, chronic disease self-management)

Increase chronic disease public health workforce knowledge, skills, and competencies to support public health through participation in training, including Social Determinants of Health and Health Equity trainings

Number of chronic disease public health workforce participating in trainings across public health topic areas (e.g. SDOH, evaluation, health equity, chronic disease self-management)

Improve chronic disease public health workforce knowledge of organizational systems and infrastructures that are flexible and responsive to changing public health needs

Number of chronic disease public health workforce reporting knowledge of organizational systems and infrastructure that foster cross-trained, resilient public health workforce

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/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.

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/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).

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

Describe key evaluation questions to be addressed by these evaluations.

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

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

c. Organizational Capacity of Recipients to Implement the Approach Organizational capacity is necessary to implement this NOFO’s strategies and activities and achieve outcomes.

Infrastructure

Applicants should have adequate infrastructure, information and data systems, communication systems, and workforce capacity and competence to execute the award.

Personnel Management and Qualifications

Applicants must demonstrate adequate capacity and expertise in personnel management and program staffing. Applicants should describe an adequate staffing plan and program management structure, including organizational charts, job descriptions, CVs/resumes, and staffing plans that clearly define staff roles and expertise as they relate to the activities and outcome. Applicants may include optional staffing related attachments and may upload these attachments as separate PDF files at www.grants.gov. Applicants may upload optional staffing related attachments including staff CVs (named “CVs/resumes”), organizational chart (named “Org Chart”), and staffing plans (named “Staffing plans”).

Applicants must describe expertise in financial reporting, budget management, and budget administration. Applicants must demonstrate experience with executing contracts and consulting agreements.

History of Experience Implementing Relevant Programs

Applicants must describe adequate expertise in program planning, program implementation, performance monitoring, and program evaluation as they relate to the strategies and activities. Expertise in these areas should be demonstrated in descriptions of current or recent programs designed, implemented, and evaluated by the applicant.

Applicants must describe their capacity to create and maintain partnerships to accomplish program objectives.

Applicants must describe the nature of their relationship with the target population (State Chronic Disease Directors, State Chronic Disease Prevention and Health Promotion Staff, State Chronic Disease Prevention and Health Promotion Programs) and a history of serving or working with the target population. The history should also include examples of previous efforts implementing practice-based learning and leadership development activities.

Applicants must describe a history of leadership with state and territorial health departments as evidenced by examples of successful collaborations with state chronic disease prevention and health programs.

Capacity to Implement Strategies and Activities http://www.grants.gov

Applicants must describe the ability to work with all state health departments across the United States, territories, and freely associated states on chronic disease prevention and health promotion strategies and approaches.

Applicants must describe organizational experience and expertise in addressing state public health issues.

Applicants must describe their experience highlighting practice-based real-time, lessons learned from the field to develop and disseminate tailored evidence-based practices, learning and leadership development strategies for state health department chronic disease programs.

Applicants must describe their capacity and expertise in using technology to address the practice-based learning and leadership development needs of state health department chronic disease programs.

Applicants must describe the ability to convene and lead peer-to-peer forums.

Applicants must describe experience developing and disseminating tools and resources that highlight effective chronic disease prevention and health promotion approaches and workforce development strategies.

d. Work Plan Applicants must develop a work plan that provides a detailed plan for the first year of the period of performance and a high-level plan for the subsequent years. Applicants must clearly describe how the sections in their work plans crosswalk to the strategies, activities, outcomes, and evaluation and performance measures presented in the logic model and the narrative sections of the NOFO.

Applicants must submit a detailed work plan for Year 1 of the award and provide a general summary of the work plan activities for Years 2-5 in narrative form. The work plan should describe how the applicant plans to implement all the strategies and activities to achieve NOFO outcomes. CDC will provide feedback and technical assistance to the recipient to finalize the work plan activities after award.

Period of Performance Outcome [from Outcomes section and/or logic model]:

Performance Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Milestone(s) for Completion of Activity

Responsible Position/Party Completion Date

1.

2.

3.

4.

5.

6.

Applicants are not required to use the table but are required to include all the elements listed:

Period of Performance Outcome, Strategies and Activities, Milestones for Completion of Activities, Responsible Position/Party, Completion Date.

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.

f. CDC Program Support to Recipients

CDC will have substantial involvement beyond regular performance and financial monitoring during the period of performance. CDC activities are intended to ensure the success of the project and will include the following:

Provide post-award technical assistance, as requested.

Provide guidance to the recipient on identifying and implementing strategies and activities.

Facilitate collaborative opportunities with other CDC funded NOFO recipients and partners.

Work with the recipient and their target population(s) to ensure sharing of best practices, lessons learned, and evaluation results. CDC will leverage conferences, guidance, material development, webinars, committees, and working groups related to the cooperative agreement and its projects to ensure broad reach of information.

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:

U58

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$3,000,000

5. Total Period of Performance Funding:

$15,000,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$15,000,000

6. Total Period of Performance Length:

5 year(s) year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$3,000,000 Per Budget Period

9. Award Ceiling:

$3,000,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$2,500,000 Per Budget Period

11. Estimated Award Date:

August 31, 2023

12. Budget Period Length:

12 month(s)

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

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

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

C. Eligibility Information

1. Eligible Applicants

Eligibility Category:

00 (State governments)

01 (County governments)

02 (City or township governments)

04 (Special district governments)

05 (Independent school districts)

06 (Public and State controlled institutions of higher education)

07 (Native American tribal governments (Federally recognized))

08 (Public housing authorities/Indian housing authorities)

11 (Native American tribal organizations (other than Federally recognized tribal governments))

12 (Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education)

13 (Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education)

20 (Private institutions of higher education)

22 (For profit organizations other than small businesses)

23 (Small businesses)

25 (Others (see text field entitled "Additional Information on Eligibility" for clarification))

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

Additional Eligibility Category:

Government Organizations:

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

Local governments or their bona fide agents

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

State controlled institutions of higher education

American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

Non-government Organizations

American Indian or Alaska native tribally designated organizations

Other

Ministries of Health

2. Additional Information on Eligibility

NA

3. Justification for Less than Maximum Competition

4. Cost Sharing or Matching

Cost Sharing / Matching Requirement:

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

5. Maintenance of Effort

Maintenance of effort is not required for this program.

D. Application and Submission Information

1. Required Registrations

An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

PLEASE NOTE: Effective April 4, 2022, applicants must have a Unique Entity Identifier (UEI) at the time of application submission (SF-424, field 8c). The UEI is generated as part of SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and can view it in SAM.gov and Grants.gov. Additional information is available on the GSA website, https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-systems-information-kit/unique-entity-identifier-update

SAM.gov, and Grants.gov- Finding the UEI.

a. Unique Entity Identifier (UEI):

All applicant organizations must obtain a Unique Entity Identifier (UEI) number by registering in SAM.gov prior to submitting an application. A UEI number is a unique twelve-digit identification number assigned to the registering organization.

If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients must provide their UEI numbers before accepting any funds.

b. System for Award Management (SAM):

The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number and a Unique Entity Identifier (UEI). All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC.

If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at SAM.gov and the SAM.gov Knowledge Base.

c. Grants.gov:

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

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

Step System Requirements Duration Follow Up

System for Award Management

(SAM)

1. Go to SAM.gov and designate an E-Biz POC (You will need to have an active SAM account before you can register on grants.gov). The UEI is generated as part of your registration.

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

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

866-606-8220

2 Grants.gov 1. Set up an individual account in Grants.gov using organization's

It takes one day (after you enter the EBiz POC name

Register early!

https://sam.gov/content/home https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/ https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/ https://sam.gov/content/home https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fsd.gov%2Fgsafsd_sp%3Fid%3Dgsa_kb_view2%26kb_id%3Df66d8e6cdb76d4100d73f81d0f9619c6&data=04%7C01%7Ccshifflett%40dminc.com%7C8eee7a2adab549a3b3c008d925e9a364%7Cdb7ac9ef779d46e59bca00509580ad6b%7C0%7C0%7C637582507851821018%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=UrR%2B%2FM2wWF2fZG05Z8O6JS2C3FXXSl%2F7B3%2FB45XHRrg%3D&reserved=0 https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.fsd.gov%2Fgsafsd_sp%3Fid%3Dgsa_kb_view2%26kb_id%3Df66d8e6cdb76d4100d73f81d0f9619c6&data=04%7C01%7Ccshifflett%40dminc.com%7C8eee7a2adab549a3b3c008d925e9a364%7Cdb7ac9ef779d46e59bca00509580ad6b%7C0%7C0%7C637582507851821018%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=UrR%2B%2FM2wWF2fZG05Z8O6JS2C3FXXSl%2F7B3%2FB45XHRrg%3D&reserved=0 https://grants.gov/ https://www.grants.gov/ http://www.grants.gov/ https://www.grants.gov/ https://sam.gov/content/home https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do new UEI number to become an Authorized Organization Representative

(AOR)

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

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

4. This authorizes the AOR to submit applications on behalf of the organization and EBiz POC email in SAM) to receive a UEI (SAM) which will allow you to register with Grants.gov and apply for federal funding.

Applicants can register within minutes.

2. Request Application Package

Applicants may access the application package at www.grants.gov.

3. Application Package

Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov.

4. Submission Dates and Times

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

a. Letter of Intent Deadline (must be emailed)

Number Of Days from Publication 30

04/15/2023

b. Application Deadline

Due Date for Applications 05/15/2023

05/15/2023 11:59 pm U.S. Eastern Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which Grants.gov operations resume.

Due Date for Information Conference Call Monday, May 8, 2023 3:00 p.m. Eastern Time 1-888-994-4478, passcode:802987602# United States (Toll-free) Phone Conference ID: 802 987 602# Click here to join the meeting https://www.grants.gov/ https://www.grants.gov/ https://teams.microsoft.com/l/meetup-join/19%3ameeting_ZDE5MmIxMDQtZDdlMi00YjZmLWI2ZjEtZDE0MjAzODk4OGQz%40thread.v2/0?context=%7b%22Tid%22%3a%229ce70869-60db-44fd-abe8-d2767077fc8f%22%2c%22Oid%22%3a%2268aaa19e-c57c-4b73-ab12-44ce3db6df62%22%7d

5. Pre-Award Assessments

Risk Assessment Questionnaire Requirement

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

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

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

Duplication of Efforts

Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year. Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source. Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted. Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

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

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

6. Content and Form of Application Submission

Applicants are required to include all of the following documents with their application package at www.grants.gov.

7. Letter of Intent

The purpose of an LOI is to allow CDC program staff to estimate the number of and plan for the review of submitted applications. LOI's should include:

Name, address, telephone number, and email address of the Principal Investigator or Project Director, or both

Name, address, telephone number, and e-mail address of the primary contact for writing and submitting this application

Number and title of this NOFO Other: Description of organizational capacity or history of experience relevant to this

NOFO

LOI must be sent via email to:

Elizabeth Adams

CDC, NCCDPHP

Email address:jyv6@cdc.gov

8. Table of Contents

(There is no page limit. The table of contents is not included in the project narrative page limit.): The applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package.

Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary

A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the "Project Abstract Summary" text box at www.grants.gov.

10. Project Narrative https://www.grants.gov/…