FOA_Content_of_CDC-RFA-DP-24-0023.pdf

Division of Population Health

Notice of Funding Opportunity

Application due April 15, 2024 - 11:59 p.m. ET

Behavioral Risk Factor Surveillance System (BRFSS): Impact on Population Health Opportunity number: CDC-RFA-DP-24-0023

Contents Before you begin 3

Step 1: Review the Opportunity 4

Basic information 5

Eligibility 7

Program description 8

Step 2: Get Ready to Apply 33

Get registered 34

Step 3: Prepare Your Application 36

Application contents and format 37

Step 4: Learn About Review and Award 43

Application review 44

Award notices 48

Step 5: Submit Your Application 49

Application submission and deadlines 50

Step 6: Learn What Happens After Award 53

Post-award requirements and administration 54

Contacts and support 59

Agency contacts 60

Grants.gov 60

SAM.gov 60

Reference websites 61

Contents 2

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

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

See Step 2: Get Ready to Apply

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

See Step 2: Get Ready to Apply

Apply by April 15, 2024 Applications are due by 11:59 p.m. Eastern Time on April 15, 2024.

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

Jump to a step

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

Step 1:

Review the Opportunity

In this step

Basic information 5

Eligibility 7

Program description 8

Basic information Centers for Disease Control and Prevention (CDC)

National Center for Chronic Disease Prevention and Health Promotion

Division of Population Health

Improve data collection to advance health equity by collecting data among underrepresented communities.

Have questions?

See Contacts and support.

Key facts

Opportunity Name:

Behavioral Risk Factor Surveillance System (BRFSS): Impact on Population Health

Opportunity Number:

CDC-RFA-DP-24-0023

Federal Assistance Listing:

93.336

Key dates

Application deadline:

April 15, 2024

Optional letter of intent deadline:

March 1, 2024

Informational webinar:

February 27, 2024

Expected award date:

July 1, 2024

Expected start date:

August 1, 2024

Summary We invite you to apply for funding under the Behavioral Risk Factor Surveillance System (BRFSS) Program. This initiative aims to increase the reporting of health outcomes. As part of broader BRFSS data collection, the program focuses on advancing health equity among underrepresented groups.

• Objective: Monitor health risk behaviors at smaller, sub-state geographic areas such as metropolitan statistical areas and counties

• Methodology: Use of a standardized telephone questionnaire under the BRFSS surveillance system

• Data sharing and access: The data is collected specifically for use for public health purposes by the state health department, U.S. territories, or freely associated states, and CDC

• Eligibility: Open competition

Funding details Type: Cooperative agreement

Expected total program funding over the performance period: $159,000,000

Expected total program funding per budget period: $31,800,000

Expected awards: 57

Funding range per applicant per budget period: $70,000 to $600,000

Expected average award amount per budget period: $125,000 to $450,000

Step 1: Review the Opportunity 5

We plan to award projects for 12-month budget periods for 5-year periods of performance.

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

Funding strategy There can only be one awarded recipient per state, territory, or freely associated state.

If multiple applications from the same state, territory, or freely associated states are received, only the highest-scoring application will be funded.

The applicant organization’s primary business address must be in the state for which it is applying.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow on your keyboard.

Step 1: Review the Opportunity 6

Eligibility Who can apply

Eligible applicants This is an open competition.

Eligibility is unrestricted. Your organization may be any entity type, but you must meet the requirements noted in the initial review.

These types or organizations may apply:

• State governments

• County governments

• City or township governments

• Special district governments

• Independent school districts

• Public and state-controlled institutions of higher education

• Native American tribal governments (Federally recognized)

• Public housing authorities and Indian housing authorities

• Native American tribal organizations, other than federally recognized tribal governments

• Nonprofits having a 501(c)(3) status, other than institutions of higher education

• Nonprofits without 501(c)(3) status, other than institutions of higher education

• Private institutions of higher education

• For-profit organizations other than small businesses

• Small businesses

Other required qualifying factors See initial review for factors that will make your application non-responsive.

Step 1: Review the Opportunity 7

Cost sharing and matching funds This program has no cost-sharing requirement or matching funds requirement.

If you choose to include cost-sharing funds as a contribution to the award, we won’t consider it during the review of your application; however, those voluntary cost-sharing funds will be a requirement of your award, and you will need to report on them.

Program description Background Overview

Understanding and addressing health disparities Local public health agencies do not get enough state-specific information from national surveillance system data. The use of state and local government surveillance systems can improve public health by helping local public health agencies:

• closely monitor health disparities

• implement targeted preventive efforts

• address emerging public health situations

• highlight health disparities in underrepresented communities

Using the Behavioral Risk Factor Surveillance System The Behavioral Risk Factor Surveillance System (BRFSS) plays a crucial role in public health surveillance. It focuses primarily on adults over 18 who do not live in institutions.

The BRFSS is sometimes the only source of state or territory-specific risk behavior data. It is used by policymakers, researchers, academics, and the public.

Currently, the District of Columbia, all 50 U.S. states, several territories, and freely associated states take part in the BRFSS, demonstrating its wide implementation and significance.

Step 1: Review the Opportunity 8

This effort helps monitor the prevalence of health risk behaviors linked to chronic health problems, preventable injuries, and other emerging health threats.

Related work

DP20-2007

Purpose This opportunity provides financial and technical aid to help communities monitor behavioral risk factors and chronic health conditions among adults in the United States, DC, U.S. territories, and freely associated states.

Approach Overview The logic model below includes the strategies and activities required under this NOFO. It also includes the program’s expected outcomes. The asterisked outcomes are those we expect you to achieve during the 5-year period of performance.

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

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

Program logic model The logic model shows the strategies and activities of the program along with the outcomes we expect over time. We will require you to report on the asterisked (*) outcomes as follows.

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

Step 1: Review the Opportunity 9 https://grants.gov/search-results-detail/324154

Table: Program logic model

Strategies and Activities Short-term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Strategy 1. Collect data and develop the plan

• Collect BRFSS data: Collect and compile health-related data across your jurisdiction.

• Innovate the process: Adopt modernized processes and innovative sampling strategies.

• Plan the surveillance: Develop guidelines for implementing a surveillance plan.

Strategy 2. Build community partnerships

• Collaborate with a community advisory group: Promote growth and stabilize partnerships with community stakeholders to tackle health-related priorities and prospects.

• Grow strategic partnerships:

Develop and expand strategic relationships with communities under-represented in BRFSS data.

Strategy 3. Conduct outreach and education

• Share information with underrepresented communities: Conduct outreach activities in at least two communities.

• Host community meetings: Hold annual meetings (in-person, virtual, or hybrid) to discuss BRFSS data strategies, access, and availability.

• Increased monitoring of health-related risk behaviors, chronic health conditions, and use of preventive services.

• More timely access to BRFSS data for local areas.*

• Increased knowledge and awareness of BRFSS data among under-represented communities.

• Expanded communication and marketing campaigns with under-represented communities’ partners or advisory groups related to accessing the data.*

• Improved use of BRFSS data to guide public health actions and policies that promote healthy lifestyles among all population groups.

• Greater sharing and use of data among partners who promote health equity within under-represented communities.*

• Improved sharing and use of BRFSS data among traditional advocates.

• Enhanced health-focused policies at local, state, and federal levels, with special attention towards under-represented communities.

• Enhanced policies at local, state, and federal levels aim to boost health outcomes.

Step 1: Review the Opportunity 10

Strategies and activities This section elaborates on the required strategies and activities described in the logic model and provides details on the expectations of recipients to implement the NOFO.

Strategy 1. Collect data and develop the plan

Collect BRFSS data

Collect and compile health-related data across your geographic area. BRFSS data consists of data from all 50 states, D.C., U.S. territories, and freely associated states.

Refer to BRFSS Data User Guide for information on the data collected. Your data should include:

• Risk behaviors

• Chronic conditions

• Use of preventive services

• Demographics

• Emerging issues

You will maximize the size of the sample to have a sufficient cross-tabulation for analyses by demographics. Demographics should include categories of:

• Age

• Sex

• Race

• Ethnicity

• Education

• Marital status

• Geography

Make sure the range of sample sizes is based on state population.

If the state population falls within the ranges shown in the following table, then you are encouraged to collect the targeted sample size. If the targeted sample size is not reached, follow the minimum acceptable sample size to allow for weighting and inclusion in the public-use data set.

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

Step 1: Review the Opportunity 11 https://www.cdc.gov/brfss/data_documentation/pdf/UserguideJune2013.pdf

Table: Targeted sample size by population

Population Targeted sample size Minimum sample size

Less than 200,000 2,000 1,500

200,001 to 900,000 4,000 2,500

More than 900,001 6,000 4,000

Innovate the process

Use modernized processes and innovative sampling strategies.

• Implement web-based surveys or other recent modern methodologies as agreed upon by CDC and state BRFSS coordinators.

• Use Random Digit Computer Assisted Telephone Interviewing (RDD CATI) to conduct interviews throughout the year based on the targeted sample size per population as shown in the table.

• Clean data from interviews prior to submission to CDC.

• Use modernized and innovative processes and newer technology to prepare and disseminate data within communities in a timely manner.

Plan the surveillance

You will develop your surveillance plan before starting data collection. CDC will provide guidelines for implementing it.

• Review the scope and operations of BRFSS found in the BRFSS Data User Guide. This describes the annual standard core, the biannual rotating core, optional modules, and any state-added questions for the BRFSS questionnaire.

• Refer to the Data Collection Protocol for information on the BRFSS data collection process, survey questionnaire protocol, and other helpful information that will guide the implementation of your surveillance plan.

• Describe how the surveillance plan will be developed, maintained, implemented, and updated using the BRFSS Data User Guide.

• Implement a sample design that accommodates sub-state geography, such as:

◦ Public health districts

◦ Counties, cities

◦ Metro, non-metro areas

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

Step 1: Review the Opportunity 12 https://www.cdc.gov/brfss/data_documentation/pdf/UserguideJune2013.pdf

Your role in surveillance

You will be required to:

• Design your local jurisdiction’s sample in collaboration with CDC

• Design your unique local jurisdiction’s questionnaire within BRFSS guidelines

• Contract with your BRFSS data collector

• Monitor the quality of data collection

• Provide CDC with cleaned raw data files according to the annual data submission layout

• Submit annual information requests, sample, and self-certification forms

• Provide monthly data files including raw data, call history, and metadata for cleaning, weighting, reporting, and quality assurance purposes

The CDC plays a pivotal role in assisting BRFSS data collection and surveillance activities. Such support encompasses the establishment of guidelines and aiding in surveillance activities. Refer to CDC’s role for more information on the role that CDC plays in aiding your surveillance activities.

Improve BRFSS data collection

• Collect data throughout the year with at least 6 months of representative samples.

• Complete cell phone and landline interviews according to state-level statistics about phone use.

• Maximize the sample size to allow for considerable cross-tabulation to make it possible to analyze regional demographic factors.

• Clean, monitor, and submit data collected from interviews efficiently and in a timely manner.

• Use newer technology, modernized and innovative processes to provide timely access to BRFSS data within local communities.

Data sharing and access

Consistent with 45 CFR 75.322(d), the U.S. Federal Government has the right to:

• Obtain, reproduce, publish, or otherwise use the data produced under a federal award; and

• Authorize others to receive, reproduce, publish, or otherwise use such data for Federal purposes

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

Step 1: Review the Opportunity 13 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D

In your application, describe how you will:

• Plan your surveillance and collect data using the BRFSS Data User Guide.

• Use Random Digit Computer Assisted Telephone Interviewing (RDD CATI) and other recent methodologies to conduct interviews to collect data.

◦ This calling methodology may fall under the Telephone Consumer Protection Act. You are responsible for complying with it.

• Accommodate sub-state geography into your data collection sample design.

• Improve data collection by cleaning, monitoring, and submitting data collected from interviews efficiently and in a timely manner.

Strategy 2. Build community partnerships

Collaborate with a community advisory group

Promote growth and stabilize partnerships with community stakeholders to tackle health-related priorities and prospects.

• Develop, grow, and maintain partnerships with community members and organizations to address local health-related priorities, challenges, and opportunities.

• Represent different population and demographic groups that are present locally.

• Share BRFSS data with partners from the advisory group and other community partners.

Grow strategic partnerships

Develop and expand strategic relationships with communities underrepresented in BRFSS data.

• Select at least 2 underrepresented communities from your jurisdiction.

• Strategically develop and expand relationships with the selected communities.

• Share BRFSS data with selected underrepresented communities.

• Refer to focus populations for more information.

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

Step 1: Review the Opportunity 14

In your application, describe how you will:

• Develop, grow, and maintain partnerships with community members and organizations from the advisory group.

• Approach collaboration with the selected underrepresented communities and then develop and expand those relationships.

• Respond promptly to requests for BRFSS data and other ways of sharing and disseminating the data efficiently with community advisory groups and other community partners.

Strategy 3. Conduct outreach and education

Share information with underrepresented communities

Conduct outreach activities with the selected underrepresented communities.

• Activities should educate communities on the use of BRFSS data.

• Market the program by engaging with the selected underrepresented communities.

• Develop campaigns, social media, billboards, or other marketing activities to share information about BRFSS data.

Host community meetings

Hold annual meetings to discuss BRFSS data strategies, access, and availability with community advisory groups and other community partners.

Convene this annual meeting with community advisory groups and other community partners to discuss strategies for sharing BRFSS data.

In your application, describe how you will:

• Conduct outreach activities with partners or advisory groups to consult with selected underrepresented communities on the use of BRFSS data.

• Develop public health educational programming via traditional or social media to educate communities.

• Market the program with selected underrepresented communities.

• Host community meetings annually with community advisory groups and other community partners to discuss strategies for sharing BRFSS data.

• Disseminate BRFSS data within selected underrepresented communities.

Step 1: Review the Opportunity 15

Outcomes This section includes outcomes you are expected to report progress on and achieve within the performance period.

We will measure your progress toward the following short and intermediate outcomes from the logic model:

Short-term outcome

• More timely access to BRFSS data for local areas.

• Expanded communication and marketing campaigns with underrepresented communities’ partners or advisory groups related to accessing the data.

Intermediate outcome

• Greater sharing and use of data among partners who promote health equity within underrepresented communities.

Focus populations BRFSS relies on participation from non-institutionalized adults, 18 years and older. For example, underrepresented populations include:

• Rural and frontier communities that are consistently below U.S. poverty levels

• Those affected by health disparities, such as:

◦ Uninsured or under-insured people

◦ People with disabilities

◦ Geographically or culturally isolated people

◦ Medically unserved or under-served people

• Organizations that form partnerships with underrepresented communities, which may include:

◦ HBCUs

◦ Latinx-serving organizations

◦ Native American Tribal Councils

Step 1: Review the Opportunity 16

In your application’s project narrative, describe:

• The communities, including demographics, location, health literacy, screening rates, prevalence, and mortality.

• How BRFSS data will be used to report health disparities and promote health equity.

◦ The data can be obtained from the health district level or county level for your jurisdiction.

• Your approach to establishing collaborations within underrepresented communities.

• An outline addressing health equity challenges.

Equal opportunities This NOFO, including funding and eligibility, is not limited based on, and does not discriminate on the basis of race, color, national origin, disability, age, sex (including gender identity, sexual orientation, and pregnancy) or other constitutionally protected statuses.

Health disparities The goal of health equity is for everyone to have a fair and just opportunity to attain their highest level of health. Health disparities are often caused by social determinants that influence which populations are most disproportionately affected by health conditions.

A health disparity is a difference in health burdens between groups of people with differing social determinants of health.

Social determinants of health are conditions in the environments where people are born, live, learn, work, play, worship, and age. These determinants affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Collecting BRFSS data in underrepresented communities allows us to:

• Understand where health disparities and inequities exist within local and state areas.

• Report on health-related risks and chronic conditions to help prevent and mitigate health-related risks and chronic conditions.

• Collect and report data to advance health equities and reduce health disparities.

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

Step 1: Review the Opportunity 17 https://www.cdc.gov/about/sdoh/index.html

• Improve health outcomes by enhancing access to preventive and treatment services to improve quality of life within these communities.

Organizational capacity Describe, within your project narrative, your:

• Organizational structure, including key personnel

• History of experience

• Capabilities

• Collaborations

Organizational structure You are required to include:

• A staffing plan that explains staff roles and project management structure

• Information on your key personnel. Refer to the Required key personnel table.

• An organizational chart

• Resumes and job descriptions for those who will take on key personnel roles

Staffing plan requirements Include the following information in your staffing plan:

• Staffing levels

◦ The number of people on staff and their labor of effort.

• Staff skills and experience

◦ Describe how staff have the necessary skills and experience to implement the activities and achieve the outcomes. These required skills and experiences include:

▪ Recent experience using Computer Assisted Telephone Interviewing (CATI) methodology to conduct interviews.

▪ Recent experience managing and maintaining data collection at the population level along with cleaning and analyzing the data.

▪ Recent experience administering and analyzing results of sub-national level population-based surveys examining health risk and health status.

Step 1: Review the Opportunity 18

▪ Experience effectively gathering, analyzing, interpreting, and using evidence-based or evidence-informed strategies.

▪ Experience in collecting, cleaning, analyzing, and disseminating population-level health status survey data.

▪ Recent experience collecting population-based survey data within a state or sub-national level.

▪ Experience developing, implementing, maintaining, and updating state-wide surveillance plans.

▪ Experience collaborating with CDC or other national organizations to collect, analyze, and disseminate population-level health status survey data.

▪ Experience collaborating with community members and partners in underrepresented communities.

▪ Experience conducting outreach activities in underrepresented communities.

▪ Experience educating communities and marketing public health programs.

▪ Recent experience developing public health educational programs via traditional or social media to educate the public.

▪ Recent experience reporting and disseminating population-level data to counties, health districts, or community partners.

• Staff resources

◦ The resources your organization has available to implement the activities and achieve the outcomes.

• Staff responsibilities

◦ Staff should have the skills and experience listed above on your team or organization.

◦ Staff should use your in-house resources or hire a third-party contractor for data collection.

◦ Staff should implement the activities and achieve the proposed outcomes.

◦ Staff should collaborate strategically with underrepresented communities to advance health equity and reduce health disparities.

• Staff roles

◦ Include each staff member implementing the activities.

◦ List the required key personnel (as indicated in the following table) in your project and budget narrative.

Step 1: Review the Opportunity 19

◦ Describe, in the project narrative, the role these key personnel will play in achieving the work plan’s outcome.

◦ Key personnel should be full-time employees.

Table: Required key personnel

Role Description

Authorized organization representative

(AOR)

Supervises financial aspects and supports activities

Project director (PD) or principal investigator (PI)

Provides programmatic oversight (should not be the AOR)

Coordinator Manages cooperative agreement work and the day-to-day operations of the program(For this position, we recommend you dedicate .50 to 1.0 FTE workload.)

History of experience Your organization should describe recent experience:

• Using Computer Assisted Telephone Interviewing (CATI) and other recent methodologies to conduct interviews.

• Collecting and analyzing data at the population level.

• Administrating and maintaining population-based health risk behaviors and chronic disease surveys at the subnational level.

• Developing, maintaining, and updating a statewide surveillance plan.

• Implementing activities statewide from the surveillance plan.

• Collaborating with CDC or other national organizations to collect, analyze, and disseminate population-level health status survey data.

• Collaborating with community members and partners in underrepresented communities.

• Including a description of monthly data collection of a population-based annual state or sub-state representative sample.

Your organization should be knowledgeable in recent methodologies and capabilities to properly implement the activities.

Step 1: Review the Opportunity 20

Capabilities Your organization should also be equipped to:

• Collect BRFSS data by implementing the survey throughout the year.

• Build, update, and maintain a surveillance plan.

• Implement activities statewide from the surveillance plan.

• Maintain and expand collaboration with partners from advisory groups.

• Develop, maintain, and enhance collaboration with underrepresented communities’ partners.

Collaborations

With other CDC programs and CDC-funded organizations BRFSS data collection is sponsored by different programs within the CDC. CDC divisions use the data by sponsoring and supporting state and local public health prevention efforts.

You are required to develop and maintain collaborative relationships with other CDC-funded programs, projects, and funded organizations (when available within your organization) to achieve the outcomes in the logic model.

You might work with the following programs, though collaborations are not limited to this list:

National Center for Environment Health

National Center for Injury Prevention and Control

National Center for Chronic Disease Prevention and Health Promotion

• Division of Population Health

◦ Alzheimer’s Disease and Healthy Aging

◦ Arthritis

◦ Chronic Obstructive Pulmonary Disease

◦ Epilepsy

• Division of Nutrition, Physical Activity, and Obesity

• Office on Smoking and Health

• Division of Cancer Prevention and Control

• National Comprehensive Cancer Control Program

• Colorectal Cancer Control Program

• Division for Heart Disease and Stroke Prevention

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

Step 1: Review the Opportunity 21 https://www.cdc.gov/nceh/default.htm https://www.cdc.gov/injury/ https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/populationhealth/ https://www.cdc.gov/aging/index.html https://www.cdc.gov/arthritis/ https://www.cdc.gov/nccdphp/dnpao/index.html https://www.cdc.gov/epilepsy/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fepilepsy%2Findex.htm https://www.cdc.gov/nccdphp/dnpao/index.html https://www.cdc.gov/tobacco/index.htm https://www.cdc.gov/cancer/index.htm https://www.cdc.gov/cancer/ncccp/ https://www.cdc.gov/cancer/crccp/ https://www.cdc.gov/dhdsp/index.htm

• Division of Oral Health

• Division of Diabetes Translation

An official MOU or MOA is not necessary.

In the project narrative, you should describe how:

• You will share BRFSS data with the CDC. Annual aggregate data must be made available for CDC and public use.

◦ Details about how the data will be shared with CDC are provided by using the CDC-approved template on Data Management Plan (DMP).

◦ You are required to submit a DMP.

• Your collaboration with CDC will help carry out planned activities and achieve intended outcomes.

With organizations not funded by CDC You are required to:

• Develop, establish, and maintain partnerships with community members and organizations outside of those funded by CDC to address local health-related priorities, challenges, and opportunities. Collaborations should be reflective of the local community.

• Develop and expand relationships with selected underrepresented communities. Refer to Strategy 2 and focus populations for information on underrepresented communities and their partnership.

History of collaboration The history of collaboration should be about your experience:

• Collaborating with CDC or other national organizations to collect, monitor, clean, analyze, and disseminate population-level health status survey data.

• Collaborating with a community advisory group.

• Selecting underrepresented communities and approaching them for collaboration.

• Reporting and disseminating BRFSS data with community partners and selected underrepresented communities.

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

Step 1: Review the Opportunity 22 https://www.cdc.gov/oralhealth/index.html https://www.cdc.gov/diabetes/index.html

In the project narrative, describe how you plan to:

• Build and maintain collaborations with partners from the community advisory group, and the selected underrepresented communities.

• Communicate about BRFSS data, conduct outreach activities, and educate the selected underrepresented communities on the use of BRFSS data.

• Market the program with selected underrepresented community partners.

Share and disseminate BRFSS data with your partners and selected underrepresented communities.

Memorandum of Understanding (MOU or MOA) To ensure quality BRFSS data collection, management, analysis, and use, you are required to submit a MOU or MOA with the State Department of Health.

The MOU or MOA can be an agreement between the BRFSS coordinator, BRFSS program manager, BRFSS program director or the BRFSS principal investigator (PI) and the State Department of Health.

The MOU or MOA must describe how you will collaborate and achieve the proposed strategies and activities in this NOFO. It must include that the State Department of Health will have access to the raw data, call history, and metadata.

Your MOU or MOA should:

• Be on a letterhead signed by any one of the following:

◦ State health department director

◦ Commissioner of health

◦ Secretary of health

◦ Section head where BRFSS is housed within the department of health

◦ Director of finance who has fiscal oversight of BRFSS

• Provide a description of the collaborative process to achieve the strategies and activities by describing state-specific needs; sample design, selection of optional modules and inclusion of state-added questions; data collection, data submission, data dissemination analysis, and use of BRFSS data.

• Describe the roles and responsibilities of all the team members who are part of the collaboration.

Step 1: Review the Opportunity 23

• Describe how access to social determinants of health, state-level statistics, and other public health datasets will be gained and shared within the partnership.

You will submit the MOU or MOA in your Attachments.

Data, monitoring, and evaluation CDC strategy Throughout the 5-year cooperative agreement, CDC will collaborate with and support you in the development of a clear monitoring and evaluation plan.

This plan will:

• Include performance measures to evaluate program success and measurable impact

• Be used to monitor the implementation of strategies and evaluate progress towards outcomes

The evaluation will focus on:

• BRFSS data access

◦ Has there been an increase in timely access and requests for dissemination in local jurisdictions and underrepresented communities?

• Marketing and communication

◦ Have BRFSS data-related communications and marketing campaigns increased in underrepresented communities?

◦ Has this contributed to better access and use?

• Partnerships

◦ Have old and new partnerships improved communication and timely access to data in local jurisdictions?

◦ Have partnerships strengthened communication and marketing campaigns in underrepresented communities?

◦ Have partnerships in underrepresented communities increased access to timely data and requests for dissemination?

We expect that your evaluation plan will:

• Clearly describe your approach and procedure to monitoring and evaluation.

• Describe how it includes performance measures into planning, implementing, reporting of project activities.

Step 1: Review the Opportunity 24

• Identify the type of evaluation you will conduct.

• Describe your approach, staff responsibilities, and your timeframe for implementing the plan.

• Explain how your evaluation and performance measurement findings will be used to access outcomes, program success, and impact.

• Clearly explain how your evaluation and performance measurement findings will be used for continuous program quality improvement.

You are required to:

• Follow a standardized approach to evaluation.

• Collect and report process and outcome measures each year in the Annual Performance Report (APR).

• Develop and carry out jurisdiction-based evaluation plans, sharing findings with the CDC as needed.

• Contribute to refining the CDC’s evaluation and performance measurement strategy.

The format for submission will be specified in the post-award guidance. You may develop additional measures as necessary, but it is not required.

Required performance measures Following are the preliminary performance measures you will need to report on after award. We will likely refine the required measures for this program. If so, we will work with you and finalize them before we require you to submit any data.

Table: Performance measures

Outcomes Performance measures

More timely access to BRFSS data for local areas.

Data processes

• Number of data requests received for BRFSS data.

• Percentage of requests that required additional BRFSS data processing and analysis to complete the received data requests within the last 60 days.

BRFSS data access

• Percentage of data requests completed for BRFSS within the last 60 days.

• Quantity and percentage of new participants from underrepresented groups requesting BRFSS data within the last 60 days.

Step 1: Review the Opportunity 25

Outcomes Performance measures

Expanded communication and marketing campaigns among underrepresented communities related to accessing the data.

Marketing

• Number and percentage of marketing tools and resources created and distributed with partners, and in underrepresented communities.

Communication

• Number and percentage of publications by recipients and community partners citing BRFSS data, and in underrepresented communities.

• Number and percentage of state reports by recipients and community partners applying BRFSS data, and in underrepresented communities.

Greater sharing and use of data among partners who promote health equity within underrepresented communities.

Partnerships

• Number and percentage of newly built partnerships, and in underrepresented communities.

Dissemination of data

• Percentage of BRFSS data shared and disseminated within communities through partners.

Evaluation and performance measurement plan You must provide an evaluation and performance measurement plan 6 months after the initial award. Use the measures required under the CDC strategy above. Include the following elements.

Methods Describe the following.

• How you will:

◦ collect the performance measures

◦ respond to the evaluation questions

◦ use evaluation findings for continuous program quality improvement

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

• How findings will contribute to reducing or eliminating health disparities, if relevant.

Step 1: Review the Opportunity 26

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

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

Data management Your data management plan (DMP) must be reviewed annually and revised if needed. If you revise it, submit the updated DMP with the Annual Performance Report (APR)/continuation application. Indicate the date of review and revision and submit the revised copy with the APR/continuation application.

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

• The data you plan to collect and their available data sources

• The feasibility of collecting appropriate evaluation and performance data

A data management plan (DMP) that includes:

• the data you will collect or generate

• if there are reasons why you cannot share data collected or generated under this award with CDC. These could include legal, regulatory, policy, or technical concerns.

• who can access data and how you will protect it

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

• archival and long-term data preservation plans

• how you will update the Data Management Plan (DMP) as new information is available over the life of the project. You will provide updates to the DMP in annual reports. For more information about CDC’s policy on the DMP, see Data Management and Access Requirement at CDC’s website.

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

An approved DMP template is available online at Chronic Disease Center Notice of Funding Opportunities.

For a definition of “public health data” and other key information, see AR 25:

Data Management and Access on our website.

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

Step 1: Review the Opportunity 27 https://www.cdc.gov/grants/additional-requirements/ar-25.html https://www.cdc.gov/chronicdisease/programs-impact/nofo/index.htm https://www.cdc.gov/chronicdisease/programs-impact/nofo/index.htm https://www.cdc.gov/grants/additional-requirements/ar-25.html https://www.cdc.gov/grants/additional-requirements/ar-25.html

Evaluation activities You must take on specific evaluation activities. Describe:

• The type of evaluations, such as process, outcome, or both.

• Key evaluation questions addressed by these evaluations.

• Other information such as measures and data sources.

An initial draft of your Evaluation and Performance Measurement Plan, including the DMP, should be submitted with your application. You must submit a more detailed plan within the first six months of the award. See Reporting.

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

Align your work plan with all required elements:

• Strategies and activities to be implemented

◦ Refer to Strategies and Activities or Logic Model

• Process measures

◦ Refer to Evaluation and Performance Measurement

• Period of performance outcome

◦ Refer to Outcomes or Logic Model

• Outcome measures

◦ Refer to Evaluation and Performance Measurement

• Responsible position or party

◦ To implement the approach, from your organizational capacity or key personnel section

• Completion date

◦ Proposed time frame to complete the activity

Step 1: Review the Opportunity 28

As part of the project narrative, your work plan should:

• Include a detailed work plan for Year 1 and a general plan for later years.

• Align your techniques, activities, outcomes, assessments, performance measures with the NOFO logic model and narrative sections.

• Align with proposed strategies and activities, outcomes, and performance measures.

• Describe how you will approach and develop partnerships in the selected underrepresented communities as listed in Focus Populations, Logic Model and Approach.

• Address how you intend to reduce health disparities and advance health equity.

• Include your work plan’s required elements for each performance outcome.

◦ You can use the format shown in the following table, but this format is not required. Either way, your work plan must include the same essential elements.

◦ If an activity leads to multiple outcomes, describe it under each relevant measure.

Table: Sample format for work plan

Activities to be Implemented

Progress or Process Measure(s) From Data, Monitoring, and Evaluation section

Relevant Period of Performance Outcome(s) From Outcomes section or logic model

Responsible Position or Party

Completion Date

Strategy 1:

1.

2.

3.

Strategy 2:

1.

2.

3.

Step 1: Review the Opportunity 29

Paperwork Reduction Act Any activities involving information collection from 10 or more individuals or organizations may require you to follow the Paperwork Reduction Act (PRA).

This requires review and approval by the White House Office of Management and Budget. For further information about CDC’s requirements under PRA see CDC Paperwork Reduction Act Compliance. Collections include items like surveys and questionnaires.

Funding policies and limitations General guidance

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

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

• Generally, you may not use funds to purchase furniture or equipment.

Clearly identify and justify any such proposed spending in the budget.

• You should include all involved positions in the BRFSS program budget.

This should include FTE and in-kind personnel.

• You must participate in the annual BRFSS meeting. Attendance is expected from all funded recipients. Meetings take place in Atlanta or other designated locations.

◦ Budget note: Include travel expenses for 2 participants.

◦ Possible attendees might include your BRFSS coordinator, program manager, or epidemiologist.

Unallowable costs You may not use funds for:

• Research.

• Clinical care except as allowed by law.

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

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

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

Step 1: Review the Opportunity 30 https://www.cdc.gov/os/integrity/reducepublicburden/index.htm

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

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

• See Anti-Lobbying Restrictions for CDC Recipients.

• Construction.

• Sub-recipient contractor travel to the Annual BRFSS Meeting and Conference.

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

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

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

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

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

This rate is 10% of modified total direct costs (MTDC). See 45 CFR 75.2 for the definition of MTDC. You can use this rate indefinitely.

Other indirect cost policies

• As described in 45 CFR 75.403(d), you must consistently charge items as either indirect or direct costs and may not double charge.

• Indirect costs may include the cost of collecting, managing, sharing, and preserving data.

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

Step 1: Review the Opportunity 31 http://www.cdc.gov/grants/documents/Anti-Lobbying_Restrictions_for_CDC_Grantees_July_2012.pdf https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-45/section-75.414 https://www.cdc.gov/grants/documents/budget-preparation-guidance.pdf https://www.ecfr.gov/current/title-45/part-75#p-75.414(f) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-45/part-75#p-75.403(d)

National public health priorities and strategies Healthy People 2030 Data collection activities within this NOFO align with several Healthy People 2030 focus areas, including:

• Cancer

• Social Determinants of Health

• Access to Health Services

• Quality of Life and Well-Being

• Diabetes

• Older Adults

• Binge Drinking

• Smoking

• Physical Activity

This NOFO also supports the central ideas for the existing Healthy People 2020 framework to provide data that are accurate, timely, accessible, and can drive targeted actions to address regions and populations with poor health or at high risk for poor health in the future. This data will inform each new decade’s goals and objectives.

Statutory authority 301(a) of the Public Health Service Act, as amended (42 U.S.C. 241(a)).

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

Step 1: Review the Opportunity 32 https://health.gov/healthypeople/objectives-and-data/browse-objectives/cancer https://health.gov/healthypeople/priority-areas/social-determinants-health https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-health-services https://health.gov/healthypeople/search?query=quality+of+life+and+well-being https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes https://health.gov/healthypeople/objectives-and-data/browse-objectives/older-adults https://health.gov/healthypeople/search?query=binge%20drinking https://health.gov/healthypeople/search?query=smoking https://health.gov/healthypeople/objectives-and-data/browse-objectives/physical-activity

Step 2:

Get Ready to Apply

In this step

Get registered 34

Get registered While you can review the requirements and get started on developing your application before your registrations are complete, you must be registered in both SAM.gov and Grants.gov to apply.

SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier. SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and click Get Started. From the same page, you can also click on the Entity Registration Checklist for the information you will need to register.

Grants.gov You must also have an active account with Grants.gov. You can see step-by step instructions at the Grants.gov Quick Start Guide for Applicants.

Need Help? See Contacts and support.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number

CDC-RFA-DP-24-0023.

If you can’t use Grants.gov to download application materials or have other technical difficulties, including issues with application submission, contact grants.gov for assistance. The www.grants.gov Contact Center is available 24 hours a day, 7 days a week, except federal holidays. The Contact Center is available by phone at 1-800-518-4726 or by e-mail at support@grants.gov.

To get updates on changes to this NOFO, select Subscribe from the View Grant Opportunity page for this NOFO on Grants.gov.

Help applying For help on the application process and tips for preparing your application, see How to Apply on our website. For other questions, see Contacts and support.

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

Step 2: Get Ready to Apply 34 https://sam.gov/content/entity-registration http://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants http://grants.gov/search-grants http://www.grants.gov/ mailto:support@grants.gov https://www.cdc.gov/grants/applying/index.html

Join the webinar Join us for an informational webinar on February 27, 2024, at 3 pm ET.

Microsoft Teams meeting Join on your computer, mobile app, or room device Click here to join the meeting Meeting ID: 288 989 946 178 Passcode: 2THiVo

Download Teams | Join on the web

Or call in (audio only) +1 404-718-3800, 224403364# United States, Atlanta

(888) 994-4478, 224403364# United States (Toll-free) Phone Conference ID: 224 403 364#

You can check for updates on changes to this NOFO.

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

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