Foa_Content_of_CDC-RFA-DP21-2112 (3).pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH

PROMOTION

Expanding the National Approach to Chronic Disease Education and Awareness

CDC-RFA-DP21-2112

06/21/2021

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- DP21-2112. 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:

Expanding the National Approach to Chronic Disease Education and Awareness 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-DP21-2112

E. Assistance Listings Number:

93.945 F. Dates:

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

The LOI date will generate once the Synopsis is published if Days or a Date are entered.

2. Due Date for Applications:

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

06/21/2021 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

April 29, 2021, 2:30 p.m. ET 1-888-942-8140, Participant Passcode: 1121992

Frequently Asked Questions (FAQs) can be found at www.cdc.gov/populationhealth/chronicdiseaseawareness Email your questions to cdawarenessgrant@cdc.gov (cdawarenessgrant@cdc.gov). Questions and answers will be posted to the FAQs.

G. Executive Summary:

1. Summary Paragraph Expanding the National Approach to Chronic Disease Education and Awareness is a competitive grant program to expand and advance CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) work with stakeholders and partners on education, outreach, and public awareness activities for a variety of chronic diseases, for which there is a clear disparity in public and professional awareness, that are not currently funded through a direct FY21 CDC appropriations line. Applicants will propose a chronic disease and implement strategies and activities that have the potential to strengthen the science base for prevention, education, and public health awareness that could lead to evidence-based public health interventions to make meaningful improvements in patient outcomes. Recipients will enhance NCCDPHP’s public health impact by implementing the following strategies related to their proposed chronic disease: 1) Data dissemination activities that support awareness for public health professionals; 2) Develop data collection tools to fill information gaps; 3) Educational activities supporting public awareness; and 4) Educational activities supporting health professional screening, referral, and treatment and/or management. Collecting and disseminating reliable information on the impacts of chronic diseases is necessary to shape effective, evidence-based clinical and population-level approaches for public health impact and health equity.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

G (Grant)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$ 3,900,000

e. Average One Year Award Amount:

$ 325,000

f. Total Period of Performance Length:

g. Estimated Award Date:

September 29, 2021 https://www.grants.gov/ http://www.cdc.gov/populationhealth/chronicdiseaseawareness mailto:cdawarenessgrant@cdc.gov http://www.cdc.gov/budget/documents/fy2021/fy-2021-cdc-operating-plan.pdf http://www.cdc.gov/budget/documents/fy2021/fy-2021-cdc-operating-plan.pdf

h. Cost Sharing and / or Matching Requirements:

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

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview Chronic diseases account for 7 of the 10 leading causes of death in the United States[1] and are a major driver of health care costs and poor quality of life. Six in 10 adults live with a chronic condition[2]. Treatment and management of chronic diseases can result in adverse outcomes for significant portions of the population living with a disease. CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) helps people and communities prevent and manage chronic diseases and promotes health and wellness for all. For example, NCCDPHP funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, and tribes that address the prevention and treatment of chronic diseases (https://www.cdc.gov/chronicdisease/programs-impact/budget/index.htm). Expanding chronic disease activities beyond currently appropriated activities will allow CDC to further address diseases that impact patient and population health.

Engaging stakeholders is a foundational public health activity that can result in meaningful patient and population level outcomes. In 2020, Congress recognized CDC’s work with stakeholders to expand public health education and awareness activities that help improve surveillance, diagnosis, and proper treatment for chronic diseases. Congress charged CDC with establishing a new competitive grant program to expand and advance work with stakeholders on education, outreach, and public awareness activities for a variety of chronic diseases for which there is a clear disparity in public and professional awareness and that are not currently funded through a direct FY21 CDC appropriations line. This approach would strengthen the science base for prevention, education, and public health awareness for a variety of chronic diseases that do not currently have dedicated resources that would lead to meaningful patient outcomes.

[1] Murphy SL, Xu JQ, Kochanek KD, Arias E, Tejada-Vera B. Deaths: Final data for 2018.

National Vital Statistics Reports; vol 69 no 13. Hyattsville, MD: National Center for Health Statistics. 2020.

[2] Buttorff C, Ruder T, Bauman M. Multiple Chronic Conditions in the United States. Santa Monica, CA: Rand Corp.; 2017.

b. Statutory Authorities Section 301(a) of the Public Health Service Act, 42 U.S.C. 241(a).

From Omnibus Spending, FY 21:

$1.5 Million Chronic Disease Education and Awareness -The agreement includes funding to establish a new competitive grant program as directed in House Report 116-450.

https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/programs-impact/budget/index.htm https://www.cdc.gov/budget/documents/fy2021/fy-2021-cdc-operating-plan.pdf

From: https://www.congress.gov/116/crpt/hrpt450/CRPT-116hrpt450.pdf (page 72) Chronic Disease Education and Awareness—The Committee recognizes CDC’s work with stakeholders to expand public health education and awareness activities that help to improve surveillance, diagnosis, and proper treatment for chronic diseases. The Committee includes $3,000,000 to establish a Chronic Disease Education and Awareness competitive grant program to expand and advance CDC’s work with stakeholders on education, outreach, and public awareness activities for a variety of chronic diseases for which there is a clear disparity in public and professional awareness that are not already specified under CDC in this report. This approach would utilize a competitive grant process to strengthen the science base for prevention, education, and public health awareness for a variety of chronic diseases, such as lymphatic diseases, that do not currently have dedicated resources that would lead to meaningful patient outcomes.

c. Healthy People 2030 Health Communication - Healthy People 2030 | health.gov; Health IT - Healthy People 2030 | health.gov; Older Adults - Healthy People 2030 | health.gov; People With Disabilities - Healthy People 2030 | health.gov; Health Care - Healthy People 2030 | health.gov; Public Health Infrastructure - Healthy People 2030 | health.gov; Cancer - Healthy People 2030 | health.gov;

Mental Health and Mental Disorders - Healthy People 2030 | health.gov; Respiratory Disease - Healthy People 2030 | health.gov; Sleep - Healthy People 2030 | health.gov.

d. Other National Public Health Priorities and Strategies COPD National Action Plan | NHLBI, NIH Healthy Sleep Awareness Project (sleepeducation.org) Public-Health-Agenda for Psoriasis (cdc.gov) Position Papers — National Lymphedema Network (lymphnet.org) Standardized Frameworks for Clinical Education and Practice

e. Relevant Work Complements or fills gaps in CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) current priorities. NCCDPHP’s FY 2021 operating budget currently funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, tribes, non-governmental organizations, and national partners. In addition, CDC leads or co-leads several national initiatives, such as Millions Hearts, National Diabetes Prevention Program, and Active People, Healthy Nation.

2. CDC Project Description

a. Approach Bold indicates period of performance outcome.

CDC-RFA-DP21-2112 Logic Model: Expanding the National Approach to Chronic Disease Education and Awareness For more details, refer to the “Outcomes,” “Strategies and Activities,” and “Evaluation and Performance Measurement” sections below.

Strategy/Activity Short-term Outcome

Intermediate Outcomes

Period of Performance https://www.congress.gov/116/crpt/hrpt450/CRPT-116hrpt450.pdf https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-communication https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-it https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-it https://health.gov/healthypeople/objectives-and-data/browse-objectives/older-adults https://health.gov/healthypeople/objectives-and-data/browse-objectives/people-disabilities https://health.gov/healthypeople/objectives-and-data/browse-objectives/people-disabilities https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care 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/cancer https://health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders https://health.gov/healthypeople/objectives-and-data/browse-objectives/respiratory-disease https://health.gov/healthypeople/objectives-and-data/browse-objectives/respiratory-disease https://health.gov/healthypeople/objectives-and-data/browse-objectives/sleep https://www.nhlbi.nih.gov/health-topics/education-and-awareness/COPD-national-action-plan http://sleepeducation.org/healthysleep https://www.cdc.gov/psoriasis/pdf/Public-Health-Agenda-for-Psoriasis.pdf https://lymphnet.org/position-papers https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/index.htm

Outcomes (Required)

Strategy 1: Data dissemination for the proposed chronic disease

Review and compile existing national and state-level measures

Review and synthesize evidence-based strategies

Draft or update a national/state indicator report

Disseminate national and/or state indicator report to public health professionals

Strategy 2: Develop survey tools to fill data gaps

Identify questions from previous health projects

Develop questions to fill gaps

Develop and test the questions and/or modules

Strategy 3: Educational activities that support public awareness

Review and synthesize existing public awareness

Increased number of updated national/state indicators reports

Increased number of survey questions and/or modules for assessing the proposed chronic disease

Increased number of materials and tools available to increase public awareness of the proposed chronic disease

Increased number of media messages about the proposed chronic disease by priority audience

Increased number of materials or tools presenting best practices for screening, referral, and treatment and/or management, including self-management, for health care professionals

Increased number of available curriculum/ learning opportunities for health care professionals

Increased number of national and/or state indicator reports disseminated to public health professionals

Increased number of tested survey questions and/or modules for assessing the proposed chronic disease

Increased number of informational materials and messages disseminated by media outlet and priority audience

Increased number of best practices and referral options for a proposed chronic disease disseminated to health care professionals

Increased number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease

Increased number of people who are aware of information related to prevention, screening, and treatment and/or ma nagement of the proposed chronic disease

Increased number of health care professionals who are aware of tools and best practices for screening, referral, and treatment and/or ma nagement options for the proposed chronic disease messages and materials

Create additional messages and materials, if needed

Use engaging methods to disseminate messages and materials

Strategy 4: Educational activities that support health care professionals

Review, compile, and synthesize evidence related to best practices for prompt screening, referral, and treatment and/or managem ent options, including self-management

Identify best practices for prompt screening, referral, and treatment and/or management options, including self-management

Identify tools available to promote best practices to health care professionals for use with patients and their caregivers

Create additional education and referral materials or tools for health care providers where gaps exist

Disseminate materials and/or tools to health care professionals

i. Purpose The purpose of this NOFO is to expand and advance CDC’s work with stakeholders on education, outreach, and public awareness activities to strengthen the science base for prevention, education, and public health awareness for a variety of chronic diseases that do not currently have dedicated resources that would lead to meaningful patient outcomes. Stakeholders will focus on data collection and dissemination, education, and public awareness activities that will support effective, evidence-based clinical and population-level approaches to improve health and health equity.

ii. Outcomes All recipients are expected to achieve the following outcomes by the end of the period of performance. These outcomes are bolded in the logic model.

Increased number of public health professionals who are aware of the public health surveillance data and evidence-based strategies for the proposed chronic disease

Increased number of people who are aware of information related to prevention, screening, and treatment and/or management of the proposed chronic disease

Increased number of health care professionals who are aware of tools and best practices for screening, referral, and treatment and/or management options for the proposed chronic disease

iii. Strategies and Activities Proposed Chronic Disease

The applicant must propose a single chronic disease to focus on during the life of the grant. The proposed chronic disease must meet the definition of a chronic disease. A chronic disease is defined broadly as a condition that lasts 1 year or more and requires ongoing medical attention or limits activities of daily living or both. The proposed chronic disease cannot currently be funded in CDC’s FY21 Congressional budget; it cannot have a dedicated funding line in the FY 2021 Appropriations Act, https://www.cdc.gov/budget/documents/fy2021/fy-2021-cdc-operating-plan.pdf.

https://www.cdc.gov/chronicdisease/about/index.htm

For the proposed chronic disease, the applicant must demonstrate the following:

A public health need for dedicated resources (e.g., percent of population impacted, disproportionate percentages of specific populations impacted, disease outcomes, or quality of life).

The need to assess the chronic disease in the general adult population to improve surveillance, diagnosis, and/or proper treatment.

How strengthening the science base about the proposed chronic disease, including social, behavioral, environmental, and quality of life aspects, will improve awareness, diagnosis, and proper treatment, and improve patient outcomes.

How a focus on the proposed chronic disease will shape or promote evidence-based practices for prevention, education, and public health awareness.

Finally, the ideal applicant must demonstrate that a focus on the proposed chronic disease has a high potential to complement or fill gaps in CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) current priorities. NCCDPHP’s FY 2021 operating budget (Our Budget | CDC) currently funds about 30 separate disease and risk factor prevention programs that are delivered by states, territories, cities, tribes, non-governmental organizations, and national partners.

Logic Model Recipients will be expected to conduct the strategies and activities listed in the logic model over the course of the 3-year period of performance. Recipients may find that the strategies and activities build upon each other to strengthen the science base for prevention, education, and public health awareness where there is a clear disparity between public and professional awareness. Recipients will focus on data collection and dissemination, education, and public awareness activities that will support effective, evidence-based clinical and population-level approaches to improve patient outcomes, health, and health equity.

Strategy 1: Data dissemination activities that support awareness for public health professionals Review and compile existing national and state-level measures related to the proposed chronic disease, including prevalence, mortality, related health indicators, risk factors, care-delivery measurements, contextual factors (social, behavioral, environmental), and quality of life (e.g., Chronic Disease Indicators (CDI) | DPH | CDC).

Review and synthesize information related to evidence-based strategies for addressing the proposed chronic disease, including community programs, practices, and policies.

Draft or update a national/state indicator report that includes the presentation of measures and evidence-based strategies about the proposed chronic disease.

Disseminate the National and/or State Indicator Report for the proposed chronic disease to public health professionals.

Strategy 2: Develop survey tools to fill data gaps Identify questions from previous health survey or surveillance projects that relate to the proposed chronic disease and review their strengths and weaknesses.

https://www.cdc.gov/chronicdisease/index.htm https://www.cdc.gov/chronicdisease/index.htm http://www.cdc.gov/cdi/index.html

Where gaps exist, develop questions appropriate for assessment and/or surveillance of the proposed chronic disease, including contextual factors (social, behavioral, environmental) and quality of life.

Partner with others to further develop and test the questions and/or modules.

Strategy 3: Educational activities that support public awareness Review and synthesize available informational messages and materials to increase public awareness of the proposed chronic disease.

Create additional messages and materials where gaps exist, including gaps in content or tailoring for priority audiences.

Use earned and paid media, online social networks, and other engaging methods to disseminate messages and materials about the proposed chronic disease.

Strategy 4: Educational activities that support health care professionals in screening, referral, and treatment and/or disease management

Review, compile, and synthesize the evidence related to best practices for prompt screening, referral, and treatment and/or management options, including self-management, for persons with the proposed chronic disease.

Identify best practices for prompt screening, referral, and treatment and/or management options, including self-management, related to the proposed chronic disease.

Identify tools available to promote best practices to health care professionals for use with patients with the proposed chronic disease and their caregivers.

Create additional education and referral materials or tools for health care providers where gaps exist or where there are limitations in tools' capacity to address barriers or specific audiences.

Disseminate these materials and/or tools to health care professionals through multiple engaging methods.

1. Collaborations

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

Collaborations with CDC chronic disease programs or other organizations funded by CDC for chronic diseases are required. Applicants must describe experience in successful collaborations with CDC NCCDPHP’s programs and/or CDC-funded organizations on national initiatives, objectives, and goals. Applicants must describe past and current collaborations related to the proposed chronic disease. If applicants have not already worked with CDC, applicants must include a statement of their willingness to collaborate with CDC, and how they intend to do this.

Collaborations with other CDC programs, or CDC-funded organizations that are not chronic disease focused but are implementing similar strategies that demonstrate measurable improvements in patient outcomes and/or population health, are also encouraged.

b. With organizations not funded by CDC:

Collaborations with a variety of public and private partners are required to leverage resources and maximize reach and impact. In order to achieve the expected outcomes, the recipient will be required to build and sustain strategic partnerships and collaborations with organizations that have a role in implementing these strategies and activities for the proposed chronic disease across the target audiences (public, heath care professionals, and public health professionals).

Key collaborations may include the business community, hospitals, non-governmental organizations, non-profit agencies, other federal, state, or local government agencies, public health community, tribes or tribal organizations, professional organizations, quality improvement organizations, or federally qualified health centers. Applicants should include letters of commitment or MOUs/MOAs from key collaborators that must include specific details on the role they will assume on the project (limit 10 letters). General letters of support are not recommended. The applicant should explain how each collaboration they propose would assist the recipient in implementing activities and achieving outcomes. The applicant must describe past and current experience in successful collaborations that support national initiatives, objectives, and goals (e.g., national agendas, Healthy People objectives, state or local health objectives, national guidelines and recommendations) related to the proposed chronic disease.

Applicants must upload the letters of commitment/MOUs/MOAs as a single PDF file, under miscellaneous attachments, and name the file “Collaboration Letters.”

2. Target Populations Public health professionals Public, including people with the proposed chronic disease and their caregivers Health care professionals

a. Health Disparities This NOFO intends to address health disparities through the collection of detailed data on the proposed chronic disease that identifies differences in burden among population groups including contextual factors (e.g., social, behavioral, environmental), and outcomes (e.g., quality of life) as well as gaps in knowledge necessary to create awareness among the public, public health professionals, and health care providers that can shape evidence-based prevention and treatment approaches that improve patient outcomes and decrease health disparities.

iv. Funding Strategy Applicant organizations may only submit one application. If multiple applications are submitted by the same organization, only the application with the latest time stamp will be accepted. Up to four awards will be made to address the strategies and activities identified in the logic model for this NOFO. No more than one (1) award will be made per proposed chronic disease. If multiple applications are received for the same proposed chronic disease and score high enough to be funded, the award will go to the applicant with the highest score.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and performance measurement help demonstrate achievement of NOFO outcomes and effectiveness of NOFO activities. Performance measurement can help to build a stronger evidence base for these strategies and activities as they relate to the proposed chronic disease.

Performance measurement can also clarify applicability of the evidence base to different populations, settings, and contexts to determine if strategies and activities are scalable and effective at reaching target populations. Performance measures and evaluation findings can drive continuous program quality improvement, as well as provide information needed to improve future NOFOs.

CDC will work with recipients to finalize performance measures within the first 6 months after award.

CDC uses these measures to track implementation of each recipient’s strategies and activities (process evaluation) and determine the recipients’ progress on achieving the period of performance outcomes (outcome evaluation). Recipients will be required to report on all of the following performance measures for the proposed chronic disease.

Intermediate Measures:

Number of national and/or state indicator reports disseminated to public health professionals.

Number of survey questions and/or modules tested for assessing the proposed chronic disease.

Number of messages or materials disseminated about the proposed chronic disease by dissemination method and priority audience.

Number of materials or tools disseminated to health care professional that present best practices for screening, referral, and treatment and/or disease management for the proposed chronic disease.

Period of Performance Measures:

Core (required) Measures

Number of public health professionals who received or accessed the national/state indicator report for the proposed chronic disease.

Number of people who received or accessed messages or materials providing information related to prevention, screening, and treatment and/or disease management of the proposed chronic disease, by media outlet and priority audience.

Number of health care professionals who received or accessed the best practices materials and/or tools for screening, referral, and treatment and/or disease management related to the proposed chronic disease.

Because this NOFO does not involve the generation or collection of public health data, a Data Management Plan (DMP) is not required for this NOFO.

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this NOFO. At a minimum, the plan must describe:

How the applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement.

How key program partners will participate in the evaluation and performance measurement planning processes.

Available data sources, feasibility of collecting appropriate evaluation and performance data, and other relevant data information (e.g., performance measures proposed by the applicant)

Plans for updating the Data Management Plan (DMP) as new pertinent information becomes available. If applicable, throughout the lifecycle of the project. Updates to DMP should be provided in annual progress reports. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data;

data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, the applicant should be directed to:

Describe the type of evaluations (i.e., process, outcome, or both).

Describe key evaluation questions to be addressed by these evaluations.

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

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

Note: A Data Management Plan (DMP) is not required for this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach The ideal applicant would be the recognized leader for the proposed chronic disease. The ideal applicants would demonstrate at least 10 years’ experience and expertise working on the national level for the proposed chronic disease. Applicants must adequately describe their organization’s capacity to successfully implement the strategies and activities and achieve the expected outcomes as outlined in this NOFO. Applicants must have adequate infrastructure (physical space, technology), financial management systems (budget management and administration), and qualified and competent staff with appropriate skills (data management, communications, education).

Applicants must include an organizational chart for the organization and where the program will be housed within the organization. Upload the organizational chart(s) as a miscellaneous attachment and name it “Organizational Chart.”

Applicants must adequately describe their organization’s capacity and expertise, unless otherwise noted, for the following. Examples and impact of experiences are encouraged:

Years of experience your organization has related to the proposed chronic disease.

Describe major accomplishments working on the national level for the proposed chronic disease.

Past and current experience and impact of successful collaborations that support national initiatives, objectives, and goals (e.g., national agendas, Healthy People objectives, state or local health objectives, and national guidelines and recommendations) related to the proposed chronic disease.

Partnerships with national, state, and/or local groups/organizations relevant to the proposed chronic disease.

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

Accessing, compiling, reviewing, synthesizing, and disseminating data related to the proposed chronic disease.

Developing and testing survey tools to fill data gaps, including any partnerships on these activities.

Developing and disseminating health information messages, materials, and tools for the public and people living with the condition and their caregivers to increase awareness and improve patient outcomes.

Describe experience with social media, conducting media buys, creating earned media, and other engaging methods used to increase awareness of the proposed chronic disease.

Identifying, evaluating, and disseminating best practices to support health care professionals in screening, referral, and treatment and/or management, including self-management, to improve patient outcomes related to the proposed chronic disease.

Past and current experience with accessing provider education venues and relationships with professional associations to conduct professional educational activities.

Core project management, including the roles and responsibilities of project staff and their day-to-day responsibility for key tasks, such as project leadership, project monitoring, preparation of reports, and program evaluation. Include resumes for staff assigned to this project as a single file and upload it as a miscellaneous attachment titled “Resumes.”

Ability to fill positions quickly with competent, qualified staff. If staff positions are vacant, explain how and when those positions will be filled. Include job descriptions for positions that are to be filled as a single file and upload it as a miscellaneous attachment titled “Job Descriptions.”

Describe any potential contractual or consultant agreements with a significant role in implementing program strategies and achieving project outcomes.

Describe your organization’s financial management systems and processes for proper funds management (e.g., separation of funds by program, monitoring funds by program and financial staff), issuing and monitoring contracts, and meeting the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS awards: Electronic Code of Federal Regulations (eCFR). The financial systems and processes should allow the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statues, regulations, and terms and conditions of the federal award.

d. Work Plan Applicants should provide a detailed work plan for the first year of the project and describe in the project narrative a high-level work plan for subsequent years.

Period of Performance Outcome: (from Outcomes section and/or logic model)

Outcome Measure: (from Evaluation and Performance Measurement section)

Strategy #: Title (from logic model) https://www.ecfr.gov/cgi-bin/text-idx?SID=dfb89e372a4aaf623ce41affce47c0cf&mc=true&tpl=/ecfrbrowse/Title45/45tab_02.tpl

Activities (from logic model)

Process Measures (from Evaluation and Performance Measurement section)

Responsible Position / Person / Collaborator (be specific)

Completion Date (month/year)

1.

2.

3.

4.

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.

B. Award Information

1. Funding Instrument Type:

G (Grant)

2. Award Mechanism:

U58

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$ 1,300,000

5. Total Period of Performance Funding:

$ 3,900,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$ 3,900,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$ 325,000 Per Budget Period

9. Award Ceiling:

$ 400,000 Per Budget Period

This amount is subject to the availability of funds.

CDC will consider any application requesting an award higher than this amount as nonresponsive and it will receive no further review.

10. Award Floor:

$ 200,000 Per Budget Period

CDC will consider any application requesting an award lower than this amount as nonresponsive and it will receive no further review.

11. Estimated Award Date:

September 29, 2021

12. Budget Period Length:

12 month(s)

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

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

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:

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

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))

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 CDC will consider any application proposing a disease that does not meet the definition of a chronic disease or is currently funded through a direct CDC and/or NCCDPHP FY21 CDC appropriations line as non-responsive and it will receive no further review.

The award ceiling for this NOFO is $400,000. CDC will consider any application requesting an award higher than this amount as non-responsive and it will receive no further review.

The award floor for this NOFO is $200,000. CDC will consider any application requesting an award lower than this amount as non-responsive and it will receive no further review.

3. Justification for Less than Maximum Competition N/A

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.

a. Data Universal Numbering System:

All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet https://www.grants.gov/

(D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http:// fedgov.dnb. com/ webform/ displayHomePage.do. The DUNS number will be provided at no charge.

If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients must provide their DUNS 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. 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 https://www.sam.gov/SAM/.

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

Data Universal Number System

(DUNS)

1. Click on http:// fedgov.dnb.com/ webform

2. Select Begin DUNS search/request process

3. Select your country or territory and follow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or call 1-866-705-

System for Award Management

(SAM)

formerly

1. Retrieve organizations DUNS number

2. Go to https://www.sam.gov/SAM/ and

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

For SAM Customer Service Contact https://fs d.gov/ fsd-gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/SAM/ https://grants.gov/ https://www.grants.gov/ http://www.grants.gov/ https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform https://www.sam.gov/SAM/ https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

Central Contractor Registration

(CCR)

designate an E-Biz POC (note CCR username will not work in SAM and you will need to have an active SAM account before you can register on grants.gov) home.do Calls: 86 6-606-8220

3 Grants.gov

1. Set up an individual account in Grants.gov using organization new DUNS 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

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants MUST obtain a DUNS number and SAM account before applying on grants.gov)

Register early!

Log into grants.gov and check AOR status until it shows you have been approved

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 or postmarked by)

Due Date for Letter Of Intent 05/14/2021

The LOI date will generate once the Synopsis is published if Days or a Date are entered.

b. Application Deadline

Due Date for Applications 06/21/2021

06/21/2021 11:59 pm U.S. Eastern Standard 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.

https://fsd.gov/fsd-gov/home.do https://www.grants.gov/

Due Date for Information Conference Call April 29, 2021, 2:30 p.m. ET 1-888-942-8140, Participant Passcode: 1121992

Frequently Asked Questions (FAQs) can be found at www.cdc.gov/populationhealth/chronicdiseaseawareness Email your questions to cdawarenessgrant@cdc.gov (cdawarenessgrant@cdc.gov). Questions and answers will be posted to the FAQs.

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 DUNS.

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.