Foa_Content_of_CDC-RFA-EH-23-0004.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

Radiation protection of workers and the public by state and local radiation control programs

CDC-RFA-EH-23-0004

05/26/2023

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview

Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA-EH- 23-0004. 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:

Radiation protection of workers and the public by state and local radiation control programs 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)).

https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-46.102

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-EH-23-0004

E. Assistance Listings Number:

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 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-46.102

93.070 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:

05/26/2023 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

N/A

G. Executive Summary:

1. Summary Paragraph The purpose of this NOFO is to continue to support state and local radiation control programs by leveraging their collective knowledge and expertise to support addressing radiological health issues of mutual interest. This project will be executed using a multi-faceted approach that includes establishing joint working groups assigned to address specific issues, participating in committee and annual meetings to present and discuss issues of mutual interest, sharing information on new developments in the various areas of radiation protection as well as sharing challenges and seeking recommendations through collaboration with other state and local radiation subject matter expertise.

The NOFO will support the development of guidance, recommendations, suggested state regulations, and exchange of information in an effort to increase the existing tools, knowledge, and capabilities for radiological health staff throughout the country. Because many state radiation control programs have very limited resources to tackle the public health issues that impact their communities, it is anticipated that this funding will leverage and help increase their collective capabilities to assure radiation protection of the public and workers. Funding this project will result in an overall reduction of risk, illness, and death associated with unnecessary exposure to radiation.

a. Eligible Applicants:

Limited Open Competition

b. Funding Instrument Type:

G (Grant)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$550,000

e. Average One Year Award Amount:

$110,000

f. Total Period of Performance Length:

5 year(s) https://www.grants.gov/

g. Estimated Award Date:

August 31, 2023

h. Cost Sharing and / or Matching Requirements:

No Part II. Full Text

A. Funding Opportunity Description

1. Background

a. Overview A scientifically sound and consistent approach to radiation protection across state and federal agencies, along with availability of the best radiation protection information to workers and the public, is needed to ensure protection of the public from unnecessary radiation.

Consistent guidance and recommendations can facilitate radiation protection. In addition, radiation protection partners at the federal, state, and local levels can also promote protection by exchanging information for the development and implementation of new knowledge, capabilities, and available tools for professionals.

Having such approach to radiation protection can increase the capability across all levels of government to assure radiation protection, and a reduction in the risk of illness and deaths associated with unnecessary radiation exposure.

Currently, there are several radiation protection issues for workers and members of the public that require serious consideration:

Radiation protection of workers and members of the public after a radiological emergency.

The impact of the increased doses to the members of the public resulting from medical imaging procedures.

Exposure of members of the public to radon.

Increased availability of new radiation diagnosis and treatment modalities, necessitating the development and update of information for the public on the CDC web page.

Guidance on risk management in fluoroscopy (a medical procedure that uses ionizing radiation) and error prevention in radiation therapy for use by state and local agencies.

Identification of remaining gaps in radiological emergency preparedness and how those gaps can be addressed.

Addressing these and other radiation protection issues could help inform the public and aid in developing guidance and recommendations in everyday radiation protection and in the public health response to radiological emergencies.

b. Statutory Authorities Sections 317(k)(2) of the Public Health Service Act, (42 U.S.C. Section 247b(k)(2), as amended.

c. Healthy People 2030 This program addresses the Healthy People 2030 focus areas of environmental health, public health infrastructure), and emergency preparedness.

https://health.gov/healthypeople https://health.gov/healthypeople/objectives-and-data/browse-objectives/environmental-health 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/emergency-preparedness

d. Other National Public Health Priorities and Strategies This NOFO is consistent with priorities and strategies in the Department of Health and Human Services and other CDC programs (see National Health Security Strategy ). National Health Security Objective 2 – Protect the nation from the health effects of emerging and pandemic infectious diseases and chemical, biological, radiological, and nuclear (CBRN) threats.

e. Relevant Work Previous work with CDC (NOFO CDC-RFA-EH18-1803) includes development of radiation training modules for use by state and local public health personnel to help them identify best ways to protect the public from unnecessary radiation. The previous NOFO also included reviewing and updating existing state guidance, as applicable, for radiation control to address new issues or technical developments.

Other work includes identifying and assisting CDC in the development of content of additional topical areas for the CDC Radiation web page, for example, medical use of radiation to better respond to questions from the public.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

Strategies and activities

Short-term outcomes Intermediate outcomes

Long-term outcomes

Develop/update guidance, recommendations, training, and/or suggested radiation protection best practices for use by state and local public health and radiation programs for the protection of workers and the public on the targeted topics.

Support delivery and assess the effectiveness of recently developed radiation training

Increased radiation protection guidance available to state and local radiation programs to address areas of needs

Improved quality of the program based on evaluation/assessment of results/feedback.

Improved content delivery of population monitoring training modules.

Improved coordination of training and education for on-demand delivery to state and local public health partners.

Increased Radiation Response Volunteer Corps (RRVC) data availability and use for non RRVC states

Improved radiation practices used by state and local public health and radiation programs to address areas of need.

Increased data-driven decision making to inform radiation protection activities for https://aspr.hhs.gov/nhss/Pages/default.aspx modules for state and local public health to assist in the conduct of population monitoring and other areas of public health need and modify if needed.

Increase number of states that participate in Radiation Response Volunteer Corps program (RRVC) improved public and worker protection.

i. Purpose Prevent and reduce unnecessary radiation to all populations by supporting implementation, evaluation, and dissemination of practice and evidence based strategies in radiation protection.

ii. Outcomes The outcomes recipients are expected to achieve by the end of the period of performance are:

Improved content delivery of population monitoring training modules.

Increased availability and use of data from the Radiation Response Volunteer Corps

(RRVC) for non- RRVC participating States.

iii. Strategies and Activities Strategy - Develop/update guidance and recommendations to protect the public from unnecessary radiation in topic areas such as:

Respiratory protection of workers and volunteers conducting population monitoring.

o Develop operational guidance for implementation of respiratory protection of workers and volunteers that are not first responders or first receivers. These include public health and other workers that will be operating Community Reception Centers or shelters.

Patient doses from medical procedures using radiation.

o Develop a process to collect/compile patient radiation exposure data from medical exposures to maintain situational awareness and assess trends in population dose in an effort to inform the medical and regulatory communities in their goal of reducing unnecessary radiation to the public.

Translating radiation science into practice to enable state radiation programs to better protect the public from unnecessary radiation.

Promoting Radon testing and mitigation.

o Radon is the second leading cause of lung cancer after cigarette smoking. There is a need to promote radon testing and mitigation specifically addressing the needs of communities that have not been previously targeted in outreach activities.

Develop/update suggested materials for state and local radiation programs for the protection of workers and the public.

o Review and update existing Conference of Radiation Control Program Directors (CRCPD) materials suggested for state's control of radiation deemed necessary because of new identified issues or technical developments, thus improving protection of workers and members of the public.

Strategy - Support delivery and assess the effectiveness of recently developed radiation training modules for state and local public health to assist in the conduct of population monitoring and other areas of public health need and modify if needed.

Support development and delivery of Train-the-Trainer population monitoring modules o Many State and local public health agencies do not have knowledgeable or trained staff in basic radiation protection of the public. This need has become more evident as they work on their radiological emergency preparedness plans. One of the roles of state and local public health during a radiological emergency is conducting population monitoring. Some state and local public health officials have indicated they are not comfortable performing these activities and need training in radiation and assistance in this effort. Recent work resulted in the development of training materials specific for public health staff that can be delivered using ‘Train the Trainer’ workshops and/or web-based training modules/videos.

o Evaluate availability and effectiveness of available population monitoring training materials o There is a need to assess the availability and effectiveness of population monitoring training materials, and to identify state and local public health departments that have taken this training and used it to train their staff. This assessment can include polling states that have used such training to identify its effectiveness and additional training gaps in an effort to improve local public health department's ability to conduct population monitoring.

Collaborate with CDC in the delivery of the recently developed Applied Course for Public Health Decision Making in a Radiation Emergency.

o CDC recently developed a three-day advanced radiation training course to train state and local public health department staff in identifying key issues, activities, information needs, etc., that will be needed to make public health decisions during a radiological emergency. Delivery of this interactive course will greatly benefit from the participation of state radiation control program staff as they can provide a state perspective that will be key in the delivery of the training. In particular, participation by state radiation control program staff qualified as Radiological Operations Support Specialists (ROSS) would be desired since they are in a position to facilitate discussion and bring a state perspective to the discussions and tabletop type activities that are included as part of this training.

Review existing CDC radiation web content and identify areas that need updating.

o Over the last 10 years, CDC has vastly increased the content of radiation related topics on its web page; however, most of the existing material focuses primarily on radiation protection in the event of a radiological incident. CDC is one of the primary sources of information for the public regarding everyday radiation and health issues, including radon. Under this activity, the recipient should assist CDC in the review of existing CDC web content and identification of areas that need updating as well as development of new areas to address our mission of providing important information to the public health community and the members of the public.

Strategy - Increase the number of states that participate in Radiation Response Volunteer Corps program.

Identify and summarize best practices used by Radiation Response Volunteer Corps

(RRVC)

o Over the past 6 years, CDC collaborated and supported the development and promotion of the use of Radiation Response Volunteers (RRVC). These activities resulted in the development of best practices and approaches for starting and maintaining such a program. Feedback from existing RRVC programs indicated that they would benefit from having a summary of best practices and advanced training for Radiation Response Volunteers, so they are able to maintain not only their competencies but also their interest. The tools that were developed under prior grants resulted in a number of tools and products that states can use to create and maintain their RRVC.

Develop a tool to assess the status of State and local RRVC that could support population monitoring o To help assess the nation’s preparedness to conduct population monitoring it is important to know the status of State and local public health agencies regarding availability of radiation response volunteers and their ability to support population monitoring activities during a radiation emergency. Under this priority area it would be important to develop a tool to assess the status of State and local public health programs in this area and develop a plan to promote and increase recruitment and training of RRVCs.

o To better support the RRVC and the state and local public health programs, the recipient may also provide technical support to state and local public health agencies that are interested in using RRVC members during their drills and exercises. Training and supporting radiation response volunteers should result in better nationwide preparedness in the event of a radiological event and consequently better protection of the public.

Convene committees/working groups.

o Convene and facilitate working groups or committees with extensive knowledge of the subject areas previously described.

Share Results.

o Convene and facilitate meetings with scientists and stakeholders to update on progress in the various work products, including at conferences or annual meetings.

1. Collaborations

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

To address the need to provide accurate and timely information to members of the public and the public health community, the applicant should describe existing partnerships, or their ability to establish partnerships with one or more of the following:

Association of State and Territorial Health Officials (ASTHO) – To ensure that the radiation protection needs of the public served by State health departments are included.

National Association of City and County Health Officials (NACCHO) - To ensure that the radiation protection needs of the public served by county and city health departments are included.

National Council on Radiation Protection and Measurements (NCRP) – To ensure use of the best science in the development of products, guidance, and recommendations, etc.

National Alliance for Radiation Readiness (NARR) - To ensure information sharing among several stakeholders including but not limited to public health, radiation protection, healthcare, emergency management, etc. in radiological emergency preparedness and to ensure communication and consistency across federal, State, and local radiation public health, healthcare, and emergency management programs to better protect the public from unnecessary radiation exposure.

The applicant should describe existing partnerships with other CDC programs and CDC funded organizations.

b. With organizations not funded by CDC:

Applicant should describe collaboration with organizations not funded by CDC such as:

International Atomic Energy Agency (IAEA) – To ensure that the latest international advances are considered.

Other national and international organizations, governmental and private, concerned with radiation protection.

2. Target Populations US population and US workforce.

a. Health Disparities The applicant should describe how this work will address health disparities and improve social determinants of health among populations at greatest risk. Example of populations that may be overlooked include people with disabilities, non-English speaking populations, tribal populations, people who live in rural areas and other geographically underserved communities, sexual and gender minorities, and people with limited health literacy. One example of addressing health disparities could be identifying communities at higher risk of radiation exposure in areas where access to newer medical imaging equipment is not yet available.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

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

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

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

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

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

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

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

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

Applicants should describe their skills in program planning, program evaluation, performance monitoring, financial reporting, budget management and administration, and personnel management.

Applicants should describe how their financial management system will allow proper funds management and segregation of funds by program, and meet the requirements as https://www.cdc.gov/grants/additional-requirements/ar-25.html stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302.

Applicant should also describe:

Their experience as a national and international authority in radiation protection.

Their ability to access and interact with all federal, state, and local radiation control programs in the country.

Their expertise in radiation protection areas, including but not limited to radiation from medical procedures; occupational exposures in medicine, education, and industry;

environmental sources; radon; guidance for responding to accidents and incidents involving radiation, etc.

Existing partnerships with all federal radiation protection agencies and provide examples of mutual interaction and collaboration.

Their experience developing and promoting uniform standards and best practices that states can use.

Any partnerships with international radiation protection organizations/associations.

Existing mechanisms to engage members from the radiation protection community from a wide range of disciplines and backgrounds. Examples include federal, state, and local government, military, medical, EMS, fire, law enforcement, industrial, and research and academia.

Their experience bringing together experts in one or more of the following topic areas o Identification of respiratory protection needs for emergency workers that are not first responders.

o Development and promotion of best practices for state and local radiation programs for the protection the public and workers.

o Promotion and support of the Radiation Response Volunteer Corps.

o Development of radiation training for state and local staff.

o Radon and Technologically Enhanced Naturally Occurring Radioactive Materials

(TENORM).

o Other emerging radiation protection issues.

c. Organizational Capacity of Recipients to Implement the Approach Applicants should describe their skills in program planning, program evaluation, performance monitoring, financial reporting, budget management, and administration, and personnel management.

Applicants should describe how their financial management system will allow proper funds management and segregation of funds by program, and meet the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302.

Applicant should also describe:

Their experience as a national and international authority in radiation protection.

https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302 https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302 https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302

Their ability to access and interact with all federal, state, and local radiation control programs in the country.

Their expertise in radiation protection areas, including but not limited to radiation from medical procedures; occupational exposures in medicine, education, and industry;

environmental sources; radon; guidance for responding to accidents and incidents involving radiation, etc.

Existing partnerships with all federal radiation protection agencies and provide examples of mutual interaction and collaboration.

Their experience developing and promoting uniform standards and best practices that states can use.

Any partnerships with international radiation protection organizations/associations.

Existing mechanisms to engage members from the radiation protection community from a wide range of disciplines and backgrounds. Examples include federal, state, and local government, military, medical, EMS, fire, law enforcement, industrial, and research and academia.

Their experience bringing together experts in one or more of the following topic areas o Identification of respiratory protection needs for emergency workers that are not first responders.

o Development and promotion of best practices for state and local radiation programs for the protection the public and workers.

o Promotion and support of the Radiation Response Volunteer Corps.

o Development of radiation training for state and local staff.

o Radon and Technologically Enhanced Naturally Occurring Radioactive Materials

(TENORM).

Other emerging radiation protection issues.

d. Work Plan Applicants must submit a work plan that covers the first year of the period of performance and a high-level summary of activities for years 2 - 5. The proposed strategies must be in alignment with the NOFO logic model.

Required elements in a work plan include strategies and their associated performance measures, as well as major activities and the title of the person responsible for each activity. A sample work plan template is provided below. In this format, the table would be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure Responsible Position / Party

Completion Date

[from Evaluation and Performance Measurement section]

1.

2.

3.

4.

5.

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.

Routine communication with CDC Technical Project Officer (TPO) to ensure proposed projects are on track and within budget. Participation of TPO in Board of Directors meetings and other meetings, as needed, where progress of various programs and budget are discussed.

B. Award Information

1. Funding Instrument Type:

G (Grant)

2. Award Mechanism:

E11

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$110,000

5. Total Period of Performance Funding:

$550,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$550,000

6. Total Period of Performance Length:

5 year(s) year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$110,000 Per Budget Period

9. Award Ceiling:

$110,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$110,000 Per Budget Period

September 30, 2023

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.

11. Estimated Award Date:

August 31, 2023

12. Budget Period Length:

12 month(s)

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

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

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

C. Eligibility Information

1. Eligible Applicants

Eligibility Category:

00 (State governments)

01 (County governments)

02 (City or township governments)

04 (Special district governments)

05 (Independent school districts)

06 (Public and State controlled institutions of higher education)

07 (Native American tribal governments (Federally recognized))

08 (Public housing authorities/Indian housing authorities)

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

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

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

20 (Private institutions of higher education)

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

Additional Eligibility Category:

Government Organizations:

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

Local governments or their bona fide agents

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

State controlled institutions of higher education

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

Non-government Organizations

American Indian or Alaska native tribally designated organizations

Other

Ministries of Health

2. Additional Information on Eligibility

Private institutions of "higher education" are eligible so long as they are not for profit.

3. Justification for Less than Maximum Competition

N/A

4. Cost Sharing or Matching

Cost Sharing / Matching Requirement:

No

5. Maintenance of Effort

Maintenance of effort is not required for this program.

D. Application and Submission Information

1. Required Registrations

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

PLEASE NOTE: Effective April 4, 2022, applicants must have a Unique Entity Identifier (UEI) at the time of application submission (SF-424, field 8c). The UEI is generated as part of SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and can view it in SAM.gov and Grants.gov. Additional information is available on the GSA website, SAM.gov, and Grants.gov- Finding the UEI.

a. Unique Entity Identifier (UEI):

https://www.grants.gov/ https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-systems-information-kit/unique-entity-identifier-update https://sam.gov/content/home https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/ https://grantsgovprod.wordpress.com/2021/09/14/how-to-find-an-applicants-uei-within-grants-gov/

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

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

b. System for Award Management (SAM):

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

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

c. Grants.gov:

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

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

Step System Requirements Duration Follow Up

System for Award Management

(SAM)

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

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

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

866-606-8220

2 Grants.gov

1. Set up an individual account in Grants.gov using organization's new UEI number to become an Authorized

It takes one day (after you enter the EBiz POC name and EBiz POC email in SAM) to receive a UEI (SAM) which will allow

Register early!

Applicants can register within minutes.

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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 you to register with Grants.gov and apply for federal funding.

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)

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

b. Application Deadline

Due Date for Applications 05/26/2023

05/26/2023 11:59 pm U.S. Eastern Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which Grants.gov operations resume.

Due Date for Information Conference Call N/A

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

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

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

Duplication of Efforts

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

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

6. Content and Form of Application Submission https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

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

7. Letter of Intent

Letter of intent is not required.

8. Table of Contents

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

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

9. Project Abstract Summary

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

10. Project Narrative

(Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12 point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the specified page number will not be reviewed.)

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include all of the following headings (including subheadings): Background, Approach, Applicant Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire period of performance as identified in the CDC Project Description section. Applicants should use the federal plain language guidelines and Clear Communication Index to respond to this Notice of Funding Opportunity. Note that recipients should also use these tools when creating public communication materials supported by this NOFO. Failure to follow the guidance and format may negatively impact scoring of the application.

a. Background

Applicants must provide a description of relevant background information that includes the context of the problem (See CDC Background).

https://www.grants.gov/ https://www.grants.gov/ https://www.grants.gov/

b. Approach

i. Purpose

Applicants must describe in 2-3 sentences specifically how their application will address the public health problem as described in the CDC Background section.

ii. Outcomes

Applicants must clearly identify the outcomes they expect to achieve by the end of the project period, as identified in the logic model in the Approach section of the CDC Project Description.

Outcomes are the results that the program intends to achieve and usually indicate the intended direction of change (e.g., increase, decrease).

iii. Strategies and Activities

Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the period of performance outcomes. Applicants must select existing evidence-based strategies that meet their needs, or describe in the Applicant Evaluation and Performance Measurement Plan how these strategies will be evaluated over the course of the project period.

See the Strategies and Activities section of the CDC Project Description.

1. Collaborations

Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC. Applicants must address the Collaboration requirements as described in the CDC Project Description.

2. Target Populations and Health Disparities Applicants must describe the specific target population(s) in their jurisdiction and explain how such a target will achieve the goals of the award and/or alleviate health disparities. The applicants must also address how they will include specific populations that can benefit from the program that is described in the Approach section. Applicants must address the Target Populations and Health Disparities requirements as described in the CDC Project Description.

c. 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 applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement. The Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities involving information collections (e.g., surveys, questionnaires, applications, audits, data requests, reporting, recordkeeping and disclosure requirements) from 10 or more individuals or non-Federal entities, including State and local governmental agencies, and funded or sponsored by the Federal Government are subject to review and approval by the Office of Management and Budget. For further information about CDC’s requirements under PRA see http://www.hhs.gov/ ocio/policy/collection/.

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, data management plan (DMP), and other relevant data information (e.g., performance measures proposed by the applicant).

Where the applicant chooses to, or is expected to, take on specific evaluation studies, they 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 the DMP elements) within the first 6 months of award, as described in the Reporting Section of this NOFO.

d. Organizational Capacity of Applicants to Implement the Approach

Applicants must address the organizational capacity requirements as described in the CDC Project Description.

11. Work Plan

(Included in the Project Narrative’s page limit)

Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the recipient plans to carry out achieving the period of performance outcomes, strategies and activities, evaluation and performance measurement.

12. Budget Narrative

Applicants must submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the…