foa ps15-1512.pdf

Centers for Disease Control and Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Connecting Latino and African American Males to Sexual Health Services: An Adaptation of Project Connect

CDC-RFA-PS15-1512

Application Due Date: 08/25/2015

Signature Date

Connecting Latino and African American Males to Sexual Health Services: An Adaptation of Project Connect

CDC-RFA-PS15-1512

TABLE OF CONTENTS

Part I. Overview Information

Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates F.

Executive Summary G.

Part II. Full Text

Funding Opportunity Description A.

Award Information B.

Eligibility Information C.

Required Registrations D.

Review and Selection Process E.

Award Administration Information F.

Agency Contacts G.

Other Information H.

Glossary I.

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Send Me Change Notifications Emails" link to ensure they receive notifications of any changes to CDC-RFA-PS15-1512. 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) B. Funding Opportunity Title:

Connecting Latino and African American Males to Sexual Health Services: An Adaptation of Project Connect C. Announcement Type: New - Type 1 This announcement is only for non-research domestic activities supported by CDC. If research is proposed, the application will not be considered Research for this purpose is defined at http://www.cdc. gov/od/ science/ integrity/ docs/cdc- policy- distinguishing- public- health- research- nonresearch. pdf.

D. Agency Funding Opportunity Number:

CDC-RFA-PS15-1512

E. Catalog of Federal Domestic Assistance (CFDA) Number:

93.978 F. Dates:

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

2. Due Date for Applications: 08/25/2015, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: N/A

G. Executive Summary:

1. Summary Paragraph:

a. Eligible Applicants: Single

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Project Period Funding: $500,000

e. Average One Year Award Amount: $500,000

f. Number of Years of Award: 1

g. Estimated Award Date: 09/30/2015

h. Cost Sharing and / or Matching Requirements: N Cost sharing or matching funds are not required for this program. Although no statutory matching requirement for this FOA 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

Young men of color continue to bear the burden of HIV and other STI infection in the United States. In 2013, 20-24 year old African American males had the highest rate of HIV infection (135.3 per 100,000), nearly 12 times higher than among White males in that age group (11.6 per 100,000); rates for Hispanics were

3.0 times higher than among Whites (33.7 per 100,000). Rates among 15-19 year old males were similarly disproportionate among African Americans, Hispanics, and Whites (41.1, 7.4, and 1.7 per 100,000 respectively). Racial/ethnic disparities in gonorrhea (GC) rates among adolescent and young adult males are even more striking. In 2012, Black, non-Hispanic 20-24 year old males had GC rates of 1,903.7 per 100,000, as compared to 224.8 for Hispanics, and 115.9 for Whites.

Despite the need, some studies demonstrate that even in urban areas with well-funded health care services, only a minority of sexually active youth have ever received an HIV test/STD test, thus indicating the need for an effective conduit for youth into available sexual and reproductive health care services.

Establishment of linkages to health care is particularly difficult for some adolescent populations, including males. According to one nationally representative study of adolescent males, although 71% of 15-19 year old sexually active males had received a physical examination in the past year, only 25% were tested for HIV, 17% for an STI, and 36% received STI/HIV counseling.

The Project Connect health services intervention (Project Connect) provides a mechanism for linking adolescents into needed health care services. In its original form, staff used STD reporting data from the local health department to identify community-based sexual and reproductive health care providers who were already doing a good job of providing services to youth. These providers were recruited for a school-based linkage system implemented by school nurses in high schools. This initial work resulted in significant increases in receipt of HIV & STD testing and reproductive health care among adolescent females. Project Connect Baltimore has subsequently begun the work of adapting and evaluating this intervention approach for adolescent males of color, including young men who have sex with men. Project Connect Baltimore has developed and implemented clinical guides in English and Spanish, including a print-based pocket guide and a web-based mobile smart phone-responsive clinical guide (Y2Connect.org), designed to engage African American and Latino male adolescents and young adults in HIV testing and sexual and reproductive healthcare. The guide describes male-friendly clinics and includes facts about young men’s sexual and reproductive healthcare and other resources. Project Connect Baltimore has developed and implemented trainings for youth-serving professionals on the guide to share with young men they work with on a daily basis.

b. Statutory Authorities https://foa.grantsolutions.gov/announcementmodule/www.grants.gov https://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov

1. Award Notices Awardees will receive an electronic copy of the Notice of Award (NOA) from CDC PGO. The NOA shall be the only binding, authorizing document between the awardee and CDC. The NOA will be signed by an authorized GMO and emailed to the Awardee Business Officer listed in application and the Program Director.

Any applicant awarded funds in response to this FOA will be subject to the DUNS, SAM Registration, and Federal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements.

Unsuccessful applicants will receive notification of these results by e-mail with delivery receipt or by U.S. mail.

2. Administrative and National Policy Requirements Awardees must comply with the administrative and public policy requirements outlined in 45 C.F.R. Part 74 or Part 92 and the HHS Grants Policy Statement, as appropriate.

Brief descriptions of relevant provisions are available at http://www.cdc.gov/grants/additionalrequirements/index.html

The HHS Grants Policy Statement is available at http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf.

*Note that 2 CFR 200 will supersede the administrative requirements (A-110 & A-102), cost principles (A-21, A-87 & A-122) and audit requirements (A-50, A-89 & A-133).

http://www.cdc.gov/grants/additionalrequirements/index.html http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf

Section 318 (a)(b)(c) of the Public Health Service Act [42 U.S.C. Section 247c, (a), (b), (c)]

c. Healthy People 2020

This program addresses a number of the “Healthy People 2020” focus areas, including but not limited to the following:

http://www.healthypeople.gov/2020/topics-objectives/topic/hiv/objectives HIV-1 Reduce the number of new HIV diagnoses among adolescents and adults.

HIV-14 Increase the proportion of adolescents and adults who have been tested for HIV in the past 12 months.

http://www.healthypeople.gov/2020/topics-objectives/topics/sexually-transmitted-diseases/objectives STD-1 Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections.

STD-6.2 Reduce gonorrhea rates among males aged 15-44 years.

http://www.healthypeople.gov/2020/topics-objectives/topic/family-planning/objectives FP-7.2 Increase the proportion of sexually active males aged 15-44 years who received reproductive health services.

d. Other National Public Health Priorities and Strategies

This program is aligned with the priorities of the National HIV/AIDS Strategy (NHAS) [http://www.whitehouse.gove/sites/default/files/uploads/NHAS.pdf] and includes, but is not limited to, the following select NHAS goals and action steps:

Reducing New HIV Infections Reducing HIV-Related Health Disparities Achieving a More Coordinated National Response to the HIV Epidemic in the United States Increasing Access to Care and Improving Health Outcomes

e. Relevant Work

This FOA builds on the work conducted under CDC-RFA-PS12-1212, a three-year cooperative agreement, which began the work of adapting and evaluating the Project Connect health systems intervention for Latino and African American adolescent and young adult males, including young men who have sex with men

(YMSM).

2. CDC Project Description

a. Approach

i. Purpose

The purpose of this FOA is to increase access to and use of care by young men, increase identification and treatment of new STI cases, increase the number of individuals who know their HIV status and link new HIV-positive cases to care.

ii. Outcomes http://www.healthypeople.gov/2020/topics-objectives/topic/hiv/objectives http://www.healthypeople.gov/2020/topics-objectives/topics/sexually-transmitted-diseases/objectives http://www.healthypeople.gov/2020/topics-objectives/topic/family-planning/objectives

For more information on the C.F.R. visit http://www.ecfr.gov/cgi-bin/ECFR?page=browse.

3. Reporting Reporting provides continuous program monitoring and identifies successes and challenges that awardees encounter throughout the project period. Also, reporting is a requirement for awardees who want to apply for yearly continuation of funding. Reporting helps CDC and awardees because it:

Helps target support to awardees;

Provides CDC with periodic data to monitor awardee progress toward meeting the FOA outcomes and overall performance;

Allows CDC to track performance measures and evaluation findings for continuous quality and program improvement throughout the project period and to determine applicability of evidence-based approaches to different populations, settings, and contexts; and Enables CDC to assess the overall effectiveness and influence of the FOA.

The table below summarizes required and optional reports. All required reports must be sent electronically to GMS listed in the “Agency Contacts” section of the FOA copying the CDC Project Officer.

a. Awardee Evaluation and Performance Measurement Plan (required) With support from CDC, awardees must elaborate on their initial applicant evaluation and performance measurement plan. This plan must be no more than 20 pages;

awardees must submit the plan 6 months into the award.

This plan should provide additional detail on the following:

The frequency that evaluation and performance data are to be collected.

How data will be reported.

http://www.ecfr.gov/cgi-bin/ECFR?page=browse

As noted in the logic model, below are the outcomes the awardee is expected to achieve during the project period:

increasing referrals made by youth-serving professionals using the guide;

increasing awareness of the guide reported by male patients making clinic visits;

increasing reports of linkages based on guide use by male patients making clinic visits;

increasing male patients receiving HIV tests;

increasing male patients being tested for other STDs;

increasing male patients receiving other sexual and reproductive health care

iii. Strategies and Activities

The grantee will conduct the following activities in the one-year project period:

Develop and upload video or slide-set version of the youth-serving professionals training on the website to assist with program sustainability.

Develop and pilot-test materials to share with parents on the website including Spanish translation of materials that will contribute to the program’s dissemination. Parent materials should include information on health insurance navigation.

Continue to conduct surveys with males in sub-set of clinics listed on the guide at 16- and 19-months following training to allow sufficient time for dissemination of the guide to assess increasing proportions of sexually active male youth receiving SRH services including HIV testing.

Conduct youth-serving professional trainings on the guide for any new sites as well as booster sessions at previously trained sites to assist with the program’s dissemination and sustainability.

1.Collaborations

a. With CDC-funded programs:

The grantee is expected to continue to collaborate with the Baltimore City Health Department, as needed, and with the Division of STD Prevention at CDC.

(Required)

b. With organizations external to CDC:

The grantee is expected to continue the collaborations with organizations external to CDC that were developed during the prior project period to the extent that such collaborations are needed to achieve the FOA outcomes (e.g., providers/clinics where male survey is being administered, youth-serving organizations making linkages to young men). Evidence of continued collaborations is not required for the application. The grantee must provide letters of support for any newly established collaborations for this FOA.

2. Target Populations

This FOA will focus on at-risk African American and Latino adolescent and young adult males, including young men who have sex with men.

a. Inclusion

By focusing efforts on African American and Latino adolescent and young adult males, including young men who have sex with men, this FOA includes populations who can benefit from program strategies and prioritizes populations with the greatest health disparities.

iv. Funding Strategy (for multi-component FOAs only)

N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

At the conclusion of the one-year project period, the grantee will report on the following process and outcome evaluation measures:

Process evaluation measures:

Number of healthcare facilities listed on the linkage guide Number of trainings conducted, including booster sessions, both in person and online Satisfaction ratings of youth-serving professionals who have completed training, both in person and online Number of guides accepted/distributed both at the youth-serving agency level and at the individual level Number of website visits and satisfaction with the web-based linkage guide and resources for parents Number of youth-serving professionals making linkages with the guide Number of male patients making visits reporting awareness of the guide Number of male patients making visits reporting linkages because of the guide

Outcome evaluation measures:

Number of male patients HIV tested Number of male patients STD tested Number of male patients receiving other sexual and reproductive health care

ii. Applicant Evaluation and Performance Measurement Plan

Applicant must provide an evaluation and performance measurement plan that is consistent with the CDC strategy. The proposed plan must:

Affirm their ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy.

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

Describe how evaluation findings will be used for continuous program quality improvement.

Describe the process and outcome evaluations, including the key evaluation questions being addressed.

Describe data collection measures and data sources.

c. Organizational Capacity of Awardees to Execute the Approach

How evaluation findings will be used for continuous quality and program improvement.

How evaluation and performance measurement will yield findings to demonstrate the value of the FOA (e.g., improved public health outcomes, effectiveness of FOA, cost-effectiveness or cost benefit).

Dissemination channels and audiences.

Other information requested as determined by the CDC program.

b. Annual Performance Report (APR) (required) The awardee must submit the APR via www.grants.gov 120 days before the end of the budget period. This report must not exceed 45 pages excluding administrative reporting. Attachments are not allowed, but weblinks are allowed.

This report must include the following:

Performance Measures: Awardees must report on performance measures for each budget period and update measures, if needed.

Evaluation Results: Awardees must report evaluation results for the work completed to date (including findings from process or outcome evaluations).

Work Plan: Awardees must update work plan each budget period to reflect any changes in project period outcomes, activities, timeline, etc.

Successes

Awardees must report progress on completing activities and progress towards achieving the project period outcomes described in the logic model and work plan.

Awardees must describe any additional successes (e.g. identified through evaluation results or lessons learned) achieved in the past year.

Awardees must describe success stories.

Challenges Awardees must describe any challenges that hindered or might hinder their ability to complete the work plan activities and achieve the project period outcomes.

Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.

CDC Program Support to Awardees Awardees must describe how CDC could help them overcome challenges to complete activities in the work plan and achieving project period outcomes.

Administrative Reporting (No page limit) SF-424A Budget Information-Non-Construction Programs.

Budget Narrative – Must use the format outlined in "Content and Form of Application Submission, Budget Narrative" section.

Indirect Cost Rate Agreement.

The carryover request must:

Express a bona fide need for permission to use an unobligated balance;

Include a signed, dated, and accurate Federal Financial Report (FFR) for the budget period from which funds will be transferred (as much as 75% of unobligated balances);

and Include a list of proposed activities, an itemized budget, and a narrative justification for those activities.

The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

c. Performance Measure Reporting (optional) CDC programs may require more frequent reporting of performance measures than annually in the APR. If this is the case, CDC programs must specify reporting frequency, data fields, and format for awardees at the beginning of the award period.

d. Federal Financial Reporting (FFR) (required) The annual FFR form (SF-425) is required and must be submitted through eRA Commons 90 days after the end of the calendar quarter in which the budget period ends. The report must include only those funds authorized and disbursed during the timeframe covered by the report. The final FFR must indicate the exact balance of unobligated funds, and may not reflect any unliquidated obligations. There must be no discrepancies between the final FFR expenditure data and the Payment Management System’s (PMS) cash transaction data. Failure to submit the required information by the due date may adversely affect the future funding of the project.

If the information cannot be provided by the due date, awardees are required to submit a letter of explanation to PGO and include the date by which the Grants Officer will receive information.

e. Final Performance and Financial Report (required) This report is due 90 days after the end of the project period. CDC programs must indicate that this report should not exceed 40 pages. This report covers the entire project period and can include information previously reported in APRs. At a minimum, this report must include the following:

Performance Measures – Awardees must report final performance data for all process and outcome performance measures.

Evaluation Results – Awardees must report final evaluation results for the project period for any evaluations conducted.

Impact/Results/Success Stories – Awardees must use their performance measure results and their evaluation findings to describe the effects or results of the work completed over the project period, and can include some success stories.

Additional forms as described in the Notice of Award (e.g., Equipment Inventory Report, Final Invention Statement).

4. Federal Funding Accountability and Transparency Act of 2006 (FFATA) The FFATA and Public Law 109-282, which amends the FFATA, require full disclosure of all entities and organizations that receive federal funds including awards, contracts, loans, other assistance, and payments. This information must be submitted through the single, publicly accessible website, www.USASpending.gov.

Compliance with these mandates is primarily the responsibility of the federal agency. However, two elements of these mandates require information to be collected and reported by applicants: 1) information on executive compensation when not already reported through SAM; and 2) similar information on all sub-awards, subcontracts, or consortiums for greater than $25,000. For the full text of these requirements, see: http://www.gpo.gov /fdsys/browse/ collection.action?collectionCode=

BILLS.

http://www.grants.gov http://www.grants.gov http://www.USASpending.gov http://www.gpo.gov/fdsys/browse/collection.action?collectionCode=BILLS

The applicant must demonstrate the ability to execute the CDC strategies and activities and meet project period outcomes. The applicant should demonstrate relevant experience and capacity to implement the activities and achieve the project outcomes, experience and capacity to implement the evaluation plan, and a staffing plan and project management structure sufficient to achieve project outcomes and which clearly defines staff roles. The applicant may use experiences conducting activities under CDC-RFA-PS12-1212 as evidence of ability and experience.

d. Work Plan

Applicant must provide a high level work plan that covers the duration of the project, one that indicates how the components of the work plan crosswalk to the activities, outcomes, and performance measures presented in the logic model and narrative sections of the FOA. Work plans should include people responsible for conducting activities and a projected completion date. A sample workplan is provided below:

Project Period Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

OR

SMART Outcome Objective:

[should draw on measures in Evaluation and Performance Measurement section]

Strategies/Activities

Process Measure [from Evaluation and Performance Measurement section]

OR

SMART Process Objective:

[should draw on measures in Evaluation and Performance Measurement section]

Responsible Position / Party Completion Date

1.

2.

3.

4.

5.

6.

7.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee 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 awardee progress in achieving the desired outcomes.

Ensuring the adequacy of awardee 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:

Ensuring that work plans are feasible based on the budget and consistent with the intent of the award.

Ensuring that awardees are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with awardees 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.

Other activities deemed necessary to monitor the award, if applicable.

These activities may include 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 grantees.

f. CDC Program Support to Awardees (THIS SECTION APPLIES ONLY TO COOPERATIVE AGREEMENTS)

Review and approve the online training module for youth-serving professionals and booster training materials.

Collaborate with grantee on the development of parent materials for the website and on the development of satisfaction measures.

Assist in development of data analysis plans, analysis, and interpretation of data analysis, both quantitative and qualitative.

Monitor and evaluate the accomplishments of the project. This will be accomplished through periodic site visits, telephone calls, and review of technical reports and interim data analyses.

Provide technical assistance as needed or required.

Collaborate with grantee on the writing of manuscripts for publication in peer-reviewed journals to report on the findings from this FOA.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the CDC Program Support to Awardees Section.

2. Award Mechanism: H25

Venereal Disease Control

3. Fiscal Year: 2015 Estimated Total Funding: $500,000

4. Approximate Total Fiscal Year Funding: $0

5. Approximate Project Period Funding: $500,000

6. Total Project Period Length: 1 year(s)

7. Expected Number of Awards: 1

8. Approximate Average Award: $500,000 Per Budget Period

9. Award Ceiling: $500,000 Per Budget Period

10. Award Floor: None

11. Estimated Award Date: 09/30/2015 Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (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 project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

12. Budget Period Length: 12 month(s)

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category: Private institutions of higher education

Other:

Private colleges and universities

2. Additional Information on Eligibility

The award ceiling for this FOA is $500,000. CDC will consider any application requesting an award higher than this amount as non- responsive and it will receive no further review. If a pre-application is required, then specify here and include it in the special eligibility requirements section. (http:// www.hhs.gov/ asfr/ ogapa/ aboutog/ hhsgps107.pdf)

3. Justification for Less than Maximum Competition

Johns Hopkins University (JHU) is a research university and the principal investigator, Dr. Arik V. Marcell, is a nationally recognized expert in adolescent males' sexual and reproductive health care needs and the issues related to their access to services. JHU was awarded funding under CDC-RFA-PS12-1212 based on their strong record of research and public health scholarship, their high-quality plans for adapting Project Connect for young minority males, their ability to access the targeted population, and their existing partnerships with organizations whose participation in the project was needed for its successful completion. JHU has performed all required activities under CDC-RFA-PS12-1212, in collaboration with CDC, which was to adapt and evaluate the Project Connect health systems intervention for Latino and African American adolescent and young adult males, including Young Men who have Sex with Men (YMSM). The required activities under this new FOA are a continuation of the activities that have been conducted over the past three years by JHU under PS12-1212. These new activities include conducting a longer-term evaluation of the adaptation of the Project Connect intervention, developing and testing materials to share with the parents of the young men being targeted with the intervention including translation of materials into Spanish, and developing an online version of the training for youth-serving professionals to assist with program sustainability. The new FOA will also permit a long-term evaluation (16 months and 19 months after program initiation, instead of the original 3-month and 9-month follow-up) of the adaptation of the Project Connect intervention, and will help to assure the intervention's sustainability in the community. This new FOA builds on the progress and accomplishments of the team completing activities under PS12-1212, thus making them uniquely suited to perform the activities under the new FOA. Given the time frame for the new project period (i.e., one year), there would be insufficient opportunity for another similar organization located within the same region to pick up where JHU left off and complete the study. The experience and expertise of the JHU team would be difficult to match as well, particularly within the Baltimore area. A similar deviation has not been previously requested for the same project/recipients.

In order to plan for widespread dissemination of Project Connect for males, sufficient evidence of its effectiveness is needed. Because of their role in transmitting STD/HIV and because males are far less likely than females to receive sexual and reproductive health care, connecting young males to high-quality sexual and reproductive health care is a public health priority and has remained a challenge. Reasons for this continued challenge include cultural norms around the need for men to seek care, lack of knowledge and awareness by individual men that they need to seek care, often asymptomatic infections that do not alert men to their need for care, and a medical community that is far more focused on providing sexual and reproductive health care to women. Adequate completion of this study will contribute critical information to addressing this challenge by identifying and addressing males' barriers to seeking care; identifying what constitutes a male-friendly sexual and reproductive health care provider and locating those individuals and clinics that meet these criteria; and identifying creative, technologically savvy, and effective ways of connecting young males to those services. In the event that this single-source funding request is not approved, the original project would not be completed. Failure to complete the study will result in an already vulnerable population having a lesser likelihood of recognizing their need for services, of being able to find appropriate care, and subsequently a reduced likelihood of receiving high quality care, which would result in a concomitant increase in their risk for HIV and STI infection.

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 FOA 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. Required Registrations

Additional materials that may be helpful to applicants: http://www.cdc.gov/od/pgo/funding/docs/Financial ReferenceGuide.pdf.

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 (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-awardees, those sub-awardees 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 an awardee. 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 usually requires not more than five business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov: The first step in submitting an application online is registering your organization through www.grants.gov, the official HHS E-grant website.

Registration information is located at the "Get Registered" option at www.grants.gov.

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

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 funding opportunity at www.grants.gov. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIM@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348.

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. PGO 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 PGO.

a. Letter of Intent Deadline (must be emailed or postmarked by) N/A

b. Application Deadline Due Date for Applications: 08/25/2015, 11:59 p.m. 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.

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html.

Complete the applicable assurances and certifications on an annual basis, name the file “Assurances and Certifications” and upload it as a PDF file at www.grants.gov Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.

gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx Assurances and certifications submitted directly to CDC will be kept on file for one year and will apply to all applications submitted to CDC by the applicant within one year of the submission date.

6. Content and Form of Application Submission Applicants are required to include all of the following documents with their application package at www.grants.gov.

7. Letter of Intent

LOI is not requested or required as part of the application for this FOA.

8. Table of Contents (No page limit and not included in Project Narrative 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 http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.grants.gov http://fedgov.dnb.com/webform/displayHomePage.do http://fedgov.dnb.com/webform/displayHomePage.do https://www.SAM.gov http://www.Grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov https://foa.grantsolutions.gov/announcementmodule/PGOTIM@cdc.gov%20 http://www.grants.gov http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html http://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx

9. Project Abstract Summary (Maximum 1 page) 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 (Maximum of 20 pages, single spaced, Calibri 12 point, 1-inch margins, number all pages. Content beyond 20 pages will not be considered. The 20 page limit includes the work plan. For a multi-component FOA, maximum page limit is 25.)

The Project Narrative must include all of the bolded headings shown in this section. 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 project period as identified in the CDC Project Description section. Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov.

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

b. Approach

i. Purpose Applicants must describe in 2-3 sentences specifically how their application will address the 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. Outcomes are the results that the program intends to achieve.

All outcomes must indicate the intended direction of change (e.g., increase, decrease, maintain). (See the logic model in the Approach section of the CDC Project Description.)

iii. Strategies and Activities Applicants must provide a clear and concise description of the strategies and activities they will use to achieve the project period 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 CDC Project Description: Strategies and Activities section.)

1. Collaborations Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC.

Applicants must describe how they will collaborate with programs and organizations either internal or external to CDC.

Applicants must file letters of support, as appropriate, for any newly proposed collaborations, name the file “Letters of Support,” and upload it as a PDF file at www.grants.gov.

2. Target Populations 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. Refer back to the CDC Project Description section – Approach: Target Population.

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. Refer back to the CDC Project Description section – Approach: Target Population.

a. Inclusion: Applicants must address how they will include specific populations who can benefit from the program, refer back to the CDC Project Description section – Approach: Inclusion, if applicable.

c. Applicant Evaluation and Performance Measurement Plan Applicants must provide an overall evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy section of the CDC Project Description of this FOA. Data collected must be used for ongoing monitoring of the award to evaluate its effectiveness, and for continuous program improvement.

The plan must:

Affirm the ability to collect the performance measures and respond to the evaluation questions specified in the CDC strategy. (For guidance regarding the Paperwork Reduction Act, please visit http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html) Describe how key program partners will participate in the evaluation and performance measurement planning processes.

Describe how evaluation findings will be used for continuous program quality improvement.

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

Describe the type of evaluation(s) (i.e., process, outcome, or both) to be conducted.

Describe key evaluation questions to be addressed by these evaluations.

Describe other information relevant to the evaluation (e.g., measures, data sources)

Awardees will be required to submit a more detailed evaluation and performance measurement plan within the first 6 months of the project, as outlined in the reporting section of the FOA.

d. Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC Project Description.

11. Work Plan (Included in the Project Narrative’s 20 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 awardee plans to carry out achieving the project period outcomes, strategies and activities, evaluation and performance measurement.

Applicants must name this file "Work Plan" and upload it as a PDF file at www.grants.gov.

http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.grants.gov http://www.hhs.gov/ocio/policy/collection/infocollectfaq.html

12. Budget Narrative Applicants must submit an itemized budget narrative, which may be scored as part of the Organizational Capacity of Awardees to Execute the Approach. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Other categories Contractual costs Total Direct costs Total Indirect costs

Indirect costs will not be reimbursed under grants to foreign organizations, international organizations, and foreign components of grants to domestic organizations (does not affect indirect cost reimbursement to the domestic entity for domestic activities). The CDC will not reimburse indirect costs unless the recipient has an indirect cost rate covering the applicable activities and period.

For guidance on completing a detailed budget, see Budget Preparation Guidelines at:http://www.cdc.gov/grants/interestedinapplying/applicationresources.html .

If applicable and consistent with the cited statutory authority for this announcement, applicant entities may use funds for activities as they relate to the intent of this FOA to meet national standards or seek health department accreditation through the Public Health Accreditation Board (see: http://www.phaboard.org). Applicant entities to whom this provision applies include state, local, territorial governments (including the District of Columbia, 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), or their bona fide agents, political subdivisions of states (in consultation with states), federally recognized or state-recognized American Indian or Alaska Native tribal governments, and American Indian or Alaska Native tribally designated organizations. Activities include those that enable a public health organization to deliver public health services such as activities that ensure a capable and qualified workforce, up-to-date information systems, and the capability to assess and respond to public health needs. Use of these funds must focus on achieving a minimum of one national standard that supports the intent of the FOA. Proposed activities must be included in the budget narrative and must indicate which standards will be addressed.

Applicants must name this file “Budget Narrative” and upload it as a PDF file at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect cost-rate agreement is required. If the indirect costs are requested, include a copy of the current negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for those Grantees under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it at www.grants.gov.

13. Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies.

Unless otherwise explicitly permitted under the terms of a specific CDC award, no funds associated with this FOA may be used to implement the optional policies, and no applicants will be evaluated or scored on whether they choose to implement these optional policies.

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhand smoke exposure, and to promote healthy nutrition. CDC encourages all awardees to implement the following optional recommended evidence-based tobacco and nutrition policies within their own organizations. The tobacco policies build upon the current federal commitment to reduce exposure to secondhand smoke, specifically The Pro-Children Act, 20 U.S.C. 7181-7184, that prohibits smoking in certain facilities that receive federal funds in which education, library, day care, health care,or early childhood development services are provided to children.

Tobacco Policies:

Tobacco-free indoors: Use of any tobacco products (including smokeless tobacco) or electronic cigarettes is not allowed in any indoor facilities under the control of the awardee.

1.

Tobacco-free indoors and in adjacent outdoor areas: Use of any tobacco products or electronic cigarettes is not allowed in any indoor facilities, within 50 feet of doorways and air intake ducts, and in courtyards under the control of the awardee.

2.

Tobacco-free campus: Use of any tobacco products or electronic cigarettes is not allowed in any indoor facilities or anywhere on grounds or in outdoor space under the control of the awardee.

3.

Nutrition Policies:

Healthy food-service guidelines must, at a minimum, align with HHS and General Services Administration Health and Sustainability Guidelines for Federal Concessions and Vending Operations. These guidelines apply to cafeterias, snack bars, and vending machines in any facility under the control of the awardee and in accordance with contractual obligations for these services (see: http://www.gsa.gov/ graphics/pbs/Guidelines_for_ Federal_ Concessions_and_Vending _ Operations.pdf).

1.

Resources that provide guidance for healthy eating and tobacco-free workplaces are:2.

http://www.cdc.gov/ nccdphp/dnpao/hwi/ toolkits/ tobacco/index.htm http://www. thecommunityguide.org/ tobacco/index.html http:// www.cdc.gov /obesity /strategies /food-serv-guide.html

14. Health Insurance Marketplaces A healthier country is one in which Americans are able to access the care they need to prevent the onset of disease and manage disease when it is present. The Affordable Care Act, the health care law of 2010, creates new Health Insurance Marketplaces, also known as Exchanges, to offer millions of Americans affordable health insurance coverage. In addition, the law helps make prevention affordable and accessible for Americans by requiring health plans to cover certain recommended preventive services without cost sharing. Outreach efforts will help families and communities understand these new options and provide eligible individuals the assistance they need to secure and retain coverage as smoothly as possible. For more information on the Marketplaces and the health care law, visit: www.HealthCare.gov.

15. Intergovernmental Review http://www.cdc.gov/grants/interestedinapplying/applicationresources.html http://www.phaboard.org http://www.grants.gov http://www.grants.gov http://www.gsa.gov/graphics/pbs/Guidelines_for_Federal_Concessions_and_Vending_Operations.pdf http://www.gsa.gov/graphics/pbs/Guidelines_for_Federal_Concessions_and_Vending_Operations.pdf http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/tobacco/index.htm http://www.thecommunityguide.org/tobacco/index.html http://www.cdc.gov/obesity/strategies/food-serv-guide.html http://www.HealthCare.gov

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