NOFO Content ofCDC-RFA-OT18-18020301SUPP21 Amendment.pdf

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

CDC-RFA-OT18-18020301SUPP21

03/05/2021

Table of Contents Section I. Funding Opportunity Description

Section II. Award Information

Section III. Eligibility Information

Section IV. Application and Submission Information

Section V. Application Review Information

Section VI. Award Administration Information

Section VII. Agency Contacts

Section VIII. Other Information

Part 1. Overview Information Federal Agency Name:

Federal Centers for Disease Control and Prevention (CDC) Notice of Funding Opportunity (NOFO) Title:

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health Announcement Type:

Revision- Type 3

Agency Notice of Funding Opportunity Number:

CDC-RFA-OT18-18020301SUPP21

Assistance Listings (CFDA) Number:

93.421 Key Dates:

Due Date for Applications 03/05/2021

03/05/2021 Application must be successfully submitted to Grants.gov by 11:59 pm Eastern Standard Time on the deadline date.

Additional Overview Content:

This supplemental notice of funding opportunity is designed to address public health priorities related to the COVID-19 pandemic. CDC expects to award projects in April 2021 to supplement COVID-19 response efforts in the Year 3 budget period of the OT18-1802 National Partners Cooperative Agreement. The Year 3 budget period is August 1, 2020-July 31, 2021;

therefore, CDC is advising applicants to submit proposals for a 4-month budget period.

Recipients with expanded authority for carryover may leverage the authority to continue expending funds and completing approved activities in the OT18-1802 Year 4 budget period, August 1, 2021-July 31, 2022. Additional information related to the use of expanded authority for carryover is available in the Expanded Authority for Carryover Fact Sheet and detailed instructions will be shared with recipients post-award.

This supplemental funding is only available to the organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802 in FY18.

This administrative amendment was made to 1) further clarify the supplement does not have a ceiling; 2) add information for continuation projects omitted in error in the previous publication;

and 3) add 2 new opportunities to support ongoing work. Updated text is highlighted throughout the document. The application due date will remain March 5, 2021.

Executive Summary The purpose of this notice of funding opportunity (NOFO) is to announce the availability of supplemental funding for the organizations that were previously awarded funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health.

The CDC-RFA-OT18-1802 recipients are eligible to submit applications for COVID-19 CIO project plans that match the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18. The COVID-19 CIO project plans are attached to this announcement.

The program strategies include strengthening the capacities of health systems infrastructure;

leadership and workforce; data and information systems; communication and information technology; partnerships; laws and policies; and programs and services. The capacity-building efforts outlined in this supplemental funding announcement are expected to support and strengthen public health systems and services to improve and protect the nation's health by addressing COVID-19 response needs. The goal is to fund recipients that have the capability, expertise, resources, reach, and history of providing capacity-building activities relevant to implementing this program's key strategies, activities, and outcomes.

Applicants should propose activities based on the needs of their described target population using the strategies outlined in the COVID-19 CIO Project Plan(s) for which they apply.

Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the Office for State, Tribal, Local and Territorial Support

GPRA goal(s)

Increase state, tribal, local, and territorial public health agencies' capacity to more efficiently and effectively manage and deliver high quality programs and services to protect the public's health

Increase the infusion of public health knowledge across governmental and nongovernmental components of the public health system.

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.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52. Guidance https://www.cdc.gov/grants/documents/Carryover-FactSheet.pdf https://www.govregs.com/regulations/title42_chapterI_part2_subpartD_section2.52 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)).

Section I. Funding Opportunity Description Statutory Authority The program is authorized under sections 317(k)(2) and 307 of the Public Health Service Act (42 U.S.C. Sections 242(l) and 247b(k), as amended). In addition, this program is authorized under sections 4002 of the Patient Protection and Affordable Care Act, Public Law 111-148, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), 2020 (P.L. 116-136), the Paycheck Protection Program and Healthcare Enhancement Act, 2020 (P.L. 116-139), and the Consolidated Appropriations Act and the Coronavirus Response and Relief Supplement Appropriations Act, 2021 (P.L. 116-260).

Background The public health system is comprised of a broad and complex range of agencies, organizations, and individuals. Each entity plays a significant role in affecting the health of the population.

Working across sectors and organizations enables the system to leverage partnerships and resources to address priority needs of the public health system. Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health, (National Partners Cooperative Agreement) was developed in response to continued calls for the transformation of the public health system and the need to address ongoing challenges, including emerging health threats, health disparities and inequities, workforce declines, and fragmented programs.

The program strategies and intended outcomes for the National Partners Cooperative Agreement are grounded in work from the 2012 Institute of Medicine report, For the Public’s Health:

Investing in a Healthier Future, the foundational capacities and capabilities for public health departments outlined by the Public Health Leadership Forum and the resulting Foundational Public Health Services. Additional work is cited from the Public Health Accreditation Board (PHAB) Standards & Measures,Healthy People 2020, and Public Health 3.0: A Call to Action to Create a 21st Century Public Health Infrastructure.

Significant events in 2020 highlight the need to continue building capacity of the public health system to address ongoing challenges. This supplemental funding opportunity will focus on

COVID-19.

The Secretary of the Department of Health and Human Services issued the Declaration of Public Health Emergency for 2019 Novel Coronavirus on January 31, 2020 and it has been extended multiple times, with the latest extension occurring January 7, 2021. The Presidential Proclamation on Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak was issued on March 13, 2020. By March 16, 2020, all 50 states and several local and territorial jurisdictions had declared states of emergency.

COVID-19 continues to place a tremendous strain on the various systems and resources across the nation as the numbers of new cases and deaths increase and jurisdictions continue to combat https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html https://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html https://www.cdc.gov/publichealthgateway/partnerships/capacity-building-assistance-OT18-1802.html https://www.resolve.ngo/site-healthleadershipforum/foundationacapabilities/default.htm http://phnci.org/national-frameworks/fphs http://phnci.org/national-frameworks/fphs https://phaboard.org/ https://phaboard.org/ https://www.healthypeople.gov/2020/topics-objectives https://www.healthypeople.gov/sites/default/files/Public-Health-3.0-White-Paper.pdf https://www.healthypeople.gov/sites/default/files/Public-Health-3.0-White-Paper.pdf https://www.hhs.gov/about/leadership/secretary/speeches/2020-speeches/secretary-azar-delivers-remarks-on-declaration-of-public-health-emergency-2019-novel-coronavirus.html https://www.hhs.gov/about/leadership/secretary/speeches/2020-speeches/secretary-azar-delivers-remarks-on-declaration-of-public-health-emergency-2019-novel-coronavirus.html https://www.phe.gov/emergency/news/healthactions/phe/Pages/covid19-07Jan2021.aspx https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/ https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/ the virus responsible for a global pandemic. New measures, including the availability of the COVID-19 vaccine, require additional resources to support the ongoing response.

Purpose The purposes of this supplemental funding opportunity are to strengthen the nation’s public health infrastructure, ensure a competent, current, and connected public health system, and improve delivery of essential public health services through capacity-building assistance (CBA) to address COVID-19.

Awards will be made to organizations that were previously awarded funding under Funding Strategy 1 of CDC- RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health in FY18.

These organizations have demonstrated the capability, expertise, resources, national reach, and track record to implement one or more of the OT18-1802 program strategies: public health systems infrastructure; leadership and workforce; data and information systems; communication and information technology; partnerships; laws and policies; and programs and services.

The CDC-RFA-OT18-1802 recipients are eligible to submit applications for COVID-19 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18.

Program Implementation Recipient Activities Applicants should propose to use the OT18-1802 program strategies to achieve the intended program outcomes. The activities listed below are not exhaustive and should be augmented based on the priority needs of the target population and the strategies and related outcomes outlined in the individual COVID-19 CIO Project Plans.

Note that any activities involving information collection (i.e., surveys, questionnaires, etc.) from 10 or more non-Federal individuals/entities are subject to OMB/PRA requirements and may require the CDC to coordinate an OMB Information Collection Clearance.

Public Health Systems and Infrastructure--Activities to improve operational capacity, such as policies and plans, administrative and management, and quality improvement. CBA provided will strengthen the target population's ability to:

Assess and address gaps in organizational performance, using tools such as national accreditation standards

Assess and reduce agency fragmentation and duplication Develop and implement organizational strategic plans Formulate population health goals and strategies Ensure generation, analysis, and use of information about emerging health trends Ensure organizational structure aligns with health goals and strategies Establish performance management systems to monitor organizational objectives

Establish and maintain effective financial management systems Build models that align public health with other sectors Ensure system transparency and accountability Identify, strengthen, and coordinate stakeholders' roles Develop and implement quality improvement processes for practices, processes, and interventions Develop and maintain operational infrastructure to support performance of public health functions Maintain current operational definitions and statements of organizational roles, responsibilities, and authorities

Leadership and Workforce Development--Activities designed to improve leadership and workforce competencies, recruitment, and retention. CBA provided will strengthen the target populations ability to

Strengthen leadership engagement across public and private sectors Determine leaders' engagement in specific public health priorities Establish feedback loops across systems for organizational planning Address existing and emerging public health priorities Address the social determinants of health and health disparities and inequities Address the health impact of systemic racism Commit and demonstrate intent to developing a diverse leadership team Perform network analysis to identify opportunities for collaboration Assess workforce training needs Establish and maintain workforce development plan Assess the workforce's scientific skills and subject matter expertise Develop workforce strategy for hiring and retaining employees Develop and implement strategies to sustain supportive work environments Establish relationships with organizations that promote the development of future public health workers Implement activities to scale-up delivery of public health training at lower costs Sustain the working relationship among public health and leaders across sectors

Data and Information Systems--Activities to improve the collection, management, interpretation, and dissemination of data to guide decision-making. CBA provided will strengthen the target population's ability to

Assess health and health-related data sources Assess available information systems used across organizations Develop systems or processes for cross-integration and ease of use Improve system infrastructure for data storage, protection, and management Determine readiness for information system implementation, use, and maintenance Create manuals and protocols to ensure best practices and standardization of data and information systems

Create policies, standard protocols and guiding principles for consistently collecting racial and ethnic data

Establish data governance by creating policies and guiding principles to improve the collection, interpretation, and meaningful use of data

Increase information access, data use, and sharing across organizations Develop and implement protocols critical for integrating surveillance and monitoring systems Develop workforce training on managing data and information systems Link public health data, clinical care data, and other relevant data sources to improve surveillance Determine effective ways to use public health data, health care data, and other relevant data sources to monitor the health of populations

Communication and Information Technology--Activities to improve the use of communication and information technology to affect health decisions and actions. CBA provided will strengthen the target population's ability to

Develop communication processes for effective cross-sector collaboration Develop communication procedures to provide information to the public Create communication campaigns that are relevant, culturally competent, and at a sufficient level of health literacy Provide accessible, accurate, actionable, and current information that is culturally sensitive and linguistically appropriate Develop communication systems to enable efficient and effective community-centered dialogue Develop and disseminate educational materials, health communication and marketing activities, and program evaluation and assessment tools Provide information about public health issues and functions to diverse audiences through multiple methods to inform public health decision making

Partnerships--Activities to improve the establishment and maintenance of results-driven partnerships. CBA provided will strengthen the target population's ability to

Assess agency’s current internal and external partnerships Expand organization or program partnerships through community engagement and mobilization Perform network analysis to identify opportunities for collaboration Leverage partnerships to address specific public health issues or population health needs strategically Identify successful practices and develop new mechanisms to inform and mobilize the public and private sectors in collaborative efforts Engage with the public health system and community in identifying and addressing health problems through collaborative processes Engage various sectors in the adoption of Health in All Policies

Laws and Policies--Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health. CBA provided will strengthen the target population's ability to

Conduct systematic surveillance of applicable laws and policies to public health aims and evaluate them

Engage multiple sectors to identify priorities for development of relevant laws and policies based on needs and data

Provide technical assistance and develop tools to support public health practitioners and policymakers in advancing evidence-based or evidence-informed law and policy

Engage multiple sectors in activities that contribute to providing evidence to inform laws and policies that affect public health

Inform governing entities, elected officials, and the public of potential public health effects from laws and policies

Educate individuals and organizations on purpose, benefit, and requirements of laws and policies that affect public health

Identify the common barriers and facilitators of legal and policy strategies that affect health

Note recipients must ensure compliance with Administrative Requirement-12 (Anti- Lobbying) when engaging in all activities, especially those related to laws, policies, and regulations.

Programs and Services--Activities to improve the identification of best practices and implementation of evidence-based/informed programs and services. CBA provided will strengthen the target population's ability to

Identify, prioritize, and fund programs that lower disease rates, prevent injuries, and improve health

Integrate prevention strategies and actions across multiple settings Adopt initiatives to develop, implement, and evaluate effective health promotion and disease prevention strategies Translate and disseminate evidence-based public health science to improve health and lower health care costs Identify effective mechanisms to ensure capable assessment and response to public health needs Develop indicators and measures to determine effectiveness in meeting public health needs Use evidence to implement programs and services that address emerging or real-time priority public health needs Develop and adopt evidence-based interventions that reduce high-burden diseases Assess access to health care services Identify and implement strategies to improve access to health care services

CDC Activities In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring.

CDC activities for this program are as follows:

1. Collaborate with recipients to ensure coordination and implementation of strategies to provide capacity-building assistance to governmental and nongovernmental components of the public health system.

2. Provide guidance and coordination to recipients to improve the quality and effectiveness of work plans, evaluation strategies, products and services, and collaborative activities with other organizations.

3. Support ongoing opportunities to foster networking, communication, coordination, and collaboration.

4. Serve as a conduit for information exchange.

5. Collaborate with recipients to compile and publish accomplishments, best practices, and lessons learned during the project period.

6. Collaborate, as appropriate, in assessing progress toward meeting strategic and operational goals and objectives and in establishing measurement and accountability systems for documenting outcomes.

7. Collaborate on strategies and activities to ensure the provision of CBA to STLT health departments and other components of the public health system as needed.

Section II. Award Information Type of Award:

CA (Cooperative Agreement) CDC substantial involvement in this program appears in the Activities Section above.

Award Mechanism:

U38 Uniform National Health Program Reporting System

Fiscal Year Funds:

Approximate Total Supplemental Funding:

$ 126,000,000 This amount is subject to availability of funds. Includes direct and indirect costs.

Applicants are encouraged to propose additional activities, performance measures, outputs, and outcomes, as needed, to address the unique capacity- building assistance needs of their target population. Applications should be scalable and must include a work plan and budget narrative.

Proposed amounts are not guaranteed but they will be important factors in determining award levels. CDC and the recipient will work together to revise and further prioritize activities based on funding availability.

The tables below list the COVID-19 CIO Project Plans for this supplemental NOFO to be funded for Year 3 of OT18-1802. Project plan updates are highlighted below.

Applicants are eligible to submit applications for CIO Project Plans if the Target Population Description matches the Target Population Category and Target Population Description for which they received initial funding in FY18.

Table 1. COVID-19 CIO Project Plans - Category A

Project Title Target Population Description

Addressing COVID-19 vaccine confidence through tribal health departments

Tribal health departments

Equipping Local Health Departments to Build COVID-19 Vaccine Confidence

Local health departments

Equipping State Health Departments to Build COVID-19 Vaccine Confidence

State and territorial health departments

National COVID-19 response through contact tracing and state leadership engagement

State and territorial health departments

Strengthening local public health for refugee, immigrant and migrant communities

Local health departments

Supporting local health departments in reducing disparities in adult immunization

Local health departments

Table 2. COVID-19 CIO Project Plans - Category B

Project Title Target Population Description

State-level epidemiology surveillance on the impacts of COVID-19 on women infants & vaccine knowledge attitudes

State, tribal, local, and territorial epidemiologists

Table 3. COVID-19 CIO Project Plans - Category C

Project Title Target Population Description Accelerating accessibility of infection control training for Asian and Pacific Islander American healthcare personnel

CBOs serving racial/ethnic minority communities

Addressing COVID-19 vaccine access and confidence among people with disabilities

The national network of AUCD's member centers in every state and territory, as well as key public health partners

Building Capacity of Community-based Organizations to Address COVID-19 Response Needs

Community-based organizations

Case-control Studies of Community Exposures and Behavioral Risk Factors for SARS-CoV2

Community-based organizations

COVID-19 Protection for Essential Transportation Workers and the Riders They Serve

Transportation professionals and decision-makers

COVID-19 Public Health Emergency Response and Vaccine Implementation Planning in UIOs

41 Urban Indian Organizations

Electronic Case Reporting: Bidirectional Information Exchange between Healthcare and Public Health

U.S. hospitals and health systems

Engaging community organizations to strengthen COVID-19 vaccine confidence

Community-based organizations

Engaging Pediatric Health Care Providers for Effective COVID-19 Vaccine Conversations

Pediatric health care clinicians

Engaging Preventive Medicine Providers for Effective COVID-19 Vaccine Conversations

Preventive medicine physicians

Engaging Women's Health Care Providers for Effective COVID-19 Vaccine Conversations

Obstetrician-gynecologists and other women's health care providers

Monitoring of COVID-19 Mitigation through Community Case Studies

Community-based organizations

Improving Mental, Behavioral and Academic Supports to Students and Families

Community-based organizations

Improving Minority Physician Capacity to Address COVID-19 Disparities

Physicians

Strengthened Community Partnerships for More Holistic Approaches to Interoperability

Community Based Organizations

Supporting community health centers as partners to strengthen COVID-19 vaccine conversations

Health centers and the patients and communities in which they serve.

Supporting health centers to reduce disparities in adult immunization

Health centers and their patients and communities served

Supporting YMCAs to strengthen vaccine confidence

YMCAs nationwide

The table below lists projects funded under the Year 2 COVID supplement that have been identified for continuation funding in Year 3. Applicants are eligible to submit an application for a CIO Project Plan on this list if the Target Population Category and Description matches the Target Population Category and Target Population Description for which they received initial funding in FY18. The Year 3 Work Plan in Response for CIO Project Plan template should be used to provide the required information and should be included with the Grants.gov application as outlined in the Application and Submission Information section.

Table 4. COVID-19 CIO Project Plan Continuations

Project Title Target Population Category

Target Population

Strengthening local health departments’ public health emergency response capacity to COVID-19 through health officials Part

Category A Local health departments (LHDs)

Building State Capacity to Implement a One Health Approach to COVID-19 Part 2 Category B State, tribal, local and territorial epidemiologists State and local support for COVID-19 epidemiologists’ capacity and workforce needs Part 2

Category B State, tribal, local and territorial epidemiologists

Strengthening Maternal and Child Health Programs to Response to COVID-19 Part 2 Category B

MCH program directors and staff and CYSHCN directors in Health Departments

Surveillance for SARS-CoV-2 infections among hospitalized children and adults Part

Category B State, tribal, local and territorial epidemiologists

Building Capacity of Community Health Centers to Respond to COVID-19 Part 2 Category C Health centers and the patients they serve Novel Harm Reduction and Treatment Strategies to Support Individuals with Opioid Use Disorder Part 2

Category C Community behavioral health organizations

As a reminder, funding includes direct and indirect costs, and is subject to applicable cooperative agreement regulations and existing indirect cost rate agreements.

Approximate Number of Awards:

This supplement solicits applications for several COVID-19 CIO Project Plans. The CIO Project Plans are high-level and were developed in anticipation of CDC’s need to leverage the expertise and reach of our national partners to support the public health system response to public health priorities to address COVID-19.

Approximate Average Award:

$ 750,000 This amount is for the budget period only and includes direct costs and indirect costs as applicable.

Floor of Individual Award Range:

$ 0 Ceiling of Individual Award Range:

$ 0 This ceiling is for a 12-month budget period.

No ceiling for the award.

Applicants are advised to submit a 4-month work plan and budget due to supplemental funds being awarded ~6-7 months into the Year 3 budget period of OT18-1802. CDC has anticipated the challenges of the limited Year 3 budget period and will provide additional guidance once awards are made. CDC will provide detailed guidance regarding carryover and the use of Expanded Authority for Carryover in the recipients’ Notice of Award (NOA).

Anticipated Award Date:

April 15, 2021

Budget Period Length:

4 month(s)

Period of Performance Length:

0 year(s)

Section III. Eligibility Information Eligible Applicants The following recipients may submit an application:

Eligibility Category:

00 (State governments)

01 (County governments)

02 (City or township governments)

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

06 (Public and State controlled institutions of higher education)

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

Additional Information on Eligibility This funding opportunity is only available to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health" in FY18.

Recipients are eligible to submit applications for CIO Project Plans that match the Target Population Category and Target Population Description for which they received initial funding in

FY18.

Required Registrations System for Award Management and Universal Identifier Requirements 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-recipients, those sub-recipients must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process usually requires not more than five business days, and registration must be renewed annually.

Additional information about registration procedures may be found at https://www.sam.gov/SAM/.

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

Cost Sharing or Matching Cost Sharing / Matching Requirement:

No Other Special Requirements Organizations may only apply for COVID-19 CIO Project Plans that match the Target Population Category and Target Population Description for which the organization competed and was awarded funds under CDC-RFA-OT18-1802 Funding Strategy 1 in FY18. Work Plans and accompanying budget narratives addressing any other target populations will be considered non-responsive and excluded from consideration for funding.

Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting a grant, loan, or an award.

Maintenance of Effort Maintenance of Effort is not required for this program.

https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/SAM/ https://www.grants.gov/ http://www.grants.gov/ https://www.grants.gov/

Section IV. Application and Submission Information Address to Request Application Package Applicants must download the application package associated with this funding opportunity from Grants.gov.

If the applicant encounters technical difficulties with Grants.gov, the applicant should contact Grants.gov Customer Service. The Grants.gov Contact Center is available 24 hours a day, 7 days a week, with the exception of all Federal Holidays. The Contact Center provides customer service to the applicant community. The extended hours will provide applicants support around the clock, ensuring the best possible customer service is received any time it is needed. You can reach the Grants.gov Support Center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by email, fax, CD’s or thumb drives of applications will not be accepted.

Content and Form of Application Submission Unless specifically indicated, this announcement requires submission of the following information:

Submission of Work Plans in Response to COVID-19 CIO Project Plans.

The COVID-19 CIO Project Plans are organized in this supplemental NOFO by Target Population Category (A, B, or C) and new opportunities vs continuation opportunities. These instructions apply to all projects, both new and continuation. Each CDC-RFA-OT18-1802 recipient is eligible to submit Work Plans in Response to CIO Project Plans that match the Target Population Category and Target Population Description for which the organization competed and was awarded funds under Funding Strategy 1 in FY18. The COVID-19 CIO Project Plans are included as attachments to this supplemental NOFO. Applicants are permitted to submit responses to multiple COVID-19 CIO Project Plans.

Applicants must submit a Work Plan in Response to CIO Project Plan template for each COVID- 19 CIO Project Plan for which they would like consideration. CDC is advising applicants to submit proposals for a 4-month budget period to perform activities within the OT18-1802 Year 3 budget period (ending July 31, 2021).

Each submission must include the proposed strategies and accompanying activities, process measures, outputs, outcomes, and outcome measures for the 4-month budget period.

Additionally, each submission must include a description of the recipient’s organizational capacity and program experience as it relates to the work outlined in the corresponding COVID- 19 CIO Project Plan. Upon completion of each Work Plan in Response to CIO Project Plan, create and save a master merge of all individual files to one PDF document. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

Full COVID-19 CIO Project Plans are accessible on the CSTLTS/NPB SharePoint. The Work Plans in Response to CIO Project Plans must be submitted via the CSTLTS/NPB SharePoint and Grants.gov. The National Partnership Branch will provide further instructions on submitting Work Plan in Response to COVID-19 CIO Project Plans via the CSTLTS/NPB SharePoint.

Recipients are expected to carry out program capacity-building strategies and activities to mailto:support@grants.gov achieve the program outcomes and to identify and document additional outcomes accomplished.

The CBA efforts performed under each project should work toward the short- term and intermediate outcomes outlined in the COVID-19 CIO Project Plan.

Applicants must also create a separate budget narrative to accompany each Work Plan in Response to CIO Project Plan. Upon completion of each budget narrative, create and save a master merge of all individual files to one PDF document. The master budget narrative will be uploaded and submitted as the "Budget Narrative" on Grants.gov. A detailed budget narrative is required for each work plan.

Full COVID-19 CIO Project Plans are accessible on the CSTLTS/NPB SharePoint. The Work Plans in Response to CIO Project Plans must be submitted via the CSTLTS/NPB SharePoint and Grants.gov. The National Partnership Branch will provide further instructions on submitting Work Plan in Response to COVID-19 CIO Project Plans via the CSTLTS/NPB SharePoint.

General instructions for submitting Work Plans in Response to CIO Project Plans on Grants.gov:

1. Submit: individual Work Plans in Response to CIO Project Plans on the CSTLTS/NPB SharePoint

2. Save: master Project Narrative and master Budget Narrative documents

3. Go to: Grants.gov

4. Select: "Applicants"

5. Select: "Apply for Grants

6. Select: "Get Application Package"

7. Insert the Notice of Funding Opportunity Number only, formatted as: CDC-RFA- OT18-

18020301SUPP21

8. Download application package

9. Complete the Budget Information for Non-constructions Programs (SF424A) form

10. Complete the Application for Federal Domestic Assistance-Short Organizational Form

(SF425)

11. Upload the master Project Narrative and master Budget Narrative documents

12. Upload the Indirect Cost Rate Agreement

13. Follow instructions to submit the application package to Grants.gov

Project Abstract A Project Abstract must be completed in the Grants.gov application forms. The Project Abstract must contain a summary of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed. It should be informative to other persons working in the same or related fields and insofar as possible understandable to a technically literate lay reader. This abstract must not include any proprietary/confidential information.

Note: The Project Abstract should reflect the entire submission. If applicants respond to multiple COVID-19 CIO Project Plans, the Project Abstract must cover all applications.

Project Narrative A Project Narrative must be submitted with the application forms. The project narrative must be uploaded in a PDF file format when submitting via Grants.gov. The narrative must be submitted in the following format:

Applicants will use the CSTLTS/National Partnership Branch's " Work Plan in Response to CIO Project Plan" template to create their work plan(s) in response to COVID-19 CIO Project Plans.

A copy of the work plan template is available as an attachment on Grants.gov. CSTLTS recognizes the narrative format listed above is not feasible with the Work Plan in Response to CIO Project Plan template. This is CDC NOFO template language and applicants will not be required to adhere to the bulleted format list above. As a reminder, applicants must create and save one master merge of all individual Work Plan in Response to CIO Project Plan PDFs. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

Applicants will also create and save one master merge of all individual Budget Narratives. The master budget narrative will be uploaded and submitted as the "Budget Narrative" on Grants.gov.

The Work Plans in Response to CIO Project Plan must include the proposed strategies and their accompanying activities, outputs, performance measures (process and outcome), and outcomes for the budget period. The Work Plans in Response to CIO Project Plans include a project description, organizational capacity, and program experience of the applicant as they relate to the COVID-19 CIO Project Plan.

The narrative should address activities to be conducted over the entire Period of Performance and must include the following items in the order listed.

The Project Narrative must include the information as required in the Work Plan in Response to CIO Project Plan template:

1. Project Description - Describe your overall plan for achieving the outcomes outlined in the CIO Project Plan.

2. Work Plan - Describe the activities, outputs, performance measures (process and outcome), and outcomes related to the selected NOFO strategies and outcomes. Provide the following information for each Program Strategy:

Activities: List the proposed activities related to each strategy selected.

Example activity: Planning and hosting a community roundtable offering strategies to convene partners. Propose activities that fit within the description of the selected strategies.

Process Measures: Propose at least one process measure for each strategy selected. Process measures are used to track implementation progress of the proposed activities. Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example process measure: To maintain participation level of the previous year, at least 20 of 35 organizations invited will attend the community roundtable event.

Outputs: List the expected outputs related to each strategy selected.

Outputs are the direct, tangible results of activities (e.g., resources, tools, and products to be developed). Example output: Development of a peer-to-peer learning portal for roundtable participants.

Program Outcomes: For each strategy selected, use the dropdown list to select the program outcome that relates to the expected budget period outcome(s) and proposed outcome measure(s). Outcomes are the changes that occur as a result of the work completed.

Budget Period Outcomes: List the expected budget period outcomes related to the selected program outcome. Budget period outcomes are the desired project results achieved by the end of the budget period (July 31, 2021). Program outcomes selected above may be included as budget period outcomes. Example budget period outcome: Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health.

Outcome Measures: Propose at least one outcome measure for each program outcome selected. Outcome measures are used to track progress toward achieving the expected outcomes. Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example outcome measure: At least 50% of attendees who complete the training evaluation indicate they will partner with at least one new community organization to address a public health need.

3. Organizational Capacity - Describe your capacity to successfully complete the project outlined in the CIO Project Plan. Include your organization's relevant staffing, systems, and resources.

4. Organizational Experience - Describe your experience as it relates to the project outlined in the CIO Project Plan. Include products developed; services, training, and technical assistance provided; and relevant target populations supported.

5. Collaborative Work - Describe your plan for collaboration as it relates to the project outlined in the CIO Project Plan. Include specific organizations or entities as applicable.

6. Sub-contractual Work - Describe your plan for sub-contractual work. Include recommended criteria for identifying and selecting subcontractors.

7. Budget Information - Provide a line item budget for the allocation of funds.

8. Additional Attachments - Additional attachments include the Budget Narrative, Indirect

Cost Rate Agreement, Budget Summary Spreadsheet (excel), and Consultant/Contractor Approval Request.

Additional information may be included in the application appendices. The appendices must be uploaded to the "Other Attachments Form" of application package in Grants.gov. Note:

appendices will not be counted toward the narrative page limit. This additional information includes:

The budget can include both direct costs and indirect costs as allowed. Indirect costs could include the cost of collecting, managing, sharing and preserving data.

Indirect costs on grants awarded to foreign organizations and foreign public entities and performed fully outside of the territorial limits of the U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight percent of modified total direct costs exclusive of tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000. Negotiated indirect costs may be paid to the American University, Beirut, and the World Health Organization.

If requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required. Include a copy of the current negotiated federal indirect cost rate agreement or cost allocation plan approval letter.

The applicant can obtain guidance for completing a detailed justified budget on the CDC website, at the following Internet address: https://www.cdc.gov/grants/documents/Budget- Preparation-Guidance.docx

Additional information submitted via Grants.gov must be uploaded in a PDF file format, and should be named:

Project Abstract Summary Table of Contents for Entire Submission Budget Narrative (compiled as one master pdf file) Project Narrative (work plans compiled as one master PDF file) Nonprofit organization IRS status forms, if applicable Indirect cost rate, if applicable CVs/Resumes for key staff engaged in project activities

CDC Assurances and Certifications: All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx.

Applicants may follow either of the following processes:

Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with 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.

Risk Assessment Questionnaire Requirement

CDC is required to conduct pre-award risk assessments to determine the risk an applicant poses to meeting federal programmatic and administrative requirements by taking into account issues such as financial instability, insufficient management systems, non-compliance with award conditions, the charging of unallowable costs, and inexperience. The risk assessment will include an evaluation of the applicant’s CDC Risk Questionnaire, located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, as well as a review of the applicant’s history in all available systems; including OMB-designated repositories http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf of government-wide eligibility and financial integrity systems (see 45 CFR 75.205(a)), and other sources of historical information. These systems include, but are not limited to: FAPIIS (https://www.fapiis.gov/), including past performance on federal contracts as per Duncan Hunter National Defense Authorization Act of 2009; Do Not Pay list; and System for Award Management (SAM) exclusions.

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

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

Duplication of Efforts

Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year. 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.