oppCDC-RFA-DP18-1814-cfda93.809-cidCDC-RFA-DP18-1814-instructions.pdf

Centers for Disease Control

National Center for Chronic Disease Prevention and Health Promotion

National Organization for Chronic Disease Prevention and Health Promotion

CDC-RFA-DP18-1814

Application Due Date: 06/25/2018

National Organization for Chronic Disease Prevention and Health Promotion

CDC-RFA-DP18-1814

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Catalog of Federal Domestic Assistance (CFDA) Number F. Dates G. Executive Summary

Part II. Full Text A. Funding Opportunity Description B. Award Information C. Eligibility Information D. Application and Submission Information E. Review and Selection Process F. Award Administration Information G. Agency Contacts H. Other Information I. Glossary

Part I. Overview 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-DP18-1814. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

National Organization for Chronic Disease Prevention and Health Promotion C. Announcement Type: New - Type 1 This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

New-Type 1

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DP18-1814

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

93.809 F. Dates:

1. Due Date for Letter of Intent (LOI): 05/08/2018

2. Due Date for Applications: 06/25/2018, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

A letter of intent is optional and is not required.

3. Date for Informational Conference Call:

Tuesday, May 8, 2018 3:00 p.m. Eastern Time Conference Call Line: 1-800-369-1677 Passcode:1956984#

G. Executive Summary:

1. Summary Paragraph:

CDC announces the availability of fiscal year 2018 (FY18) funds to implement DP18-1814, National Organization for Chronic Disease Prevention and Health Promotion. The purpose of this notice of funding opportunity (NOFO) is to announce a program that builds on the National Center for Chronic Disease Prevention and Health Promotion's (NCCDPHP) efforts to strengthen the capacity and capabilities of the state chronic disease prevention and health https://www.grants.gov https://www.grants.gov https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov promotion public health workforce. This program will support state health departments to build skills to plan, coordinate, implement and evaluate public health activities, as well as enhance leadership and communication skills that are critical for effective public health practice.

Focusing on the priorities and goals of the NCCDPHP, this program will support the development of effective state chronic disease programs through implementation of practice-based learning and leadership development strategies. This program is expected to result in adoption of evidence-based chronic disease prevention and health promotion approaches and effective use of public health tools and resources.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $15,000,000

e. Average One Year Award Amount: $3,000,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/30/2018

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 NOFO exists, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

Part II. Full Text A. Funding Opportunity Description

Part II. Full Text

1. Background

a. Overview The public health workforce is facing many challenges, including retirements of the current workforce, evolving public health practice, changing public health needs that do not match current skills and capacity, and lack of workforce strategic planning.

In CDC's Modernizing the Workforce for the Public's Health: Shifting the Balance, academic, governmental, and non-governmental public health stakeholders concluded that the workforce would benefit from training, mentoring and cross training, as well as leadership development.

Further, the CDC's National Public Health Workforce Strategic Roadmap describes goals and strategies to strengthen the workforce. The roadmap goals include increasing capability of the existing workforce and strengthening systems and organizational capacity to support the workforce. Strategies to achieve these goals include expanding training for identified skills and competencies, expanding the use of technology for ongoing and just-in-time learning, developing robust leader and leadership development offerings, and promoting organizational https://www.cdc.gov/ophss/csels/dsepd/documents/ph-workforce-summit-report.pdf https://www.cdc.gov/ophss/csels/dsepd/strategic-workforce-activities/ph-workforce/roadmap.html cultures that support workforce development.

This program will build on the National Center for Chronic Disease Prevention and Health Promotion's (NCCDPHP) efforts to strengthen the capacity and capabilities of the public health workforce. This program supports the development of effective state chronic disease programs through implementation of practice-based learning and leadership development activities for chronic disease leadership and staff and outreach and networking with local health departments.

This program complements work implemented in DP15-1512, which resulted in considerable accomplishments such as better-equipped state health department chronic disease leadership, improved ability to coordinate across program areas and with non-traditional partners, and engagement in strategic workforce planning that addressed changing technology, an aging workforce, and evolving public health workforce needs. DP15-1512 also supported implementation of communities of practice and peer-to-peer regional meetings, which created forums for state chronic disease leaders to discuss challenges, identify solutions, test new strategies, and learn about NCCDPHP's domains.

b. Statutory Authorities This program is authorized under sections 301(a) and 317(k)(2) of the Public Health Services Act, [42 U.S.C. Section 241(a) and 247b(k)(2)], as amended.

c. Healthy People 2020 This program may address the following Healthy People 2020 focus areas including: access to health services; arthritis; cancer; chronic kidney disease; clinical preventive services; diabetes;

heart disease and stroke; nutrition and weight status; oral health; physical activity; public health infrastructure; reproductive and sexual health; sleep health; social determinants of health; and tobacco use.

d. Other National Public Health Priorities and Strategies This program supports strategies to improve multiple chronic diseases and the risk factors associated with the following public health priorities: uncontrolled hypertension; the prevention and control of diabetes; the prevention of tobacco use; the incidence of obesity; increased physical activity and healthy eating in children and adults; increased breastfeeding; and improving the management of chronic conditions of students as outlined in the following national plans and guidelines:

Chronic Disease Prevention System (Domains) - Epidemiology and Surveillance, Environmental Approaches, Health Care System Interventions, and Community-Clinical Links https://www.cdc.gov/chronicdisease/pdf/four-domains-factsheet-2015.pdf Million Hearts https://millionhearts.hhs.gov/ National Diabetes Prevention Program https://www.cdc.gov/diabetes/prevention/index.html National Public Health Workforce Strategic Roadmap https://www.cdc.gov/ophss/csels/dsepd /documents/ph-workforce-strategic-roadmap.pdf The National Prevention Strategy https://www.surgeongeneral.gov/priorities/prevention/strategy https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services https://www.healthypeople.gov/2020/topics-objectives/topic/Arthritis-Osteoporosis-and-Chronic-Back-Conditions https://www.healthypeople.gov/2020/topics-objectives/topic/cancer https://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Clinical-Preventive-Services https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes https://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity https://www.healthypeople.gov/2020/topics-objectives/topic/public-health-infrastructure https://www.healthypeople.gov/2020/topics-objectives/topic/public-health-infrastructure https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/reproductive-and-sexual-health https://www.healthypeople.gov/2020/topics-objectives/topic/sleep-health https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health https://www.healthypeople.gov/2020/topics-objectives/topic/tobacco-use https://www.cdc.gov/chronicdisease/pdf/four-domains-factsheet-2015.pdf https://millionhearts.hhs.gov/ https://www.cdc.gov/diabetes/prevention/index.html https://www.cdc.gov/ophss/csels/dsepd/documents/ph-workforce-strategic-roadmap.pdf https://www.cdc.gov/ophss/csels/dsepd/documents/ph-workforce-strategic-roadmap.pdf https://www.surgeongeneral.gov/priorities/prevention/strategy/ https://www.surgeongeneral.gov/priorities/prevention/strategy/

The National Physical Activity Plan http://physicalactivityplan.org/docs/2016NPAP_Finalf orwebsite.pdf The Surgeon General's Call to Action to Support Breastfeeding https://www.cdc.gov/breastfeed ing/promotion/calltoaction.htm Dietary Guidelines for Americans https://health.gov/dietaryguidelines/2015/guidelines/ School Health Guidelines to Promote Healthy Eating and Physical Activity https://www.cdc .gov/mmwr/pdf/rr/rr6005.pdf Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation https://www.nap .edu/read/13275/chapter/1

e. Relevant Work This program complements work implemented in the past three years under the National Organization for Chronic Disease Prevention and Health Promotion NOFO, CDC-RFA-DP15- 1512. The purpose of that program was to strengthen the leadership and expertise in the chronic disease prevention system domains in order to transform the practice of chronic disease prevention and health promotion in state health departments and accelerate improvements in population health.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-DP18-1814 Logic Model: National Organization for Chronic Disease Prevention and Health Promotion

Strategies and Activities

Short-term Outcomes Intermediate Outcomes Long-Term Outcomes

Strategy: Practice-based Learning Activity 1: Convene and lead peer-to-peer forums that engage in problem solving and learning about effective domain and workforce development strategies.

Activity 2: Assess state health department organizational capacity and develop an action plan.

Activity 3: Expand use

Increase peer-to-peer practice learning and sharing Increase state health department organizational capacity Increase dissemination of effective chronic disease prevention approaches and workforce development strategies among States Increase in leadership and skills-based

Effective chronic disease prevention and workforce development strategies implemented Increased implementation of evidence-based public health approaches Increased effective use of public health tools and resources Improved leadership capacity and skills Increased availability

Adoption of evidence-based approaches that prevent and control chronic diseases and their risk factors Chronic Disease Directors and staff equipped to lead State chronic disease units to optimal performance Strengthened public health infrastructure http://physicalactivityplan.org/docs/2016NPAP_Finalforwebsite.pdf http://physicalactivityplan.org/docs/2016NPAP_Finalforwebsite.pdf https://www.cdc.gov/breastfeeding/promotion/calltoaction.htm https://www.cdc.gov/breastfeeding/promotion/calltoaction.htm https://health.gov/dietaryguidelines/2015/guidelines/ https://www.cdc.gov/mmwr/pdf/rr/rr6005.pdf https://www.cdc.gov/mmwr/pdf/rr/rr6005.pdf https://www.nap.edu/read/13275/chapter/1 https://www.nap.edu/read/13275/chapter/1 of technology by developing learning opportunities in modes most accessible to state health department staff.

Strategy: Leadership and Development Activity 1: Develop an implementation plan that describes activities to build leadership skills and competencies among Chronic Disease Directors and staff.

Activity 2: Expand workforce training to build identified leadership skills and competencies.

Activity 3: Develop leadership development opportunities.

Activity 4: Model, translate, and disseminate successful leadership approaches.

Activity 5: Evaluate impact.

learning and training opportunities Increase in Chronic Disease Director and staff leadership skills Increase documentation and dissemination of successful leadership approaches Increase documentation of systems and process improvements and accessibility of learning opportunities addressing leadership and chronic disease prevention approaches Improved systems and processes

i. Purpose The purpose of this NOFO is to support development of effective state chronic disease programs through learning and leadership development activities for chronic disease leaders and staff. It builds on efforts to expand the capacity and capabilities of the public health workforce to plan, implement and evaluate public health activities, and enhance critical leadership and communication skills for effective public health practice. The program will disseminate resources highlighting effective chronic disease prevention and health promotion approaches and workforce development strategies.

ii. Outcomes During the 5-year project period, the recipient is expected to implement the program strategies and activities to achieve the program outcomes and to identify and document additional outcomes as accomplished. The activities performed under this program should work toward the intermediate outcomes outlined in the logic model.

Intermediate:

Increased availability and accessibility of learning opportunities addressing leadership and chronic disease prevention approaches.

Improved systems and processes.

iii. Strategies and Activities Strategy: Practice-based Learning Activity 1: Convene and lead peer-to-peer forums that engage in problem solving and learning about effective domain and workforce development strategies.

Activity 2: Assess state health department organizational capacity and develop an action plan.

Activity 3: Expand use of technology by developing learning opportunities in modes most accessible to state health department staff.

Strategy: Leadership and Development Activity 1: Develop an implementation plan that describes activities to build leadership skills and competencies among Chronic Disease Directors and staff.

Activity 2: Expand workforce training to build identified leadership skills and competencies.

Activity 3: Develop leadership development opportunities.

Activity 4: Model, translate, and disseminate successful leadership approaches.

Activity 5: Evaluate impact.

1. Collaborations

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

Collaboration with chronic disease programs funded by CDC is encouraged. Applicants should also collaborate with other CDC-funded programs with expected outcomes that demonstrate measurable improvements in population health.

b. With organizations not funded by CDC:

Collaborations with a variety of public and private partners that are not funded by CDC, including state and local chronic disease programs, are encouraged to leverage resources and maximize reach and impact. The recipient will be encouraged to build and sustain strategic partnerships and collaborations with organizations that have a role in implementing this program's strategies and activities, and achieving the expected outcomes. Key collaborations may include the business community, hospitals, non-governmental organizations, non-profit agencies, other federal or local government agencies, public health community, Tribes or tribal organizations, professional organizations, quality improvement organizations, and federally qualified health centers.

2. Target Populations The purpose of this program is to support the development of effective state chronic disease programs through implementation of practice-based learning and leadership development activities for chronic disease leadership and staff. This program will improve and expand the leadership abilities and expertise of the state health department chronic disease prevention workforce, resulting in chronic disease population health improvements in state health department catchment areas. The target populations for this NOFO are:

State Chronic Disease Directors State Chronic Disease Prevention and Health Promotion Staff State Chronic Disease Prevention and Health Promotion Programs

a. Health Disparities N/A

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and performance measurement will monitor the extent to which planned activities are completed successfully, show the effectiveness of practice-based learning and leadership development activities and demonstrate achievement of program outcomes. CDC uses evaluation findings to ensure continuous program quality improvement, document successful learning and leadership development approaches, and to inform decisions about future workforce learning and development strategies.

The CDC strategy for monitoring and evaluating recipient and program performance will be consistent with the logic model and approach presented earlier. The recipient is expected to track implementation of practice-based learning and leadership development strategies and activities and to determine progress in achieving outcomes. CDC will use information collected from recipient progress reports and annual performance reports to document project status and completion. As needed, conference calls with the recipient will include discussion of project updates, technical assistance needs, and challenges in completing activities.

The activities performed under this program should work toward the following intermediate outcomes:

Increased availability and accessibility of learning opportunities addressing leadership and chronic disease prevention approaches.

Improved systems and processes.

The recipient is expected to report on the following Tier 1 performance measures:

Annual assessment, analysis, and summary of state health department chronic disease staff development improvements that result from leadership opportunities (e.g., trainings, tools, webinars, mentoring) presented by the recipient, including an assessment of the impact of each improvement.

Annual assessment, analysis, and summary of improvements in processes and systems, such as communications, strategic chronic disease prevention planning, collaborative workgroups, performance management and/or resources for public health planning, implementation and evaluation, including an assessment of the impact of each improvement.

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

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

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

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

Plans for updating the Data Management Plan (DMP), if applicable, for accuracy throughout the lifecycle of the project. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans.

For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

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

The applicant evaluation and performance measurement plan must provide a description for https://www.cdc.gov/grants/additionalrequirements/ar-25.html year one evaluation activities and specific elements to be evaluated over the five-year period of performance. The evaluation and performance measurement plan must meet the minimum requirements, as stated above.

c. Organizational Capacity of Recipients to Implement the Approach Organizational capacity provides an opportunity for applicants to demonstrate their ability to implement this program's strategies and activities and achieve outcomes. Applicants should have adequate infrastructure, information and data systems, electronic information and communication systems, and workforce capacity and competence to execute the award.

Applicants must demonstrate adequate expertise in program planning, program implementation, performance monitoring, and program evaluation as they relate to the strategies and activities.

Expertise in these areas should be demonstrated in descriptions of current or recent programs designed, implemented, and evaluated by the applicant. Applicants must demonstrate their capacity to create and maintain partnerships to accomplish program objectives.

Applicants must demonstrate adequate capacity and expertise in personnel management and program staffing. Documentation to illustrate adequate staffing plan and program management structure includes organizational charts, job descriptions, CVs/resumes, and staffing plans that clearly define staff roles and expertise as they relate to the activities and outcome. Letters of support from other organizations should be used to demonstrate ability to build and maintain partnerships.

Applicants must demonstrate expertise in financial reporting, budget management, and budget administration. Applicants must demonstrate experience with executing contracts and consulting agreements.

Applicants must describe the nature of their relationship with the target population and history of serving or working with the target population. The history should also include examples of previous efforts implementing practice-based learning and leadership development activities.

Applicants must demonstrate a history of leadership with state and territorial health departments as evidenced by examples of successful collaborations with state chronic disease prevention and health programs.

Applicants must demonstrate the ability to work with state health departments across the United States on chronic disease prevention and health promotion strategies and approaches.

Applicants must demonstrate organizational experience and expertise in addressing state public health issues.

Applicants must demonstrate their ability to leverage state public health infrastructure to expand their reach to disseminate and implement effective chronic disease prevention and health promotion approaches and state public health workforce development strategies.

Applicants must demonstrate their experience implementing practice-based learning and leadership development strategies for state health department chronic disease programs.

Applicants must demonstrate their capacity and expertise in using technology to address the practice-based learning and leadership development needs of state health department chronic disease programs.

Applicants must demonstrate the ability to convene and lead peer-to-peer forums.

Applicants must demonstrate experience developing and disseminating tools and resources that highlight effective chronic disease prevention and health promotion approaches and workforce development strategies.

d. Work Plan Applicants must develop a work plan that provides a detailed plan for the first year of the period of performance and a high-level plan for the subsequent years. Applicants must clearly describe how the sections in their work plans crosswalk to the strategies, activities, outcomes, and evaluation and performance measures presented in the logic model and the narrative sections of the NOFO.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking recipient progress in achieving the desired outcomes.

Ensuring the adequacy of recipient systems that underlie and generate data reports.

Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities deemed necessary to monitor the award:

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

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

Working with recipients on adjusting the work plan based on achievement of outcomes, evaluation results and changing budgets.

Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels.

Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk recipients.

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

f. CDC Program Support to Recipients (THIS SECTION APPLIES ONLY TO

COOPERATIVE AGREEMENTS)

Ensure that recipients have access to expertise found throughout NCCDPHP.

Collaborate with recipients to explore appropriate flexibilities needed to meet public health outcomes and goals. Flexibility in cooperative agreements includes recipient's ability to propose alternative methods to achieve the outcomes and goals of the cooperative agreement that align with recipient's opportunities for success, infrastructure, partner and stakeholder buy-in, demographics, and burden. This includes bringing together resources from multiple cooperative agreements to jointly advance the goals of each, and expanding the dialogue to bring in other CDC and recipient staff to reach a win / win solution.

Create greater efficiencies and consistency across NCCDPHP programs. For example, o Jointly developed resources and tools that focus on cross-cutting functions, settings, domains, risk factors, conditions and diseases to ensure consistent messages and to meet technical assistance needs.

o Joint training and technical assistance opportunities that help state health departments produce policies and programs that are more holistic and fully supportive of work in tobacco, nutrition, physical activity, chronic disease management and other strategies and topics, as appropriate.

Continue and expand support for recipients to leverage NCCDPHP resources to address cross-cutting functions, domains, settings, risk factors and diseases.

Collaborate in the planning and implementation of regional meetings, conference calls and webinars.

Collaborate with partner organizations and other federal programs in the planning and implementation of innovative efforts.

Collaborate to compile and publish accomplishments, best practices, performance criteria, and lessons learned during the period of performance.

B. Award Information

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

2. Award Mechanism: U58

3. Fiscal Year: 2018

4. Approximate Total Fiscal Year Funding: $3,000,000

5. Approximate Period of Performance Funding: $15,000,000

This amount is subject to the availability of funds.

Estimated Total Funding: $15,000,000

6. Approximate Period of Performance Length: 5 year(s)

7. Expected Number of Awards: 1

8. Approximate Average Award: $3,000,000 Per Budget Period

9. Award Ceiling: $3,000,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $2,500,000 Per Budget Period

11. Estimated Award Date: 09/30/2018

12. Budget Period Length: 12 month(s)

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

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category: State governments

County governments City or township governments Special district governments Independent school districts Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education Small businesses Others (see text field entitled "Additional

Information on Eligibility" for clarification)

Additional Eligibility Category:

2. Additional Information on Eligibility The statutory authority [317(k)(2) of the Public Health Service Act, 42 USC 247b(k)(2)] does not allow for-profit organizations to be eligible.

3. Justification for Less than Maximum Competition N/A

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

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

D. Application and Submission Information

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

a. Data Universal Numbering System:

All applicant organizations must obtain a Data Universal Numbering System (DUNS) number.

A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (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 https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov:

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

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

Step System Requirements Duration Follow Up 1 Data

Universal Number System

(DUNS)

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

2. Select Begin DUNS search/request process

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

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

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or call 1-866-705-5711

2 System for Award Management

(SAM)

formerly Central Contractor Registration

(CCR)

1. Retrieve organizations DUNS number

2. Go to www.sam.gov and designate an E-Biz POC (note CCR username will not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

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

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

866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative (AOR)

2. Once the account is set

Same day but can take 8 weeks to be fully registered and approved in the system

Register early!

Log into grants.gov and check AOR status until it shows you have been approved https://www.sam.gov/portal/public/SAM/ https://grants.gov/ https://www.grants.gov/ https://www.grants.gov/ https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://www.sam.gov https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do up the E-BIZ POC will be notified via email

3. Log into grants.gov using the password the E- BIZ POC received and create new password

4. This authorizes the AOR to submit applications on behalf of the organization

(note, applicants

MUST

obtain a

DUNS

number and

SAM

account before applying on grants.gov)

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC OGS staff at 770-488- 2700 or e-mail OGS ogstims@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 NOFO, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by

OGS.

a. Letter of Intent Deadline (must be emailed or postmarked by) Due Date for Letter of Intent: 05/08/2018

b. Application Deadline Due Date for Applications: 06/25/2018 , 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.

A letter of intent is optional and is not required.

Date for Information Conference Call Tuesday, May 8, 2018 3:00 p.m. Eastern Time Conference Call Line: 1-800-369-1677 https://www.grants.gov https://www.grants.gov mailto:ogstims@cdc.gov

Passcode:1956984#

5. 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.

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

Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source.

Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.

Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

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

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

7. Letter of Intent A letter of intent is optional and is not required. The purpose of an LOI is to allow CDC 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 http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx program staff to estimate the number of, and plan for the review of, submitted applications.

LOI must be sent via U.S. express mail, delivery service, fax, or email to:

Branalyn Williams, Project Officer CDC, National Center for Chronic Disease Prevention and Health Promotion 4770 Buford Hwy, NE, MS F-80 Telephone number: 770-488-5085 Email address: bkwilliams@cdc.gov

The LOI should include the following information:

Name of applicant organization Project Director’s name, address, telephone number, and e-mail address Number and title of this NOFO

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

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

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

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

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

b. Approach

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

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

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

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

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

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

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

c. Applicant Evaluation and Performance Measurement Plan

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

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

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

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

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

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

Describe key evaluation questions to be addressed by these evaluations.

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

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

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

11. Work Plan (Included in the Project Narrative’s page limit) Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the recipient plans to carry out achieving the period of performance outcomes, strategies and activities, evaluation and performance measurement.

http://www.hhs.gov/ocio/policy/collection/

12. Budget Narrative Applicants must submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the 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 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 MTDC 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 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 NOFO to meet national standards or seek health department accreditation through the Public Health Accreditation Board (see:…