oppCDC-RFA-EH18-1801-cfda93.070-cidCDC-RFA-EH18-1801-instructions.pdf

Centers for Disease Control

National Center for Environmental Health

Identifying Common and Unique Barriers to the Exchange of Hospital Inpatient and Emergency

Department Data

CDC-RFA-EH18-1801

Application Due Date: 07/03/2018

Identifying Common and Unique Barriers to the Exchange of Hospital Inpatient and Emergency

Department Data

CDC-RFA-EH18-1801

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-EH18-1801. 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:

Identifying Common and Unique Barriers to the Exchange of Hospital Inpatient and Emergency Department Data 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)).

Cooperative Agreement

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-EH18-1801

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

93.070 F. Dates:

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

2. Due Date for Applications: 07/03/2018, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

Thursday, May 17, 2018.

2:00 - 3:00 PM EDT

Call-in Number - 855-644-0229 Conference ID - 9827483

G. Executive Summary:

1. Summary Paragraph:

This cooperative agreement will assist in the development of standards and principles to effectively integrate vital records and health statistics data into a surveillance system. The recipient will develop and promote Environmental Public Health Tracking Program activities and products to foster greater collaboration among vital records and health statistics professionals in providing environmental and health data information to policy makers and the 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 public.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $625,000

e. Average One Year Award Amount: $125,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 09/01/2018

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 In September 2000, the Pew Environmental Health Commission issued a report entitled America’s Environmental Health Gap: Why the Country Needs a Nationwide Health Tracking Network. In this report, the Commission documented that the existing environmental health systems were inadequate and fragmented and recommended a “Nationwide Health Tracking Network for disease and exposures.” In response to the report, Congress appropriated funds in the fiscal year 2002’s budget for the CDC to establish National Environmental Public Health Tracking Program and Tracking Network and has appropriated funds each year thereafter to continue this effort.

The Environmental Public Health Tracking Network (Tracking Network) is an integrated surveillance system of health, exposure, and hazard information and data from a variety of national, state, and local sources. The Tracking Network is unique in that it provides the United States with accurate and timely standardized data and supports ongoing efforts within the public health and environmental sectors to improve data collection, accessibility, and dissemination as well as analytic and response capacity. Data that were previously collected for different purposes and stored in separate systems are now available in a nationally standardized format allowing programs to begin bridging the gap between health and the environment. Having accurate and timely tracking data enables public health authorities to determine temporal and spatial trends in disease and potential environmental exposures, identify populations most affected, and develop and assess the environmental public health policies and interventions aimed at reducing or eliminating diseases associated with environmental factors. The availability of these types of data in a standardized network provides researchers, public health authorities, healthcare practitioners, and the public a better understanding about the possible associations between the environment and adverse health effects, and assists them with decision making.

The approach of this NOFO is to help address the above mentioned data issues by assisting in the development of standards and principles to effectively administer and integrate vital records data and public health statistics. This NOFO builds on the efforts from CDC-RFA-EH15-1501 to facilitate data sharing between states, improve data timeliness, and assist with the development of standards and principles to effectively administer and integrate public health data into the Tracking Network. An example lesson learned from the previous NOFO was the development of a model Memorandum of Understanding (MOU) between a jurisdiction's vital records/health statistics unit and the respective Tracking Program recipient; this effort helped establish a critical partnership. The synergies created and activities conducted under the MOU enhanced coordination of services and information exchange and facilitated the utilization of resources through improved data sharing.

b. Statutory Authorities This program is authorized under Sections 311 and 317(k)(2) of the Public Health Service Act, [42 U.S.C. Sections 243 and 247b(k)(2)], as amended.

c. Healthy People 2020 This program addresses the “Healthy People 2020” focus area(s) of Environmental Health (http ://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12) and Public Health Infrastructure (http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx ?topicid=35) by collaborating with partners to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats.

d. Other National Public Health Priorities and Strategies This NOFO supports Health and Human Service’s Health Data Initiative https://www.hhs.gov /idealab/health-data-initiative/ and National Action Plan to Improve Health Literacy https://health .gov/communication/initiatives/health-literacy-action-plan.asp.

e. Relevant Work This cooperative agreement builds on previous work completed, which was originally funded under CDC-RFA-EH07-705 to encourage vital records, health statistics, and health information systems professionals to provide environmental and health data information to practitioners, policy makers, and the public. This effort continued three years later under CDC-RFA-EH10- 1004 to provide national leadership and advocacy on behalf of its members to ensure the quality, security, confidentiality and utility of vital records and health statistics. The current NOFO CDC- RFA-EH15-1501 facilitates data sharing between states, improves data timeliness, and assists with the development of standards and principles to integrate public health data into the Tracking Network. The EH18-1801 recipient activities will also support the Environmental Public Health Tracking Program CDC-RFA-EH17-1702 recipients.

This NOFO supports related efforts in the National Asthma Control Program (https://www.cdc http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12 http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12 http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=35 http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=35 https://www.hhs.gov/idealab/health-data-initiative/ https://www.hhs.gov/idealab/health-data-initiative/ https://health.gov/communication/initiatives/health-literacy-action-plan.asp https://health.gov/communication/initiatives/health-literacy-action-plan.asp https://www.cdc.gov/asthma/default.htm

.gov/asthma/default.htm), the Climate and Health Program (https://www.cdc.gov/climateandhealt h/), and the Agency for Toxic Substances and Disease Registry Program to Promote Localized Efforts To Reduce Environmental Exposure http://www.cdc.gov/nceh/tracking/related.htm) by addressing core public health areas such as environmental health, chronic disease, and health communication that contribute to prevention and health promotion efforts utilizing Tracking data.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-EH18-1801 Logic Model: Identifying Common and Unique Barriers to the Exchange of Hospital Inpatient and Emergency Department Data Bold indicates period of performance outcome

i. Purpose The purpose of this NOFO is to assist with the development of standards and principles to https://www.cdc.gov/asthma/default.htm https://www.cdc.gov/climateandhealth/ https://www.cdc.gov/climateandhealth/ http://www.cdc.gov/nceh/tracking/related.htm effectively administer and integrate vital records and public health statistics data. It will also promote Tracking Program activities and products to foster greater collaboration among vital records and health statistics professionals in providing environmental and health data information to policy makers and the public.

ii. Outcomes The logic model displays the outcomes that are expected to result from the recipient’s collaborative efforts in the short-term and mid-term ranges. As noted in the logic model, these key outcomes are expected to result during the period of performance:

Short-term Outcomes -

Health and environmental data are accessed and used by internal and external audiences Efficient, accessible, and higher quality display of data Increased awareness of the Tracking Network and environmental health issues Engaged partners and users Skilled workforce able to collect and interpret data and translate information for action Improved program activities and increased program effectiveness based on evaluation findings

Mid-term Outcomes -

Public health agencies and partners use data to inform decision making and drive measurable public health action (PHA)

The recipient will achieve these intended effects by following the strategies and activities listed in the subsequent section (iii. Strategies and Activities).

iii. Strategies and Activities Activities in this Notice of Funding Opportunity fall into four broad categories: Science and Content, Technology and Informatics, Communications, and Program Services. Ongoing activities in each category should be informed by work across the entire program and recipient’s priorities. For example, Communications activities should be tailored to reflect current activities in Science and Content. These activities should lead to the Outputs listed in the logic model.

Science and Content Strategy I: Identify and integrate public health and environmental data

SC1.A Integrate vital records, public health statistics, and Tracking data and ensure the availability and accessibility of data as appropriate for program staff and internal and external partners

SC1.B Collaborate with CDC, data stewards, data users, and other tracking recipients to increase access to vital statistics data

SC1.C Address gaps or limitations in available data by collaborating with state and local programs to optimize data collection and ensure the inclusion of data elements relevant to environmental public health tracking

Science and Content Strategy II: Analyze and apply data to generate evidence-based activities

SC2.A Conduct analysis to assess priorities, help inform best practices as they relate to data completeness and timeliness, and to help direct Tracking program activities

SC2.B Apply and interpret vital records, public health statistics, and Tracking data to inform the development and evaluation of public health actions

Technology and Informatics Strategy I: Maintain and enhance information technology infrastructure

TI1.A Develop tools and processes to improve and promote the quality, usefulness, availability, and timeliness of data

TI1.B Establish repeatable, reliable, and readily accessible electronic access to data sources, including tools and processes to increase the availability and accessibility of timely and locally relevant data (e.g., sub-county and real time data)

Communications Strategy I: Conduct program marketing and outreach

C1.A Participate in one coordinated, program-wide communication activity each year C1.B Provide regular, periodic updates and announcements (at least quarterly) about partner activities to Tracking recipients and other stakeholders via email distribution (e.g., list-serv, e-newsletter) or other mechanism

C1.C Present information about the Tracking Program (national and recipient), national and local Tracking Networks, data, data use (e.g., public health actions), and activities annually including: exhibiting at a meeting or conference; conducting at least one webinar to an external (outside the health department) audience; and presenting at national, regional, or local meetings or conferences

C1.D Disseminate existing Tracking communication messages and products (e.g., recipient profile, data highlights, community health reports, communication toolkits) to appropriate audiences

Communications Strategy II: Initiate, maintain, and expand partnerships

C2.A Maintain participation in CDC Tracking Network workgroups to inform decisions about Tracking Program data, data analysis, communication messages and products, etc.

(minimum of one meeting per year)

C2.B Co-present/co-sponsor a national or regional meeting/conference or webinar with other recipients or partners

Program Services Strategy I: Enhance organizational capacity to support and sustain the Tracking Network

PS1.A Identify and prioritize technical and capacity needs among state and local Tracking Program staff to inform provision of more targeted resources and training opportunities

PS1.B Support and facilitate training of the state and local public health workforce and partners on vital records data, public health statistics, and Tracking principles

PS1.C Develop and implement program-specific training opportunities, through Web-based or in-person training modules or other products (e.g., video tutorial) in vital records, public health statistics, and/or environmental public health tracking

Program Services Strategy II: Monitor the impact and performance of program activities

PS2.A Develop and implement an evaluation plan, based on CDCs provided template, that clearly identifies accomplishments and guides implementation efforts

1. Collaborations

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

The EH18-1801 recipient will provide technical expertise to the CDC Environmental Public Health Tracking Program (https://www.cdc.gov/nceh/tracking/) and their current EH17-1702 recipients during the pre-implementation, implementation, and maintenance phases. The EH17- 1702 recipients are in various phases of the Tracking Network, including two newly funded state partners who are working through the pre-implementation and implementation phases. Therefore, the technical expertise required by the EH17-1702 recipients will vary greatly depending on their needs and progress.

The EH18-1801 recipient must collaborate with the CDC's National Center for Health Statistics. The EH18-1801 recipient may also collaborate with other CDC-funded programs that focus on related issues and activities when interests align. These may include, but are not limited to, the National Asthma Control Program, the Climate and Health Program, and ATSDR’s Program to Promote Localized Efforts to Reduce Environmental Exposures, for the purposes of sharing data, developing consistent definitions and measures, and creating appropriate tools for demonstrating alignment between surveillance findings and program efforts.

b. With organizations not funded by CDC:

The recipient must collaborate with the 57 (50 states, five territories, DC, and New York City) independent vital records jurisdictions. Other potential collaborations may include the following agencies/organizations:

https://www.cdc.gov/nceh/tracking/

Social Security Administration (SSA) Association for State and Territorial Health Officials (ASTHO) Council for State and Territorial Epidemiologists (CSTE) Council of Professional Associations of Federal Statistics (COPAFS) Association of Maternal and Child Health Programs (AMCHP)

2. Target Populations

NA

a. Health Disparities

NA

iv. Funding Strategy

NA

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy CDC will document program successes and demonstrate measureable impacts. CDC’s Tracking Program will be evaluated by how well it has documented the environment’s impact on health and the extent to which the Tracking Program has been utilized as a tool to improve the public’s health. CDC will leverage information collected from the recipient and other Tracking Program-funded partners to demonstrate its impact on the public’s health focusing on these Short-Term and Mid-Term Outcomes:

-Short-Term Outcomes:

Health and environmental data are accessed and used by internal and external audiences Efficient, accessible, and higher quality display of data Increased awareness of the Tracking Network and environmental health issues Engaged partners and users Skilled workforce able to collect and interpret data and translate information for action Improved program activities and increased program effectiveness based on evaluation findings

-Mid-Term Outcome:

Public health agencies and partners use data to inform decision making and drive measurable public health action (PHA)

In addition, the recipient will report on the following performance measures (process and impact measures). Note that these are measures of the Outputs and Outcomes in the logic model and the outputs are part of the process evaluation.

Performance Measures Science and Content

OUTPUTS

1. Standardized and accessible environmental and health surveillance data

2. Generated and disseminated environmental public health evidence o MEASURES

Number of analyses (routine or other) conducted using required NCDM datasets or other recipient datasets which resulted in a disseminated report, or publication Number and description of data gaps or limitations addressed

SHORT-TERM OUTCOMES

1. Health and Environmental data are accessed and utilized by internal and external audiences o MEASURE

Description and number of activities that improved sharing and access to data.

Technology and Informatics

OUTPUT

1. Comprehensive surveillance system with tools, guides, and best practices o MEASURE

Number of new tools and processes* developed to improve the quality, usefulness, availability, and timeliness of data

SHORT-TERM OUTCOME

1. Efficient, accessible, and higher quality display of data o MEASURE

Description and number of activities that increase the display of tracking data.

Communications

OUTPUTS

1. Targeted communications products and messages

2. Partnerships with environmental health stakeholders o MEASURES

Number of internal and external trainings conducted with the number of participants Number of presentations given (live or webinar) with the number of participants in each Number of program announcements/updates disseminated via listserv, e-newsletter, etc.

Number and list of peer-reviewed publications, white papers, and scientific reports produced

SHORT-TERM OUTCOMES

1. Increased awareness of the Tracking Network and environmental health issues

2. Engaged partners and users o MEASURES

Increase in outreach efforts such as presentations, exhibits, and training Record of collaboration with 1 existing partner and at least 1 new partner during the previous year

Program Services

OUTPUTS

1. Environmental health workforce participate in workgroups and provide training

2. Systematic approach to assessing program activities and overall performance o MEASURES

Number of CDC Tracking work groups and sub-groups (e.g. SND, PMO, CWG, Evaluation), along with the title and description of roles and responsibilities for participating jurisdiction Number of personnel supported directly and in-kind under this cooperative agreement

Number & List of internal and external technical assistance requests completed* to the state health department, local health departments, and other public health system partners Submission of standardized evaluation performance measures

SHORT-TERM OUTCOMES

1. Skilled workforce able to collect, interpret data, translate information for action, and provide technical assistance to other programs when needed

2. Improved program activities and increased program effectiveness based on evaluation findings o MEASURES

Technical assistance provided to at least 3 partners or programs external to Tracking recipients Description of at least 1 action taken during the reporting period to improve program activities and increase program effectiveness based on evaluation findings

Mid-Term Outcome:

Science and Content

1. Public health agencies and partners use data to inform decision making and drive measurable public health actions (PHA) o MEASURE

Number of Public Health Actions that highlight how data is being used in the context of Tracking

* Please refer to the glossary for further explanation.

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.

In addition to the performance measures, the recipient will be expected to engage in some evaluation of their activities and outcomes. The applicant must provide an evaluation and performance measurement plan that is consistent with the above CDC Evaluation and Performance Measurement Strategy and the logic model. Evaluation plans should include process and outcome evaluation questions such as the following:

What are essential collaborations?

o The recipient will identify key collaborations to bridge the information gap between environmental hazard data, health outcomes data, hospitalization and emergency room data.

What are the barriers and challenges to the recipients success and how has the recipient tried to address these?

o Identifying common barriers and challenges that will allow CDC to better work with recipients and data stewards and help them address known challenges with proven strategies.

How has the recipient made an impact?

o Recipient will report on programmatic activities that drive public health actions.

How have findings been used to evolve the recipient’s activities?

o New collaborations and relationships will help the recipient and CDC gain a better understanding of the burden of disease. As environmental health risks are identified, the recipient and CDC resources can be utilized to address these concerns, new technologies can be developed and promising practices can be utilized by the evolving program.

What communication activities are most successfully used to educate audiences on the value of the recipients program and the Environmental Public Health Tracking Program?

o Communicating the environmental burden on health and successful actions to https://www.cdc.gov/grants/additionalrequirements/ar-25.html improve the public’s health is an essential requirement for the Tracking Program.

c. Organizational Capacity of Recipients to Implement the Approach The successful applicant must demonstrate that they have the organizational capacity necessary to implement the NOFO successfully. The applicant should possess the capacity to manage a complex program, and should have the following skill sets: program and performance management, personnel management, evaluation, performance monitoring, financial reporting, management of travel requirements, development of staffing plans, workforce development and training, management of direct assistance, development of a sustainability plan, and full capability to manage required procurements (e.g., the ability to write and award contracts).

Specify who would have day-to-day responsibility for key tasks such as: leadership of project;

monitoring the project’s on-going progress; preparation of reports; program evaluation; and communication with other partners and CDC.

The successful applicant must have the organizational capacity to facilitate a relationship between the CDC National Center for Health Statistics and the 57 vital records jurisdictions on behalf of its membership.

Applicants must include CVs/Resumes and Organizational Charts to demonstrate that their organizational capacity is in place. Please name these files as “CVs/Resumes” or “Organizational Charts” and upload it at www.grants.gov.

d. Work Plan The applicant is required to provide a work plan consisting of a five-year program narrative and a detailed description of the first year of the award, consistent with the project’s logic model. The applicant is expected to use activities that are consistent with those indicated under the “Program Strategy” section, but are expected to augment those activities on the basis of priority needs. The work plan should provide outcomes and the related program strategies/activities, and should be consistent with the narrative in the Approach and Performance Measurement and Evaluation sections. The work plan must, at a minimum, include:

Narrative (description) of the project Intended outcomes for the five-year period of performance Program strategies to be used during the first year of the period of performance Outcomes for the first year of the period or performance

In conducting activities to achieve the intended outcomes of this program, the recipient will be responsible for exhibiting their successful implementation of their program strategies, and providing evidence of necessary planning and coalition building (e.g., Memorandum of Understanding (MOU), establishing partnerships, and developing outreach plans).

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:

http://www.grants.gov/

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.

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

COOPERATIVE AGREEMENTS)

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring. Therefore, there will be extensive collaboration between the CDC Tracking Program and the recipient throughout the period of performance. CDC Tracking Program activities for this NOFO are as follows:

Promote the role of vital records in the Tracking Network to Tracking Program stakeholders and partners.

Collaborate with the recipient to define the information from vital records that will be needed for the Tracking Network to track diseases and possible exposures to environmental hazards.

Provide expertise on the National Environmental Public Health Tracking effort and updates on its continued development to the recipient membership.

Provide assistance in developing materials for the recipient workshops to promote the Tracking Program and focus on the role of vital statistics in the development of the Tracking Network for dissemination by the recipient at all national and regional meetings.

Participate in a recipient Annual Meeting, and regional workshops.

Conduct quarterly conference calls and foster coordination between the recipient and other

CDC state and local recipients through the annual Tracking Program workshop, and national Tracking Program conference.

Coordinate the Standards and Network Development Workgroup, Content Workgroup, and Tracking Network-related team meetings.

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: UE1

UE1 - Studies of Environmental Hazards and Health Effects - Cooperative Agreements to Develop or Improve Facets of the Public Health Information

3. Fiscal Year: 2018

4. Approximate Total Fiscal Year Funding: $125,000

5. Approximate Period of Performance Funding: $625,000

This amount is subject to the availability of funds.

Estimated Total Funding: $625,000

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

7. Expected Number of Awards: 1

8. Approximate Average Award: $125,000 Per Budget Period

9. Award Ceiling: $125,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $0 Per Budget Period

11. Estimated Award Date: 09/01/2018

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

Additional Eligibility Category:

2. Additional Information on Eligibility

The award ceiling for this NOFO is $125,000. CDC will consider any application requesting an award higher than this amount as non- responsive and it will receive no further review.

3. Justification for Less than Maximum Competition

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.

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

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

b. System for Award Management (SAM):

The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at 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

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

2. Once the account is set up the E-BIZ POC will be notified via email

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

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

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

MUST

obtain a

DUNS

number and

SAM

account before applying on grants.gov)

Register early!

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

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

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov. 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: N/A

b. Application Deadline Due Date for Applications: 07/03/2018 , 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 https://www.grants.gov https://www.grants.gov mailto:ogstims@cdc.gov business day on which grants.gov operations resume.

Date for Information Conference Call Thursday, May 17, 2018.

2:00 - 3:00 PM EDT

Call-in Number - 855-644-0229 Conference ID - 9827483

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.”

http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.grants.gov

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

7. Letter of Intent LOI is not requested or required as part of the application for this 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 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 https://www.grants.gov https://www.grants.gov

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.

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.