PKG00248643-instructions.pdf

Centers for Disease Control

National Center on Birth Defects and Developmental Disabilities

Implementing Evidence-Based Health Promotion Programs for Children with Attention-

Deficit/Hyperactivity Disorder (ADHD) or Tourette Syndrome (TS)

CDC-RFA-DD19-1904

Application Due Date: 04/26/2019

Implementing Evidence-Based Health Promotion Programs for Children with Attention-

Deficit/Hyperactivity Disorder (ADHD) or Tourette Syndrome (TS)

CDC-RFA-DD19-1904

TABLE OF CONTENTS

Part I. Overview Information A. Federal Agency Name B. Funding Opportunity Title C. Announcement Type D. Agency Funding Opportunity Number E. Assistance Listings (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-DD19-1904. 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:

Implementing Evidence-Based Health Promotion Programs for Children with Attention- Deficit/Hyperactivity Disorder (ADHD) or Tourette Syndrome (TS) 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)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-DD19-1904

E. Assistance Listings (CFDA) Number:

93.073 F. Dates:

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

2. Due Date for Applications: 04/26/2019, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call:

An informational call for potential applicants will take place on March 6, 2019 at 2:00 pm US Eastern Time, Toll-Free 877.601.5711, Participant Passcode 7999763

G. Executive Summary:

1. Summary Paragraph:

The purpose of Implementing Evidence-Based Health Promotion Programs for Children with Attention-Deficit/Hyperactivity Disorder (ADHD) or Tourette Syndrome (TS) is to improve the health of people with ADHD or TS by developing and providing health communication and education resources to professionals and the public based on best evidence. Program strategies include 1) Providing Information, Consultation and Referral Services, 2) Developing and Disseminating Health Communication Programs and Materials, and 3) Developing and Delivering Health Education Programs. This award builds upon and expands previous efforts by incorporating current evidence on health communication and health education strategies, and on ADHD or TS to provide information, education, and consultation about the assessment, 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 diagnosis, treatment, health and well-being for children with ADHD or TS. The intended long-term outcomes are to promote optimal health and well-being of children with ADHD or TS by increasing awareness of available support services and evidence-based treatments for ADHD or TS among healthcare and educational professionals, and the public;

knowledge about ADHD or TS among individuals who receive information or educational materials, or attend education programs; and intent to adopt health behaviors, evidence-based treatment, or educational strategies among individuals who attend education programs and individuals who receive educational materials.

a. Eligible Applicants: Open Competition

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 2

d. Total Period of Performance Funding: $8,750,000

e. Average One Year Award Amount: $850,000

f. Total Period of Performance Length: 5

g. Estimated Award Date: 08/01/2019

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 ADHD and tic disorders such as TS have significant impact on children, their families, and society. In the US approximately 9.4% of children 2-17 years of age have been diagnosed with ADHD and about 140,000 children 6-17 years of age have been diagnosed with TS. Data suggest that only about half of children with TS are diagnosed, thus the actual number may be twice as high. Individuals with ADHD or TS are at increased risk for co-occurring mental, emotional and behavioral conditions (MEBs).

The presence of ADHD or TS has significant impact on individuals and society across multiple domains, including children's physical, mental, and emotional well-being, and can negatively impact their health, education, employment, and family and peer relationships. ADHD is associated with increased risk for substance use, injury, and contact with the juvenile justice system, and TS is associated with parenting challenges, problems in school, and difficulty finding care. Children with ADHD or TS may have problems with social relationships related to their symptoms, and are often stigmatized because of limited knowledge of the conditions among the general public.

Effective behavioral and pharmacological treatments are available for both ADHD and TS, but may be complicated by co-occurring MEB conditions and other factors. Clinical practice does not always reflect published guidelines. Specific to ADHD, treatment guidelines recommend that healthcare providers first refer parents of young children for training in behavior therapy before prescribing medicine; yet young children are often prescribed medication for ADHD rather than receive psychological services. A TS diagnosis may be delayed because of the lack of knowledge about the condition among providers, other conditions can mimic symptoms of TS, and co-occurring conditions can make accurate diagnosis of TS more challenging. Although numerous strategies are available to improve the educational experience and outcomes of children with ADHD or TS, educators may not be aware of these strategies or how to implement them.

In 2014, CDC funded CDC-RFA DD-15 1505 National Public Health Practice Centers for Children with Attention Deficit/Hyperactivity Disorder or Tourette Syndrome to provide evidence-based health promotion programs, and health communication and education resources for both professionals and the public. Recipients developed programs, expanded the reach of the programs, and improved knowledge among the intended populations. However, each year, new children are diagnosed with these conditions, and new professionals enter the healthcare and education fields requiring a continued need for early identification, accurate diagnoses, and appropriate management of ADHD or TS that can minimize the impact on children and their families.

This award will build upon and expand previous efforts by incorporating current best evidence on health communication and health education strategies, and on ADHD or TS diagnosis, treatment, and impact. The purpose of this NOFO is to increase the capacity of healthcare providers and educators to support the health and education of children with ADHD or TS, and help individuals find the best health services and educational supports to improve the health and well-being of children with these conditions.

b. Statutory Authorities This program is authorized under Sections 317C and Sections 301(a) [42USC 241a] of the Public Health Service Act [42 U.S.C. Sections 247b (k) (2) and 247b-4 as amended.

c. Healthy People 2020 This program addresses the following HP 2020 objectives

Mental Health and Mental Disorders (MHMD-6), increase the proportion of children with mental health problems that receive treatment

Disability and Health (DH-13), (Developmental) increase the portion of people with https://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mental-disorders/objectives https://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health disabilities who participate in social, spiritual, recreational, community, and civic activities to the degree that they wish

Early and Middle Childhood (EMC-2.4), increase the proportion of parents who receive information from their doctors or other health care professionals when they have a concern about their children's learning, development, or behavior

d. Other National Public Health Priorities and Strategies This NOFO supports the National Center on Birth Defects and Developmental Disabilities (NCBDDD) strategic plan, and the HHS Strategic Plan FY2018-2022 Strategic Goal 2: Protect the Health of Americans Where They Live, Learn, Work, and Play Strategic Objective 2.1:

Empower people to make informed choices for healthier living

e. Relevant Work NCBDDD works to help children reach their full potential, including public health activities to improve the lives of children with ADHD (http://www.cdc.gov/adhd) and TS (http://www.cdc .gov/tourette), and their families. Previous awards (National Public Health Practice and Resource Center for Children with ADHD or Tourette Syndrome) supported the dissemination of evidence-based information on diagnosis, co-occurring conditions, and condition management for children with ADHD or TS, their families, healthcare providers, educators, and the public. This award will build upon previous efforts by incorporating current evidence on health education and communication strategies and on ADHD or TS diagnosis, treatment, and impact.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-DD19-1904 Logic Model: Implementing Evidence Based Health Promotion Programs for Children with Attention Deficit Hyperactivity Disorder or Tourette Syndrome Bold indicates period of performance outcome

Strategies/Activities Intermediate Outcomes Long Term Outcomes

Provide Information Resources

Develop and Disseminate Health Communication Programs and Materials

Provide Health Education

Increased reach to the community, public, healthcare professionals, and educators with evidence-based ADHD or TS resources and materials

Increased awareness of

Improved health and well-being of children with ADHD or TS

Improved life management skills, adoption of healthy behaviors, and appropriate health choices among children who have been affected by https://www.healthypeople.gov/2020/topics-objectives/topic/early-and-middle-childhood https://www.cdc.gov/ncbddd/aboutus/documents/NCBDDD-Strategic-Plan-2017-2022-External.pdf https://www.cdc.gov/ncbddd/aboutus/documents/NCBDDD-Strategic-Plan-2017-2022-External.pdf https://www.hhs.gov/about/strategic-plan/strategic-goal-2/index.html https://www.hhs.gov/about/strategic-plan/strategic-goal-2/index.html http://www.cdc.gov/adhd http://www.cdc.gov/tourette http://www.cdc.gov/tourette

Programs available support services and evidence-based treatments for ADHD or TS among healthcare providers, educators, and the public

Increased knowledge about ADHD or TS among individuals who receive information, educational materials, or attend education programs

Increased intent to adopt health behaviors, evidence-based treatment, or educational strategies among individuals who attend education programs and among individuals who receive educational materials

ADHD or TS

Strengthened capacity among healthcare professionals to appropriately diagnose and provide evidence-based treatments for ADHD or TS and co-occurring mental, emotional, and behavioral conditions associated with ADHD or TS

Strengthened capacity among educators to implement strategies that facilitate learning and academic success among children with ADHD or TS

Increased acceptance of and reduced stigma associated with ADHD or TS among the general public

i. Purpose This NOFO will promote the health and well-being of children with ADHD and TS by providing evidence-based information to individuals, their families, healthcare providers, educators, and the public.

ii. Outcomes While the primary intended long-term outcome of the program is to promote optimal health and well-being of children with ADHD or TS, in the intermediate term the recipient is expected to increase awareness of available support services and evidence-based treatments for ADHD or TS among healthcare providers, educators, and the public;

knowledge about ADHD or TS among individuals who receive information, educational materials, or attend education programs;and intent to adopt health behaviors, evidence-based treatment, or educational strategies among individuals who attend education programs and among individuals who receive educational materials.

iii. Strategies and Activities Recipients will be expected to implement evidence-based health promotion programs (i.e., using effective health communication and health education strategies that disseminate the most current, documented best evidence) for children with ADHD or TS. Three specific types of activities are anticipated.

1. Provide Information/Consultation and Referral Programs (ICRP) as a channel to respond to questions and provide information.

Recipients will develop and implement programs that provide on-demand, evidence-based health information that addresses identified needs of the population (i.e., children living with ADHD or TS) and are targeted to the specified audiences (i.e., families, healthcare providers, educators, and the general public). Specifically, the activities related to this core strategy may include but are not limited to

Increasing awareness of available support services for, and evidence-based treatments of, ADHD or TS;

Increasing knowledge among the target audiences using the services and programs;

Tracking and characterizing the nature of inquiries to further identify resources and activities that are needed to address the needs of the populations;

Responding to requests for information via multiple channels (e.g., telephone, e-mail, web); and Posting news and information through electronic and social media.

2. Develop Health Communication Programs and Materials

Recipients will conduct activities designed to create, update, disseminate, and evaluate health communication programs and educational materials specific to improving the health and well-being of the target population (i.e., children with ADHD or TS) directed to the target audiences (i.e., families, healthcare providers, educators, and the general public).

Specifically, the activities related to this core strategy may include but are not limited to

Developing a program plan that defines communication objectives and the intended audiences; describes the settings, channels and activities best suited to reach the audience; and outlines a communication strategy for each intended audience;

Developing evidence-based, accurate health information materials that take into consideration existing materials, address information gaps specific to the intended audience, contain tested message concepts, and are acceptable to the intended audience;

Implementing programs for the intended audience by promoting or distributing information about the program through appropriate channels (e.g., traditional or new media), and periodically reviewing components and making revisions as necessary;

Evaluating programs to ensure that intended results are achieved and outcomes are met within the proposed time frame, and to identify areas for improvement (both for information and mode of delivery) based on evaluation findings;

Collaborating with CDC in the development of program agendas, educational materials and products. Using CDC's clearance process if co-branding materials are appropriate and developed through this cooperative agreement; and

Disseminating information about program activities and outcomes in presentations and publications.

3. Offer Education and Training Programs

Recipients will provide education and training activities for: healthcare providers on how to recognize and provide evidence-based treatments for people with ADHD or TS, and on treatment strategies to prevent or mitigate secondary co-occurring mental, emotional or behavioral conditions associated with ADHD or TS; educators on how to improve teaching strategies and the learning environment for children with ADHD or TS, and co-occurring mental, emotional or behavioral conditions that can impact school performance and; children with ADHD or TS and their family members to improve their understanding of the conditions and how to identify evidence-based treatment, support, and care. Specifically, the activities related to this strategy may include but are not limited to

Developing instructionally sound (i.e., incorporating adult learning principles and effective educational strategies), innovative, and culturally appropriate training programs and materials;

Incorporating training in health literacy and communication skills so that professionals are better prepared to provide information, counseling, and referrals on ADHD or TS;

Developing a plan for marketing training activities and materials to maximize dissemination efforts;

Providing continuing education credits, when possible and appropriate; and Developing and implementing an evaluation plan that assesses change in learner knowledge, attitudes, and intent to act that informs program improvement.

1. Collaborations

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

Recipients are expected to collaborate with other funded applicants in identifying and sharing common work practices and strategies to accomplish the objectives of the NOFO, and participate in stakeholder meetings as needed, and provide consultation to CDC and programs as requested.

b. With organizations not funded by CDC:

Recipients are expected to form and/or strengthen strategic partnerships and collaborations with organizations that have a role in achieving the NOFO outcomes and activities to ensure the highest quality information and resources have the greatest reach possible. Partners may play a role in development and dissemination of information, and promotion of public health activities, and may include federal agencies (e.g., SAMHSA, HRSA), state health departments, community-based organizations addressing ADHD or TS and associated conditions, schools, medical and university research centers, and professional organizations (e.g., the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Child Neurology Society). Applicants should provide letters of support, where applicable (i.e., to demonstrate support for a collaboration). Applicants must file the letter of support, as appropriate, name the file "Letter of Support", and upload it as a PDF file at www.grants.gov].

2. Target Populations This NOFO addresses national outreach and education activities targeted to populations affected by ADHD or TS; applicants must include strategies to address minority and underserved members of these populations. Applicants should propose specific health education or communication needs to be addressed based on the most relevant evidence for the selected target population (i.e., children with ADHD or children with TS).

a. Health Disparities Applicants should describe how they will include specific health disparate groups who can benefit from this program. This could include groups such as non-English speakers, minority and underserved individuals, communities in rural areas, specific age groups, or other populations, and those with limited health literacy who might otherwise be missed by the program.

iv. Funding Strategy Organizations may submit one application for Category A or Category B, but cannot apply for both.

Category A: Implementing Evidence-Based Health Promotion Programs for children with ADHD. This category is for applicants that propose to provide education and outreach activities specifically aimed at individuals, families, healthcare providers, educators, and the public that address the information and educational needs in relation to living with ADHD.

Category B: Implementing Evidence-Based Health Promotion Programs for children with TS.

This category is for applicants that propose to provide education and outreach activities specifically aimed at individuals, families, health care providers, educators, and the public that address the information and educational needs in relation to living with TS.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy The evaluation and performance measurement strategy will be used to assess the overall project and each recipient. The evaluation of this work should include both process evaluation measures (to determine whether information and services are being adequately delivered) and outcome evaluation measures (to determine whether the information provided is having the desired impact). Findings from the evaluation and performance measurement strategy will encourage continuous program improvement and help the recipients determine whether their program strategies are working to achieve the desired outcomes, and if their program is reaching the target audiences.

https://www.grants.gov/

Examples of potential evaluation measures are provided below. CDC and the recipients will have 6 months after the award to discuss and finalize the measures. Applicants are encouraged to identify additional measures as applicable for their proposed activities.

Strategy 1: Provide Information, Consultation and/or Referral Programs Example Process Measures

Number of requests received, delineated by type of requestor and subject of request Source and type of requests received Timeliness of request processing Number of missed calls or requests Number and type of electronic media used to disseminate information Internal resource lists and point-of-contacts are verified on a periodic basis Number and type of materials disseminated Number of satisfaction surveys sent/received by people in the target audiences Number of follow-up consumer interviews conducted

Strategy 2: Develop Health Communication Programs and Materials Example Process Measures

Number of health communication programs and materials developed, delineated by type and target audience addressed

Number and type of health communication programs and materials reviewed annually Number and type of revised/updated health communication programs and materials disseminated

Strategy 3: Provide Education and Training Example Process Measures

Number of education and training programs delivered for educators Number of education and training programs delivered for healthcare providers Number of education and training programs delivered for individuals or families Number of revised/updated educational programs, delineated by type and target audience addressed Number of evaluation surveys for education and training programs completed Number and type of continuing education credits provided, if applicable

Examples of questions to address the highlighted outcomes in the logic model, along with suggested measures, are provided below. Applicants are encouraged to develop additional measures as applicable.

Example Outcome Measures Increased awareness of available support services and evidence-based treatments for ADHD or TS among healthcare providers, educators, and the public

Number reporting increased access to program components or materials Number reporting program components or materials meets their specific information needs Number reporting improved access to information and support

Increased knowledge about ADHD or TS among individuals receiving information, educational materials, or attending education programs

Number receiving information, materials, or attending education programs reporting an increase in knowledge

Increased intent to adopt health behaviors, evidence-based treatment, or educational strategies among individuals who attend education programs and individuals who receive educational materials

Number receiving educational program components or materials reporting increase in intent to act on information presented

Number receiving educational program components or materials reporting an intent to change behavior following the program activities

NOTE: The program activities in this NOFO do not meet the criteria for research, so the results will not be generalizable. Proposed programs will adhere to all applicable rules and regulations for human participants in non-research projects. All applicants are responsible for adhering to all federal regulations relevant to information collection, including developing Information Collection Requests according to the Paperwork Reduction Act.

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, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach The applicants should have the organizational capacity to develop, implement, and manage health promotion programs that promote the health and well-being of children living with ADHD or TS, by providing evidence-based information and resources to individuals, families, healthcare providers, educators, and the public. The applicant should demonstrate leadership on the health issues on behalf of those living with ADHD or TS and for the wider community.

Specifically, the applicant should:

Demonstrate the ability to implement evidence-based health promotion, health communication, and education programs to the identified target audiences in order to promote the health and well-being of the populations of children with ADHD or TS;

Demonstrate a fundamental understanding of their proposed audiences' information needs, including knowledge and understanding of effective methods to reach and engage the members of the specified audience;

Demonstrate a significant understanding of ADHD or TS and the current gaps in knowledge, attitudes and behaviors that prevent optimal health and well-being among children with ADHD or TS;

Have expertise working with the target population(s), including knowledge and understanding of effective methods to reach and engage the members of the population;

Demonstrate national reach, as well as local support.

Demonstrate their ability to track and characterize information and service requests;

Demonstrate their expertise to plan, develop, and evaluate instructionally sound (i.e., incorporating adult learning principles and effective educational strategies) health communication and education materials, and distribute this information through the most appropriate channels;

Describe their previous experience with program evaluation activities, including results, successes and challenges;

Describe potential or anticipated obstacles to planned activities and proposed solutions, based on prior experience or documented evidence;

Engage in partnerships and collaboration to assess evidence and reach target audiences, https://www.cdc.gov/grants/additionalrequirements/ar-25.html

Identify and recruit qualified personnel, including credentials and appropriate experience to fill key positions and begin project activities in a timely fashion;

Describe all project staff, including professional title, relevant qualifications and experience, and percentage of time devoted to the project as well as portion of their salary to be paid by the cooperative agreement;

Provide position descriptions for the proposed staff, and CVs;

Have a professional advisory board in place that is at a minimum comprised of health providers, educators, and individuals or family members who can represent the interest of children and families living with ADHD or TS to ensure that materials and programs provided are relevant, technically accurate, and evidence-based; and

Plan for the sustainability and continuation of this program after the cooperative agreement period is complete.

All applicants should provide CVs/Resumes of proposed staff, mission statement, documentation of an advisory board, and an overall organizational chart for their organization and other relevant organizations involved in this project . Applicants should name these files CVs/Resumes, Mission, Advisory Board, and Organizational Charts and upload them at www.grants.gov

d. Work Plan Applicants must submit a detailed work plan for year 01 of the award and provide a general summary work plan activities for Years 02-05 in narrative form. The work plan should align with the NOFO logic model and describe how the applicant plans to implement all required activities to achieve the NOFO outcomes. Applicants are strongly encouraged to use activities indicated under the Program Strategy section, but are expected to augment those activities to meet the priority needs of the target population (based on prior experience with the population and previous published literature). CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award.

The work plan for year 1 must include activities and timelines to support the achievement of the NOFO outcomes. These activities must align with the NOFO logic model and should have performance measures or milestones for accomplishing tasks and

Include measurable outcomes;

Describe staff and administrative roles and functions to support the implementation of the award;

Specify management and leadership positions and qualifications for those roles; and Describe administration and assessment processes to ensure successful implementation and quality assurance.

A sample work plan format is presented below to show how a traditional work plan aligns with the logic model and narrative and can be used for year 1.

In this format, the table should be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

http://www.grants.gov

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure [from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

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

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

Tracking recipient progress in achieving the desired outcomes.

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

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

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

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

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

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

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

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

Recipients are expected to collaborate with CDC to develop their materials, programs, and evaluation plans.

The program's performance will be reported during monthly phone calls and in annual summary reports.

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

COOPERATIVE AGREEMENTS)

In a cooperative agreement, CDC staff members are substantially involved in the program activities, above and beyond routine grant monitoring. Child Development Studies staff, as appropriate, will collaborate with other units within CDC to accomplish the following activities in support of this cooperative agreement:

Work with the recipients to revise work plans, incorporating any emerging best practices or guidance.

Provide technical consultation to the recipients using the current knowledge base (including best practices, emerging research, literature, and epidemiological information) regarding ADHD or TS, and assist in the development of materials and programs for the specific target audiences.

Provide consultation in program planning, development, implementation, and evaluation, which may include consulting with committees or working groups whose operations may have an impact on the proposed program.

Provide mechanism for offering continuing education credits for professional programs.

Assist in the development and dissemination of information pertaining to ADHD or TS to expand the reach of the population served.

Provide technical assistance on finalizing the evaluation performance measurement plan.

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

Review for approval the recipient's clearance/review methods for developed products

(clearance chain may involve the CDC or the recipient's professional advisory boards).

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: U38

3. Fiscal Year: 2019

4. Approximate Total Fiscal Year Funding: $1,750,000

5. Approximate Period of Performance Funding: $8,750,000

This amount is subject to the availability of funds.

Estimated Total Funding: $8,750,000

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

7. Expected Number of Awards: 2

8. Approximate Average Award: $850,000 Per Budget Period

9. Award Ceiling: $900,000 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor: $800,000 Per Budget Period

11. Estimated Award Date: 08/01/2019

12. Budget Period Length: 12 month(s)

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

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

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 For profit organizations other than small businesses Small businesses 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 $900,000.00 CDC will consider any application requesting an award higher than this amount as nonresponsive and it will receive no further review.

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:

https://www.grants.gov/

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

A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http:// fedgov.dnb. com/ webform/ displayHomePage.do. The DUNS number will be provided at no charge.

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

b. System for Award Management (SAM):

The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process 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 "Applicant Registration" option at www.grants.gov.

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

Step System Requirements Duration Follow Up 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

1. Retrieve organizations DUNS number

3-5 Business Days but up

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

Management

(SAM)

formerly Central Contractor Registration

(CCR)

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) to 2 weeks and must be renewed once a year

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 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.

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 https://www.grants.gov mailto:ogstims@cdc.gov

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: 04/26/2019 , 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.

Date for Information Conference Call An informational call for potential applicants will take place on March 6, 2019 at 2:00 pm US Eastern Time, Toll-Free 877.601.5711, Participant Passcode 7999763

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.

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

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 https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf

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

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

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

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

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 LOI is…