PKG00251005-instructions.pdf

Centers for Disease Control

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

The Tuskegee Public Health Ethics Program

CDC-RFA-PS20-2002

Application Due Date: 09/30/2019

The Tuskegee Public Health Ethics Program

CDC-RFA-PS20-2002

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. Required Registrations 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-PS20-2002. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

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

The Tuskegee Public Health Ethics Program 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-PS20-2002

E. Assistance Listings (CFDA) Number:

93.978 F. Dates:

1. Due Date for Letter of Intent (LOI): N/A Is a LOI: Not Applicable A Letter of Intent is not required for this NOFO.

2. Due Date for Applications: 09/30/2019, 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 08/26/2019 1:00 pm (EST) 404.639.8366

G. Executive Summary:

1. Summary Paragraph:

The purpose of the program is to: 1) support public health ethics, training and practice; 2) develop partnerships among academic, government, non-governmental institutions, private sector organizations, and community stakeholders that enhance and advance ethical public health practice; 3) enhance community engagement in the development and implementation of public health programs; and 4) promote public health ethics scholarship in the scientific literature. The four strategies are: 1) engaging communities, 2) partnering with academic, government, and non-government institutions, and community stakeholders, 3) advancing Public Health Ethics scholarship, and 4) promoting ethical public health practice.

a. Eligible Applicants: Single 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

b. NOFO Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Period of Performance Funding: $1,500,000

e. Average One Year Award Amount: $300,000

f. Number of Years of Award: 5

g. Estimated Award Date: 12/16/2019

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

1. Background

a. Overview Public Health Ethics is a systematic process to clarify, prioritize, and justify possible courses of public health action based on ethical principles, values and beliefs of stakeholders, and scientific and other information.[1] Studies have shown that ethical partnerships can be mobilized to address challenges to population health.[2] To form these partnerships, parties who may posit different objectives and different methods work together to achieve common aims.[3] Partnerships can be multi-sectorial and inter-sectorial.[4] A Public Health Ethics framework promotes equitable partnerships, even if they are at times asymmetrical and bound by rules set by those completely external to the partnership itself. Partnership has been defined as a “voluntary agreement between two or more partners to work collaboratively toward a set of shared outcomes.”[5] Authentic partnership has been defined as a respectful alliance among all parties that values relationship-building, dialogue, and power-sharing.[6] Yet despite their generally positive value, partnerships are not without challenges.[7] The U.S Public Health Service Syphilis Study at Tuskegee, Alabama (the Syphilis Study), was a partnership that would eventually be deemed ethically unjustified.[8] The 40-year study involving the U.S Public Health Service, Tuskegee University, and prominent members of the local community, exploited African American men, who were the unwitting subjects of the study, to further scientific inquiry.

The approach outlined in this funding announcement applies the principles of Public Health Ethics to promote collaborative partnership among academic, government, non-governmental institutions, private sector organizations, and community stakeholders that will enhance ethical public health practice. The four required strategies are: 1) engaging communities, 2) partnering with academic, government, and non-government institutions, and community stakeholders, 3) advancing Public Health Ethics scholarship, and 4) promoting ethical public health practice. By collaboratively working together, partners can effectively promote and support ethical public health research and practice that advances health equity.

[1] Centers for Disease Control and Prevention (CDC). 2011. Advancing excellence & integrity of CDC science. Public health ethics. http://www.cdc.gov/od/science/integrity/phethics/ [2] Baker EA, Wilkerson R and Brennan LK. Identifying the role of community partnerships in creating change to support active living. Am J Prev Med. 2012 Nov;43(5 Suppl 4):S290-9. doi:

10.1016/j.amepre.2012.07.003.

[3] Finch CF, Donaldson A, Gabbe, B J, Muhammad A, Shee AW, Lloyd DG, and Cook J. The evolution of multiagency partnerships for safety over the course of research engagement:

experiences from the NoGAPS project. Injury Prevention, 22(6), 386–391. (2016).

http://doi.org/10.1136/injuryprev-2015-041922 [4]Fawcett, S., Schultz, J., Watson-Thompson, J., Fox, M., & Bremby, R. (2010). Building Multisectoral Partnerships for Population Health and Health Equity. Preventing Chronic Disease, 7(6), A118.

[5] World Health Organization https://www.who.int/about/collaborations/partnerships/en/ [6] Auerbach, Susan. Beyond coffee with the principal: toward leadership for authentic school-family partnerships. Journal of School Leadership, Vol 20(6) November 2010.

[7] Riggs E, Block K, Warr D, Gibbs L. Working better together: new approaches for understanding the value and challenges of organizational partnerships. Health Promot Int. 2014 Dec;29(4):780-93. doi: 10.1093/heapro/dat022. Epub 2013 Apr 28.

[8] Final Report of the Tuskegee Syphilis Study Ad Hoc Advisory Panel, Department of Health, Education, and Welfare (Washington, D.C.: GPO, 1973).

b. Statutory Authorities This program is authorized under Section 301(a) of the Public Health Service Act 93.978b(42 U.S.C. Section 241(a)) and 318 (a)(b)(c) of the Public Health Service Act [42 U.S.C. Section 247c (a)(b) and (c)] as amended. Regulations governing the implementation of this legislation are covered under 42 CFR Part 51b, Subpart A.

c. Healthy People 2020 By encouraging collaborations across sectors and disciplines, and communities, this funding opportunity supports the following Healthy People 2020 topic areas: Social Determinants of Health, Public Health Infrastructure, and Educational and Community-based programs.

d. Other National Public Health Priorities and Strategies Promoting Health Equity The program supports efforts to improve the health of populations disproportionately affected by HIV/AIDS, viral hepatitis, STDs and TB by maximizing the health impact of public health https://www.who.int/about/collaborations/partnerships/en/ services, reducing disease prevalence, and promoting health equity, aligning with CDC’s National Center for HIV, Viral Hepatitis, STD, and TB Prevention’s (NCHHSTP) Strategic Plan Through 2020 (https://www.cdc.gov/nchhstp/strategicpriorities/).

Health Equity: Health disparities in HIV, viral hepatitis, STDs and TB are inextricably linked to a complex blend of social determinants that influence which populations are most severely affected by these diseases. In collaboration with partners and appropriate sectors of the community, applicants should consider social determinants of health in the development, implementation, and evaluation of program specific efforts and use culturally appropriate interventions that are tailored for the communities for which they are intended. Health equity is a desirable goal that entails focused efforts to improve the health of those who have experienced social or economic disadvantage.

e. Relevant Work CDC seeks to build upon the previous work done (CDC-RFA-PS12-1202, Tuskegee University Apology Commemorative Activities) to enhance and expand ethical public health practice by engaging communities in the development and implementation of public health programs and advancing Public Health Ethics. This funding announcement is also aimed at continuing and expanding the academic study, professional practice, and training in Public Health Ethics at historically black colleges and universities and other academic institutions, including those serving minority communities. Through this funding announcement, CDC aims to continue agency support for the Public Health Ethics training program for graduate and undergraduate students which prepare these fellows and interns for future ethical professional public health practice. Additionally CDC seeks to expand collaborations with partners to host Public Health Ethics Forums. To date, the forums have focused on minority health and women’s health, and healthy aging.

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-[CDC-RFA-PS20-2002 Logic Model: Tuskegee Public Health Ethics Program

Strategies/ Activities

Short-Term Outcomes Intermediate Outcomes Long-Term Outcomes

Engage diverse communities

Enhanced community participation in planning the annual Syphilis Study Legacy Commemoration and Public Health Ethics Intensive

Increased community knowledge and capacity to support public health ethics practice

Increased community discussion forums

Improved capacity of community stakeholders to help define local public health priorities https://www.cdc.gov/nchhstp/strategicpriorities/ involving community members that address challenges to ethical public health practice

Partner with a range of national, state, and local institutions

Expanded partnerships that advance and promote Public Health Ethics

Increased engagement of higher learning institutions (e.g., historically black colleges and universities, minority-serving institutions, schools of public health) in the Public Health Ethics Internship Program

Sustained partnerships that advance and promote Public Health Ethics

Advance Public Health Ethics Academic Study

Expanded participation in the Tuskegee University Public Health Ethics Intensive

Increased examination and implementation of an applied Public Health Ethics framework with underserved populations

Publication of the Tuskegee University Public Health Ethics academic curriculum

Sustained implementation of a Public Health Ethics Academic Curriculum

Promote Ethical Public Health Practice

Enhanced Public Health Ethics Fellowship/Internship Program

Increased diverse university student engagement in public health ethics learning opportunities with CDC and local public health programs

Increased knowledge of Public Health Ethics among health professionals serving underserved and minority populations

i. Purpose The purpose of this funding announcement is to: 1) support public health ethics education, and practice; 2) develop partnerships among academic, government, and non-governmental institutions, private sector organizations, and community stakeholders to enhance and advance ethical public health practice; 3) enhance community engagement in the development and implementation of public health services; and 4) promote public health ethics scholarship in the scientific literature.

ii. Outcomes Short-Term

1) Engage diverse communities enhanced community participation in planning the annual Syphilis Study Legacy Commemoration and Public Health Ethics Intensive

2) Partner with a range of national, state, and local institutions expanded partnerships that advance and promote Public Health Ethics

3) Advance Public Health Ethics Academic Study expanded participation in the Tuskegee University Public Health Ethics Intensive

4) Promote Ethical Public Health Practice enhanced implementation of the Public Health Ethics Fellowship/Internship Program

Intermediate-Term

1) Engage diverse communities increased community member knowledge and capacity to support public health ethics practice increased community discussion forums involving community members that address challenges to ethical public health practice

2) Partner with a range of national, state, and local institutions increased engagement of higher learning institutions (e.g., historically black colleges and universities, minority- serving institutions, schools of public health) in the Public Health Ethics Internship Program

3) Advance Public Health Ethics Academic Study increased examination and implementation of an applied Public Health Ethics framework with underserved populations publication of the Tuskegee University Public Health Ethics academic curriculum

4) Promote Ethical Public Health Practice increased diverse university student engagement in public health ethics learning opportunities with CDC and local public health programs

Long-Term

1) Engage diverse communities improved capacity of community stakeholders to help define local public health priorities

2) Partner with a range of national, state, and local institutions sustained partnerships that advance and promote Public Health Ethics

3) Advance Public Health Ethics Academic Study sustained implementation of a Public Health Ethics Academic Curriculum

4) Promote Ethical Public Health Practice increased knowledge of Public Health Ethics among health professionals serving underserved and minority populations

iii. Strategies and Activities Engage diverse communities

Within the first 3 months, recruit and support community participation in the planning and implementation of the Syphilis Study Legacy Commemoration;

Within the first 12 months, organize and facilitate community discussion forums to educate community stakeholders to support ethical public health ethics practice; and

Within the first 24 months, increase community knowledge and capacity to support public health ethics practice.

Partner with a range of national, state, and local institutions

Within the first 6 months, identify new partnerships that advance and promote Public Health Ethics;

Within the first 12 months, engage higher learning institutions (e.g., historically black colleges and universities, minority- serving institutions, and schools of public health) in the Public Health Ethics Internship Program; and

Within 5 years, demonstrate sustained partnerships that advance and promote Public Health Ethics.

Advance Public Health Ethics Academic Study

Recruit and promote participation in the Tuskegee University Public Health Ethics Intensive;

Apply a Public Health Ethics framework to promoting health among underserved populations; and

Publish the Tuskegee University Public Health Ethics academic curriculum; and Demonstrate ongoing implementation of the Public Health Ethics Academic Curriculum.

Promote Ethical Public Health Practice

Implement the Public Health Ethics Fellowship/Internship Program;

Expand diverse university student engagement and participation in public health ethics learning opportunities with CDC and local public health programs; and Increase knowledge of Public Health Ethics among health professionals serving underserved and minority populations.

1. Collaborations The recipient is required to collaborate with CDC, the Division of Sexually Transmitted Disease Prevention (DSTDP) and the Public Health Ethics and Strategy Unit.

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

The recipient is expected to build and/or continue strategic partnerships and collaborations with other academic institutions, health, non-health sector, and social service institutions and organizations.

b. With organizations not funded by CDC:

The recipient is expected to build and/or continue strategic partnerships and collaborations with other academic institutions, health, non-health sector, and social service institutions and organizations.

2. Target Populations While a specific target population is not applicable for this funding announcement, underserved communities will benefit from achieving the outcomes specified in the logic model.

a. Health Disparities This NOFO is intended to be inclusive of all vulnerable populations including populations with disabilities, non-English speaking populations, tribal populations, people who live in rural areas and other geographically underserved communities, sexual and gender minorities, and people with limited health literacy.

iv. Funding Strategy (for multi-component NOFOs only) N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Using the project logic model CDC (i.e., the project officer) will conduct routine monitoring during the period of performance to assess progress towards achieving project objectives, including reviewing the annual progress reports, and engaging in monthly discussions with the principle investigator. Regular feedback will be provided to the recipient. Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan is not required for this NOFO.

Engage Diverse Communities Process: Number of Syphilis Study family members and community stakeholders attending Public Health Ethics Intensive and Syphilis Study Legacy Commemoration; number of community forums addressing Public Health Ethics;

Outcome: Level and content of Syphilis Study family member involvement in the planning and implementation of the Public Health Ethics Intensive and the Syphilis Study Legacy Commemoration; Syphilis Study family member community stakeholder level of knowledge and satisfaction with the Public Health Ethics Intensive and Syphilis Study Legacy Commemoration;

perceived capacity of family and community members to engage in a public discourse regarding public health ethics Partner with a Range of National, State, and Local Institutions Process: Number and type of defined multi-sector partner relationships described Outcome: Number and type of partnerships established that support and advance Public Health Ethics; level of partner participation in the Public Health Ethics Internship Program Advance Public Health Ethics Academic Study Process: Number of partner institutions attending the annual Public Health Ethics Intensive; and number of reports, academic presentations and manuscripts examining the application of a Public Health Ethics framework Outcome: Publication of the Public Health Ethics academic curriculum; and publication of reports and manuscripts examining the application of a Public Health Ethics framework Promote Ethical Public Health Practice Process: Number of undergraduate and graduate students from Tuskegee University participating in the Public Health Ethics Fellowship/Internship Program; number of undergraduate and graduate students from other universities and colleges participating in the Public Health Ethics Fellowship/Internship Program;

Outcome: Level of Public Health Ethics knowledge of students participating in the Public Health Ethics Program.

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.

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

The plan must:

Identify staff person responsible for conducting and reporting evaluation activities.

Outline the type of evaluations to be conducted (i.e., process and/or outcome).

List key evaluation questions to be answered.

Identify potentially available data sources and feasibility of collecting appropriate evaluation and performance data.

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

Describe other information, as determined by the CDC program (e.g., performance measures to be developed by the applicant) that must be included.

The recipient will be required to submit evaluation reports, according to the CDC provided reporting schedule and templates.

c. Organizational Capacity of Recipients to Implement the Approach The applicant must address the organizational capacity requirements as described in the CDC Project Description. This may include how the applicant entity/agency is organized, the nature and scope of its activities, the capabilities it possesses, relevant experience, and staff https://www.cdc.gov/grants/additionalrequirements/ar-25.html competencies (e.g., evaluation) related to the activities of this NOFO. The applicant is expected to provide a staffing plan and include an organizational chart. In addition, applicants must have a financial management system, i.e., an accounting system. At a minimum, this system must:

permit preparation of required reports;

allow the tracking of funds;

have effective internal accountability controls/checks and balances;

maintain source documents; and have a cash management system to accurately account for cash transactions.

d. Work Plan The applicant is required to provide a work plan consisting of period of performance goals for the five-year program and Year One outcomes for each program strategy. A detailed description of program activities during the first year of the award is also required. The work plan should not exceed 20 pages. The applicant is strongly encouraged to use the activities indicated under the “Program Strategy” section. The work plan must at a minimum, include:

Period of Performance Goals (PPG) for each Program Strategy. The proposed PPGs should describe the goals for the 5-year period of performance; and

Annual outcomes for each PPG. The proposed annual outcomes should describe the short-term outcomes for the first year of the period of performance. Each annual outcome must be specific, measurable, achievable, realistic time-phased goals and consistent with the intent of the program announcement.

A description of specific program activities that will be undertaken during Year One to meet the proposed Annual Outcomes must also be provided.

Note: Annual outcomes should be written in SMART (specific, measurable, achievable, realistic, and timely) format. Quantitative baselines should be provided for each objective that leads to an increase, decrease, or maintenance over time. CDC will provide feedback and technical assistance to the recipient to finalize the work plan post-award.

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.

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

The HHS Awarding Agency Grants Administration Manual (AAGAM)* specifies the following HHS expectations for 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; and Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities:

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

o Ensuring that recipient is performing at a sufficient level to achieve objectives within stated timeframes;

o Working with recipient on adjusting the work plan based on achievement of objectives and changing budgets;

o Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels; and o Other activities deemed necessary to monitor the award, if applicable.These may include monitoring and reporting activities as outlined in Chapter 2.01.101 of the HHS AAGAM* that assists grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.

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

COOPERATIVE AGREEMENTS)

CDC’s support shall include, but is not limited to:

Provision of technical assistance to design and implement all project components; (e.g., review training materials, design of the Public Health Ethics Intensive course, assist with operational planning and project management; link to existing stakeholders (e.g., in the areas of public health ethics, health disparities, and health equity);

Facilitation of collaboration among recipient and stakeholders (e.g., support for networking and information sharing, site visits and reverse-site visits);

Provision of CDC-based opportunities to experience applied Public Health Ethics in practice;

Development of the criteria and terms of the student internships, including length of CDC placement, intern selection criteria, and learning goals and objectives; and

Monitoring of the recipient’s progress in implementing the program through consultation via: site visits, e-mail, telephone, and review of progress reports to support implementation of the program plan.

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: U22

3. Fiscal Year: 2020 Estimated Total Funding: $1,500,000

4. Approximate Total Fiscal Year Funding: $300,000

This amount is subject to the availability of funds.

5. Approximate Period of Performance Funding: $1,500,000 $300,000 per 12-month budget period of performance

6. Total Period of Performance Length: 5

7. Expected Number of Awards: 1

8. Approximate Average Award: $300,000 Per Budget Period

This amount is subject to the availability of funds.

9. Award Ceiling: $350,000 Per Budget Period

10. Award Floor: $275,000 Per Budget Period

11. Estimated Award Date: 12/16/2019

Throughout the period of performance, 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 (period of performance) 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).

12. Budget Period Length: 12 month(s)

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

C. Eligibility Information

1. Eligible Applicants Eligibility Category: Others (see text field entitled "Additional

Information on Eligibility" for clarification)

Additional Eligibility Category:

2. Additional Information on Eligibility To address the unethical treatment the African American men endured during the U.S. Public Health Service Syphilis Study at Tuskegee, in 1997 the U.S. government committed support for developing a bioethics center at Tuskegee University to improve ethics in health care for all Americans. Established in 1999, the Tuskegee University National Center for Bioethics in Research and Health Care (hereafter referred to as TUBC) is the only center dedicated to study, practice, and training in public health ethics at a historically black college or university. TUBC is a leading academic institution supporting the development of ethics expertise; particularly among historically black colleges and universities and other minority serving academic institutions. TUBC provides important scholarship and practice opportunities for students in public health ethics leading to the improvement of public health services to under-served populations across the United States. In partnership with CDC, TUBC continues to facilitate a broad public participation through educational events, and by maintaining the ongoing positive involvement of the “U.S. Public Health Service Syphilis Study” survivors' families and affected communities.

The goals of TUBC are to: 1) conduct research, scholarship, and training in public health ethics and bioethics for under-served populations; 2) educate students, faculty, scholars, and the general public about public health ethics issues to improve public health services to under-served populations; 3) promote racial/ethnic and geographic diversity in the field of public health ethics and bioethics; and 4) facilitate effective community partnerships to address inequities in health and health care and support health promotion for all Americans. This funding opportunity continues support for scholarship and professional development (e.g., work placements at local health departments and internships at CDC) for current and future public health professionals; as well as sustain community involvement (e.g., Syphilis Study Families, other minority community members) in the advancement of ethics in health care and in public health.

Since 1999, TUBC has hosted an annual gathering of the Syphilis Study survivors and their families, public health professionals, and other academic and community stakeholders to honor the legacy of the men who were the subjects of the “U.S. Public Health Service Syphilis Study at Tuskegee, Alabama”. On average 80-90 family members attend the program annually.

TUBC facilitates healing and reconciliation sessions for Syphilis Study families, and with TUBC assistance, the families have established the foundation, Voices for Our Fathers.

Beginning in 2012 TUBC launched an annual Public Health Ethics Intensive. This week-long course increases knowledge and understanding of Public Health Ethics in policy and practice.

In addition, TUBC reaches out to local middle and high schools offering sessions designed to introduce youth to scientific research and education. With CDC staff TUBC also offers mentoring sessions at Tuskegee University in public health for university students. The proceedings from the intensives are published in the Journal of Healthcare, Science, and the Humanities. In 2013, TUBC, in partnership with the Centers for Disease Control and Prevention, began sponsoring Public Health Ethics practice fellowships and internships for graduate and undergraduate students to increase Public Health Ethics knowledge and skill among future public health professionals.

April 2018, TUBC marked the 21st anniversary of the Syphilis Study commemoration. It also marked the 7th annual “Public Health Ethics Intensive”. June of 2018 marked the 6th successful year of the Public Health Ethics fellowship and internship program, and to date the program has sponsored 20 summer internships and 12 fellowships.

Tuskegee University is the only eligible applicant for this funding opportunity.

3. Justification for Less than Maximum Competition Tuskegee University is the only eligible applicant for this funding opportunity.

To address the unethical treatment the African American men endured during the U.S. Public Health Service Syphilis Study at Tuskegee, in 1997 the U.S. government committed support for developing a bioethics center at Tuskegee University to improve ethics in health care for all Americans. Established in 1999, the Tuskegee University National Center for Bioethics in Research and Health Care (hereafter referred to as TUBC) is the only center dedicated to study, practice, and training in public health ethics at a historically black college or university. TUBC is a leading academic institution supporting the development of ethics expertise; particularly among historically black colleges and universities and other minority serving academic institutions. TUBC provides important scholarship and practice opportunities for students in public health ethics leading to the improvement of public health services to under-served populations across the United States. In partnership with CDC, TUBC continues to facilitate a broad public participation through educational events, and by maintaining the ongoing positive involvement of the “U.S. Public Health Service Syphilis Study” survivors' families and affected communities.

The goals of TUBC are to: 1) conduct research, scholarship, and training in public health ethics and bioethics for under-served populations; 2) educate students, faculty, scholars, and the general public about public health ethics issues to improve public health services to under-served populations; 3) promote racial/ethnic and geographic diversity in the field of public health ethics and bioethics; and 4) facilitate effective community partnerships to address inequities in health and health care and support health promotion for all Americans. This funding opportunity continues support for scholarship and professional development (e.g., work placements at local health departments and internships at CDC) for current and future public health professionals; as well as sustain community involvement (e.g., Syphilis Study Families, other minority community members) in the advancement of ethics in health care and in public health.

Since 1999, TUBC has hosted an annual gathering of the Syphilis Study survivors and their families, public health professionals, and other academic and community stakeholders to honor the legacy of the men who were the subjects of the “U.S. Public Health Service Syphilis Study at Tuskegee, Alabama”. On average 80-90 family members attend the program annually.

TUBC facilitates healing and reconciliation sessions for Syphilis Study families, and with TUBC assistance, the families have established the foundation, Voices for Our Fathers.

Beginning in 2012 TUBC launched an annual Public Health Ethics Intensive. This week-long course increases knowledge and understanding of Public Health Ethics in policy and practice.

In addition, TUBC reaches out to local middle and high schools offering sessions designed to introduce youth to scientific research and education. With CDC staff TUBC also offers mentoring sessions at Tuskegee University in public health for university students. The proceedings from the intensives are published in the Journal of Healthcare, Science, and the Humanities. In 2013, TUBC, in partnership with the Centers for Disease Control and Prevention, began sponsoring Public Health Ethics practice fellowships and internships for graduate and undergraduate students to increase Public Health Ethics knowledge and skill among future public health professionals.

April 2018, TUBC marked the 21st anniversary of the Syphilis Study commemoration. It also marked the 7th annual “Public Health Ethics Intensive”. June of 2018 marked the 6th successful year of the Public Health Ethics fellowship and internship program, and to date the program has sponsored 20 summer internships and 12 fellowships.

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. Required Registrations

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

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

http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf https://www.grants.gov/

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

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

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

b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process 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 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 issues a new DUNS number check online at (http:// fedgov.dnb.

com/ webform) or call 1-866-705-

2 System for Award Management

(SAM)

formerly

1. Retrieve organizations DUNS number

2. Go to www.sam.gov and designate an E-Biz POC (note

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-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://www.sam.gov https://fsd.gov/fsd%20-gov/home.do https://fsd.gov/fsd%20-gov/home.do

Central Contractor Registration

(CCR)

CCR username will not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

3 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 the 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 to 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 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 A Letter of Intent is not required for this NOFO.

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

b. Application Deadline Due Date for Applications: 09/30/2019 , 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 Informational Conference Call: 08/26/2019 1:00 pm (EST) 404.639.8366

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.

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