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Centers for Disease Control and Prevention Center for Global Health Improving Response to and Programming in Humanitarian Emergencies CDC-RFA-GH15-1623 Application Due Date: 06/05/2015 Signature Date

Centers for Disease Control and Prevention Center for ...nutritioncluster.net/.../sites/4/2015/04/oppCDC-RFA-GH15-1623.pdf · Improving Response to and Programming in Humanitarian

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Centers for Disease Control and Prevention

Center for Global Health

Improving Response to and Programming in Humanitarian Emergencies

CDC-RFA-GH15-1623Application Due Date 06052015

Signature Date

Improving Response to and Programming in Humanitarian EmergenciesCDC-RFA-GH15-1623TABLE OF CONTENTS

Overview Information

Federal Agency NameAFunding Opportunity TitleBAnnouncement TypeCAgency Funding Opportunity NumberDCatalog of Federal Domestic Assistance (CFDA) NumberEDates

Letter of Intent Deadline1Application Deadline2Informational Conference Call for Potential Applicants3

F

Executive Summary

Summary Paragraph1

G

I

Full Text

Funding Opportunity Description

Background 1CDC Project Description 2

A

Award Information

Funding Instrument Type 1Funding Activity Category 2Fiscal Year 3Approximate Total Fiscal Year Funding 4Approximate Project Period Funding 5Total Project Period Length 6Expected Number of Awards 7Approximate Average Award 8Award Ceiling 9Award Floor 10Estimated Award Date 11Budget Period Length 12Funds Tracking 13Direct Assistance 14Indirect Costs 15

B

Eligibility Information

Eligible Applicants 1Additional Information on Eligibility 2Justification for Less than Maximum Competition 3Other 4Cost Sharing or Matching 5Maintenance of Effort 6

C

Application and Submission Information D

II

Required Registrations 1Request Application Package 2Application Package 3Submission Dates amp Times 4CDC Assurances and Certifications 5Content and Form of Application Submission 6Letter of Intent 7Table of Contents 8Project Abstract Summary 9Project Narrative 10Work Plan 11Budget Narrative 12Tobacco and Nutrition Policies 13Intergovernmental Review of Federal Programs 14Funding Restrictions 15Other Submission Requirements 16

Application Review Information

Review and Selection Process 1Anticipated Announcement and Award Dates 2

E

Award Administration Information

Award Notices 1Administrative and National Policy Requirements 2Reporting 3Federal Funding Accountability and Transparency Act of 2006

4

F

Agency Contacts GOther Information HGlossary I

Part I Overview InformationA Federal Agency Name

B Funding Opportunity TitleImproving Response to and Programming in Humanitarian EmergenciesC Announcement Type

D Agency Funding Opportunity Number

E Catalog of Federal Domestic Assistance (CFDA) Number

F DatesNA06052015NA

1 Summary ParagraphThis FOA supports the implementation of programs and activities that focus on protectingand improving health in humanitarian and conflict settings Its purpose is to develop implement andstrengthen public health information management (including monitoring and evaluation) and thetechnical capacity of responders in humanitarian and conflict settings It is intended to buildcapacities in reproductive health nutrition mental health and communicable diseases inhumanitarian emergencies Projects must also consider monitoring and evaluation of overall programperformance and the progress of projects or activitiesa Eligible Applicants limitedb FOA Type cooperative agreementc Approximate Number of Awards up to 10d Total Project Period Funding $5000000e Average One Year Award Amount $100000f Number of Years of Award 5g Approximate Date When Awards will be Announced 09012015h Cost Sharing and or Matching Requirement No

Part II Full TextA Funding Opportunity Description

1 Background

Centers for Disease Control and Prevention

This announcement is only for non-research international activities supported by CDC If research isproposed the application will not be considered Research for this purpose is defined at httpwwwcdcgov od science integrity docs cdc -policy -distinguishing -public -health -research-nonresearchpdf

CDC-RFA-GH15-1623

93269

1 Due Date for Letter of Intent2 Due Date for Applications3 Date for Informational Conference Call G Executive Summary

1 of 39

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3For definitions of L1-L3 crises see httpwwwunochaorgwhere-we-workemergencies An L3 is the most critical type of crisis that requires a system wide responseacross the UN In 2014 there were a record number of L3 crises in the following countries SyriaIraq Central African Republic Philippines and South Sudan This list also includes the countries ofWest Africa affected by the outbreak of Ebola Concurrent with these complex emergencies donorfunding is declining while the number of vulnerable persons is increasing Agencies andorganizations are struggling to reach more people in need while operating with smaller budgetsdriving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out This program activity will address the gaps in nutrition reproductive health mental health andcommunicable and non-communicable diseases as well as information management in humanitarianand conflict settings

a Statutory Authorities

Public Health Service Act Section 301 42 USC 241 and Section 307(k)(2) 42 USC 247b(k)(2)

b Healthy People 2020

This FOA supports the global health priority of Healthy People 2020 Improve public health andstrengthen US national security through global disease detection response prevention and controlstrategies The FOA seeks to increase the capacity and impact of trained and skilled staff to respondto humanitarian emergencies which often include outbreaks of infectious disease Additionally themonitoring and evaluation activities may help prevent and detect outbreaks of vaccine preventablediseases in humanitarian contexts Under non communicable diseases this FOA also addressesmental health which was set forth as a priority with the global health objective of Healthy People2020 Additional information can be found at httpswwwhealthypeoplegov2020topics-objectivestopicglobal-health

c Other National Public Health Priorities and Strategies

This FOA supports CDCrsquos Global Health Strategy which focuses on improving the health and well-being ofpeople around the world improving capabilities to prepare for and respond to infectious diseases otheremerging health threats and public health emergencies and maximizing the potential of CDCrsquos globalprograms to achieve public health impact Additional information can be found at httpwwwcdcgovglobalhealthstrategy

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

In addition to CDCrsquos Global Health Strategy this project supports The Department of Health andHuman Servicesrsquo (HHS) Global Health Strategy which articulates three strategic goals that supportHHSrsquo global health vision of a healthier safer world protect and promote the health and well-being 2 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Improving Response to and Programming in Humanitarian EmergenciesCDC-RFA-GH15-1623TABLE OF CONTENTS

Overview Information

Federal Agency NameAFunding Opportunity TitleBAnnouncement TypeCAgency Funding Opportunity NumberDCatalog of Federal Domestic Assistance (CFDA) NumberEDates

Letter of Intent Deadline1Application Deadline2Informational Conference Call for Potential Applicants3

F

Executive Summary

Summary Paragraph1

G

I

Full Text

Funding Opportunity Description

Background 1CDC Project Description 2

A

Award Information

Funding Instrument Type 1Funding Activity Category 2Fiscal Year 3Approximate Total Fiscal Year Funding 4Approximate Project Period Funding 5Total Project Period Length 6Expected Number of Awards 7Approximate Average Award 8Award Ceiling 9Award Floor 10Estimated Award Date 11Budget Period Length 12Funds Tracking 13Direct Assistance 14Indirect Costs 15

B

Eligibility Information

Eligible Applicants 1Additional Information on Eligibility 2Justification for Less than Maximum Competition 3Other 4Cost Sharing or Matching 5Maintenance of Effort 6

C

Application and Submission Information D

II

Required Registrations 1Request Application Package 2Application Package 3Submission Dates amp Times 4CDC Assurances and Certifications 5Content and Form of Application Submission 6Letter of Intent 7Table of Contents 8Project Abstract Summary 9Project Narrative 10Work Plan 11Budget Narrative 12Tobacco and Nutrition Policies 13Intergovernmental Review of Federal Programs 14Funding Restrictions 15Other Submission Requirements 16

Application Review Information

Review and Selection Process 1Anticipated Announcement and Award Dates 2

E

Award Administration Information

Award Notices 1Administrative and National Policy Requirements 2Reporting 3Federal Funding Accountability and Transparency Act of 2006

4

F

Agency Contacts GOther Information HGlossary I

Part I Overview InformationA Federal Agency Name

B Funding Opportunity TitleImproving Response to and Programming in Humanitarian EmergenciesC Announcement Type

D Agency Funding Opportunity Number

E Catalog of Federal Domestic Assistance (CFDA) Number

F DatesNA06052015NA

1 Summary ParagraphThis FOA supports the implementation of programs and activities that focus on protectingand improving health in humanitarian and conflict settings Its purpose is to develop implement andstrengthen public health information management (including monitoring and evaluation) and thetechnical capacity of responders in humanitarian and conflict settings It is intended to buildcapacities in reproductive health nutrition mental health and communicable diseases inhumanitarian emergencies Projects must also consider monitoring and evaluation of overall programperformance and the progress of projects or activitiesa Eligible Applicants limitedb FOA Type cooperative agreementc Approximate Number of Awards up to 10d Total Project Period Funding $5000000e Average One Year Award Amount $100000f Number of Years of Award 5g Approximate Date When Awards will be Announced 09012015h Cost Sharing and or Matching Requirement No

Part II Full TextA Funding Opportunity Description

1 Background

Centers for Disease Control and Prevention

This announcement is only for non-research international activities supported by CDC If research isproposed the application will not be considered Research for this purpose is defined at httpwwwcdcgov od science integrity docs cdc -policy -distinguishing -public -health -research-nonresearchpdf

CDC-RFA-GH15-1623

93269

1 Due Date for Letter of Intent2 Due Date for Applications3 Date for Informational Conference Call G Executive Summary

1 of 39

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3For definitions of L1-L3 crises see httpwwwunochaorgwhere-we-workemergencies An L3 is the most critical type of crisis that requires a system wide responseacross the UN In 2014 there were a record number of L3 crises in the following countries SyriaIraq Central African Republic Philippines and South Sudan This list also includes the countries ofWest Africa affected by the outbreak of Ebola Concurrent with these complex emergencies donorfunding is declining while the number of vulnerable persons is increasing Agencies andorganizations are struggling to reach more people in need while operating with smaller budgetsdriving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out This program activity will address the gaps in nutrition reproductive health mental health andcommunicable and non-communicable diseases as well as information management in humanitarianand conflict settings

a Statutory Authorities

Public Health Service Act Section 301 42 USC 241 and Section 307(k)(2) 42 USC 247b(k)(2)

b Healthy People 2020

This FOA supports the global health priority of Healthy People 2020 Improve public health andstrengthen US national security through global disease detection response prevention and controlstrategies The FOA seeks to increase the capacity and impact of trained and skilled staff to respondto humanitarian emergencies which often include outbreaks of infectious disease Additionally themonitoring and evaluation activities may help prevent and detect outbreaks of vaccine preventablediseases in humanitarian contexts Under non communicable diseases this FOA also addressesmental health which was set forth as a priority with the global health objective of Healthy People2020 Additional information can be found at httpswwwhealthypeoplegov2020topics-objectivestopicglobal-health

c Other National Public Health Priorities and Strategies

This FOA supports CDCrsquos Global Health Strategy which focuses on improving the health and well-being ofpeople around the world improving capabilities to prepare for and respond to infectious diseases otheremerging health threats and public health emergencies and maximizing the potential of CDCrsquos globalprograms to achieve public health impact Additional information can be found at httpwwwcdcgovglobalhealthstrategy

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

In addition to CDCrsquos Global Health Strategy this project supports The Department of Health andHuman Servicesrsquo (HHS) Global Health Strategy which articulates three strategic goals that supportHHSrsquo global health vision of a healthier safer world protect and promote the health and well-being 2 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Required Registrations 1Request Application Package 2Application Package 3Submission Dates amp Times 4CDC Assurances and Certifications 5Content and Form of Application Submission 6Letter of Intent 7Table of Contents 8Project Abstract Summary 9Project Narrative 10Work Plan 11Budget Narrative 12Tobacco and Nutrition Policies 13Intergovernmental Review of Federal Programs 14Funding Restrictions 15Other Submission Requirements 16

Application Review Information

Review and Selection Process 1Anticipated Announcement and Award Dates 2

E

Award Administration Information

Award Notices 1Administrative and National Policy Requirements 2Reporting 3Federal Funding Accountability and Transparency Act of 2006

4

F

Agency Contacts GOther Information HGlossary I

Part I Overview InformationA Federal Agency Name

B Funding Opportunity TitleImproving Response to and Programming in Humanitarian EmergenciesC Announcement Type

D Agency Funding Opportunity Number

E Catalog of Federal Domestic Assistance (CFDA) Number

F DatesNA06052015NA

1 Summary ParagraphThis FOA supports the implementation of programs and activities that focus on protectingand improving health in humanitarian and conflict settings Its purpose is to develop implement andstrengthen public health information management (including monitoring and evaluation) and thetechnical capacity of responders in humanitarian and conflict settings It is intended to buildcapacities in reproductive health nutrition mental health and communicable diseases inhumanitarian emergencies Projects must also consider monitoring and evaluation of overall programperformance and the progress of projects or activitiesa Eligible Applicants limitedb FOA Type cooperative agreementc Approximate Number of Awards up to 10d Total Project Period Funding $5000000e Average One Year Award Amount $100000f Number of Years of Award 5g Approximate Date When Awards will be Announced 09012015h Cost Sharing and or Matching Requirement No

Part II Full TextA Funding Opportunity Description

1 Background

Centers for Disease Control and Prevention

This announcement is only for non-research international activities supported by CDC If research isproposed the application will not be considered Research for this purpose is defined at httpwwwcdcgov od science integrity docs cdc -policy -distinguishing -public -health -research-nonresearchpdf

CDC-RFA-GH15-1623

93269

1 Due Date for Letter of Intent2 Due Date for Applications3 Date for Informational Conference Call G Executive Summary

1 of 39

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3For definitions of L1-L3 crises see httpwwwunochaorgwhere-we-workemergencies An L3 is the most critical type of crisis that requires a system wide responseacross the UN In 2014 there were a record number of L3 crises in the following countries SyriaIraq Central African Republic Philippines and South Sudan This list also includes the countries ofWest Africa affected by the outbreak of Ebola Concurrent with these complex emergencies donorfunding is declining while the number of vulnerable persons is increasing Agencies andorganizations are struggling to reach more people in need while operating with smaller budgetsdriving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out This program activity will address the gaps in nutrition reproductive health mental health andcommunicable and non-communicable diseases as well as information management in humanitarianand conflict settings

a Statutory Authorities

Public Health Service Act Section 301 42 USC 241 and Section 307(k)(2) 42 USC 247b(k)(2)

b Healthy People 2020

This FOA supports the global health priority of Healthy People 2020 Improve public health andstrengthen US national security through global disease detection response prevention and controlstrategies The FOA seeks to increase the capacity and impact of trained and skilled staff to respondto humanitarian emergencies which often include outbreaks of infectious disease Additionally themonitoring and evaluation activities may help prevent and detect outbreaks of vaccine preventablediseases in humanitarian contexts Under non communicable diseases this FOA also addressesmental health which was set forth as a priority with the global health objective of Healthy People2020 Additional information can be found at httpswwwhealthypeoplegov2020topics-objectivestopicglobal-health

c Other National Public Health Priorities and Strategies

This FOA supports CDCrsquos Global Health Strategy which focuses on improving the health and well-being ofpeople around the world improving capabilities to prepare for and respond to infectious diseases otheremerging health threats and public health emergencies and maximizing the potential of CDCrsquos globalprograms to achieve public health impact Additional information can be found at httpwwwcdcgovglobalhealthstrategy

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

In addition to CDCrsquos Global Health Strategy this project supports The Department of Health andHuman Servicesrsquo (HHS) Global Health Strategy which articulates three strategic goals that supportHHSrsquo global health vision of a healthier safer world protect and promote the health and well-being 2 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Part I Overview InformationA Federal Agency Name

B Funding Opportunity TitleImproving Response to and Programming in Humanitarian EmergenciesC Announcement Type

D Agency Funding Opportunity Number

E Catalog of Federal Domestic Assistance (CFDA) Number

F DatesNA06052015NA

1 Summary ParagraphThis FOA supports the implementation of programs and activities that focus on protectingand improving health in humanitarian and conflict settings Its purpose is to develop implement andstrengthen public health information management (including monitoring and evaluation) and thetechnical capacity of responders in humanitarian and conflict settings It is intended to buildcapacities in reproductive health nutrition mental health and communicable diseases inhumanitarian emergencies Projects must also consider monitoring and evaluation of overall programperformance and the progress of projects or activitiesa Eligible Applicants limitedb FOA Type cooperative agreementc Approximate Number of Awards up to 10d Total Project Period Funding $5000000e Average One Year Award Amount $100000f Number of Years of Award 5g Approximate Date When Awards will be Announced 09012015h Cost Sharing and or Matching Requirement No

Part II Full TextA Funding Opportunity Description

1 Background

Centers for Disease Control and Prevention

This announcement is only for non-research international activities supported by CDC If research isproposed the application will not be considered Research for this purpose is defined at httpwwwcdcgov od science integrity docs cdc -policy -distinguishing -public -health -research-nonresearchpdf

CDC-RFA-GH15-1623

93269

1 Due Date for Letter of Intent2 Due Date for Applications3 Date for Informational Conference Call G Executive Summary

1 of 39

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3For definitions of L1-L3 crises see httpwwwunochaorgwhere-we-workemergencies An L3 is the most critical type of crisis that requires a system wide responseacross the UN In 2014 there were a record number of L3 crises in the following countries SyriaIraq Central African Republic Philippines and South Sudan This list also includes the countries ofWest Africa affected by the outbreak of Ebola Concurrent with these complex emergencies donorfunding is declining while the number of vulnerable persons is increasing Agencies andorganizations are struggling to reach more people in need while operating with smaller budgetsdriving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out This program activity will address the gaps in nutrition reproductive health mental health andcommunicable and non-communicable diseases as well as information management in humanitarianand conflict settings

a Statutory Authorities

Public Health Service Act Section 301 42 USC 241 and Section 307(k)(2) 42 USC 247b(k)(2)

b Healthy People 2020

This FOA supports the global health priority of Healthy People 2020 Improve public health andstrengthen US national security through global disease detection response prevention and controlstrategies The FOA seeks to increase the capacity and impact of trained and skilled staff to respondto humanitarian emergencies which often include outbreaks of infectious disease Additionally themonitoring and evaluation activities may help prevent and detect outbreaks of vaccine preventablediseases in humanitarian contexts Under non communicable diseases this FOA also addressesmental health which was set forth as a priority with the global health objective of Healthy People2020 Additional information can be found at httpswwwhealthypeoplegov2020topics-objectivestopicglobal-health

c Other National Public Health Priorities and Strategies

This FOA supports CDCrsquos Global Health Strategy which focuses on improving the health and well-being ofpeople around the world improving capabilities to prepare for and respond to infectious diseases otheremerging health threats and public health emergencies and maximizing the potential of CDCrsquos globalprograms to achieve public health impact Additional information can be found at httpwwwcdcgovglobalhealthstrategy

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

In addition to CDCrsquos Global Health Strategy this project supports The Department of Health andHuman Servicesrsquo (HHS) Global Health Strategy which articulates three strategic goals that supportHHSrsquo global health vision of a healthier safer world protect and promote the health and well-being 2 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3For definitions of L1-L3 crises see httpwwwunochaorgwhere-we-workemergencies An L3 is the most critical type of crisis that requires a system wide responseacross the UN In 2014 there were a record number of L3 crises in the following countries SyriaIraq Central African Republic Philippines and South Sudan This list also includes the countries ofWest Africa affected by the outbreak of Ebola Concurrent with these complex emergencies donorfunding is declining while the number of vulnerable persons is increasing Agencies andorganizations are struggling to reach more people in need while operating with smaller budgetsdriving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out This program activity will address the gaps in nutrition reproductive health mental health andcommunicable and non-communicable diseases as well as information management in humanitarianand conflict settings

a Statutory Authorities

Public Health Service Act Section 301 42 USC 241 and Section 307(k)(2) 42 USC 247b(k)(2)

b Healthy People 2020

This FOA supports the global health priority of Healthy People 2020 Improve public health andstrengthen US national security through global disease detection response prevention and controlstrategies The FOA seeks to increase the capacity and impact of trained and skilled staff to respondto humanitarian emergencies which often include outbreaks of infectious disease Additionally themonitoring and evaluation activities may help prevent and detect outbreaks of vaccine preventablediseases in humanitarian contexts Under non communicable diseases this FOA also addressesmental health which was set forth as a priority with the global health objective of Healthy People2020 Additional information can be found at httpswwwhealthypeoplegov2020topics-objectivestopicglobal-health

c Other National Public Health Priorities and Strategies

This FOA supports CDCrsquos Global Health Strategy which focuses on improving the health and well-being ofpeople around the world improving capabilities to prepare for and respond to infectious diseases otheremerging health threats and public health emergencies and maximizing the potential of CDCrsquos globalprograms to achieve public health impact Additional information can be found at httpwwwcdcgovglobalhealthstrategy

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

In addition to CDCrsquos Global Health Strategy this project supports The Department of Health andHuman Servicesrsquo (HHS) Global Health Strategy which articulates three strategic goals that supportHHSrsquo global health vision of a healthier safer world protect and promote the health and well-being 2 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

of Americans through global health action provide leadership and technical expertise in sciencepolicy programs and practice to improve global health and advance United States interests ininternational diplomacy development and security through global health action Additionalinformation can be found at httpwwwglobalhealthgovpdfsGlobal20Health20StrategypdfProject 2 Determine the burden of Dental Disease among internally displaced populationsThis project aligns with Objective 18 of the CDC Global Health Strategy 2012-2015 ReduceBurden of Non-communicable Diseases and supports the US Department of Health and HumanServicersquos Global Strategy specifically Strategy Objective 1 Enhance Global Health Surveillanceand Objective 8 Address the Changing Global Pattern of Death Illness and Disability Foradditional information see httpwwwcdcgovglobalhealthstrategyProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States

This project supports the US National Action Plan for Women Peace and Security (NAP) in itsefforts to accelerate institutionalize and better coordinate our efforts to advance womenrsquos inclusionin peace negotiations peace-building activities and conflict prevention to protect women fromsexual and gender-based violence and to ensure equal access to relief and recovery assistance inareas of conflict and insecurity For additional information see httpwwwwhitehousegovsitesdefaultfilesemail-filesUS_National_Action_Plan_on_Women_Peace_and_Securitypdf

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility andusefulness of the indicators at 3 and 6 months into the responseThis project supports the Global Health Objective of Healthy People 2020- Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies For additional information on Sphere standards see httpwwwsphereprojectorghandbook For additional information on Healthy People 2020 see httpwwwcdcgovglobalhealthstrategy

Project 5 Nutrition research methods in emergenciesThe project supports the global health objective of improving maternal and child health Foradditional information see httpwwwglobalhealthgovglobal-health-topicsmaternal-and-child-healthindexhtml

Project 6 Stress management training of primary health care providers in post-emergency settings

This project addresses the Healthy People 2020 priorities of mental health and mental disordersspecifically to Improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause ofdisability and mental illness is recognized under this category Additional information can be foundat httpswwwhealthypeoplegov2020topics-objectivestopicglobal-healthProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

This project addresses the Healthy People 2020 objective on mental health and mental disordersspecifically to improve mental health through prevention and by ensuring access to appropriatequality mental health services Additionally it supports the global health goal Improve public healthand strengthen US national security through global disease detection response prevention andcontrol strategies This goal specifically includes non-communicable disease as a leading cause of

3 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

disability and mental illness is recognized under this category Additional information about thisGlobal Health goal can be found at httpwwwglobalhealthgovglobal-health-topicsnon-communicable-diseases

d Relevant Work

This FOA will build on and expand on current CDC program activities in humanitarian emergencysettings that are part of CDC-RFA-EH09-904 by continuing the work in reproductive health mentalhealth surveillance and health information as well as expanding in other program areas

2 CDC Project Description

The strategies and outcomes of the Logic Model Overview are stated broadly to capture the varietyof activities and outcomes that are associated with the discrete projects supported by thismulti-component FOA which is composed of eight (8) programmatic projects Numbers are assignedto each program to indicate each onersquos Activities and Project Period Outcomes in both the LogicModel and Narrative sections

Operationalize and evaluate the risk assessment tool for measles and potentially other vaccinepreventable disease among displaced populations in emergencies

1

Determine the burden of Dental Disease among internally displaced populations (IDP) inemergencies

2

Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR) inConflict Prone States in emergencies

3

Evaluate Sphere standards during an emergency to determine the feasibility and usefulness ofthe indicators at 3 and 6 months into the response

4

Nutrition research methods in emergencies5Stress management training of primary health care providers in post-emergency settings6Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation7Information Management in Emergencies8

A2a Approach

CDC-RFA-GH15-1623 Logic Model

Improving Response to and Programming in Humanitarian Emergencies

Strategies and Activities Short-termOutcomes

IntermediateOutcomes

Long-termOutcomes

1 Monitoring and Evaluation Monitor activities - 1Develop evaluationplan - 4Evaluatetoolsguidelinesproducts ndash 1478Evaluate trainings ndash

Workforce that isbetter trained andprepared to respondndash3467 Better coordinationand exchange of

Increased use of data for improving publichealth response andcontrol improvingpublic health practicesetting priorities andinforming program

Improved treatmentand prevention ofconditions anddiseases Minimizedtransmission of

4 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Evaluate trainings ndash367Assesscountryprogramcapacity - 3

2 Capacity Development Developadapt and testmaterials guidanceand tools -1245678Develop and conducttrainingsworkshops-1236Disseminate tool kitscase studies etc - 3Train staffconsultants-2478Improve mentorship -3Provide technicalassistance -48Meetingconsultationwith key stakeholders-4 58Develop andimplement supportivepolicies -6

3 InformationDataManagement

Reviewevaluate dataquality -2Review informationmanagementoperations -8Identify best practices-68 Literature review -5Needs assessment -6Determinedescribepopulationepidemiology -2Developpopulation-basedsurveillance system -2Analyzedatainformation anddisseminate findings-2458

quality data ndash2478More timely andefficient efforts inthe detection andresponse of publichealth issues inhumanitariancontexts ndash14578 Increased use ofevidence-basedpractices ndash 1235

informing programand policydevelopment ndash2345678Stronger publichealth interventionsand preventionguidelines ndash 12356 Earlier detection ofoutbreaks and otherpublic healthprioritiesemergenciesndash 17

diseases Prevention of futureoutbreaks Reduction inincidence andprevalence ofpreventablediseases bothcommunicable andnon-communicableImprovedHumanitarianresponseDecreasedmortalitymorbidityof these diseasesImproved overallhealth outcomes

5 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

i Problem Statement

2014 saw an increase in the number of severe humanitarian crises The United Nations classifieshumanitarian crises from L1-L3 An L3 is the most critical type of crisis that requires a system wideresponse across the UN In 2014 there were a record number of L3 crises in the following countriesSyria Iraq Central African Republic Philippines and South Sudan This list also includes thecountries of West Africa affected by the outbreak of Ebola Concurrent with these complexemergencies donor funding is declining while the number of vulnerable persons is increasingAgencies and organizations are struggling to reach more people in need while operating with smallerbudgets driving the need for effective monitoring and evaluation of programs With the scale intensity and number of simultaneous humanitarian emergencies increasing havingsufficient numbers of well-trained staff is becoming even more important Capacity development ofcurrent and existing staff within programs is essential to providing appropriate responses to crisesNew programs and tools are constantly becoming available however without concerted effortsthese may not be readily available Additionally new methods programming approaches andtechniques should be piloted and evaluated prior to large-scale roll out Information management is an essential component to effective response Information must beeasily understood accurate timely and trustworthy Increasing emphasis has been placed on graphicpresentation of indicators While the field of information management is quickly expanding there isa need for determining best practices and what works in different contexts This FOA strives to foster partnerships to strengthen monitoring and evaluation capacitydevelopment and information management in humanitarian settings The Emergency Response andRecovery Branch (ERRB) of the CDC works in all of these areas and has highlighted specific gapsto be addressed by this FOAProject 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergenciesProject 2 Determine the burden of Dental Disease among internally displaced populations inemergenciesProject 3 Incorporating Sexual and Reproductive Health into Disaster Risk Reduction in ConflictProne States in emergenciesProject 4Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the responseProject 5 Nutrition research methods in emergenciesProject 6 Stress management training of primary health care providers in post-emergency settingsProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluationProject 8 Information Management in Emergencies

ii Purpose

This FOA supports the implementation of activities focused on protecting and improving health inhumanitarian settings including 1) Evaluate and operationalize existing measles risk assessmenttools 2) Determine the burden of Dental Disease through surveillance data oral healthepidemiology and capacity building 3) Incorporate Sexual and Reproductive Health into DisasterRisk Reduction by building capacity 4) Evaluate Sphere standards to determine the feasibility andusefulness of indicators to improve response 5) Review current and emerging nutrition researchmethods 6) Stress management training of primary healthcare providers 7) Determine theeffectiveness and impact of the integration of basic mental health services into primary health 6 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

(Mental Health Gaps (MhGAP)) and 8) Review and standardize tools and reporting mechanisms tosupport decision analysis to improve information management

iii Outcomes

Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts Increased use of evidence-based practices

Intermediate termStronger public health interventions and prevention guidelinesEarlier detection of outbreaks and other public health prioritiesemergencies

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Short term Better coordination and exchange of quality data Increased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development Stronger public health interventions and prevention guidelines

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Short term Workforce that is better trained and prepared to respondIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Increased use of evidence-based SRH in DRR strategiesStronger public health interventions and prevention guidelines

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality dataMore timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

7 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

Project 5 Nutrition research methods in emergencies

Short term More timely and efficient efforts in the detection and response of public health issues inhumanitarian contextsIncreased use of evidence-based practices

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 6 Stress management training of primary health care providers in post-emergency settings

Short term Workforce that is better trained and prepared to respond

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentStronger public health interventions and prevention guidelines

Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Short term Workforce that is better trained and prepared to respond Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy developmentEarlier detection of outbreaks and other public health prioritiesemergencies

Project 8 Information Management in Emergencies

Short term Better coordination and exchange of quality data More timely and efficient efforts in the detection and response of public health issues inhumanitarian contexts

Intermediate term Increased use of data for improving public health response and control improving publichealth practice setting priorities and informing program and policy development

iv Funding Strategy

8 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

NA

v Strategies and Activities

While response activities in humanitarian contexts span many different programmatic areas anddiscrete projects this FOA focuses on several overlapping key strategies strengthening andenhancing capacity monitoring and evaluation of programs and improving informationmanagement Each of the 8 discrete projects focuses on various aspects of these overall strategiesTheir project-specific strategies and activities are outlined below Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations in emergencies

Monitoring and Evaluation Monitor activities Evaluate toolsguidelines products

Review and compile existing regional and global risk assessment tools for measles andother VPDsDevelop an improved tool for field use during acute humanitarian emergencies (This canbe adapted from the recently developed CDCWHO measles risk assessment tool at thedistrict-level and include a range of data inputs from major categories such as populationimmunity surveillance quality program delivery performance and threat assessment)Evaluation of the developed tool and guidance on assessing risk of measles circulation inemergencies

Capacity Development Developadapt and test materials guidance and tools

Conduct pilot testing of tool in two or more emergencies with an aim to make the tooluseful and adaptable for a variety of displaced settings

Develop and conduct trainingsworkshops Hold a workshop with key partners (UNHCR UNICEF WHO CDC) to gain consensuson methods major risk categories and indicators used

Project 2 Determine the burden of Dental Disease among internally displaced populations inemergencies

Capacity Development Developadapt and test materials guidance and tools

Incorporate strategies targeting chronic health care conditions such as tobacco use heartdisease and diabetes with oral health education and messaging since risk factors areoften interrelated (diet access to care hygiene etc)Develop culturally appropriate materials and strategies targeting oral health care ofdisplaced populationsDevelop and implement standardized oral health prevention treatment and controlprotocols for program planning in IDP camps globally

Develop and conduct trainingsworkshops Train staffconsultants

9 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

to identify and address oral health problems in camps

InformationData Management Reviewevaluate data quality Determinedescribe epidemiology of population

Estimate the prevalence of dental disease and associated risk factors among IDPpopulations byReviewing available surveillance to estimate morbidity due to oral health problemsDescribing the dental epidemiology of displaced population using World HealthOrganizationrsquos Decayed Missing Filled (DMF) Index criteriaConducting focus group discussions to understand motivators and barriers to improvedoral health and hygiene in camp settings

Develop population-based surveillance system Develop population-based surveillance oral health indicators specific for IDP populationsEvaluate the data quality of and strengthen the existing surveillance system

Analyze datainformation and disseminate findings Support analysis and interpretation of existing oral health and chronic diseasesurveillance data and disseminate findings to aid public health decision making

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States in emergencies

Monitoring and Evaluation Evaluate trainings Assess countryprogram capacity

Develop and conduct in-country assessments of SRH DRR capacity

Capacity Development Develop and conduct trainingsworkshops

Develop and conduct trainings on SRH DRRDisseminate tool kits case studies etc

Develop and disseminate tool kits case studies and other capacity building materialsthat promote SRH DRR

Improve mentorshipSupport mechanisms to improve mentorship for SRH DRR trainees

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

Monitoring and Evaluation Develop evaluation plan

Develop evaluation plan for products and training Evaluate toolsguidelines products

10 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Evaluate revise and finalize facility assessment tool External evaluation of MESSI products (focus on awareness adoption andimplementation)

Capacity Development Developadapt and test materials guidance and tools

Adapt the facility assessment tool to crisis contextPilot facility assessment tools in emergency settingDevelop training materials on use of products

Train staffconsultants Train Sphere consultants

Provide technical assistance Technical assistance and support to partners using the toolkit

Meetingconsultation with key stakeholdersHost meeting with larger group to present results of toolkit pilot and discuss next stepsfor early evaluation toolkit and next steps for work on additional indicators

InformationData Management Analyze datainformation and disseminate findings

Report to partner organizations on findingsSupport a special issue in appropriate journal to disseminate findingsincrease awarenessDevelop dissemination planapproach

Project 5 Nutrition research methods in emergencies

Capacity Development Developadapt and test materials guidance and tools

Clear guidance on methods selection for generating the evidence base for nutritionprograms in emergency affected populations including specific recommendations andtools to overcome the usual challenges encountered in implementing research in thesesettings

Meetingconsultation with key stakeholders Conduct a consultation with experts and partners in operational research and nutrition inemergencies to present the results of the review obtain expert and field feedback shareexperiences and promote the adoption of best practice for methods for operationalresearch in nutrition programs in emergency affected populations

InformationData Management Literature review

Conduct a review of current and emerging research methods in emergency nutrition usedin humanitarian settings based in published and grey literature and draft a report offindingsThe review may focus in the use of grey data or program based information for

11 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

The review may focus in the use of grey data or program based information forgeneration of evidence use of repeated anthropometric measures outcomemeasurement subject identification and follow-up andor other operational challengesand opportunities for operational research in the humanitarian settingThe review should be concerned with methods implemented in the published literature(peer review and non-peer review) as well as unpublished research from academicinstitutions or non-governmental organizations involved in research in nutrition in thesecontexts

Analyze datainformation and disseminate findingsProject 6 Stress management training of primary health care providers in post-emergency settings

Monitoring and Evaluation Evaluate trainings

Capacity Development Developadapt and test materials guidance and tools

Design materials and strategies to facilitate the implementation of programs to mitigatethe impact of traumatic stress and job-related stress on humanitarian aid workers andprimary health care providers working in post-conflict settings and with internallydisplaced populations

Develop and conduct trainingsworkshops Implementation of this program would take place in the Balkan region including inKosovo where the initial program implementation has taken place Additionally theprogram would be extended to other areas such as the Middle East South East Asia andAfrica Expand the stress management training and Training of Trainers (ToT) toprimary care staff working with traumatized population such as in South Korea workingwith North Korean defectors

Develop and implement supportive policies Plan implement and support programs andor strategies which will mitigate the impactof traumatic stress on humanitarian aid workers and job-related stress on humanitarianaid workers and primary health care providers working in post-conflict settings and withinternally displaced populations

InformationData Management Identify best practices

Identify and incorporate public health principles into the planning of a program tomitigate the impact of traumatic stress and job-related stress on humanitarian aidworkers and primary health care providers working in post-conflict settings and withinternally displaced populations

Needs assessment Project 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation

Monitoring and Evaluation Evaluate toolsguidelines products

12 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Evaluation and monitoring of the effectiveness of training primary care providers inbasic mental health care during humanitarian emergencies using indicators describedaboveDevelop specific indicators to monitor and evaluate the MhGAP training program duringhumanitarian emergencies

Evaluate trainings Capacity Development

Developadapt and test materials guidance and tools Continue the development and adaptation of training manuals and tools of mental healthcare into primary health care in different regions and languages

Train staffconsultantsTraining of primary care providers on basic mental health care in humanitarianemergencies and improving service provisionCollect data for the creation of a comprehensive database future planning and research

Project 8 Information Management in Emergencies

Monitoring and Evaluation

Evaluate toolsguidelines products Systematic Collection of the Tools Used Utility of tools

Capacity Development Developadapt and test materials guidance and tools

Production of an analytical document summarizing the aboveTrain staffconsultantsProvide technical assistance Meetingconsultation with key stakeholders

A meeting to review the document with key personnel within and outside of CDCConsultation with partners in future emergencies to promote the adoption of these toolsInterviews with Humanitarian Health Cluster Coordinators in 22 countries

InformationData Management Review information management operationsIdentify best practicesAnalyze datainformation and disseminate findings

Revision publication and dissemination of the revised document

1 Collaborations

13 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

a With CDC-funded programs

Awardees are required to collaborate with ERRB including subject matter experts and EpidemicIntelligence Service (EIS) Officersb With organizations external to CDC

Awardees are strongly encouraged to collaborate with local governments and humanitarianorganizations in methods to implement scientific measurements of needs and outcomes related toprogram implementation integration and evaluation and capacity development

2 Target Populations

The population is internally displaced populations and populations affected by humanitarian crises ina variety of locations urban peri-urban or rural

b Evaluation and Performance Measurement

i CDC Evaluation and Performance Measurement Strategy

Evaluation and Performance Measurement of activities includes routine and ongoingcommunication between CDC and awardees site visits and awardee reporting (including workplans performance and financial reporting) Project 1 Operationalize and evaluate the risk assessment tool for measles and potentially othervaccine preventable disease among displaced populations

To what extent has awardee completed activities as planned (Process) of existing risk assessment tools for measles and other VPDs reviewed of partners attending in workshop for development of tool

Was awardee able to increase the use of risk assessment for vaccine preventable diseases inemergencies (Outcome)

of emergencies using toolProject 2 Determine the burden of Dental Disease among internally displaced populations To what extent has awardee completed activities (process)

Number of analyses conducted and reportspapers writtenNumber of in-country assessments conductedNumber of oral health and chronic disease prevention and control strategies (eg programsinitiatives policies) supportedNumber of protocols and policies developed

To what extent has use of evidence-based practices increased (Outcome)Number of programs using new performance measuresindicators from project-developedprotocols

Project 3 Incorporating Sexual and Reproductive Health (SRH) into Disaster Risk Reduction (DRR)in Conflict Prone States To what extent has awardee completed activities (Process)

Number of analyses conducted and reportspapers writtenNumber of capacity building trainings conducted and the number of individuals who attended

14 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Number of tool kits case studies and capacity building materials developedNumber of in-country capacity assessments conductedNumber of SRH DRR strategies supported (eg programs initiatives policies)Number of protocols and strategic plans developed

Project 4 Evaluate Sphere standards during an emergency to determine the feasibility and usefulnessof the indicators at 3 and 6 months into the response

To what extent has awardee completed activities (Process)Number of evaluation plans developedNumber of trainings on the tool heldNumber of external evaluations of the toolproduct implemented

To what extent has the awardee increase the use and knowledge of the tool (Outcome)Number of evaluations using the tool conductedNumber of partners using the tool in the fieldNumber of Sphere consultants trained on the tool

Project 5 Nutrition research methods in emergencies To what extent has awardee completed activities (Process)

Number of research papers reviewed both published an in the grey literatureNumber of partners participating in consultationNumber of publications of the guidance generated from the review and consultation

Has the project been able to improve data and research in emergency nutrition (Outcome)Number of partners instituting appropriate research methods for nutrition research

Project 6 Stress management training of primary health care providers in post-emergency settings To what extent has awardee completed activities (Process)

Number of stress management trainings conducted and the number of individuals whoattendedNumber of capacity building materials developedNumber of protocols and strategic policy plans developedNumber of successful partnership with policymakers in different regions developed

To what extent has the awardee been able to increase the use of activities and programs in otherregions (Outcome)

Number of additional stress management training programs by regionProject 7 Mental Health Gaps (MhGAP) in humanitarian emergencies evaluation To what extent has awardee completed activities (Process)

Number of primary care providers trained in basic mental health servicesNumber of capacity building and training materials developedNumber of indicators developed

To what extent has the awardee improved monitoring of training (Outcome)Database of MhGAP training programs developed and used

Project 8 Information Management in Emergencies

15 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

To what extent has awardee completed activities (Process)Number of consultation participantsNumber of tools assessedNumber of analytical reviews utilized

To what extent has the awardee increased participation at the global level (Outcome)Discussion and feedback on the document at the Global health ClusterNumber of partners at the Global Health Cluster participating in the review processNumber of consultations with partners to popularize a select number of recommended tools

ii Applicant Evaluation and Performance Measurement Plan

c Organizational Capacity of Awardees to Execute the Approach

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populationsExpertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealthExpertise in developing tools materials educational information guidelines or healthstrategies for the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

d Work Plan

16 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Applicants should provide a high-level work plan that covers the duration of the project with moredetail for the first year of the project period The work plan should cross walk to the strategies andactivities outcomes and performance measures presented in the logic model and narrative sectionsof the FOA The table below should be completed for each project period outcome identified in thelogic model If a particular activity leads to multiple outcomes it should be described under eachoutcome measure

Project Period Outcome

[from Outcomes section andor logic model]

Outcome Measure

[from Evaluation and Performance Measurementsection]

StrategiesActivities Process Measure

[from Evaluation and PerformanceMeasurement section]

ResponsiblePosition Party

CompletionDate

1

2

3

4

5

6

7

e CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees site visitsand awardee reporting (including work plans performance and financial reporting) HHS grants policyspecifies the following HHS expectations for post-award monitoring for grants and cooperative agreements

Tracking awardee progress in achieving the desired outcomesInsuring the adequacy of awardee systems that underlie and generate data reportsCreating an environment that fosters integrity in program performance and results

Monitoring may also include the following activities

Ensuring that work plans are feasible based on the budget and consistent with the intent of the awardEnsuring that awardees are performing at a sufficient level to achieve objectives within statedtimeframesWorking with awardees on adjusting the work plan based on achievement of objectives and changingbudgetsMonitoring performance measures (both programmatic and financial) to assure satisfactoryperformance levels

Other activities deemed necessary to monitor the award if applicable

These may include monitoring and reporting activities as outlined in HHS grants policy that assists grantsmanagement staff (eg grants management officers and specialists and project officers) in the identificationnotification and management of high-risk grantees

17 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

f CDC Program Support to Awardees

Organize an orientation meeting with the awardee for a briefing on applicable USGovernment and HHSCDC expectations regulations and key management requirements aswell as report formats and contents Monitor and evaluate scientific and operational accomplishments of this project throughfrequent consultation review of technical reports and interim data analysesReview and approve abstracts manuscripts and presentations related to activities fundedthrough this FOACollaborate with the awardee on designing and implementing the activities listed aboveincluding but not limited to the provision of technical assistance to develop programactivities data management and analysis quality assurance the presentation and possiblypublication of program results and findings and the management and tracking of finances Provide technical assistance as mutually agreed upon and revise annually during validation ofthe first and subsequent annual work plans This could include expert technical assistance andtargeted training activities in specialized areasMeet on an annual basis with the awardee to review annual progress report for each USGovernmentCDC fiscal year and to review annual work plans and budgets for subsequentyearsProvide technical assistance or advice on any data collections on 10 or more people that areplanned or conducted by the awardee All such data collections-- where CDC staff will be orare approving directing conducting managing or owning data-- must undergo Office ofManagement and Budget (OMB) project determinations by CDC and may require OMBPaperwork Reduction Act (PRA) clearance prior to the start of the project

B Award Information

1 Funding Instrument Type Cooperative Agreement CDCs substantial involvement in this program appears in the

CDC Program Support to Awardees Section 2 Funding Activity Category HL 3 Fiscal Year 2015 Estimated Total Funding $5000000

4 Approximate Total Fiscal Year Funding $1000000 5 Approximate Project Period Funding $5000000 6 Total Project Period Length 5 year(s) 7 Expected Number of Awards 10

8 Approximate Average Award $100000 Per Budget Period 9 Award Ceiling $0 Per Budget Period 10 Award Floor $50000 Per Budget Period 11 Estimated Award Date 09012015 12 Budget Period Length 60 month(s) Throughout the project period CDC will continue the award based on the availability of funds the evidence

18 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Throughout the project period CDC will continue the award based on the availability of funds the evidenceof satisfactory progress by the awardee (as documented in required reports) and the determination thatcontinued funding is in the best interest of the federal government The total number of years for whichfederal support has been approved (project period) will be shown in the ldquoNotice of Awardrdquo This informationdoes not constitute a commitment by the federal government to fund the entire period The total projectperiod comprises the initial competitive segment and any subsequent non-competitive continuation award(s)

13 Funds Tracking

Applicant is required to track funds by P-AccountsSub-Accounts for each projectcooperativeagreement awarded

14 Direct Assistance Direct assistance is not available through this FOA

15 Indirect Costs Indirect Costs are not an allowable cost through this FOA

C Eligibility Information

1 Eligible Applicants Eligibility Category Public and State controlled institutions of higher education

Nonprofits having a 501(c)(3) status with the IRS other than institutions ofhigher education Nonprofits without 501(c)(3) status with the IRS other than institutions ofhigher education Private institutions of higher education

2 Special Eligibility Requirements

Eligibility for award is limited to foreign entities located in any country affected by emergenciesconflict or natural disaster The foreign entity in the affected country may be US based Thefollowing organizations are eligible to apply Higher Education Institutions

PublicState Controlled Institutions of Higher Education Private Institutions of Higher Education

Nonprofits Other Than Institutions of Higher EducationNonprofits (Other than Institutions of Higher Education)

OtherForeign Organizations a Foreign Organization is a public or private organization whethernon-profit or for-profit located in a country other than the United States (US) and itsterritories that is subject to the laws of the country in which it is located irrespective of thecitizenship of project staff or place of performance

3 Justification for Less than Maximum Competition

19 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Eligibility for this FOA is limited to academic institutions non-governmental and non-profitorganizations currently working in the field of humanitarian response programming These entitiesare uniquely qualified to carry out the scope of work in the context of populations affected byhumanitarian emergencies as they already have a presence in the field and a thoroughunderstanding of programming and responses They are the primary partners of CDC in buildingand strengthening public health impact capacity and programming in humanitarian emergenciesCDC continues to work with these organizations and institutions in sometimes decadersquos oldrelationships to protect and promote health in emergencies through a broad spectrum of activitiesincluding epidemiology and surveillance health information laboratory outbreak responsemethods development vaccination capacity development and training and program evaluation Itis expected that projects under this FOA will leverage compliment or synergize with existingCDC-funded work around the world

4 Other

NA

5 Cost Sharing or Matching Cost Sharing MatchingRequirement

No

Cost sharing or matching funds are not required for this program Although there is no statutorymatch requirement for this FOA leveraging other resources and related ongoing efforts to promotesustainability is strongly encouraged

6 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 forfunding at wwwgrantsgov

a Data Universal Numbering System All applicant organizations must obtain a Data Universal Numbering System (DUNS) number ADUNS number is a unique nine-digit identification number provided by Dun amp Bradstreet (DampB) Itwill 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) orinternet at http fedgovdnb comwebform displayHomePagedo The DUNS number will beprovided at no charge

If funds are awarded to an applicant organization that includes sub-awardees those sub-awardees mustprovide 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 anentity must submit information required to conduct business as an awardee All applicant organizationsmust register with SAM and will be assigned a SAM number All information relevant to the SAMnumber must be current at all times during which the applicant has an application under considerationfor funding by CDC If an award is made the SAM information must be maintained until a final

20 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

for funding by CDC If an award is made the SAM information must be maintained until a finalfinancial report is submitted or the final payment is received whichever is later The SAM registrationprocess can require 10 or more business days and registration must be renewed annually Additionalinformation about registration procedures may be found at wwwSAMgov

c Grantsgov The first step in submitting an application online is registering your organization at wwwgrantsgov theofficial HHS E-grant Web site Registration information is located at the ldquoGet Registeredrdquo option at wwwgrantsgov

All applicant organizations must register at wwwgrantsgov The one-time registration process usuallytakes not more than five days to complete Applicants should start the registration process as early aspossible

Step System Requirements Duration Follow Up1 Data Universal

Number System(DUNS)

1 Click on httpfedgovdnbcomwebform 2 Select Begin DUNSsearchrequest process

3 Select your country orterritory and

folllow the instructions to obtainyour DUNS 9-digit

4 Request appropriate staffmember(s) to

obtain DUNS number verify ampupdate

information under DUNSnumber

1-2 Business Days To confirm that youhave been issued

a new DUNS numbercheck online at

(httpfedgovdnbcom

webform) or call 1-866-705-5711

2 System for Award Management(SAM) formerlyCentral ContractorRegistration (CRR)

1 Retrieve organizations DUNSnumber

2 Go to wwwsamgov anddesignate

an E-Biz POC (note CCRusername will not

not work in SAM and you willneed to have an

active SAM account before youcan register on grantsgov)

3-5 Business Daysbut up to 2 weeks

and must be renewed

oncea year

For SAM CustomerService Contact wwwfsdgovUS Calls 866-606-8220

3 Grantsgov 1 Set up an individual accountin Grantsgov

using organization new DUNSnumber to

become an authorizedorganization

representative (AOR)2 Once the account is set up the

E-BIZPOC will be notified via email3 Log into grantsgov using the

Same day but can take 8weeks to

be fully registered and approved

in thesystem (note

applicants MUSTobtain a

DUNS numberand SAM

Register early Log intograntsgov

and check AOR statusuntil it shows

you have been approved

21 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

3 Log into grantsgov using thepassword

the E-BIZ POC received andcreate newpassword

4 This authorizes the AOR tosubmit

applications on behalf of theorganization

and SAM account

before applyingon grantsgov)

2 Request Application Package Applicants may access the application package at wwwgrantsgov

3 Application Package Applicants must download the SF-424 application package associated with this funding opportunity fromwwwgrantsgov If Internet access is not available or if the online forms cannot be accessed applicantsmay call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIMcdcgov for assistance Personswith 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 FOA it will not be processed PGOpersonnel will notify the applicant that their application did not meet the deadline The applicant mustreceive pre-approval to submit a paper application (see Other Submission Requirements section foradditional details) If the applicant is authorized to submit a paper application it must be received by thedeadline provided by PGO

If Grantsgov cannot receive applications due to an emergency or other unanticipated event (andcircumstances preclude advance notification of an extension) then applications must be submitted by the firstbusiness day on which government operations resume

Due Date for Applications 06052015

Electronically submitted applications must be submitted no later than 1159 pm ET on the listedapplication due date

5 CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can befound on the CDC Web site httpwwwcdcgovgrantsinterestedinapplyingapplicationprocesshtml

Applicants may follow either of the following processes

Applicants must name this file Assurances and Certifications and upload as a PDF onwwwgrantsgovComplete the applicable assurances and certifications and submit them directly to CDC on an annualbasis at http wwwcdcgovodpgo fundinggrants foamainshtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to allapplications submitted to CDC within one year of the submission date

6 Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package onwwwgrantsgov

7 Letter of Intent (LOI)

22 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

LOI is not requested or required as part of the application for this FOA

8 Table of Contents (No page limit not included in project narrative page limit) Provide a detailed table of contents for the entiresubmission package that includes all of the documents in the application and headings in the ProjectNarrative section Name the file Table of Contents and upload it as a PDF file under Other AttachmentForms at wwwgrantsgov

9 Project Abstract Summary (Maximum of 1 page single spaced 12 point font 1-inch margins) A project abstract is included on themandatory documents list and must be submitted at wwwgrantsgov The project abstract must be aself-contained brief summary of the proposed project including the purpose and outcomes This summarymust not include any proprietary or confidential information Applicants must enter the summary in theldquoProject Abstract Summaryrdquo text box at wwwgrantsgov

10 Project Narrative (Maximum of 18 pages single spaced Calibri 12 point 1-inch margins number all pages content beyond 18pages will not be reviewed) The Project Narrative must include all of the bolded headings shown in thissection The Project Narrative must be succinct self-explanatory and in the order outlined in this section Itmust address outcomes and activities to be conducted over the entire project period as identified in the CDCProject Description section

Applicants must submit a Project Narrative with the application forms Applicants must name this fileldquoProject Narrativerdquo and upload it at wwwgrantsgov

a Background Applicants should provide a description of relevant background information that includes the context of theproblem (see CDC Background)

b Approach

i Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populationsthey serve The core information should help reviewers understand how the applicantrsquos response to the FOAwill address the public health problem and support public health priorities (See CDC Project Description)

ii Purpose Applicants must describe specifically how their application will address the problem as described in theCDC Project Description

iii Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project periodOutcomes are the results that the program intends to achieve All outcomes should indicate the intendeddirection of change (ie increase decrease maintain) See the program logic model in the Approach sectionof the CDC Project Description

iv Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use toachieve the project period outcomes Whenever possible applicants should use evidence-based programstrategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a sourceApplicants may propose additional strategies and activities to achieve the outcomes Applicants should selectexisting evidence-based strategies that meet their needs or describe the rationale for developing and

23 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

evaluating new strategies or practice-based innovations (See CDC Project description Strategies andActivities section)

c Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDCEvaluation and Performance Measurement Strategy section of the CDC Project Description of this FOAData collected must be used for ongoing monitoring of the award to evaluate its effectiveness and forcontinuous program improvement

The plan must

Describe how key program partners will be engaged in the evaluation and performancemeasurement planning processes

Describe the type of evaluations to be conducted (ie process andor outcome)

Describe key evaluation questions to be answered

Describe other information as determined by the CDC program (eg performance measures tobe developed by the applicant) that should be included

Describe potentially available data sources and feasibility of collecting appropriate evaluationand performance data

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

Describe how evaluation and performance measurement will contribute to development ofthat evidence base where program strategies are being employed that lack a strong evidence baseof effectiveness

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first 6 months of the project as outlined in the reporting section of the FOA

Awardees will be required to submit a more detailed evaluation and performance measurement plan withinthe first six months of the project as outlined in the reporting section of the FOA

d Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC ProjectDescription

Below is the anticipated organizational skill set the applicant would need to have to execute thisFOAProgram Management

Planning and executionPerformance management and monitoringCommunication managementPartnership developmentReportingWorkforce management

Subject Matter Expertise

Expertise in working in humanitarian emergenciesExpertise in working with displaced populations

24 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Expertise working in at least one of the following subject areas in humanitarian contextsreproductive health nutrition mental health information management epidemiology oralhealth Expertise in developing tools materials educational information guidelines or healthstrategiesfor the relevant populations targetedExpertise in creating visual or written information that is useful in communicating the types ofinformation needed to the types of audiences targetedExpertise in conducting analyses of barriers in at-risk communities in order to overcome themwhen developing and disseminating health education materials guidelines strategies toolsand other informationExpertise in partnering with and working with relevant populations or communities

Financial Planning

Budget management and trackingBudget administrationFinancial Reporting

11 Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section Thework plan integrates and delineates more specifically how the awardee plans to carry out achieving theproject period outcomes strategies and activities evaluation and performance measurement including keymilestones

Applicants must name this file ldquoWork Planrdquo and upload it as a PDF file at wwwgrantsgov

12 Budget Narrative Applicants must submit an itemized budget narrative which may be scored as part of the OrganizationalCapacity of Awardees to Execute the Approach When developing the budget narrative applicants mustconsider whether the proposed budget is reasonable and consistent with the purpose outcomes and programstrategy outlined in the project narrative The budget must include

Salaries and wagesFringe benefitsConsultant costsEquipmentSuppliesTravelAlterations and RenovationsOther categoriesContractual costsTotal Direct costsTotal Indirect costs

For guidance on completing a detailed budget see Budget Preparation Guidelines at httpwwwcdcgovgrantsinterestedinapplyingapplicationresourceshtml

Applicants should name this file ldquoBudget Narrativerdquo and upload it as a PDF file to wwwgrantsgov Ifrequesting indirect costs in the budget a copy of the indirect cost rate agreement is required If the indirectcost rate is a provisional rate the agreement must have been made less than 12 months earlier Applicantsmust name this file ldquoIndirect Cost Raterdquo and upload it to wwwgrantsgov

13 Tobacco and Nutrition Policies 25 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

13 Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies

Unless otherwise explicitly permitted under the terms of a specific CDC award no funds associated with thisFOA may be used to implement the optional policies and no applicants will be evaluated or scored onwhether they choose to implement these optional policies

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhandsmoke exposure and to promote healthy nutrition CDC encourages all awardees to implement the followingoptional recommended evidence-based tobacco and nutrition policies within their own organizations Thetobacco policies build upon the current federal commitment to reduce exposure to secondhand smokespecifically The Pro-Children Act 20 USC 7181-7184 that prohibits smoking in certain facilities thatreceive federal funds in which education library day care health careor early childhood developmentservices are provided to children

Tobacco Policies

Tobacco-free indoors Use of any tobacco products (including smokeless tobacco) or electroniccigarettes is not allowed in any indoor facilities under the control of the awardee

1

Tobacco-free indoors and in adjacent outdoor areas Use of any tobacco products or electroniccigarettes is not allowed in any indoor facilities within 50 feet of doorways and air intake ducts and incourtyards under the control of the awardee

2

Tobacco-free campus Use of any tobacco products or electronic cigarettes is not allowed in any indoorfacilities or anywhere on grounds or in outdoor space under the control of the awardee

3

Nutrition Policies

Healthy food-service guidelines must at a minimum align with HHS and General ServicesAdministration Health and Sustainability Guidelines for Federal Concessions and Vending OperationsThese guidelines apply to cafeterias snack bars and vending machines in any facility under the controlof the awardee and in accordance with contractual obligations for these services(see httpwwwgsagov graphicspbsGuidelines_for_ Federal_ Concessions_and_Vending _ Operationspdf)

1

Resources that provide guidance for healthy eating and tobacco-free workplaces are2

httpwwwcdcgov nccdphpdnpaohwi toolkits tobaccoindexhtmhttpwww thecommunityguideorg tobaccoindexhtmlhttpwwwcdcgov chronicdiseaseresources guidelinesfood-service-guidelineshtm

14 Intergovernmental Review

Executive Order 12372 does not apply to this program

15 Funding Restrictions Restrictions that must be considered while planning the programs and writing the budget are

Awardees may not use funds for researchAwardees may not use funds for clinical care except as allowed by lawAwardees may only use funds for reasonable program purposes including personnel travel suppliesand services (such as contractual)Generally awardees may not use HHSCDCATSDR funding for the purchase of furniture orequipment Any such proposed spending must be clearly identified in the budget in accordance withCDCrsquos budget guidelinesReimbursement of pre-award costs is not allowedOther than for normal and recognized executive-legislative relationships no funds may be used for

26 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Publicity or propaganda purposes for the preparation distribution or use of any materialdesigned to support or defeat the enactment of legislation before any legislative bodyThe salary or expenses of any grant or contract recipient or agent acting for such recipientrelated to any activity designed to influence the enactment of legislation appropriationsregulation administrative action or Executive order proposed or pending before any legislativebodySee Additional Requirement (AR) 12 for detailed guidance on this prohibition and additionalguidance on lobbying for CDC awardees

The direct and primary recipient in a cooperative agreement program must perform a substantial rolein carrying out project outcomes and not merely serve as a conduit for an award to another party orprovider who is ineligible

16 Other Submission Requirements a Electronic Submission Applications must be submitted electronically at wwwgrantsgov Theapplication package can be downloaded from wwwgrantsgov Applicants can complete the applicationpackage off-line and then submit the application by uploading it at wwwgrantsgov website All applicationattachments must be submitted using a PDF file format Directions for creating PDF files can be found atwwwgrantsgov File formats other than PDF may not be readable by PGO TIMS staff

Applications must be submitted electronically by using the forms and instructions posted for this fundingopportunity on wwwgrantsgov

If Internet access is not available or if the forms cannot be accessed on-line applicants may contact thePGO TIMS staff at 770- 488-2700 or by e-mail at pgotimcdcgov Monday through Friday 730 amndash430pm Eastern Standard Time (EST) except federal government holidays Electronic applications will beconsidered successful if they are available to PGO TIMS staff for processing from wwwgrantsgov on thedeadline date

Do not use ldquospecial characters (ie amp etc) on the cover page of your application (form SF 424 ndashApplication for Federal Assistance) as special characters are not recognized by the electronic system Use ofspecial characters may result in your application being rejected When copypaste is used on applicationdocuments the grantee should ensure that text only is pasted When extra blank spaces at the end of theoriginal are pasted into the new document it causes the system to reject the document

b Tracking Number Applications submitted through wwwgrantsgov are timedate stampedelectronically and assigned a tracking number The Authorized Organization Representative (AOR) willreceive an email notice of receipt when wwwgrantsgov receives the application The tracking numberserves to document that the application has been submitted and initiates the electronic validation processbefore the application is made available to CDC

c Validation Process Application submission is not concluded until successful completion of the validationprocess After submission of the application package applicants will receive a ldquosubmission receiptrdquo emailgenerated by wwwgrantsgov A second email message to applicants will then be generated by wwwgrantsgov that will either validate or reject the submitted application package This validation processmay take as long as two (2) business days Applicants are strongly encouraged to check the status of theirapplication to ensure submission of their package is complete and no submission errors have occurredApplicants also are strongly encouraged to allocate ample time for filing to guarantee that their applicationcan be submitted and validated by the deadline published in the FOA Non-validated applications will not beaccepted after the published application deadline date

27 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

If you do not receive a ldquovalidationrdquo e-mail within two business days of application submission pleasecontact wwwgrantsgov For instructions on how to track your application refer to the e-mail messagegenerated at the time of application submission or the Application User Guide Version 30 page 57

d Technical Difficulties If the applicant encounters technical difficulties with wwwgrantsgov theapplicant should contact wwwgrantsgov Customer Service The wwwgrantsgov Contact Center isavailable 24 hours a day 7 days a week with the exception of Federal Holidays You can reach the wwwgrantsgov Contact Center at 1-800-518-4726 or by email at supportwwwgrantsgov Submissionssent by email fax CDrsquos or thumb drives of applications will not be accepted Please note that wwwgrantsgov is managed by HHS

e Paper Submission If technical difficulties are encountered at wwwgrantsgov applicants should call the wwwgrantsgov Contact Center at 1-800-518-4726 or e-mail them at supportwwwgrantsgov forassistance After consulting with the Contact Center if the technical difficulties remain unresolved andelectronic submission is not possible applicants may e-mail or call CDC GMOGMS before the deadlineand request permission to submit a paper application Such requests are handled on a case-by-case basis

An applicantrsquos request for permission to submit a paper application must

Include the wwwgrantsgov case number assigned to the inquiry1Describe the difficulties that prevent electronic submission and the efforts taken with the wwwgrantsgov Contact Center to submit electronically and

2

Be postmarked at least three calendar days before the application deadline Paper applicationssubmitted without prior approval will not be considered If a paper application is authorized PGO willadvise the applicant of specific instructions for submitting the application (eg original and two hardcopies of the application by US mail or express delivery service)

3

E Application Review Information

1 Review and Selection Process

a Phase I Review

All applications will be reviewed initially for completeness by the CDCrsquos Procurement and GrantsOffice (PGO) staff and will be reviewed jointly for eligibility by the CDC Center for GlobalHealth and PGO Incomplete applications and applications that are non-responsive to the eligibilitycriteria will not advance to Phase II review Applicants will be notified that the application did notmeet eligibility andor published submission requirements

b Phase II Review A review panel will evaluate complete eligible applications in accordance with the ldquoCriteriardquo section of theFOA

Not more than 30 days after the Phase II review is completed applicants will be notified electronically iftheir application does not meet eligibility or published submission requirements

i Approach Maximum Points 35

28 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Evaluate the extent to which the applicant addresses the items belowPresents outcomes that are consistent with the project period outcomes described in the CDCProject Description and logic modelDescribes an overall strategy and activities consistent with the CDC Project Description andlogic modelDescribes strategies and activities that are achievable appropriate to achieve the outcomesof the project and evidence-based (to the degree practicable)Shows that the proposed use of funds is an efficient and effective way to implement thestrategies and activities and attain the project period outcomesPresents a work plan that is aligned with the strategiesactivities outcomes andperformance measures in the approach and is consistent with the content and formatproposed by CDC

ii Evaluation and Performance Measurement Maximum Points 30

Evaluate the extent to which the applicant addresses the items belowShowsaffirms the ability to collect data on the process and outcome performance measuresspecified by CDC in the project description and presented by the applicant in their approachDescribes clear monitoring and evaluation procedures and how evaluation and performancemeasurement will be incorporated into planning implementation and reporting of projectactivitiesDescribes how performance measurement and evaluation findings will be reported and usedto demonstrate the outcomes of the FOA and for continuous program quality improvement Describes how evaluation and performance measurement will contribute to developing anevidence base for programs that lack a strong effectiveness evidence baseDescribes any evaluation studies they are to undertake Describe in sufficient detail toidentify the key evaluation questions and data sources and analysis methods

iii Applicants Organizational Capacity to Implement theApproach

Maximum Points 35

Evaluate the extent to which the applicant addresses the items belowDemonstrates relevant experience and capacity (both management administrative andtechnical) to achieve the goals of the project Demonstrates experience and capacity to implement the evaluation plan Provides a staffing plan and project management structure that will be sufficient to meet thegoals of the proposed project and which clearly defines staff roles Provides anorganizational chart Budget When scoring budgets CDC programs must assess whether the budget aligns withthe proposed work plan For additional guidance check with the CIO extramural programoffice GMO or GMS

c Phase III Review Applications will be funded in order by score and rank determined by the review panel unless fundingpreferences or other considerations stated in this FOA apply Final selection and approval of activities will beprioritized in collaboration with CDC

In addition the following factors may affect the funding decision 29 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

CDC will provide justification for any decision to fund out of rank order

2 Anticipated Announcement and Award Dates

The Grants Management Officer will provide electronic communication to the successful awardee(s)in the form of a notice of award letter Award date is expected to be 09012015

F Award Administration Information

1 Award Notices Awardees will receive an electronic copy of the Notice of Award (NoA) from the CDC PGO The NoA shallbe the only binding authorizing document between the awardee and CDC The NoA will be signed by anauthorized GMO and emailed to the awardee program director

Any application awarded in response to this FOA will be subject to the DUNS SAM Registration andFederal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements

Unsuccessful applicants will receive notification of the results of the application review by email withdelivery receipt or by mail

2 Administrative and National Policy Requirements Awardees must comply with the administration requirements outline in 45 Code of Federal Regulations(CFR) Part 74 or Part 92 as appropriate To view brief descriptions of relevant provisions visit the CDCwebsite at httpwwwcdcgovgrantsadditionalrequirementsindexhtml

The following administrative requirements apply to this project

Generally applicable ARs

AR-9 Paperwork Reduction Act Public Law 104-13AR-10 Smoke-Free Workplace AR-11 Healthy People 2010 AR-12 Lobbying Restrictions AR-14 Accounting System RequirementsAR-16 Security Clearance RequirementAR-21 Small Minority And Women-owned BusinessAR-24 Health Insurance Portability and Accountability Act AR-25 Release and Sharing of DataAR-26 National Historic Preservation Act of 1966 AR-29 Compliance with EO13513 ldquoFederal Leadership on Reducing Text Messaging whileDrivingrdquo October 1 2009 AR-30 Compliance with Section 508 of the Rehabilitation Act of 1973 29 USC sect 794dAR- 32 Executive Order 131410 Promoting Quality and Efficient Health Care in FederalGovernment (If applicable applicants should be aware of the programrsquos current business needs andhow they align with nationally adopted Public Health Information Network (PHIN) standardsservices practices and policies when implementing acquiring and updating public health informationsystems) AR-33 Plain Writing Act of 2010 Public Law 111-274AR-34 Patient Protection and Affordable Care Act Public Law 111-148 (eg a tobacco-free campuspolicy and a lactation policy consistent with S4207)AR-35 Nutrition Policies

ARs applicable to awards related to conferences 30 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

ARs applicable to awards related to conferences

AR-20 Conference SupportAR-27 Conference Disclaimer and Use of Logos

Organization-specific ARs

AR-8 Public Health System Reporting (Community-based non-governmental organizations)AR-15 Proof of Non-profit Status (Non-profit organizations)

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will have acondition of award that applies to 48 CFR section 3908 requiring grantees to inform their employees inwriting of employee whistleblower rights and protections under 41 USC 4712 in the predominant nativelanguage of the workforce If applicable award recipients will be required to submit an electronic version ofthe final peer-reviewed manuscript of any work developed under this award upon acceptance forpublication Additional information will be provided in the award terms For more information on the Codeof Federal Regulations visit the National Archives and Records Administration athttpwwwaccessgpogovnaracfrcfr-table-searchhtml

3 Reporting

a CDC Reporting Requirements Reporting allows for continuous program monitoring and identifies successes and challenges that awardeesencounter throughout the project period Also reporting is a requirement for awardees who want to applyfor yearly continuation of funding Reporting helps CDC and awardees because it

Helps target support to applicants particularly for cooperative agreementsProvides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomesand overall performanceAllows CDC to track performance measures and evaluation findings for continuous programimprovement throughout the project period and todetermine applicability of evidence-basedapproaches to different populations settings and contexts and Enables the assessment of the overall effectiveness and impact of the FOA

As described in the following text awardees must submit an annual performance report ongoingperformance measures data administrative reports and a final performance and financial report A detailedexplanation of any additional reporting requirements will be provided in the Notice of Award to successfulapplicants

b Specific Reporting Requirements

i Awardee Evaluation and Performance Measurement Plan Awardees must provide a more detailed evaluation and performance measurement plan within the first sixmonths of the project This more detailed plan should be developed by awardees as part of first-year projectactivities with support from CDC This more detailed plan should build on the elements stated in the initialplan and should be no more than 25 pages At a minimum and in addition to the elements of the initial planthis plan must

Indicate the frequency that evaluation and performance data are to be collectedDescribe how data will be reportedDescribe how evaluation findings will be used to ensure continuous quality and program improvementDescribe how evaluation and performance measurement will yield findings that will demonstrate thevalue of the FOA (eg effect on improving public health outcomes effectiveness of FOA as itpertains to performance measurement cost-effectiveness or cost-benefit)Describe dissemination channels and audiences (including public dissemination)Describe other information requested and as determined by the CDC program

31 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Describe other information requested and as determined by the CDC program

When developing evaluation and performance measurement plans applicants are encouraged to use theIntroduction to Program Evaluation for Public Health Programs A Self-Study Guide available athttpwwwcdcgovevalguideindexhtm

ii Annual Performance Report This report must not exceed 45 pages excluding administrative reporting attachments are not allowed butweb links are allowedThe awardee must submit the Annual Performance Report via wwwgrantsgov 120days before the end of the budget period In addition the awardee must submit an annual Federal FinancialReport within 90 days after the end of the calendar quarter in which the budget year ends

This report must include the following

Performance Measures (including outcomes) ndash Awardees must report on performance measures foreach budget period and update measures if neededEvaluation Results ndash Awardees must report evaluation results for the work completed to date(including any impact data)Work Plan (maximum of 25 pages) ndash Awardees must update work plan each budget periodSuccesses

Awardees must report progress on completing activities outlined in the work planAwardees must describe any additional successes (eg identified through evaluation results orlessons learned) achieved in the past yearAwardees must describe success stories

Challenges

Awardees should describe any challenges that hinder achievement of both annual and projectperiod outcomes performance measures or their ability to complete the activities in the workplan Awardees must describe any additional challenges (eg identified through evaluation results orlessons learned) encountered in the past year

CDC Program Support to Awardees

Awardees describe how CDC could assist them in overcoming the challenges to achieve bothannual and project period outcomes and performance measures and complete activities outlinedin the work plan

Administrative Reporting (not subject to page limits)

SF-424A Budget Information-Non-Construction ProgramsBudget Narrative ndash Must use the format outlined in Section D Content and Form of ApplicationSubmission Budget Narrative SectionIndirect Cost Rate Agreement

The deadline date for submitting the Annual Performance Report is 120 days before the end of the budgetperiod Send an electronic copy to CDC Project Officer (PO) with attention to the GMS and PO The contactinformation for the GMS and PO is listed in the ldquoAgency Contactsrdquo section of the FOA

32 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

iii Performance Measure Reporting CDC programs must require awardees to submit performance measures annually at a minimum and mayrequire reporting more frequently Performance measure reporting should be limited to the collection of dataWhen funding is awarded initially CDC programs should specify reporting frequency required data fieldsand format

iv Federal Financial Reporting The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 daysafter the end of the calendar quarter in which the budget year ends The report should include only thosefunds authorized and disbursed during the timeframe covered by the report The final report must indicatethe exact balance of unobligated funds and may not reflect any unliquidated obligations The final FFRexpenditure data and the Payment Management Systemrsquos (PMS) cash transaction data must correspond nodiscrepancies between the data sets are permitted Failure to submit the required information by the due datemay affect adversely the future funding of the project If the information cannot be provided by the due dateawardees are required to submit a letter of explanation and include the date by which the information will beprovided

v Final Performance and Financial Report At the end of the project period awardees must submit a final report to include a final financial andperformance report This report is due 90 days after the end of the project period

At a minimum this report must include the following

Performance Measures (including outcomes) ndash Applicants must report final performance data for allperformance measures for the project periodEvaluation results ndash Applicants must report final evaluation results for the project periodImpact of Results ndash Applicants must describe the effects or results of the work completed over theproject period including success storiesAdditional forms as described in the Notice of Award including Equipment Inventory Report andFinal Invention StatementFFR (SF-425)

The report must not exceed 40 pages

Awardees should e-mail the report to the CDC PO and the GMS listed in the ldquoAgency Contactsrdquo section ofthe FOA

4 Federal Funding Accountability and Transparency Act of 2006 Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Public Law 109-282 the FederalFunding Accountability and Transparency Act of 2006 as amended (FFATA) requires full disclosure of allentities and organizations receiving Federal funds including awards contracts loans other assistance andpayments through a single publicly accessible Web site wwwUSASpendinggov

Compliance with this law is primarily the responsibility of the Federal agency However two elements of thelaw require information to be collected and reported by applicants 1) information on executivecompensation when not already reported through the SAM and 2) similar information on all sub-awards subcontracts consortiums over $25000

For the full text of the requirements under the FFATA and HHS guidelines go to

http frwebgateaccessgpogov cgi-bingetdoccgi dbname=109_cong _billsampdocid=fs2590enrtxtpdfhttps wwwfsrsgov documentsffata_ legislation_110_252 pdfhttp wwwhhsgovasfr ogapaaboutog Grants20Management 20Informationffata_

33 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

guidelineshtml

G Agency Contacts

CDC encourages inquiries concerning this FOA

Program Office Contact For programmatic technical assistance contact

Mark Anderson Project OfficerLeisel Talley Project OfficerCDCCGHDGHPERRB4770 Buford Highway MS F57Atlanta GA 30341Phone (770) 488-3910Email mea6cdcgov lre0cdcgov Grants Staff Contact For financial awards management or budget assistance contact

Lakita Reid Grants Management SpecialistCDCProcurement and Grants Office2920 Brandywine Road MS K-75Atlanta GA 30341Phone 7704882742Email wtl9cdcgov For assistance with submission difficulties related to wwwgrantsgov contact

wwwgrantsgov Contact Center 1-800-518-4726Hours of Operation 24 hours a day 7 days a week Closed on Federal holidays

For all other submission questions contact

Technical Information Management SectionDepartment of Health and Human ServicesCDC Procurement and Grants Office2920 Brandywine Road MS E-14Atlanta GA 30341Telephone 770-488-2700Email pgotimcdcgov

CDC Telecommunications for individuals with hearing loss is available at TTY 18882326348

H Other Information

Following is a list of acceptable attachments that applicants can upload as PDF files part of their application

34 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Following is a list of acceptable attachments that applicants can upload as PDF files part of their applicationat wwwgrantsgov Applicants may not attach documents other than those listed if other documents areattached applications will not be reviewed

Project Abstract Project NarrativeBudget NarrativeCDC Assurances and CertificationsWork PlanTable of Contents for Entire Submission

I Glossary

Administrative and National Policy Requirements Additional Requirements (ARs) TheAdministrative requirements found in 45 CFR Part 74 and Part 92 and other requirements as mandated bystatute or CDC policy CDC programs must indicate which ARs are relevant to the FOA All ARs are listedin the template for CDC programs Awardees must then comply with the ARs listed in the FOA To viewbrief descriptions of relevant provisions visit the CDC website at

httpwwwcdcgovgrantsadditionalrequirementsindexhtml

Authority Legal authorizations that outline the legal basis for the components of each individual FOA AnOffice of Global Council (OGC) representative may assist in choosing the authorities appropriate to anygiven program

Award Financial assistance that provides support or stimulation to accomplish a public purpose Awardsinclude grants and other agreements (eg cooperative agreements) in the form of money or property in lieuof money by the Federal Government to an eligible recipient

Budget PeriodYear the duration of each individual funding period within the project periodTraditionally budget period length is 12 months or 1 year

Carryover Unobligated Federal funds remaining at the end of any budget period that with the approval ofthe GMO or under an automatic authority may be carried forward to another budget period to coverallowable costs of that budget period (whether as an offset or additional authorization) Obligated butunliquidated funds are not considered carryover

Catalog of Federal Domestic Assistance (CFDA) A catalog published twice a year which describesdomestic assistance programs administered by the federal government This government-wide compendiumof Federal programs lists projects services and activities which provide assistance or benefits to theAmerican public https wwwcfdagovindexs= agencyampmode =formampid= 0bebbc3b3261e255dc82002b83094717amptab= programsamptabmode= listampsubtab=listamp subtabmode=list

CDC Assurances and Certifications Standard government-wide grant application forms

CFDA Number The CFDA number is a unique number assigned to each programFOA throughout itslifecycle that enables data and funding tracking and transparency

35 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Competing Continuation Award An award of financial assistance which adds funds to a grant and extendsone or more budget periods beyond the currently established project period

Continuous Quality Improvement A system that seeks to improve the provision of services with anemphasis on future results

Contracts An award instrument establishing a binding legal procurement relationship between CDC and arecipient obligating the latter to furnish a product

Cooperative Agreement An award of financial assistance that is used to enter into the same kind ofrelationship as a grant and is distinguished from a grant in that it provides for substantial involvementbetween the Federal agency and the awardee in carrying out the activity contemplated by the award

Cost Sharing or Matching Refers to program costs not borne by the Federal government but required ofawardees It may include the value of allowable third-party in-kind contributions as well as expenditures bythe awardee

Direct Assistance assistance given to an applicant such as federal personnel or supplies See httpwwwcdcgov stltpublichealth GrantsFunding direct_assistancehtml

Federal Funding Accountability And Transparency Act Of 2006 (FFATA) Requires information onFederal awards including awards contracts loans and other assistance and payments be made available tothe public on a single website wwwUSAspendinggov

Fiscal Year The year that budget dollars are allocated to fund program activities The fiscal year startsOctober 1st and goes through September 30th

Grant A legal instrument used by the Federal government to enter into a relationship the principal purposeof which is to transfer anything of value to a recipient to carry out a public purpose of support or stimulationauthorized by statute The financial assistance may be in the form of money or property in lieu of money The term does not include a Federal procurement subject to the Federal Acquisition Regulation technicalassistance (which provides services instead of money) or assistance in the form of revenue sharing loansloan guarantees interest subsidies insurance or direct payments of any kind to individuals The maindifference between a grant and a cooperative agreement is that there is no anticipated substantialprogrammatic involvement by the Federal Government under an award

Grantsgov A storefront web portal for use in electronic collection of data (forms and reports) for Federalgrant-making agencies through the wwwgrantsgov site wwwgrantsgov

Health Disparities are differences in health outcomes and their determinants between segments of thepopulation as defined by social demographic environmental and geographic attributes 36 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

Healthy People 2020 Provides national health objectives for improving the health of all Americans byencouraging collaborations across sectors guiding individuals toward making informed health decisions andmeasuring the impact of prevention activities

Inclusion Inclusion refers to both the meaningful involvement of community members in all stages of theprogram process and maximum involvement of the target population in the benefits of the intervention Aninclusive process assures that the views perspectives and needs of affected communities care providers andkey partners are actively included

Indirect Costs Those costs that are incurred for common or joint objectives and therefore cannot beidentified readily and specifically with a particular sponsored project program or activity but arenevertheless necessary to the operations of the organization For example the costs of operating andmaintaining facilities depreciation and administrative salaries are generally treated as indirect costs

International public health work For purposes of this template is defined as work conductedinternationally for the benefit of a foreign entity or jurisdiction

Lobbying Direct lobbying includes any attempt to influence legislation appropriations regulationsadministrative actions or Executive Orders (ldquolegislation or other ordersrdquo) or other similar deliberations at alllevels of government through communications that directly express a view on proposed or pendinglegislation or other orders and which are directed to members of staff or other employees of a legislativebody or to government officials or employees who participate in the formulation of legislation or otherorders Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public tocontact their elected representatives at the Federal State or local levels to urge support of or opposition toproposed or pending legislative proposals

Maintenance of Effort A requirement contained in authorizing legislation regulation stating that to receiveFederal grant funds a recipient must agree to contribute and maintain a specified level of financial effort forthe award from its own resources or other non-Federal sources This requirement is typically given in termsof meeting a previous base-year dollar amount

Memorandum of Understanding (MOU) Memorandum of Agreement (MOA) is a documentdescribing a bilateral or multilateral agreement between partiesIt expresses a convergence of will betweenthe parties indicating an intended common line of action It is often used in cases where parties either do notimply a legal commitment or in situations where the parties cannot create a legally enforceable agreement

New FOA Any FOA that is not a continuation or supplemental award

Non-Governmental Organization A non-governmental organization (NGO) is any non-profit voluntarycitizens group which is organized on a local national or international level

Notice of Award The only binding authorizing document between the recipient and CDC confirming issue 37 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

of award funding The NoA will be signed by an authorized Grants Management Officer and provided to therecipient fiscal officer identified in the application

Objective Review A process that involves the thorough and consistent examination of applications basedon an unbiased evaluation of scientific or technical merit or other relevant aspects of the proposal Thereview is intended to provide advice to the individuals responsible for making award decisions

OGC Office of the General Counsel (OGC) is the legal team for the Department of Health and HumanServices (HHS) providing representation and legal advice on a wide range of national issues OGC supportsthe development and implementation of HHSs programs by providing legal services to the Secretary of HHSand the organizations various agencies and divisions

Outcome The observable benefits or changes for populations andor public health capabilities that willresult from a particular program strategy

Performance Measures Performance measurement is the ongoing monitoring and reporting of programaccomplishments particularly progress toward pre-established goals It is typically conducted by program oragency management Performance measures may address the type or level of program activities conducted(process) the direct products and services delivered by a program (outputs) or the results of those productsand services (outcomes) A ldquoprogramrdquo may be any activity project function or policy that has anidentifiable purpose or set of objectives

Plain Writing Act of 2010 The Plain Writing Act requires federal agencies to communicate with the publicin plain language to make information and communication more accessible and understandable by intendedusers especially people with limited health literacy skills or limited English proficiency wwwplainlanguagegov

Procurement and Grants Office (PGO) PGO is the only entity within CDC which can obligate federalfunds PGO provides non-programmatic management for all CDC financial assistance activities (grants andcooperative agreements) and manages and awards all CDC contracts

Program Strategies Public health interventions or public health capabilities

Program Official The person responsible for developing the FOA ndash whether a project officer programmanager branch chief division leadership policy official center leadership or similarstaff member

Project Period Outcome An outcome that will result by the end of the FOA period of funding

SAM The System for Award Management (SAM) is the primary vendor database for the US FederalGovernment SAM validates applicant information and electronically shares the secure and encrypted datawith the Federal agencies finance offices to facilitate paperless payments through Electronic Funds Transfer(EFT) The SAM stores organizational information allowing wwwgrantsgov to verify your identity and topre-fill organizational information on grant applications 38 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39

pre-fill organizational information on grant applications

Statute An act of a legislature that declares proscribes or commands something a specific law expressedin writing A statute is a written law passed by a legislature on the state or federal level Statutes set forthgeneral propositions of law that courts apply to specific situations

Statutory Authority A legal statute that provides the authority to establish a Federal financial assistanceprogram or award

Technical Assistance The providing of advice assistance and training pertaining to the developmentimplementation maintenance andor evaluation of programs

Work Plan The summary of annual strategies and activities personnel andor partners who will completethem and the timeline for completion The work plan will outline the details of all necessary activities thatwill be supported through the approved budget

39 of 39