National Implementation and Dissemination for Chronic Disease Preventio

The purpose of this three-year cooperative agreement or Funding Opportunity Announcement (FOA) is to support national organizations and their chapters/affiliates (sub-recipients) coalitions in implementing Socio-Ecological Model informed multi-level approaches (i.e., individual, interpersonal, organizational,
credit:

community, societal) to improve communities health.

This project builds upon the Division of Community Health s (DCH) history of working with national organizations to provide financial resources, guidance, training, tools, and other assistance to local organizations interested in creating communities where all people can achieve optimal health.

This new FOA will allow awardees to implement multi-level strategies that address the greatest predictors of chronic disease (i.e.

heart disease, stroke, diabetes, and obesity), namely tobacco use and exposure, poor nutrition, physical inactivity, and lack of access to prevention, risk reduction and chronic disease management opportunities.

Additionally, awardees will work closely together to coordinate strategies and technical assistance to maximize their collective impact, increase national and local awareness of DCH s work, and ensure that identified communities.


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

http://www.cdc.gov


Relevant Nonprofit Program Categories




Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Applicants must adhere to all CDC guidelines regarding allowable and unallowable expenses.



Eligibility Requirements

Applicant Eligibility

1.

Eligible Applicants:
• This cooperative agreement is limited to national organizations (to include public and private nonprofit organizations) that serve communities across the nation.

Category A and B organizations must demonstrate evidence of having members, affiliates and/or chapters within twenty-five (25) or more U.S.

states and territories).

Category A applicants must also demonstrate a minimum of five (5) years of experience and evidence with implementing community level improvements.

For Category B, eligible organizations must demonstrate a minimum of five (5) years of experience in providing training and technical assistance that built communities capacity to implement local-level efforts.

Category B applicants must also demonstrate experience in collaborating across multiple partners to deliver training and technical assistance.
• Category A and B applicants must also provide supporting evidence (e.g., media reports, news/magazine articles, op-eds, community newsletters) as evidence of possessing the following desired characteristics:
 Have historical credibility and influence in their targeted communities (i.e., has developed and participated in community coalitions, events, and other activities Possess the demonstrated ability to influence a national dialogue.

(i.e., the organization has the ability to garner the attention and participation of other national organizations and audiences).
 Have a demonstrated variety of existing communication platforms (e.g., Websites, magazines, newsletters, etc.)
 Have the demonstrated ability to leverage additional resources and partnerships (e.g., used non-FOA relationships and resources to maximize the impact of organizational activities)
 Have the demonstrated ability to convene a national meeting

o In accordance with U.S.

law, no Federal funds provided by CDC are permitted to be used by community grantees for lobbying or to influence, directly or indirectly, specific pieces of pending or proposed legislation at the federal, state, or local levels.

The awardee should work with project officer to ensure activities adhere to federal guidelines, and federal dollars are not used to engage in unauthorized activities.

Throughout all objectives and activities, the awardee should clarify that the work plan language clearly describes the role, nature, and purpose of the funded activities.

This includes providing clear language focusing on the message (e.g., addressing the health risks/effects, using evidence based strategies for increasing protections) when conducting public educational initiatives.

In addition, language should be included for proper engagement of elected officials as documented in the federal guidelines.

Additionally, awardees should consult appropriate legal counsel to ensure compliance with all rules, regulations, and restriction of any funding sources.
o Title 2 of the United States Code Section 1611 states that an organization described in Section 501(C )(4) of the Internal Revenue Code that engages in lobbying activities is no eligible to receive Federal funds constituting a grant, loan, or award.
o The awardee should refer to the AR-12 and CDC Guidance documents on Anti-Lobbying restrictions for more information on allowable and restricted activities.
o http://www.cdc.gov/od/pgo/funding/grants/additional_req.shtm#ar12
http://www.cdc.gov/obesity/downloads/Anti-Lobbying-Restrictions-for-CDC-Grantees-July2012-508.pdf.

Beneficiary Eligibility

Any U.S. state, political subdivision and U.S. territories (as described above), and other public entities will benefit.

Credentials/Documentation

Applicants should document the need for assistance, state objectives of the project, address the background, approach strategies and evaluation methods of the project/program, and provide a budget with justification of funds. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program.

Award Procedures

Successful applicants will receive a Notice of Award (NoA) from the CDC Procurement and Grants Office. The NoA shall be the only binding, authorizing document between the recipient and CDC. The NoA will be signed by an authorized Grants Management Officer and e-mailed to the program director. A hard copy of the NoA will be mailed to the recipient fiscal officer identified in the application.
Any application awarded in response to this FOA will be subject to the DUNS, CCR Registration and Transparency Act requirements.
Unsuccessful applicants will receive notification of the results of the application review by mail.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

This program is authorized under sections 317(k)(2) of the Public Health Service Act, [42 U.S.C. Section 247b(k)(2)], as amended.

Range of Approval/Disapproval Time

From 120 to 180 days.

Appeals

Not Applicable.

Renewals

From 90 to 120 days. Project period is 3 years with 12-month budget periods. Applications must be obtained from www.Grants.Gov.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching Requirements: • Category A must provide an evaluator at a 50% level of effort (LOE) with funds not provided by this FOA.
• Category B awardees must assign one full-time (100% LOE) program manager to be paid from funds not provided by this FOA.
This program has MOE requirements, see funding agency for further details. All grantees will be responsible for developing sustainability plans by the end of Year 1 that help to ensure that programmatic efforts will be continued after FOA funding ends. This document should include a focus on the infrastructure (or planning/ operational structure) and process needed for sustaining efforts. For Category A, all sub-recipients will be required to develop plans by the end of the first year of their cohort.

Length and Time Phasing of Assistance

September 30, 2014 - September 29, 2017. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Reporting provides continuous program monitoring and identifies successes and challenges that awardees encounter throughout the project period.

Also, reporting is a requirement for awardees who want to apply for yearly continuation of funding.

Reporting helps CDC and awardees because it:
• Helps target support to awardees, particularly for cooperative agreements;
• Provides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomes and overall performance;
• Allows CDC to track performance measures and evaluation findings to validate continuous program improvement throughout the project period and to determine applicability of evidence-based approaches to different populations, settings, and contexts; and
• Enables CDC to assess the overall effectiveness and influence of the FOA.



As described in the following text, awardees must submit an annual performance report, ongoing performance measures data, administrative reports, and a final performance and financial report.

A detailed explanation of any additional reporting requirements will be provided in the Notice of Award to successful applicants.

a.

Specific reporting requirements:
i.

Awardee Evaluation and Performance Measurement Plan: Awardees must provide a more detailed evaluation and performance measurement plan within the first six months of the project.

This more detailed plan must be developed by awardees as part of first-year project activities, with support from CDC.

This more detailed plan must build on the elements stated in the initial plan, and must be no more than 25 pages.

At a minimum, and in addition to the elements of the initial plan, this plan must:
• Indicate the frequency that evaluation and performance data are to be collected.


• Describe how data will be reported.


• Describe how evaluation findings will be used to ensure continuous quality and program improvement.
• Describe how evaluation and performance measurement will yield findings that will demonstrate the value of the FOA (e.g., effect on improving public health outcomes, effectiveness of FOA as it pertains 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.



When developing evaluation and performance measurement plans, applicants are encouraged to use the Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, available at: http://www.cdc.gov/eval/guide/index.htm

ii.

Annual Performance Report: This report must not exceed 30 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.
The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

In addition, the awardee must submit an annual Federal Financial Report 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)-Awardees must report on performance measures for each budget period and update measures, if needed.
• Evaluation Results-Awardees must report evaluation results for the work completed to date (including any data about the effects of the program).
• Work Plan -Awardees must update work plan each budget period.
• Successes
• Awardees must report progress on completing activities outlined in the work plan.
• Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.
• Awardees must describe success stories.
• Challenges
• Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.


• Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Awardees
• Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and completing activities outlined in the work plan.
• Administrative Reporting (No page limit)
• SF-424A Budget Information-Non-Construction Programs.
• Budget Narrative-must use the format outlined in "Content and Form of Application Submission, Budget Narrative" section.


• Indirect Cost-Rate Agreement.

For Year 2 and beyond of the award, awardees may request that unobligated funds be carried over to the next budget year.
The carryover request must:
• Express a bona fide need for permission to use an unobligated balance;
• Include a signed, dated, and accurate Federal Financial Report (FFR) for the budget period from which funds will be transferred (as much as 75% of unobligated balances); and
• Include a list of proposed activities, an itemized budget, and a narrative justification for those activities.]

The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.


iii.

Performance Measure Reporting: CDC programs must require awardees to submit performance measures annually as a minimum, and may require reporting more frequently.

Performance measure reporting must be limited to data collection.

When funding is awarded initially, CDC programs must specify required reporting frequency, data fields, and format.



iv.

Federal Financial Reporting (FFR): The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 days after each budget period ends.

The report must include only those funds authorized and disbursed during the timeframe covered by the report.

The final report must indicate the exact balance of unobligated funds, and may not reflect any unliquidated obligations.

The final FFR expenditure data and the Payment Management System s (PMS) cash transaction data must correspond; no discrepancies between the data sets are permitted.

Failure to submit the required information by the due date may affect adversely the future funding of the project.

If the information cannot be provided by the due date, awardees are required to submit a letter of explanation and include the date by which the information will be provided.


v.

Final Performance and Financial Report: At the end of the project period, awardees must submit a final report including a final financial and performance report.

This report is due 90 days after the project period ends.

(Maximum of 40 pages).



At a minimum, this report must include:
• Performance Measures (including outcomes)-Awardees must report final performance data for all performance measures for the project period.
• Evaluation Results-Awardees must report final evaluation results for the project period.
• Impact/ Results-Awardees must describe the effects or results of the work completed over the project period, including success stories.
• Additional forms as described in the Notice of Award, including Equipment Inventory Report and Final Invention Statement.

In addition, grantees must include the following information in their Final Performance Report:
• Summary of successes, challenges, and lessons learned that can be shared with other central registries interested in establishing ECC methodology.

Awardees must email the report to the CDC PO and the GMS listed in the "Agency
Contacts" section of the FOA.

No cash reports are required.

Reporting provides continuous program monitoring and identifies successes and challenges that awardees encounter throughout the project period.

Also, reporting is a requirement for awardees who want to apply for yearly continuation of funding.

Reporting helps CDC and awardees because it:
• Helps target support to awardees, particularly for cooperative agreements;
• Provides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomes and overall performance;
• Allows CDC to track performance measures and evaluation findings to validate continuous program improvement throughout the project period and to determine applicability of evidence-based approaches to different populations, settings, and contexts; and
• Enables CDC to assess the overall effectiveness and influence of the FOA.



As described in the following text, awardees must submit an annual performance report, ongoing performance measures data, administrative reports, and a final performance and financial report.

A detailed explanation of any additional reporting requirements will be provided in the Notice of Award to successful applicants.

a.

Specific reporting requirements:
i.

Awardee Evaluation and Performance Measurement Plan: Awardees must provide a more detailed evaluation and performance measurement plan within the first six months of the project.

This more detailed plan must be developed by awardees as part of first-year project activities, with support from CDC.

This more detailed plan must build on the elements stated in the initial plan, and must be no more than 25 pages.

At a minimum, and in addition to the elements of the initial plan, this plan must:
• Indicate the frequency that evaluation and performance data are to be collected.


• Describe how data will be reported.


• Describe how evaluation findings will be used to ensure continuous quality and program improvement.
• Describe how evaluation and performance measurement will yield findings that will demonstrate the value of the FOA (e.g., effect on improving public health outcomes, effectiveness of FOA as it pertains 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.



When developing evaluation and performance measurement plans, applicants are encouraged to use the Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, available at: http://www.cdc.gov/eval/guide/index.htm

ii.

Annual Performance Report: This report must not exceed 30 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.
The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

In addition, the awardee must submit an annual Federal Financial Report 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)-Awardees must report on performance measures for each budget period and update measures, if needed.
• Evaluation Results-Awardees must report evaluation results for the work completed to date (including any data about the effects of the program).
• Work Plan -Awardees must update work plan each budget period.
• Successes
• Awardees must report progress on completing activities outlined in the work plan.
• Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.
• Awardees must describe success stories.
• Challenges
• Awardees must describe any challenges that might affect their ability to achieve annual and project-period outcomes, conduct performance measures, or complete the activities in the work plan.


• Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Awardees
• Awardees must describe how CDC could help them overcome challenges to achieving annual and project-period outcomes and performance measures, and completing activities outlined in the work plan.
• Administrative Reporting (No page limit)
• SF-424A Budget Information-Non-Construction Programs.
• Budget Narrative-must use the format outlined in "Content and Form of Application Submission, Budget Narrative" section.


• Indirect Cost-Rate Agreement.

For Year 2 and beyond of the award, awardees may request that unobligated funds be carried over to the next budget year.
The carryover request must:
• Express a bona fide need for permission to use an unobligated balance;
• Include a signed, dated, and accurate Federal Financial Report (FFR) for the budget period from which funds will be transferred (as much as 75% of unobligated balances); and
• Include a list of proposed activities, an itemized budget, and a narrative justification for those activities.]

The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.


iii.

Performance Measure Reporting: CDC programs must require awardees to submit performance measures annually as a minimum, and may require reporting more frequently.

Performance measure reporting must be limited to data collection.

When funding is awarded initially, CDC programs must specify required reporting frequency, data fields, and format.



iv.

Federal Financial Reporting (FFR): The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 days after each budget period ends.

The report must include only those funds authorized and disbursed during the timeframe covered by the report.

The final report must indicate the exact balance of unobligated funds, and may not reflect any unliquidated obligations.

The final FFR expenditure data and the Payment Management System s (PMS) cash transaction data must correspond; no discrepancies between the data sets are permitted.

Failure to submit the required information by the due date may affect adversely the future funding of the project.

If the information cannot be provided by the due date, awardees are required to submit a letter of explanation and include the date by which the information will be provided.


v.

Final Performance and Financial Report: At the end of the project period, awardees must submit a final report including a final financial and performance report.

This report is due 90 days after the project period ends.

(Maximum of 40 pages).



At a minimum, this report must include:
• Performance Measures (including outcomes)-Awardees must report final performance data for all performance measures for the project period.
• Evaluation Results-Awardees must report final evaluation results for the project period.
• Impact/ Results-Awardees must describe the effects or results of the work completed over the project period, including success stories.
• Additional forms as described in the Notice of Award, including Equipment Inventory Report and Final Invention Statement.

In addition, grantees must include the following information in their Final Performance Report:
• Summary of successes, challenges, and lessons learned that can be shared with other central registries interested in establishing ECC methodology.

Awardees must email the report to the CDC PO and the GMS listed in the "Agency
Contacts" section of the FOA.

Federal Financial Reports are required 90 days after the end of the fiscal year.
here to enter text.

In addition to previously described reporting requirements the awardee will monitor performance as follows -
• Performance Monitoring and Evaluation:
CDC may revise the existing requirements through an addendum to this notice, which could include additional recipient requirements for evaluation and performance measurement.

The Awardee Evaluation and Performance Measurement Plan will be comprised of three components:

1.

Tracking progress and completion of strategies.

By using the CDC identified electronic performance monitoring and reporting system, Category A and B awardees will track overall progress on infrastructure and short-term outcome objectives, as well as, specific progress on activities on a quarterly basis.

Category A awardees will also be required to track sub-recipients overall progress on infrastructure and short-term outcome objectives, as well as, specific progress on activities on a quarterly basis.

This collection of this data is known as performance monitoring data.

CDC will provide training and guidance on the use of the performance monitoring and reporting system.
a.

Use ongoing performance monitoring data, along with any community health assessment data, for ongoing program improvement and midcourse corrections.


b.

Track overall progress on outcome objectives as well as specific progress on activities designed for vulnerable populations.

Use performance monitoring data and other available sources to document the steps taken to implement multi-level improvements by describing successes, barriers, and challenges.

2.

Measurement of Short-term Outcome.

Using detailed guidance from CDC (provided post-award), Category A awardees will assist sub-recipients in setting targets and then monitor their progress towards these targets on the number of people who have access to healthier environments as a result of the implementation of each awardee strategy.

This is known as Awardee Reach for each strategy.

These targets will be ultimately rolled up into the relevant Short-term Outcome.

In addition, Category A sub-recipients will also be required to track sub-awardees Reach for each strategy and report this to CDC on a quarterly basis.


a.

For example, a sub-awardee might be implementing two strategies that are targeting different populations in different sectors.

One strategy is increasing physical activity in elementary age children by implementing recommended standards of physical activity in all 80 elementary schools in the community, which would increase physical activity for 55,000 children enrolled in these schools.

The awardee will track the successful implementation of recommended standards in each school so that they will know how many children have access to an improved physical activity environment.

The second strategy is increasing physical activity in 350 early care/child care centers by implementing recommended standards of physical activity in these settings, which would increase physical activity for 2000 children enrolled in these programs.

The awardee will track the successful implementation of recommended standards in each early care/child care centers, so that they will know how many children have access to an improved physical activity environment.

The target short-term outcome would combine the target sub-recipients Reach for these two strategies, and progress would be tracked over time.

Thus, the target Short-term Outcome would be 57,000 people with increased access to physical activity opportunities.


b.

Report sub-recipients Reach data for each strategy and update on a quarterly basis.



In addition, Awardees should adhere to the following guidance:

• Sub-recipients of Category A are encouraged to use available data to measure intermediate-term outcomes, when possible.

However, as mentioned above, due to lack of adequate, existing data in many communities, primary responsibility for measuring intermediate-term outcomes will rest in most cases with CDC.


o Communities with access to adequate data to measure intermediate-term outcomes might include: 1) counties with a large number of respondents to the Behavioral Risk Factor Surveillance System (BRFSS), 2) counties that conduct the Youth Risk Behavior Surveillance System (YRBSS), 3) school districts that routinely record the height and weight of students.
• Category A awardees and sub-recipients should share their successes and lessons learned through the creation and dissemination of two (or more) success stories per year (one submitted every 6 months with the Interim and Annual Progress Report).
• Category B awardees should prepare one (or more) unique dissemination documents created for stakeholders or the broader community based on the outcome evaluation of high impact strategies applied by Category A awardees and/or sub-recipients.

Developed by the end of Year 3, this document may be briefing updates, reports, case studies, peer-reviewed manuscripts or use other formats.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

There is a 3-year record retention requirement; records shall be retained beyond the 3-year period if final audit has not been done or findings resolved. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification

75-0943-0-1-550.

Obigations

(Cooperative Agreements) FY 13 $0; FY 14 est $500,000; and FY 15 est $0

Range and Average of Financial Assistance

Category A = $2,000,000 - $3,000,000 and Category B = $200,000 - $500,000.

Regulations, Guidelines, and Literature

Successful applicants must comply with the administrative requirements outlined in 45 Code of Federal Regulations (CFR) Part 74 or Part 92, as appropriate. The following additional requirements apply to this project:
Additional information on the requirements can be found on the CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/Addtl_Reqmnts.htm.
For more information on the Code of Federal Regulations, see the National Archives and Records Administration at the following Internet address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html

Information Contacts

Regional or Local Office

None.

Headquarters Office

Robert Bailey 4770 Buford Hwy, MS F-81, Atlanta, Georgia 30341 Email: apu8@cdc.gov Phone: 770-488-8438

Criteria for Selecting Proposals

An objective review panel will be held to review applications based on criteria described in the Funding Opportunity Announcement.



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