Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas

The purpose of this project is to assist Land-Grant institutions to conduct pilot programs through existing extension and outreach services to enhance and expand efforts to combat the prevalence of obesity in areas where the problem is worst, particularly rural areas.

Related Programs93.548 The Patient Protection and Affordable Care Act of 2020 (2010)Nutrition, Physical Activity and Obesity Program ; 93.742 PPHF 2012: Early Childcare and Education Obesity Prevention Program - Obesity Prevention in Young Children - financed solely by 2012 Public Prevention and Health Funds

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.

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Increase capacity of local outreach services to include new or enhanced services related to nutrition and physical activity that promote, support, facilitate and implement strategies to improve access and opportunities to achieve optimal physical, social, and emotional well-being to reduce the prevalence of obesity and affect long term changes in the rates of obesity in rural settings.

Funds may be used to support approaches to chronic disease prevention and control described in section 050 above.

Recipients may expend funds for reasonable policies, systems and environmental program purposes, including personnel, travel, supplies, and services, such as contractual to reduce risk factors, prevent and delay chronic disease.

Eligibility Requirements

Applicant Eligibility

(1) Must conduct activities in eligible counties (defined as having an obesity prevalence of 40%+ (based on 2006-2008 data from BRFSS, CDC County-Level Map at http://www.cdc.gov/diabetes/statistics/), and (2) Must use existing local extensions and outreach services to accomplish project.

Beneficiary Eligibility

Individual/Family (residents) in local counties/rural areas will benefit from this assistance through increased access and opportunities to healthy, affordable foods and beverages, safe and convenient places for physical activity and breastfeeding duration and support,.


Documentation must be provided as follows: (1) List of counties applicant proposes to work in and % obesity prevalence, (2) List of extensions and outreach services and year established, (3) Letters of support from local extensions. This program is excluded from coverage under OMB Circular No. A-87.

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.


Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. Submit Annual Progress Reports through www.Grants.gov. If you encounter any difficulties submitting your interim progress report through www.Grants.gov, please contact CDC s Technical Information Management Section at (770) 488-2700 prior to the submission deadline. If further information is needed regarding the application process, please contact the CDC Procurement and Grants Office at (770) 488-2710 located at 2920 Brandywine Road, Atlanta, GA 30341

Award Procedures

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public, initial award provides funds for first budget period (usually 12 months) and Notice of Award indicates support recommended for the remainder of project period, allocation of Federal funds by budget categories, and special conditions, if any. However, applicants are encouraged to call CDC for programmatic technical assistance prior to the development and submission of their assistance application.


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


This program is authorized under section 301(a) and 317(k) Public Health Service Act, 42 U.S. Code 241(a) and 247b (k).

Range of Approval/Disapproval Time

From 120 to 180 days. September 30, 2014 - September 29, 2017.


Not Applicable.


From 120 to 180 days. 180 Days. Renewals will be based upon the availability of funding and satisfactory programmatic progress. Project period is for 3 years with 12 month budget periods.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Five Year Project Period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Semi-annual reports from each entity awarded a grant, cooperative agreement, or contract, summarizing the activities undertaken and identifying any sub-grants or sub-contracts awarded (including the purpose of the award and the identity of the recipient), to be posted not later than 30 days after the end of each 6-month period.

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.

Awardees must submit an Annual Performance Report via www.grants.gov 120 days before the end of each budget period.

The report must not exceed 45 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.

This report must include the following: performance measures, evaluation results, work plan, successes, challenges, CDC program support needs, and administrative reporting.

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.

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.

Awardees are required to submit performance measures annually as a minimum, and may require reporting more frequently.

Performance measure reporting is limited to data collection.

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


Not Applicable.


Financial records, supporting documents, statistical records, and all other records pertinent to the project must be kept readily available for review by personnel authorized to examine PHS grant accounts. Records must be maintained for a minimum of 3 years after the end of a budget period. If questions still remain, such as those raised as a result of an audit, records must be retained until completion or resolution of any audit in process or pending resolution. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification



(Project Grants) FY 13 $0; FY 14 est $4,000,000; and FY 15 est $4,000,000

Range and Average of Financial Assistance

Anticipated amounts are: FY2014: $4,600,000; FY2015: $4,600,000 and FY2016: $4,000,000. The awards range from $1,000,000 to $1,550,000 per applicant.

Regulations, Guidelines, and Literature

2 CFR Parts 215 and 220
Cost Principles for Educational Institutions (OMB Circular A-21)

Information Contacts

Regional or Local Office


Headquarters Office

Linda Barnes 4770Buford Hwy, NE, NCCDPHP, Atlanta, Georgia 30341 Email: lbarnes@cdc.gov Phone: 404-867-9697

Criteria for Selecting Proposals

All applications will be reviewed initially for completeness by CDC PGO staff and will be reviewed jointly for eligibility by the CDC NCCDPHP and PGO. Incomplete applications and applications that do not meet the eligibility criteria will not advance to Phase II review. Applicants will be notified that their applications did not meet eligibility or published submission requirements. A review panel will evaluate complete, eligible applications in accordance with the "Criteria" section of the FOA.
There may or may not be an additional review which will be provided in the FOA. Not more than thirty days after the Phase II review is completed, applicants will be notified electronically if their application does not meet eligibility or published submission requirements.

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