Public Health Crisis Response Cooperative Agreement

Foa_Content_of_CDC-RFA-TP22-2201 11.28.23.pdf

Centers for Disease Control and Prevention
Office of Public Health Preparedness and Response
Public Health Crisis Response Cooperative Agreement
CDC-RFA-TP22-2201
02/05/2024

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Table of Contents
A. Funding Opportunity Description ...............................................................................................3
B. Award Information ....................................................................................................................21
C. Eligibility Information ..............................................................................................................23
D. Application and Submission Information .................................................................................24
E. Review and Selection Process ...................................................................................................35
F. Award Administration Information ...........................................................................................37
G. Agency Contacts .......................................................................................................................44
H. Other Information .....................................................................................................................45
I. Glossary ......................................................................................................................................45
Part I. Overview
Applicants must go to the synopsis page of this announcement at www.grants.gov and click on
the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA-
TP22-2201. Applicants also must provide an e-mail address to www.grants.gov to receive
notifications of changes.
A. Federal Agency Name:
Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease
Registry (ATSDR)
B. Notice of Funding Opportunity (NOFO) Title:
Public Health Crisis Response Cooperative Agreement
C. Announcement Type: New - Type 1:
This announcement is only for non-research activities supported by CDC. If research is
proposed, the application will not be considered. For purposes of this NOFO, research is defined
as set forth in 45 CFR 75.2 and, for further clarity, as set forth in 42 CFR 52.2 (see eCFR :: 45
CFR 75.2 -- Definitions and https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-
2007-title42-vol1-sec52-2.pdf. In addition, for purposes of research involving human subjects
and available exceptions for public health activities, please see 45 CFR 46.102(l)
(https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-
46.102#p-46.102(l)).
New-Type 1
D. Agency Notice of Funding Opportunity Number:
CDC-RFA-TP22-2201
E. Assistance Listings Number:
93.354
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F. Dates:
1. Due Date for Letter of Intent (LOI):
02/05/2024
2. Due Date for Applications:
02/05/2024
11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.
3. Due Date for Informational Conference Call:
The conference call was held at 2 p.m. EST, Friday, January 14, 2022. Please send inquiries
regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov. Be sure to include the
NOFO number, TP22-2201, in the subject line of any inquiries.
G. Executive Summary:
1. Summary Paragraph
This CDC notice of funding opportunity (NOFO) seeks to enhance the nation’s ability to rapidly
mobilize, surge, and respond to a public health emergency (PHE) identified by CDC. This
NOFO is intended to establish a roster of approved but unfunded (ABU) applicants that may
receive rapid funding by CDC to respond to a PHE of such magnitude, complexity, or
significance that it would have an overwhelming impact upon, and exceed resources available to,
the jurisdictions. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a PHE exists or is considered
imminent and is contingent upon the availability and stipulations of appropriations. CDC will
provide additional guidance and information to those on the ABU list when this NOFO is
funded.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
a. Eligible Applicants:
Open Competition
b. Funding Instrument Type:
CA (Cooperative Agreement)
c. Approximate Number of Awards
113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
d. Total Period of Performance Funding:
$500,000,000
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
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funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
e. Average One Year Award Amount:
$5,000,000
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
f. Total Period of Performance Length:
5 year(s)
g. Estimated Award Date:
March 01, 2024
h. Cost Sharing and / or Matching Requirements:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
Part II. Full Text
A. Funding Opportunity Description
1. Background
a. Overview
Note: Applicants must continue to use their DUNS number for this application. Applicants
should note an error in the guidance for completing the SF424. The NOFO states that
applicants should use their UEI number as an identifier. However, the version currently in
Grants.gov asks for the DUNS number and can’t be modified.
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions. Applicants will undergo an objective merit
review process, and entities that successfully meet the requirements for approval will be placed
on the ABU list. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a public health emergency exists
or is considered imminent and will be contingent upon the availability and stipulations of
appropriations. CDC will provide additional guidance and information to those on the ABU list
when this NOFO is funded.
COVID-19 public health response plans, such as plans funded under CDC-RFA-TP18-1802 in
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2020 are acceptable for this purpose. This NOFO is not a capacity-building funding mechanism,
and it is not intended to create or establish new public health (PH) emergency management
programs. It may be used to re- establish capacity lost or diminished because of the public health
crisis. It is designed to support the surge needs of existing programs responding to a significant
PHE. CDC will provide supplemental guidance to entities on the ABU list when this NOFO is
activated regarding specific activities intended to address the emergency.
CDC has strong relationships with governmental PH departments, community-based
organizations, and other domestic partners and supports them for planning, capacity-building,
preparedness, and response to PHEs. This NOFO complements these ongoing capacity-building
preparedness and response programs by providing a mechanism for CDC to rapidly mobilize and
fund PH organizations for specific response needs. Applicants must describe how this funding
will not duplicate or supplant other federal funding.
Upon occurrence of a PHE, CDC can rapidly fund specific applicants to accelerate public health
crisis response activities such as coordinating emergency operations, hiring surge staff, and
conducting needs assessments to determine the resources necessary to address the public health
crisis. The NOFO also provides funding for specialized public health emergency response
activities tailored to the specific public health crisis.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
b. Statutory Authorities
This program is authorized under section 317(a) of the Public Health Service Act (42 USC §
247(b)), subject to available funding and other requirements and limitations.
c. Healthy People 2030
This program addresses the “Healthy People 2030” (www.healthypeople.gov) focus areas of
Preparedness, Immunization and Infectious Diseases, Public Health Infrastructure,
Environmental Health, Health Communication and Health Information Technology.
d. Other National Public Health Priorities and Strategies
This NOFO supports the National Health Security Strategy of the United States of America
(NHSS), Global Health Security Agenda, Social Determinants of Health | CDC) and
International Health Regulations.
e. Relevant Work
CDC provides funding and technical assistance to public health agencies nationwide to build and
strengthen their abilities to plan and prepare for, respond to, and prevent or mitigate public health
threats. A variety of CDC cooperative agreements for public health emergencies provide separate
funding mechanisms to support capacity-building, planning, preparedness, and response to
public health problems, including emergencies such as pandemic events. In addition to this
funding opportunity, CDC provides scientific guidance, direct technical assistance and
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coordination for jurisdictional public health authorities and other organizations to prepare and
respond to public health problems, including specific emergencies/events. CDC’s Public Health
Emergency Preparedness and Response Capabilities provide national standards necessary to
advance state, tribal, local, and territorial public health preparedness and response capacity.
2. CDC Project Description
a. Approach
Bold indicates period of performance outcome.
CDC-RFA-TP22-2201 Logic Model: Public Health Crisis Response Cooperative Agreement.
Bold indicates performance period outcome.
Logic Model
Strategies/ PHEP Short-term Intermediate Long-Term
Domains and Outcomes Outcomes Outcomes
Activities
Strengthen
Community Prioritized public Continuity of Prevent or reduce
Resilience health services and essential public morbidity and
resources sustained health services and mortality from public
Strengthen
throughout all supply chain during health incidents
Incident
phases of an emergency whose scale, rapid
Management for
emergencies and response and onset, or
Early Crisis
incidents recovery unpredictability
Response
stresses the public
Strengthen health system
Information Earliest possible Latest public health
Management activation and recommendations
management of and control measures Earliest possible
Strengthen
emergency quickly adopted or recovery and return
Countermeasures
operations adapted and of the public health
and Mitigation
implemented system to pre-
Strengthen Surge incident levels or
Management Timely improved functioning
communication of Reduced exposure to
Strengthen
risk and essential risk
Biosurveillance
elements of
information
Timely
implementation of
intervention and
control measures
Timely
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coordination and
support of response
activities with
partners
Earliest possible
identification and
investigation of an
incident
Continuous
learning and
improvements
contain real-time
feedback loop
i. Purpose
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions.
ii. Outcomes
Funded recipients are expected to achieve the following short-term outcomes during the period
of performance to create a better prepared nation for public health emergencies. These are the
bolded outcomes in the first column of outcomes in the logic model. Jurisdictions should be able
to accomplish:
• Prioritize public health services and resources sustained throughout all phases of
emergencies and incidents
• Earliest possible activation and management of emergency operations
• Timely communication of risk and essential elements of information
• Timely implementation of intervention and control measures
• Timely coordination and support of response activities with partners
• Earliest possible identification and investigation of an incident
• Continuous learning and improvements contain real-time feedback loop
iii. Strategies and Activities
Strengthen Community Resilience
CDC will use this NOFO for the timeframe necessary to respond to the specific emergency.
Public health needs that shift from a response mode to recovery (e.g., from epidemic to endemic)
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may be addressed by this or another CDC NOFO. This NOFO may be used to re-establish
capacity lost or diminished as a result of the public health crisis. Recipients should collaborate
with public and private community partners to characterize and address the needs of
jurisdictional at-risk populations related to PHEs. This includes evaluating available services and
developing long-term plans to address potential needs for these populations such as follow-up
medical care and behavioral health services with a deliberate focus on improving and advancing
health equity for all communities. Following are specific activities to consider.
• Identifying populations at risk including individuals with access and functional needs
• Including populations at-risk in updated response and recovery plans through
coordination with local leaders from organizations who have established relationships
with diverse communities
• Engaging representative partners from communities with diverse and at-risk populations
to participate in exercise plans and drills
• Identifying gaps identified in training, exercises or real-world events to improve
operations and identify public health needs of at-risk populations who are
disproportionally affected by PHEs.
• Conducting assessments such as: Hazard Vulnerability (HVA)/Risk Assessment,
Jurisdictional Risk Assessment (JRA), resource, supply chain
• Establishing public and private partnerships including community groups.
• Developing response plans that address community-specific needs, vulnerable
populations, and underserved communities including access and functional needs.
• Coordinating training and exercises and continuous quality improvement.
Strengthen Incident Management for Early Crisis Response
Recipients must maintain open lines of communication between state, tribal, and local health
agencies as well as CDC to ensure they are prepared to receive updated guidance and must be
able to revise their proposals and tailor their activities based on the nature and scope of the crisis,
and the updated supplemental guidance. Upon occurrence of a PHE and receipt of funding under
this NOFO, recipients that are not in an active response phase should begin accelerated crisis
planning by identifying and assembling, if not already in place, a public health emergency
response incident management structure (IMS) that includes subject matter experts (SMEs) best
suited for responding to the particular PHE. When recipients are in an active response phase, the
incident manager should ensure PHE response activities are coordinated across the response’s
functional areas, including those funded by CDC, HHS, and other federal grant programs,
including, but not limited to, CDC's Public Health Emergency Preparedness (PHEP) and
Epidemiology and Laboratory Capacity (ELC) cooperative agreements, where applicable.
Following are emergency operations coordination activities applicants should consider.
• Appoint a senior representative to coordinate PHE response efforts and lead activation
and continuation of IMS structure.
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• Test, exercise, refine, and implement comprehensive PHE response plans for the funded
emergency event.
• Manage the response to align with CDC guidance on emergencies and any supplemental
guidance related to a specified emergency.
• Review and implement jurisdictional PHE protocols.
• Assess current capacity and capability and determine decision-making processes and
authorities for necessary public health activities.
• Provide technical assistance to state, local and tribal health departments, as applicable, on
development of PHE response plans and assist in the identification of resources.
• Review and implement administrative preparedness plans to ensure emergency rapid
hiring and expedited contracting processes are in place.
• Organize regular meetings between the PHE response incident manager and the
jurisdiction’s preparedness and response partners, both traditional and nontraditional
partners, to discuss plans and current progress and to ensure broadly understood decision-
making processes are in place.
• Review, or develop if needed, an infectious disease preparedness and response plan for
the specific event and tailor as appropriate for its impact on their jurisdiction.
• Diversify the workforce to ensure representation from diverse communities.
• Identify a health equity officer or team to ensure diversity, equity, and inclusion
considerations are included in response plans.
• Stand up emergency operations center.
• Establish call centers.
• Conduct needs assessment.
• Prepare staffing contracts.
• Update response and recovery plans.
Strengthen Information Management
• Recipients must plan and coordinate critical information sharing among public health
agency staff and ensure coordination across governments. Jurisdictional governments
must work together as appropriate, with key partners, the public, health care and other
providers including, but not limited to, clinicians. This includes developing, coordinating,
and disseminating information, alerts, warnings, and notifications regarding risks and
self-protective measures to the public, particularly with at-risk and vulnerable
populations, and incident management responders. CDC suggests that jurisdictions
consider targeting at a minimum, the public, travelers, and clinicians when developing
the information sharing and risk communication messaging activities. Informing the
public about PHEs is a critical component of a response. Following are specific activities
to consider.
• As appropriate for the funded PHE, work with clinicians and other health care partners to
mitigate the impact of the PHEs including the implementation of processes that indicate
how health care providers in the jurisdiction can exchange information with electronic
public health case reporting systems, syndromic surveillance systems, or immunization
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registries according to the Centers for Medicare and Medicaid Services (CMS) Electronic
Health Record Incentive Program rules and any additional applicable federal standards
• Coordinate with CDC, jurisdictional public health officials, and other stakeholders to
ensure jurisdictional personnel have the most up-to-date information on the specific
emergency. If the health department is not responsible for key activities, the health
department should ensure that the IMS structure and plans include communication and
coordination with those other departments (e.g., with public health emergency
management officials for emergencies such as pandemic events, etc.).
• Initiate a communications campaign to raise public awareness of PHEs funded under this
NOFO. Primary messaging should focus on awareness and specific actions the public can
take to protect themselves. Work with key partners and stakeholders to coordinate
communication messages, products, and programs for affected communities, travelers,
and clinicians.
• Update scripts for jurisdictional call centers with specific PHE messaging, including
alerts, warnings, and notifications, relevant to the funded emergency and engage trusted
community representatives in developing the material to ensure messages are relevant
and accessible to diverse audience within the communities.
• Monitor local news stories and social media postings to determine if information is
accurate, identify messaging gaps, and adjust communications as needed.
• Contract with local vendors for translation, if needed, printing, signage, public
announcements development and dissemination.
Strengthen Countermeasures and Mitigation
Recipients should conduct activities that build and maintain access to and administration of
medical and nonmedical countermeasures for pharmaceutical and nonpharmaceutical
interventions and strengthen mitigation strategies. During and following an emergency, effective
care cannot be delivered without available staff and appropriate countermeasures. Accordingly,
managing access to and administration of countermeasures and ensuring the safety and health of
clinical and nonclinical personnel are high priorities for preparedness and continuity. Following
are specific activities that should be considered.
• Manage access to and administration of pharmaceutical and nonpharmaceutical
interventions, prioritizing communities disproportionately impacted by PHEs.
• Administer and coordinate control measures.
• Ensure safety and health of responders.
• Operationalize response plans.
Strengthen Surge Management
Recipients should focus on activities that strengthen their ability to support and manage
increased demands for services, expansions of public health functions, increases in
administrative management requirements, and other emergency response surge needs created by
an emergency or incident.
The following four activities are commonly used to manage public health surge:
• Address mass care needs, including shelter monitoring and services for people with
access and functional needs.
• Address surge needs, including family reunification.
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• Prevent or mitigate diseases, injuries, and fatalities with a particular focus on historically
underserved populations and those disproportionally impacted by PHEs, such as tribal
communities, racial and ethnic minorities, LGBTQ community, people living with
disabilities, and people experiencing homelessness.
Strengthen Biosurveillance
Review, update, and/or implement existing surveillance plans. Identify activities that require
participation from other governmental entities, such as local or neighboring health departments
and other stakeholders in the public health emergency management sector and local communities
to identify and address potential gaps for a specific event. Ensure that existing electronic disease
surveillance systems, laboratory response networks, and laboratory testing capability are up to
date. The following activities are commonly used to strengthen biosurveillance:
• Review, test or exercise, update and implement existing surveillance plans.
• Identify activities that require involving other governmental entities, such as local or
neighboring health departments and other stakeholders in the public health emergency
management sector to identify and address potential gaps for a specific event.
• Ensure that existing electronic disease surveillance systems, laboratory response
networks, and laboratory testing capability are up to date.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
1. Collaborations
a. With other CDC projects and CDC-funded organizations:
Recipients are required to collaborate with various CDC programs to ensure that activities and
funding are coordinated with, complementary of, and not duplicative of efforts supported under
other CDC grant programs such as PHEP and ELC. During any particular emergency funded
under this NOFO, recipients should collaborate closely with CDC incident management and
relevant subject matter experts as well as other organizations funded by CDC to address
emergency response. This includes neighboring states and other jurisdictional entities, tribes,
territories, partner organizations, and national partner organizations such as the Association of
Public Health Laboratories (APHL), the Association of State and Territorial Health Officials
(ASTHO), the Council of State and Territorial Epidemiologists (CSTE), and the National
Association of County and City Officials (NACCHO). Others to consider are local or regional
organizations such as vector control entities, clinical and other health care institutions, or
businesses such as supply vendors. For questions regarding collaborating with CDC, please
contact Program Official, Mark Davis (esz2@cdc.gov) for this NOFO.
b. With organizations not funded by CDC:
Recipients must collaborate with their jurisdictional laboratories, surveillance and epidemiology
leads, vector control programs, health care providers, blood safety organizations, and emergency
management partners or other relevant partners identified depending on the nature of the
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emergency. Recipients are encouraged to partner with other federal agencies and programs,
including but not limited to the Hospital Preparedness Program (HPP) administered by the HHS
Office of the Assistant Secretary for Preparedness and Response (ASPR), and other grants and
programs directed, managed, or supported by the Department of Homeland Security (DHS) and
other federal departments impacted or potentially impacted by the public health emergency for
which funds will be made available under this NOFO. In addition, collaborations with nonfederal
partners are essential in advancing health equity including, but not limited to, community-based
organizations, tribal and urban Indian organizations, and faith-based organizations.
2. Population(s) of Focus
This NOFO, including funding and eligibility, is not limited based on, and does not discriminate
on the basis of race, color, national origin, disability, age, sex (including gender identity, sexual
orientation, and pregnancy) or other constitutionally protected statuses.
a. Health Disparities
The goal of health equity is for everyone to have a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Broadly defined, social determinants of health are non-medical factors that influence health
outcomes. They are the conditions in which people are born, grow, work, live, and age, and the
wider set of forces and systems shaping the conditions of daily life. These forces (e.g., racism,
climate) and systems include economic policies and systems, development agendas, social
norms, social policies, and political systems. See content below and in other sections (e.g.,
Approach, Collaborations, Populations of Focus) for information on how this specific NOFO
affects social determinants of health.
A health disparity is a preventable difference in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged. Health disparities
are inextricably linked to a complex blend of social determinants that influence which
populations are most disproportionately affected by these diseases and conditions.
Applicants should have a plan to address health disparities and health equity by having
procedures in place to identify and be inclusive of populations with access and functional needs
that may be disproportionately impacted or have increased risk for various PHEs. This includes
but is not limited to populations with disabilities; non-English speaking or limited English
proficiency populations; people with limited health literacy; immunocompromised persons; older
adults; people with limited transportation; people experiencing homelessness; postpartum and
lactating women; pregnant women, children. Additionally, applicants should outline existing
strategies to address the needs of historically marginalized populations and populations that may
otherwise be overlooked by the program during PHEs including tribal communities, racial and
ethnic minority populations, and LGBTQ community.
See also Section iii, Strategies and Activities, Community Resilience, Information Management,
and Surge Management..
iv. Funding Strategy
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This NOFO is intended for applicants under section 317(a) of the Public Health Service Act (42
USC § 247(b)): states, political subdivisions of states, and other public entities. This NOFO is
designed to collect proposals from applicants eligible under section 317(a) of the Public Health
Service Act (42 USC § 247(b)). Applications will be subject to an objective merit review and
approved applications will be designated as “approved but unfunded” (ABU). The NOFO will
only be funded when a public health emergency (PHE) has occurred or is projected to impact the
U.S., and CDC decides to make awards under this NOFO for that specific emergency.
Depending on the nature of the emergency, specific applicants and specific components of their
applications may be selected for funding. These funding decisions will account for various
relevant factors such as geographic location of the emergency, expectations of spread (e.g., with
infectious disease- related emergencies), applicant’s capabilities, national priorities, impact of
the emergency on a jurisdiction, congressional language in the appropriation, etc. CDC’s ability
to understand the impact of the event on the approved applicant will facilitate the development
CDC supplemental guidance and funding strategies.
Since this NOFO is designed to collect applications prior to a PHE, applicants are encouraged to
submit work plans and budgets that demonstrate their ability to respond to a PHE. COVID-19
public health response plans, such as plans funded under CDC-RFA-TP18-1802 in 2020, are
acceptable for this purpose. If this NOFO is funded for a specific PHE, CDC will develop
supplemental guidance that outlines additional work plan and budget requirements tailored to the
emergency.
This NOFO provides funding for two components: Component A and Component B. Applicants
may be selected to receive initial funding for Component A to stand up emergency activities,
surge staffing, activate their EOCs, and conduct a needs assessment to determine the resources
needed to address the specific public health crisis. Component B will provide for tailored
emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Depending on
the unique needs and nature of the crisis, Components A and B can be issued independently or
simultaneously. In addition, if funded independently, either Component A or Component B may
include all six domains. Applicants are not expected to apply by component as components are
for the purpose of making awards. This NOFO will develop one ABU list, how each component
is time-based, and how funding decisions for Component B will be determined. Awards and
funding are subject to availability of funds. Award amounts may be established by population-
based formula or other criteria specified in the appropriations legislation.
Applicants that meet population requirements are listed in Attachment A. This announcement
will be open and continuous and remain on Grants.gov for new local and tribal applicants to
accommodate population changes over the application period.
b. Evaluation and Performance Measurement
i. CDC Evaluation and Performance Measurement Strategy
Evaluation and performance measurement help demonstrate achievement of program outcomes;
build a stronger evidence base for specific program strategies; clarify applicability of the
evidence base to different populations, settings, and contexts; and drive continuous program
improvement. Evaluation and performance measurement can also determine if program
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strategies are scalable and are effective at reaching target populations. CDC will use evaluation
findings and performance measures to demonstrate the value of this program and describe
effective implementation of the NOFO.
Evaluation and Performance Measure Strategy
Recipients will be responsible for data collection and reporting. Data collection and reporting
requirements will be limited to data that will be analyzed and used for program monitoring and
quality improvement. Recipients will submit to CDC the required data and other information
required under this NOFO. CDC will use these data and information to monitor indicators,
document progress, and generate feedback reports regarding program accomplishments related to
this NOFO.
At the core of the evaluation and performance measure strategy is a set of process measures and
program outputs to track implementation of the strategies and outcome measures to monitor
achievement of the outcomes expected in the performance period.
Process Measures and Outputs
The process measures for each strategy will based on the outputs presented in the logic model.
The component activities in each strategy are intended to lead to strong deliverables or outputs;
these, in turn, indicate that the strategy is being implemented successfully. The activities a
recipient conducts to address the strategies should be targeted to guidance related to achieve an
effective level of implementation to address the PHE. CDC has established a standard on which
to focus activities for the NOFO to produce the prioritized outcomes such as plans, trained
personnel, and equipment to respond to a PHE with funding from this mechanism.
Program Outputs
Recipient jurisdictions must have established, effective public health emergency management
programs across the six public health domains of the Public Health Emergency Preparedness and
Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health.
This funding depends upon expedited administrative preparedness in the event of an emergency
in these established programs. Evaluation for this NOFO will focus on the following response
elements of the preparedness cycle for each domain and funded capability:
• The development and updating of plans
• Personnel or access to personnel with requisite skills to implement plans
• Drills and exercises conducted to improve implementation of plans
• Necessary policies, processes, and equipment in place
Plans must be submitted to CDC upon request and made available during site visits. At the time
CDC implements this NOFO, it may issue a checklist for recipients that establishes which of the
response elements identified above will be included and which may be supplemented with
additional items as relevant to the response at the time of the emergency.
Process Measures: Outputs for Each Strategy that Align with PHEP Domains
As depicted in the logic model, each strategy is expected to produce key outputs. These outputs
serve as process measures, indicating that the strategy is being successfully implemented.
Following are outputs that jurisdictions may consider measuring:
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Strengthen Incident Management for Early Crisis Response:
• Emergency operation centers activated
• Incident management systems
• Continuity of operations (COOP) plans implemented
• Call centers established
• Needs assessments conducted
• Staffing contracts prepared
• Response plans operationalized
• Recovery plans operationalized
Strengthen Community Resilience:
• Assessments conducted, such as HVA/Risk, JRA, resource, supply chain
• Populations at risk identified
• Established public and private partnerships
• Response plans addressed community-specific needs and vulnerable populations
• Coordinated trainings and exercises and continuous quality improvement
Strengthen Information Management:
• Defined essential elements of information
• Risk communication systems initiated
• Risk communication materials developed
• Social media outlets monitored
• Trained risk communication staff
• Message and report templates created
Strengthen Countermeasures and Mitigation:
• Storage and distribution centers used
• Inventory management systems implemented
• Points of dispensing (PODs)/alternate nodes established
• Trained POD staff
• Personal protective equipment (PPE) made accessible
• Safety and “just in time” trainings conducted
Strengthen Surge Management:
• Electronic volunteer registry systems used
• Coordinated public health and health care agencies
• Population monitoring systems employed
• Implemented plans for crisis standards of care
Strengthen Biosurveillance:
• Electronic disease surveillance systems operationalized
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• Leveraged laboratory response networks
• Laboratory testing capability tested
• Integrated laboratory and epidemiology systems
Outcome Measures
In addition to evaluating the activities and outputs for response, CDC may also monitor
outcomes with measures specific to the PHE. CDC will provide additional information on
program and performance measure requirements when funding is made available for a specific
PHE. Examples may include but are not limited to:
Outcome: Earliest possible activation and management of emergency operations
• Program Measure: Percent of recipients that have reduced cycle time for contracting and
procurement during an incident (PHE)
o Recipient performance measure: Emergency procedures for allocating funds to
local jurisdictions, including tribal health departments, have been exercised
Outcome: Earliest possible identification and investigation of an incident
• Program Measure : Percent of recipients that meet reporting times for the specific PHE
funded under this NOFO
o Recipient Performance Measure: Percentage of selected reportable diseases
reports received by a public health agency within the recipient-required
timeframe.
• Program Measure : Percent of recipients that meet target response time for laboratory and
epidemiologic response activities required for this specific PHE.
o Recipient Performance Measure: Time to complete notification in both directions
between CDC and recipients.
Outcome: Timely implementation of intervention and control measures
• Program Measure : Percent of recipients that meet CDC-established target times to
initiate disease control methods for the specific PHE funded under this NOFO
o Recipient Performance Measure: Percentage of reports of the specific PHE under
this NOFO for which initial public health control measures were initiated within
the appropriate timeframe.
Outcome: Timely communication of risk and essential elements of information by partners
• Program Measure : Percent of recipients with identified vulnerable population partners in
place for risk communications
o Recipient Performance Measure: Number of partner organizations or community-
based organizations engaged in planning or response efforts
Outcome: Timely coordination and support of response activities with health care and other
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partners
• Program Measure : Percent of recipients that have executed their plans, processes, and
procedures to manage volunteers supporting an emergency or incident.
o Recipient Performance Measure: Plans, processes, and procedures that were
executed to achieve desired goals and objectives, as outlined in CDC’s updated
guidance, to manage volunteers who support an emergency or health incident.
• Program Measure : Percent of recipients that deploy volunteers within requested
timeframe.
o Recipient Performance Measure: Percentage of volunteers deployed to support the
specific public health emergency funded under this NOFO within requested
timeframe.
Additional measures may be developed in accordance with the actual PHE and will be provided
through supplemental guidance from CDC. Requirements for monitoring and reporting will also
be specified through supplemental guidance.
ii. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement,
including, as applicable to the award, how findings will contribute to reducing or
eliminating health disparities and inequities.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, and other relevant data information (e.g., performance measures proposed by the
applicant).
• How evaluation findings will be disseminated to communities and populations of interest
in a manner that is suitable to their needs.
• Plans for updating the Data Management Plan (DMP) as new pertinent information
becomes available. If applicable, throughout the lifecycle of the project. Updates to
DMP should be provided in annual progress reports. The DMP should provide a
description of the data that will be produced using these NOFO funds; access to data;
data standards ensuring released data have documentation describing methods of
collection, what the data represent, and data limitations; and archival and long-term data
preservation plans. For more information about CDC’s policy on the DMP, see
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
Where the applicant chooses to, or is expected to, take on specific evaluation studies, the
applicant should be directed to:
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• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan, including a DMP, if applicable, within the first 6 months of award, as described in the
Reporting Section of this NOFO.
Recipients may be required to submit a more detailed evaluation and performance measurement
plan, including a DMP, if applicable.
Applicants should develop their evaluation and performance measurement plans in concert with
CDC based on the nature of the event. These requirements will be specified by CDC in
supplemental, event-specific guidance.
c. Organizational Capacity of Recipients to Implement the Approach
Applicants must have existing and functional public health emergency management programs.
They must possess the organizational capacity and skills needed to implement the award during
both component phases A and B, including the capability to:
1. Monitor health status to identify community health problems;
2. Diagnose and investigate health problems and health hazards in the community;
3. Inform, educate, and empower people about health issues;
4. Mobilize community partnerships to identify and solve health problems;
5. Develop policies and plans that support individual and community health efforts;
6. Enforce laws and regulations that protect health and ensure safety;
7. Link people to needed personal health services and ensure the provision of health care
when otherwise unavailable;
8. Ensure a competent public health workforce;
9. Evaluate effectiveness, accessibility, and quality of population-based health services;
10. Adapt response activities based on new insights and develop innovative solutions to
health problems;
11. Implement and surge public health emergency management programs;
12. Identify and roster staff for incident management roles and response leadership;
13. Develop, execute, and revise program planning specific to an event;
14. Conduct program evaluation;
15. Conduct performance monitoring;
16. Conduct and submit financial reports;
17. Conduct budgeting, management, and administration activities;
18. Execute against administrative preparedness plans; and
19. Conduct personnel management activities.
In support of these capabilities, applicants must provide documentation of their capacity to
implement the required activities and provide information that:
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• Describes the organizational capacity and skills to implement a functional response to a
public health emergency, addressing public health emergency management, incident
management and response leadership, response planning, program evaluation,
performance monitoring, financial reporting, budget management and administration, and
personnel management.
• Describes existing organizational capacity, for example program and staffing
management; performance measurement, and evaluation systems; financial reporting
systems; communication, technological, and data systems required to implement the
activities of a response in an effective and expedited manner; physical infrastructure and
equipment; and workforce capacity, to successfully execute all proposed strategies and
activities based on the current described scenario.
• Describes the organizational capacity to manage partnerships with other state, tribal,
local, or territorial public health organizations in their jurisdictions to ensure a
coordinated response posture and execution.
• Depicts the current organizational chart for their public health emergency management
programs.
Recipients are expected to have the organizational capacity to:
(1) submit amended budgets within the timeframe specified in the funding guidance,
(2) meet spending and progress reporting requirements as established in supplemental guidance
for any awards made under this NOFO,
(3) rapidly procure equipment and services either through a General Services Administration
contract or other viable mechanism,
(4) rapidly hire or contract for temporary staffing, and
(5) execute contracts.
Acceptable documentation includes but is not limited to:
• letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting; and
• departmental organizational charts; or
• incident management structure organizational charts.
Organizational charts are required. Applicants should name the file 'Organizational Chart' and
upload the document as a pdf at www.grants.gov.
Applicants may describe their status in applying for public health department accreditation or
evidence of accreditation through the Public Health Accreditation Board (PHAB) or Project
Public Health Ready.
d. Work Plan
Planning Scenario: For planning purposes, applicants should develop their work plans to
address the public health preparedness and response capabilities required to respond to a scenario
involving an emerging infectious disease outbreak. CDC encourages applicants to submit their
crisis response fiscal year 2020 COVID-19 work plans and budgets to meet this requirement.
Work plans should address the initial response activities required for Component A, as well as
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the crisis-specific response activities required for Component B. Applicants should assume that
their current public health infrastructure and staff are unaffected and at working capacity. The
emerging infectious disease has multiple routes of transmission, a high attack and mortality rate,
and either a countermeasure, a pharmaceutical, a vector control, or an oral prophylaxes
component.
General Work Plan Guidance: Applicants must submit a high-level work plan that addresses
the proposed scenario, such as their COVID-19 public health response plans submitted to CDC
(or to a state health department) in the spring of 2020.
Applicants should review their existing public health emergency management program
capabilities and capacities and identify the areas that would be most likely to require surge
support. Applicants should use the domains, strategies, and activities within the logic model as
the basis for their work plan development.
• Applicants should provide at least one proposed output. The proposed output(s) should
directly relate to the expected results of completing the planned response activity.
Planned activities must be associated with functions or objectives related to the strategy.
• Applicants should provide subrecipient contracts, if applicable.
Component A Work Plan: This plan should address the first 120 days of incident command
capability and early crisis response activities for the emerging infectious disease planning
scenario and should include EOC activation, staffing contracts, needs assessments, accelerated
planning, and call center activation. Identified activities should describe specific actions that
support the completion of the domain activity. Applicants should explicitly identify what activity
will be completed and in what timeframe. These activities should lead to measurable outputs that
are linked to response activities and projected outcomes. Applicants are expected to aggregate
and document activities that support subrecipients.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19.
Applicant plans and activities related to Component A should be more developed and align with
the activities addressed in the logic model. Applicants will be able to revise their plans and
activities in their Component B work plans based on supplement guidance issued by CDC for an
identified PHE.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Component B Work Plan: Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
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Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
Depending on the unique needs and nature of the crisis, Components A and B can be issued
independently or simultaneously. In addition, if funded independently, either Component A or
Component B may include all six domains. Awards and funding are subject to availability of
funds.
After awards are made, recipients will be required to update their work plans and submit them to
CDC for review and approval. CDC will provide interim guidance documents and budget
summary forms to applicants within seven days of when funds are awarded. Applicants can use
the optional CDC work plan template to develop their plans.
e. CDC Monitoring and Accountability Approach
Monitoring activities include routine and ongoing communication between CDC and recipients,
site visits, and recipient reporting (including work plans, performance, and financial reporting).
Consistent with applicable grants regulations and policies, CDC expects the following to be
included in post-award monitoring for grants and cooperative agreements:
• Tracking recipient progress in achieving the desired outcomes.
• Ensuring the adequacy of recipient systems that underlie and generate data reports.
• Creating an environment that fosters integrity in program performance and results.
Monitoring may also include the following activities deemed necessary to monitor the award:
• Ensuring that work plans are feasible based on the budget and consistent with the intent
of the award.
• Ensuring that recipients are performing at a sufficient level to achieve outcomes within
stated timeframes.
• Working with recipients on adjusting the work plan based on achievement of outcomes,
evaluation results and changing budgets.
• Monitoring performance measures (both programmatic and financial) to assure
satisfactory performance levels.
Monitoring and reporting activities that assist grants management staff (e.g., grants management
officers and specialists, and project officers) in the identification, notification, and management
of high-risk recipients.
f. CDC Program Support to Recipients
In this cooperative agreement, CDC staff will be substantially involved in the program activities
above and beyond routine grant monitoring. CDC’s Division of State and Local Readiness
(DSLR) project officers and subject matter experts will work with other CDC subject matter
experts who may serve as technical monitors for specific activities, segments or aspects of a
specific PHE. DSLR will review or coordinate the review of applications to ensure activities are
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in scope and do not duplicate those funded by other CDC cooperative agreements. To assist
recipients in achieving the purpose of this award, CDC will conduct the following activities.
1. Provide ongoing guidance, programmatic support, training, and technical assistance as
related to activities outlined in this NOFO. Technical assistance resources include crisis
work plan and spend plan templates as needed.
2. Facilitate communication among recipients to advance the sharing of expertise on
response activities.
3. Coordinate planning and implementation activities with federal partners including the
Office of the Assistant Secretary for Preparedness and Response Department of
Homeland Security, and others based on the specific PHE.
B. Award Information
1. Funding Instrument Type:
CA (Cooperative Agreement)
CDC's substantial involvement in this program appears in the CDC Program Support to
Recipients Section.
2. Award Mechanism:
U90
Public Health Crisis Response Cooperative Agreement
3. Fiscal Year:
2023
4. Approximate Total Fiscal Year Funding:
$500,000,000
5. Total Period of Performance Funding:
$500,000,000
This amount is subject to the availability of funds.
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
Estimated Total Funding:
$500,000,000
6. Total Period of Performance Length:
5 year(s)
year(s)
7. Expected Number of Awards:
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113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
8. Approximate Average Award:
$5,000,000
Per Budget Period
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
9. Award Ceiling:
$5,000,000
Per Budget Period
This amount is subject to the availability of funds.
10. Award Floor:
$50,000
Per Budget Period
This amount is subject to the availability of funds.
11. Estimated Award Date:
March 01, 2024
12. Budget Period Length:
12 month(s)
Throughout the period of performance, CDC will continue the award based on the availability of
funds, the evidence of satisfactory progress by the recipient (as documented in required reports),
and the determination that continued funding is in the best interest of the federal government.
The total number of years for which federal support has been approved (period of performance)
will be shown in the “Notice of Award.” This information does not constitute a commitment by
the federal government to fund the entire period. The total period of performance comprises the
initial competitive segment and any subsequent non-competitive continuation award(s).
13. Direct Assistance
Direct Assistance (DA) is available through this NOFO.
Additional information about the availability of DA and how to request DA will be included in
supplemental guidance for the specific PHE.
If you are successful and receive a Notice of Award, in accepting the award, you agree that the
award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in
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effect or implemented during the period of the award, other Department regulations and policies
in effect at the time of the award, and applicable statutory provisions.
C. Eligibility Information
1. Eligible Applicants
Eligibility Category:
00 (State governments)
01 (County governments)
02 (City or township governments)
04 (Special district governments)
07 (Native American tribal governments (Federally recognized))
25 (Others (see text field entitled "Additional Information on Eligibility" for clarification))
2. Additional Information on Eligibility
This NOFO is intended for states, political subdivisions of states, and other public entities as
specified in section 317(a) of the Public Health Service Act (42 USC § 247(b)). It targets public
health organizations that serve state, tribal, local, and territorial populations and are
constitutionally empowered to protect the health and welfare of their respective communities,
focused on executing emergency preparedness and response services.
To demonstrate existing capacity for public health emergency management, applicants must
submit their response organizational charts and work plans. If these documents are not
submitted, the application will be considered non-responsive and will receive no further review.
Local government organizations or their bona fide agents must:
• Serve a county population of 2 million or more or serve a city population of 400,000 or
more. Populations for county and city jurisdictions are based on the following 2021 U.S.
Census resources:
o City and Town Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates of the Resident Population for Incorporated Places, Ranked by July 1,
2021, Population: April 1, 2020, to July 1, 2021
o County Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates for 2021
• Sources may be updated as census data change over time
Local jurisdictions that meet population requirements are listed in Attachment A.
Tribal governments or their bona fide agents must be federally recognized and:
• Serve a population of 50,000 or more.
CDC will reopen this announcement periodically over the five-year NOFO period to
accommodate population changes and ensure we maintain a current roster of eligible
jurisdictions for emergency response. Sources for future postings of this NOFO will be based on
the latest census data and may change over time.
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The anticipated dates for reposting are noted below. Applicants will have 60 days to submit an
application.
• July 31, 2023
• July 2024
• July 2025
• July 2026
3. Justification for Less than Maximum Competition
4. Cost Sharing or Matching
Cost Sharing / Matching Requirement:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
5. Maintenance of Effort
Maintenance of effort is not required for this program.
D. Application and Submission Information
1. Required Registrations
An organization must be registered at the three following locations before it can submit an
application for funding at www.grants.gov.
PLEASE NOTE: Effective April 4, 2022, applicants must have a Unique Entity Identifier
(UEI) at the time of application submission (SF-424, field 8c). The UEI is generated as part of
SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and
can view it in SAM.gov and Grants.gov. Additional information is available on the GSA website,
SAM.gov, and Grants.gov- Finding the UEI.
a. Unique Entity Identifier (UEI):
All applicant organizations must obtain a Unique Entity Identifier (UEI) number by registering
in SAM.gov prior to submitting an application. A UEI number is a unique twelve-digit
identification number assigned to the registering organization.
If funds are awarded to an applicant organization that includes sub-recipients, those sub-
recipients must provide their UEI numbers before accepting any funds.
b. System for Award Management (SAM):
The SAM is the primary registrant database for the federal government and the repository into
which an entity must submit information required to conduct business as a recipient. All
applicant organizations must register with SAM, and will be assigned a SAM number and a
Unique Entity Identifier (UEI). All information relevant to the SAM number must be current at
all times during which the applicant has an application under consideration for funding by CDC.
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If an award is made, the SAM information must be maintained until a final financial report is
submitted or the final payment is received, whichever is later. The SAM registration process can
require 10 or more business days, and registration must be renewed annually. Additional
information about registration procedures may be found at SAM.gov and the SAM.gov
Knowledge Base.
c. Grants.gov:
The first step in submitting an application online is registering your organization at
www.grants.gov, the official HHS E-grant Web site. Registration information is located at the
"Applicant Registration" option at www.grants.gov.
All applicant organizations must register at www.grants.gov. The one-time registration process
usually takes not more than five days to complete. Applicants should start the registration
process as early as possible.
Step S ystem Requirements Duration Follow Up
1. Go to SAM.gov and create an For SAM
Electronic Business Point of Customer
System for Contact (EBiz POC). You will Service
7-10 Business Days but may
Award need to have an active SAM Contact
1 take longer and must be
Management account before you can register https://fsd.gov/
renewed once a year
(SAM) on grants.gov). The UEI is fsd-gov/
generated as part of your home.do Calls:
registration. 866-606-8220
1. Set up an account in
Grants.gov, then add a profile
Allow at least one business
by adding the organization's
day (after you enter the EBiz
new UEI number. Register early!
POC name and EBiz POC
2. The EBiz POC can designate email in SAM) to receive a
2 Grants.gov Applicants can
user roles, including Authorized UEI (SAM) which will allow
register within
Organization Representative you to register with
minutes.
(AOR). Grants.gov and apply for
3. AOR is authorized to submit federal funding.
applications on behalf of the
organization in their workspace.
2. Request Application Package
Applicants may access the application package at www.grants.gov. Additional information
about applying for CDC grants and cooperative agreements can be found here:
https://www.cdc.gov/grants/applying/pre-award.html
3. Application Package
Applicants must download the SF-424, Application for Federal Assistance, package associated
with this notice of funding opportunity at www.grants.gov.
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4. Submission Dates and Times
If the application is not submitted by the deadline published in the NOFO, it will not be
processed. Office of Grants Services (OGS) personnel will notify the applicant that their
application did not meet the deadline. The applicant must receive pre-approval to submit a paper
application (see Other Submission Requirements section for additional details). If the applicant is
authorized to submit a paper application, it must be received by the deadline provided by OGS.
a. Letter of Intent Deadline (must be emailed)
Due Date for Letter Of Intent 02/05/2024
02/05/2024
b. Application Deadline
Due Date for Applications 02/05/2024
02/05/2024
11:59 pm U.S. Eastern Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive
applications, and circumstances preclude advance notification of an extension, then applications
must be submitted by the first business day on which Grants.gov operations resume.
Due Date for Information Conference Call
The conference call was held at 2 p.m. EST, Friday, January 14, 2022. Please send inquiries
regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov. Be sure to include the
NOFO number, TP22-2201, in the subject line of any inquiries.
5. Pre-Award Assessments
Risk Assessment Questionnaire Requirement
CDC is required to conduct pre-award risk assessments to determine the risk an applicant poses
to meeting federal programmatic and administrative requirements by taking into account issues
such as financial instability, insufficient management systems, non-compliance with award
conditions, the charging of unallowable costs, and inexperience. The risk assessment will include
an evaluation of the applicant’s CDC Risk Questionnaire, located at
https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, as well as a
review of the applicant’s history in all available systems; including OMB-designated repositories
of government-wide eligibility and financial integrity systems (see 45 CFR 75.205(a)), and other
sources of historical information. These systems include, but are not limited to: FAPIIS
(https://www.fapiis.gov/), including past performance on federal contracts as per Duncan Hunter
National Defense Authorization Act of 2009; Do Not Pay list; and System for Award
Management (SAM) exclusions.
CDC requires all applicants to complete the Risk Questionnaire, OMB Control Number 0920-
1132 annually. This questionnaire, which is located at
https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, along with
supporting documentation must be submitted with your application by the closing date of the
Notice of Funding Opportunity Announcement. If your organization has completed CDC’s Risk
Questionnaire within the past 12 months of the closing date of this NOFO, then you must submit
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a copy of that questionnaire, or submit a letter signed by the authorized organization
representative to include the original submission date, organization’s EIN and UEI.
When uploading supporting documentation for the Risk Questionnaire into this application
package, clearly label the documents for easy identification of the type of documentation. For
example, a copy of Procurement policy submitted in response to the questionnaire may be
labeled using the following format: Risk Questionnaire Supporting Documents _ Procurement
Policy.
Duplication of Efforts
Applicants are responsible for reporting if this application will result in programmatic,
budgetary, or commitment overlap with another application or award (i.e. grant, cooperative
agreement, or contract) submitted to another funding source in the same fiscal year.
Programmatic overlap occurs when (1) substantially the same project is proposed in more than
one application or is submitted to two or more funding sources for review and funding
consideration or (2) a specific objective and the project design for accomplishing the objective
are the same or closely related in two or more applications or awards, regardless of the funding
source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g.,
equipment, salaries) are requested in an application but already are provided by another source.
Commitment overlap occurs when an individual’s time commitment exceeds 100 percent,
whether or not salary support is requested in the application. Overlap, whether programmatic,
budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.
Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.
Report Submission: The applicant must upload the report in Grants.gov under “Other
Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary,
and Commitment Overlap.”
6. Content and Form of Application Submission
Applicants are required to include all of the following documents with their application package
at www.grants.gov.
7. Letter of Intent
LOI not required.
8. Table of Contents
(There is no page limit. The table of contents is not included in the project narrative page limit.):
The applicant must provide, as a separate attachment, the “Table of Contents” for the entire
submission package.
Provide a detailed table of contents for the entire submission package that includes all of the
documents in the application and headings in the "Project Narrative" section. Name the file
"Table of Contents" and upload it as a PDF, Word, or Excel file format under "Other Attachment
Forms" at www.grants.gov.
9. Project Abstract Summary
A project abstract is included on the mandatory documents list and must be submitted at
www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed
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project including the purpose and outcomes. This summary must not include any proprietary or
confidential information. Applicants must enter the summary in the "Project Abstract Summary"
text box at www.grants.gov.
10. Project Narrative
(Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12
point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the
specified page number will not be reviewed.)
Applicants must submit a Project Narrative with the application forms. Applicants must name
this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include
all of the following headings (including subheadings): Background, Approach, Applicant
Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to
Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-
explanatory, and in the order outlined in this section. It must address outcomes and activities to
be conducted over the entire period of performance as identified in the CDC Project Description
section. Applicants should use the federal plain language guidelines and Clear Communication
Index to respond to this Notice of Funding Opportunity. Note that recipients should also use
these tools when creating public communication materials supported by this NOFO. Failure to
follow the guidance and format may negatively impact scoring of the application.
a. Background
Applicants must provide a description of relevant background information that includes the
context of the problem (See CDC Background).
b. Approach
i. Purpose
Applicants must describe in 2-3 sentences specifically how their application will address the
public health problem as described in the CDC Background section.
ii. Outcomes
Applicants must clearly identify the outcomes they expect to achieve by the end of the period of
performance, as identified in the logic model in the Approach section of the CDC Project
Description. Outcomes are the results that the program intends to achieve and usually indicate
the intended direction of change (e.g., increase, decrease).
iii. Strategies and Activities
Applicants must provide a clear and concise description of the strategies and activities they will
use to achieve the period of performance outcomes. Applicants must select existing evidence-
based strategies that meet their needs, or describe in the Applicant Evaluation and Performance
Measurement Plan how these strategies will be evaluated over the course of the period of
performance. See the Strategies and Activities section of the CDC Project Description.
1. Collaborations
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Applicants must describe how they will collaborate with programs and organizations either
internal or external to CDC. Applicants must address the Collaboration requirements as
described in the CDC Project Description.
2. Population(s) of Focus and Health Disparities
Applicants must describe the specific population(s) of focus in their jurisdiction and explain how
to achieve the goals of the award and/or alleviate health disparities. The applicants must also
address how they will include specific populations that can benefit from the program that is
described in the Approach section. Applicants must address the Population(s) of Focus and
Health Disparities requirements as described in the CDC Project Description, including (as
applicable to this award) how to address health disparities in the design and implementation of
the proposed program activities.
c. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement. The
Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities
involving information collections (e.g., surveys, questionnaires, applications, audits, data
requests, reporting, recordkeeping and disclosure requirements) from 10 or more
individuals or non-Federal entities, including State and local governmental agencies, and
funded or sponsored by the Federal Government are subject to review and approval by
the Office of Management and Budget. For further information about CDC’s
requirements under PRA see
https://www.cdc.gov/os/integrity/reducepublicburden/index.htm.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, data management plan (DMP), and other relevant data information (e.g.,
performance measures proposed by the applicant).
Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should
be directed to:
• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan (including the DMP elements) within the first 6 months of award, as described in the
Reporting Section of this NOFO.
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d. Organizational Capacity of Applicants to Implement the Approach
Applicants must address the organizational capacity requirements as described in the CDC
Project Description.
11. Work Plan
(Included in the Project Narrative’s page limit)
Applicants must prepare a work plan consistent with the CDC Project Description Work Plan
section. The work plan integrates and delineates more specifically how the recipient plans to
carry out achieving the period of performance outcomes, strategies and activities, evaluation and
performance measurement.
12. Budget Narrative
Applicants must submit an itemized budget narrative. When developing the budget narrative,
applicants must consider whether the proposed budget is reasonable and consistent with the
purpose, outcomes, and program strategy outlined in the project narrative. The budget must
include:
• Salaries and wages
• Fringe benefits
• Consultant costs
• Equipment
• Supplies
• Travel
• Other categories
• Contractual costs
• Total Direct costs
• Total Indirect costs
Indirect costs could include the cost of collecting, managing, sharing and preserving data.
Indirect costs on grants awarded to foreign organizations and foreign public entities and
performed fully outside of the territorial limits of the U.S. may be paid to support the costs of
compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of
tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000.
Negotiated indirect costs may be paid to the American University, Beirut, and the World Health
Organization.
If applicable and consistent with the cited statutory authority for this announcement, applicant
entities may use funds for activities as they relate to the intent of this NOFO to meet national
standards or seek health department accreditation or reaccreditation through the Public Health
Accreditation Board (see: http://www.phaboard.org). Applicant entities to whom this provision
applies include state, local, territorial governments (including the District of Columbia, the
Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna
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Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the
Marshall Islands, and the Republic of Palau), or their bona fide agents, political subdivisions of
states (in consultation with states), federally recognized or state-recognized American Indian or
Alaska Native tribal governments, and American Indian or Alaska Native tribally designated
organizations. Activities include those that enable a public health organization to deliver
essential public health services and ensure foundational capabilities are in place, such as
activities that ensure a capable and qualified workforce, strengthen information systems and
organizational competencies, build attention to equity, and advance the capability to assess and
respond to public health needs. Use of these funds must focus on achieving a minimum of one
national standard that supports the intent of the NOFO. Proposed activities must be included in
the budget narrative and must indicate which standards will be addressed.
Vital records data, including births and deaths, are used to inform public health program and
policy decisions. If applicable and consistent with the cited statutory authority for this NOFO,
applicant entities are encouraged to collaborate with and support their jurisdiction’s vital records
office (VRO) to improve vital records data timeliness, quality and access, and to advance public
health goals. Recipients may, for example, use funds to support efforts to build VRO capacity
through partnerships; provide technical and/or financial assistance to improve vital records
timeliness, quality or access; or support vital records improvement efforts, as approved by CDC.
Applicants must name this file “Budget Narrative” and can upload it as a PDF, Word, or Excel
file format at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect
cost-rate agreement is required. If the indirect costs are requested, include a copy of the current
negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for those
Recipients under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it
at www.grants.gov.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19. Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
13. Funds Tracking
Proper fiscal oversight is critical to maintaining public trust in the stewardship of federal funds.
Effective October 1, 2013, a new HHS policy on subaccounts requires the CDC to set up
payment subaccounts within the Payment Management System (PMS) for all new grant awards.
Funds awarded in support of approved activities and drawdown instructions will be identified on
the Notice of Award in a newly established PMS subaccount (P subaccount). Recipients will be
required to draw down funds from award-specific accounts in the PMS. Ultimately, the
subaccounts will provide recipients and CDC a more detailed and precise understanding of
financial transactions. The successful applicant will be required to track funds by P-accounts/sub
accounts for each project/cooperative agreement awarded. Applicants are encouraged to
demonstrate a record of fiscal responsibility and the ability to provide sufficient and effective
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oversight. Financial management systems must meet the requirements as described 45 CFR 75
which include, but are not limited to, the following:
• Records that identify adequately the source and application of funds for federally-funded
activities.
• Effective control over, and accountability for, all funds, property, and other assets.
• Comparison of expenditures with budget amounts for each Federal award.
• Written procedures to implement payment requirements.
• Written procedures for determining cost allowability.
• Written procedures for financial reporting and monitoring.
14. Employee Whistleblower Rights and Protections
Employee Whistleblower Rights and Protections: All recipients of an award under this NOFO
will be subject to a term and condition that applies the requirements set out in 41 U.S.C. § 4712,
“Enhancement of contractor protection from reprisal for disclosure of certain information” and
48 Code of Federal Regulations (CFR) section 3.9 to the award, which includes a requirement
that recipients and subrecipients inform employees in writing (in the predominant native
language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. §
4712. For more information see: https://oig.hhs.gov/fraud/whistleblower/.
15. Copyright Interests Provisions
This provision is intended to ensure that the public has access to the results and accomplishments
of public health activities funded by CDC. Pursuant to applicable grant regulations and CDC’s
Public Access Policy, Recipient agrees to submit into the National Institutes of Health (NIH)
Manuscript Submission (NIHMS) system an electronic version of the final, peer-reviewed
manuscript of any such work developed under this award upon acceptance for publication, to be
made publicly available no later than 12 months after the official date of publication. Also at the
time of submission, Recipient and/or the Recipient’s submitting author must specify the date the
final manuscript will be publicly accessible through PubMed Central (PMC). Recipient and/or
Recipient’s submitting author must also post the manuscript through PMC within twelve (12)
months of the publisher's official date of final publication; however the author is strongly
encouraged to make the subject manuscript available as soon as possible. The recipient must
obtain prior approval from the CDC for any exception to this provision.
The author's final, peer-reviewed manuscript is defined as the final version accepted for journal
publication, and includes all modifications from the publishing peer review process, and all
graphics and supplemental material associated with the article. Recipient and its submitting
authors working under this award are responsible for ensuring that any publishing or copyright
agreements concerning submitted articles reserve adequate right to fully comply with this
provision and the license reserved by CDC. The manuscript will be hosted in both PMC and the
CDC Stacks institutional repository system. In progress reports for this award, recipient must
identify publications subject to the CDC Public Access Policy by using the applicable NIHMS
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identification number for up to three (3) months after the publication date and the PubMed
Central identification number (PMCID) thereafter.
16. Funding Restrictions
Restrictions that must be considered while planning the programs and writing the budget are:
• Recipients may not use funds for research.
• Recipients may not use funds for clinical care except as allowed by law.
• Recipients may use funds only for reasonable program purposes, including personnel,
travel, supplies, and services.
• Generally, recipients may not use funds to purchase furniture or equipment. Any such
proposed spending must be clearly identified in the budget.
• Reimbursement of pre-award costs generally is not allowed, unless the CDC provides
written approval to the recipient.
• Other than for normal and recognized executive-legislative relationships, no funds may
be used for:
o publicity or propaganda purposes, for the preparation, distribution, or use of any
material designed to support or defeat the enactment of legislation before any
legislative body
o the salary or expenses of any grant or contract recipient, or agent acting for such
recipient, related to any activity designed to influence the enactment of
legislation, appropriations, regulation, administrative action, or Executive order
proposed or pending before any legislative body
• See Additional Requirement (AR) 12 for detailed guidance on this prohibition and
additional guidance on anti-lobbying restrictions for CDC recipients.
• The direct and primary recipient in a cooperative agreement program must perform a
substantial role in carrying out project outcomes and not merely serve as a conduit for an
award to another party or provider who is ineligible.
17. Data Management Plan
As identified in the Evaluation and Performance Measurement section, applications involving
data collection or generation must include a Data Management Plan (DMP) as part of their
evaluation and performance measurement plan unless CDC has stated that CDC will take on the
responsibility of creating the DMP. The DMP describes plans for assurance of the quality of the
public health data through the data's lifecycle and plans to deposit the data in a repository to
preserve and to make the data accessible in a timely manner. See web link for additional
information:
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
18. Other Submission Requirements
a. Electronic Submission:
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Applications must be submitted electronically by using the forms and instructions posted for this
notice of funding opportunity at www.grants.gov. Applicants can complete the application
package using Workspace, which allows forms to be filled out online or offline. Application
attachments can be submitted using PDF, Word, or Excel file formats. Instructions and training
for using Workspace can be found at www.grants.gov under the "Workspace Overview" option.
b. Tracking Number: Applications submitted through www.grants.gov are time/date stamped
electronically and assigned a tracking number. The applicant’s Authorized Organization
Representative (AOR) will be sent an e-mail notice of receipt when www.grants.gov receives the
application. The tracking number documents that the application has been submitted and initiates
the required electronic validation process before the application is made available to CDC.
c. Validation Process: Application submission is not concluded until the validation process is
completed successfully. After the application package is submitted, the applicant will receive a
“submission receipt” e-mail generated by www.grants.gov. A second e-mail message to
applicants will then be generated by www.grants.gov that will either validate or reject the
submitted application package. This validation process may take as long as two business days.
Applicants are strongly encouraged to check the status of their application to ensure that
submission of their package has been completed and no submission errors have occurred.
Applicants also are strongly encouraged to allocate ample time for filing to guarantee that their
application can be submitted and validated by the deadline published in the NOFO. Non-
validated applications will not be accepted after the published application deadline date.
If you do not receive a “validation” e-mail within two business days of application submission,
please contact www.grants.gov. For instructions on how to track your application, refer to the e-
mail message generated at the time of application submission or review the Applicants section on
www.grants.gov.
d. Technical Difficulties: If technical difficulties are encountered at www.grants.gov, applicants
should contact Customer Service at www.grants.gov. The www.grants.gov Contact Center is
available 24 hours a day, 7 days a week, except federal holidays. The Contact Center is available
by phone at 1-800-518-4726 or by e-mail at support@grants.gov. Application submissions sent
by e-mail or fax, or on CDs or thumb drives will not be accepted. Please note that
www.grants.gov is managed by HHS.
e. Paper Submission: If technical difficulties are encountered at www.grants.gov, applicants
should call the www.grants.gov Contact Center at 1-800-518-4726 or e-mail them at
support@grants.gov for assistance. After consulting with the Contact Center, if the technical
difficulties remain unresolved and electronic submission is not possible, applicants may e-mail
CDC GMO/GMS, before the deadline, and request permission to submit a paper application.
Such requests are handled on a case-by-case basis.
An applicant’s request for permission to submit a paper application must:
1. Include the www.grants.gov case number assigned to the inquiry
2. Describe the difficulties that prevent electronic submission and the efforts taken with the
www.grants.gov Contact Center to submit electronically; and
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3. Be received via e-mail to the GMS/GMO listed below at least three calendar days before
the application deadline. Paper applications submitted without prior approval will not be
considered.
If a paper application is authorized, OGS will advise the applicant of specific instructions
for submitting the application via email.
E. Review and Selection Process
1. Review and Selection Process: Applications will be reviewed in three phases
a. Phase 1 Review
All applications will be initially reviewed for eligibility and completeness by CDC Office of
Grants Services. Complete applications will be reviewed for responsiveness by the Grants
Management Officials and Program Officials. Non-responsive applications will not advance to
Phase II review. Applicants will be notified that their applications did not meet eligibility and/or
published submission requirements.
b. Phase II Review
A review panel will evaluate complete, eligible applications in accordance with the criteria
below.
i. Approach
ii. Evaluation and Performance Measurement
iii. Applicant’s Organizational Capacity to Implement the Approach
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
i. Approach Maximum Points: 33
An objective review process will evaluate complete, eligible applications in accordance with the
criteria below. Complete applications should respond to elements in both components A and B.
Identification of gaps:
• To what extent does the work plan identify and quantify existing operational gaps and the
root cause of the gaps to be addressed?
• For each identified topic area, to what extent has the applicant included estimated
timelines for completion of all performance and work plan activities as well as obligation
and liquidation of funds within the budget and project period? Timelines should be
consistent with cycle times identified in recipient jurisdiction’s current HPP-PHEP
administrative preparedness plan.
ii. Evaluation and Performance Measurement Maximum Points: 33
• For each identified topic area, to what extent does the expected outcomes align with
successfully addressing the problem or gap? What evidence is provided that any expected
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changes or improvements to the public health or to the community, such as awareness,
knowledge, attitudes, skills, opinion, behavior, policies, or health improvement, will be
demonstrated during the period of performance?
• To what extent does the evidence provided demonstrate that the activities, deliverables
(outputs), and outcomes can be achieved during the period of performance?
iii. Applicant's Organizational Capacity to Implement the
Maximum Points: 34
Approach
• To what extent does the applicant demonstrate the organizational capacity and skills to
implement a functional response to a public health emergency, addressing public health
emergency management, incident management and response leadership, response
planning, program evaluation, performance monitoring, financial reporting, budget
management and administration, and personnel management?
• To what extent does the applicant demonstrate experience and capacity to implement the
evaluation plan?
• To what extent has the applicant included an organizational chart?
Budget Maximum Points: 0
To what extent is the proposed budget adequately justified and consistent with this program
announcement and the applicant’s proposed activities? Is the itemized budget for conducting the
project and justification reasonable and consistent with stated objectives and planned program
activities?
c. Phase III Review
CDC’s Office of Grant Services will review applications for eligibility and responsiveness
criteria. An objective review will be conducted to recommend approval.
Review of risk posed by applicants.
Prior to making a Federal award, CDC is required by 31 U.S.C. 3321 and 41 U.S.C. 2313 to
review information available through any OMB-designated repositories of government-wide
eligibility qualification or financial integrity information as appropriate. See also suspension and
debarment requirements at 2 CFR parts 180 and 376.
In accordance 41 U.S.C. 2313, CDC is required to review the non-public segment of the OMB-
designated integrity and performance system accessible through SAM (currently the Federal
Recipient Performance and Integrity Information System (FAPIIS)) prior to making a Federal
award where the Federal share is expected to exceed the simplified acquisition threshold, defined
in 41 U.S.C. 134, over the period of performance. At a minimum, the information in the system
for a prior Federal award recipient must demonstrate a satisfactory record of executing programs
or activities under Federal grants, cooperative agreements, or procurement awards; and integrity
and business ethics. CDC may make a Federal award to a recipient who does not fully meet these
standards, if it is determined that the information is not relevant to the current Federal award
under consideration or there are specific conditions that can appropriately mitigate the effects of
the non-Federal entity's risk in accordance with 45 CFR §75.207.
CDC’s framework for evaluating the risks posed by an applicant may incorporate results of the
evaluation of the applicant's eligibility or the quality of its application. If it is determined that a
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Federal award will be made, special conditions that correspond to the degree of risk assessed
may be applied to the Federal award. The evaluation criteria is described in this Notice of
Funding Opportunity.
In evaluating risks posed by applicants, CDC will use a risk-based approach and may consider
any items such as the following:
(1) Financial stability;
(2) Quality of management systems and ability to meet the management standards prescribed in
this part;
(3) History of performance. The applicant's record in managing Federal awards, if it is a prior
recipient of Federal awards, including timeliness of compliance with applicable reporting
requirements, conformance to the terms and conditions of previous Federal awards, and if
applicable, the extent to which any previously awarded amounts will be expended prior to future
awards;
(4) Reports and findings from audits performed under subpart F 45 CFR 75 or the reports and
findings of any other available audits; and
(5) The applicant's ability to effectively implement statutory, regulatory, or other requirements
imposed on non-Federal entities.
CDC must comply with the guidelines on government-wide suspension and debarment in 2 CFR
part 180, and require non-Federal entities to comply with these provisions. These provisions
restrict Federal awards, subawards and contracts with certain parties that are debarred, suspended
or otherwise excluded from or ineligible for participation in Federal programs or activities.
2. Announcement and Anticipated Award Dates
October 31, 2022
F. Award Administration Information
1. Award Notices
Recipients will receive an electronic copy of the Notice of Award (NOA) from CDC OGS. The
NOA shall be the only binding, authorizing document between the recipient and CDC. The
NOA will be signed by an authorized GMO and emailed to the Recipient Business Officer listed
in application and the Program Director.
Any applicant awarded funds in response to this Notice of Funding Opportunity will be subject
to annual SAM Registration and Federal Funding Accountability And Transparency Act Of 2006
(FFATA) requirements.
Unsuccessful applicants will receive notification of these results by e-mail with delivery receipt.
2. Administrative and National Policy Requirements
Recipients must comply with the administrative and public policy requirements outlined in 45
CFR Part 75 and the HHS Grants Policy Statement, as appropriate.
Brief descriptions of relevant provisions are available at https://www.cdc.gov/grants/additional-
requirements/index.html.
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The HHS Grants Policy Statement is available at
http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
The full text of the Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for HHS Awards, 45 CFR 75, can be found at: https://www.ecfr.gov/cgi-bin/text-
idx?node=pt45.1.75
Should you successfully compete for an award, recipients of federal financial assistance (FFA)
from HHS will be required to complete an HHS Assurance of Compliance form (HHS 690) in
which you agree, as a condition of receiving the grant, to administer your programs in
compliance with federal civil rights laws that prohibit discrimination on the basis of race, color,
national origin, age, sex and disability, and agreeing to comply with federal conscience laws,
where applicable. This includes ensuring that entities take meaningful steps to provide
meaningful access to persons with limited English proficiency; and ensuring effective
communication with persons with disabilities. Where applicable, Title XI and Section 1557
prohibit discrimination on the basis of sexual orientation, and gender identity. The HHS Office
for Civil Rights provides guidance on complying with civil rights laws enforced by HHS. See
https://www.hhs.gov/civil-rights/for-providers/provider- obligations/index.html and
https://www.hhs.gov/civil-rights/for- individuals/nondiscrimination/index.html.
• For guidance on meeting your legal obligation to take reasonable steps to ensure
meaningful access to your programs or activities by limited English proficient
individuals, see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-
english-proficiency/fact-sheet-guidance/index.html and https://www.lep.gov.
• For information on your specific legal obligations for serving qualified individuals with
disabilities, including providing program access, reasonable modifications, and to provide
effective communication, see
http://www.hhs.gov/ocr/civilrights/understanding/disability/index.html.
• HHS funded health and education programs must be administered in an environment free
of sexual harassment, see https://www.hhs.gov/civil-rights/for-individuals/sex-
discrimination/index.html.
• For guidance on administering your project in compliance with applicable federal
religious nondiscrimination laws and applicable federal conscience protection and
associated anti-discrimination laws, see https://www.hhs.gov/conscience/conscience-
protections/index.html and https://www.hhs.gov/conscience/religious-
freedom/index.html.
3. Reporting
Reporting provides continuous program monitoring and identifies successes and challenges that
recipients encounter throughout the period of performance. Also, reporting is a requirement for
recipients who want to apply for yearly continuation of funding. Reporting helps CDC and
recipients because it:
• Helps target support to recipients;
• Provides CDC with periodic data to monitor recipient progress toward meeting the Notice
of Funding Opportunity outcomes and overall performance;
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• Allows CDC to track performance measures and evaluation findings for continuous
quality and program improvement throughout the period of performance 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 NOFO.
The table below summarizes required and optional reports. All required reports must be sent
electronically to GMS listed in the “Agency Contacts” section of the NOFO copying the CDC
Project Officer.
Report When? Required?
Recipient Evaluation and 6 months into award Yes
Performance Measurement
Plan, including Data
Management Plan (DMP)
Annual Performance Report No later than 120 days before Yes
(APR) end of budget period. Serves as
yearly continuation application.
Data on Performance Measures CDC program determines. Only No
if program wants more frequent
performance measure reporting
than annually in APR.
Federal Financial Reporting 90 days after the end of the budget period Yes
Forms
Final Performance and 90 days after end of period of performance Yes
Financial Report
Payment Management System Quarterly reports due January Yes
(PMS) Reporting 30; April 30; July
30; and October 30
Additional reporting requirements will be determined once the funding is issued.
a. Recipient Evaluation and Performance Measurement Plan (required)
With support from CDC, recipients must elaborate on their initial applicant evaluation and
performance measurement plan. This plan must be no more than 20 pages; recipients must
submit the plan 6 months into the award. HHS/CDC will review and approve the recipient’s
monitoring and evaluation plan to ensure that it is appropriate for the activities to be undertaken
as part of the agreement, for compliance with the monitoring and evaluation guidance established
by HHS/CDC, or other guidance otherwise applicable to this Agreement.
Recipient Evaluation and Performance Measurement Plan (required): This plan should provide
additional detail on the following:
Performance Measurement
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• Performance measures and targets
• The frequency that performance data are to be collected.
• How performance data will be reported.
• How quality of performance data will be assured.
• How performance measurement will yield findings to demonstrate progress towards achieving
NOFO goals (e.g., reaching specific populations or achieving expected outcomes).
• Dissemination channels and audiences.
• Other information requested as determined by the CDC program.
Evaluation
• The types of evaluations to be conducted (e.g. process or outcome evaluations).
• The frequency that evaluations will be conducted.
• How evaluation reports will be published on a publicly available website.
• How evaluation findings will be used to ensure continuous quality and program improvement.
• How evaluation will yield findings to demonstrate the value of the NOFO (e.g., effect on
improving public health outcomes, effectiveness of NOFO, cost-effectiveness or cost-benefit).
• Dissemination channels and audiences.
HHS/CDC or its designee will also undertake monitoring and evaluation of the defined activities
within the agreement. The recipient must ensure reasonable access by HHS/CDC or its designee
to all necessary sites, documentation, individuals and information to monitor, evaluate and verify
the appropriate implementation the activities and use of HHS/CDC funding under this
Agreement.
b. Annual Performance Report (APR) (required)
The recipient must submit the APR via www.Grantsolutions.gov no later than 120 days prior to
the end of the budget period. This 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: Recipients must report on performance measures for each
budget period and update measures, if needed.
• Evaluation Results: Recipients must report evaluation results for the work completed to
date (including findings from process or outcome evaluations).
• Work Plan: Recipients must update work plan each budget period to reflect any changes
in period of performance outcomes, activities, timeline, etc.
• Successes
o Recipients must report progress on completing activities and progress towards
achieving the period of performance outcomes described in the logic model and
work plan.
o Recipients must describe any additional successes (e.g. identified through
evaluation results or lessons learned) achieved in the past year.
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o Recipients must describe success stories.
• Challenges
o Recipients must describe any challenges that hindered or might hinder their
ability to complete the work plan activities and achieve the period of performance
outcomes.
o Recipients must describe any additional challenges (e.g., identified through
evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Recipients
o Recipients must describe how CDC could help them overcome challenges to
complete activities in the work plan and achieving period of performance
outcomes.
• Administrative Reporting (No page limit)
o SF-424A Budget Information-Non-Construction Programs.
o Budget Narrative – Must use the format outlined in "Content and Form of
Application Submission, Budget Narrative" section.
o Indirect Cost Rate Agreement.
The recipients must submit the Annual Performance Report via www.Grantsolutions.gov no
later than 120 days prior to the end of the budget period.
c. Performance Measure Reporting (optional)
CDC programs may require more frequent reporting of performance measures than annually in
the APR. If this is the case, CDC programs must specify reporting frequency, data fields, and
format for recipients at the beginning of the award period.
d. Federal Financial Reporting (FFR) (required)
The annual FFR form (SF-425) is required and must be submitted 90 days after the end of the
budget period through the Payment Management System (PMS). The report must include only
those funds authorized and disbursed during the timeframe covered by the report. The final FFR
must indicate the exact balance of unobligated funds, and may not reflect any unliquidated
obligations. There must be no discrepancies between the final FFR expenditure data and the
Payment Management System’s (PMS) cash transaction data. Failure to submit the required
information by the due date may adversely affect the future funding of the project. If the
information cannot be provided by the due date, recipients are required to submit a letter of
explanation to OGS and include the date by which the Grants Officer will receive information.
e. Final Performance and Financial Report (required)
The Final Performance Report is due 90 days after the end of the period of performance. The
Final FFR is due 90 days after the end of the period of performance and must be submitted
through the Payment Management System (PMS). CDC programs must indicate that this report
should not exceed 40 pages. This report covers the entire period of performance and can include
information previously reported in APRs. At a minimum, this report must include the following:
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• Performance Measures – Recipients must report final performance data for all process
and outcome performance measures.
• Evaluation Results – Recipients must report final evaluation results for the period of
performance for any evaluations conducted.
• Impact/Results/Success Stories – Recipients must use their performance measure results
and their evaluation findings to describe the effects or results of the work completed over
the period of performance, and can include some success stories.
• A final Data Management Plan that includes the location of the data collected during the
funded period, for example, repository name and link data set(s)
• Additional forms as described in the Notice of Award (e.g., Equipment Inventory Report,
Final Invention Statement).
4. Federal Funding Accountability and Transparency Act of 2006 (FFATA)
Federal Funding Accountability and Transparency Act of 2006 (FFATA), P.L. 109–282, as
amended by section 6202 of P.L. 110–252 requires full disclosure of all entities and
organizations receiving Federal funds including awards, contracts, loans, other assistance, and
payments through a single publicly accessible Web site, http://www.USASpending.gov.
Compliance with this law is primarily the responsibility of the Federal agency. However, two
elements of the law require information to be collected and reported by applicants: 1)
information on executive compensation when not already reported through the SAM, and 2)
similar information on all sub-awards/subcontracts/consortiums over $30,000.
For the full text of the requirements under the FFATA and HHS guidelines, go to:
• https://www.gpo.gov/fdsys/pkg/PLAW-109publ282/pdf/PLAW-109publ282.pdf,
• https://www. fsrs.gov/documents /ffata_legislation_ 110_252.pdf
• http://www.hhs.gov/grants/grants/grants-policies-regulations/index.html#FFATA.
5. Reporting of Foreign Taxes (International/Foreign projects only)
A. Valued Added Tax (VAT) and Customs Duties – Customs and import duties, consular fees,
customs surtax, valued added taxes, and other related charges are hereby authorized as an
allowable cost for costs incurred for non-host governmental entities operating where no
applicable tax exemption exists. This waiver does not apply to countries where a bilateral
agreement (or similar legal document) is already in place providing applicable tax exemptions
and it is not applicable to Ministries of Health. Successful applicants will receive information on
VAT requirements via their Notice of Award.
B. The U.S. Department of State requires that agencies collect and report information on the
amount of taxes assessed, reimbursed and not reimbursed by a foreign government against
commodities financed with funds appropriated by the U.S. Department of State, Foreign
Operations and Related Programs Appropriations Act (SFOAA) (“United States foreign
assistance funds”). Outlined below are the specifics of this requirement:
1) Annual Report: The recipient must submit a report on or before November 16 for each foreign
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country on the amount of foreign taxes charged, as of September 30 of the same year, by a
foreign government on commodity purchase transactions valued at 500 USD or more financed
with United States foreign assistance funds under this grant during the prior United States fiscal
year (October 1 – September 30), and the amount reimbursed and unreimbursed by the foreign
government. [Reports are required even if the recipient did not pay any taxes during the reporting
period.]
2) Quarterly Report: The recipient must quarterly submit a report on the amount of foreign taxes
charged by a foreign government on commodity purchase transactions valued at 500 USD or
more financed with United States foreign assistance funds under this grant. This report shall be
submitted no later than two weeks following the end of each quarter: April 15, July 15, October
15 and January 15.
3) Terms: For purposes of this clause:
“Commodity” means any material, article, supplies, goods, or equipment;
“Foreign government” includes any foreign government entity;
“Foreign taxes” means value-added taxes and custom duties assessed by a foreign government
on a commodity. It does not include foreign sales taxes.
4) Where: Submit the reports to the Director and Deputy Director of the CDC office in the
country(ies) in which you are carrying out the activities associated with this cooperative
agreement. In countries where there is no CDC office, send reports to VATreporting@cdc.gov.
5) Contents of Reports: The reports must contain:
a. recipient name;
b. contact name with phone, fax, and e-mail;
c. agreement number(s) if reporting by agreement(s);
d. reporting period;
e. amount of foreign taxes assessed by each foreign government;
f. amount of any foreign taxes reimbursed by each foreign government;
g. amount of foreign taxes unreimbursed by each foreign government.
6) Subagreements. The recipient must include this reporting requirement in all applicable
subgrants and other subagreements.
6. Termination
CDC may impose other enforcement actions in accordance with 45 CFR 75.371- Remedies for
Noncompliance, as appropriate.
The Federal award may be terminated in whole or in part as follows:
(1) By the HHS awarding agency or pass-through entity, if the non-Federal entity fails to comply
with the terms and conditions of the award;
(2) By the HHS awarding agency or pass-through entity for cause;
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(3) By the HHS awarding agency or pass-through entity with the consent of the non-Federal
entity, in which case the two parties must agree upon the termination conditions, including the
effective date and, in the case of partial termination, the portion to be terminated; or
(4) By the non-Federal entity upon sending to the HHS awarding agency or pass-through entity
written notification setting forth the reasons for such termination, the effective date, and, in the
case of partial termination, the portion to be terminated. However, if the HHS awarding agency
or pass-through entity determines in the case of partial termination that the reduced or modified
portion of the Federal award or subaward will not accomplish the purposes for which the Federal
award was made, the HHS awarding agency or pass-through entity may terminate the Federal
award in its entirety.
G. Agency Contacts
CDC encourages inquiries concerning this notice of funding opportunity.
Program Office Contact
For programmatic technical assistance, contact:
First Name:
Noelle
Last Name:
Anderson
Project Officer
Department of Health and Human Services
Centers for Disease Control and Prevention
Address:
Telephone:
Email:
DSLRCrisisCoag@cdc.gov
Grants Staff Contact
For financial, awards management, or budget assistance, contact:
First Name:
Angel
Last Name:
Winters
Grants Management Specialist
Department of Health and Human Services
Office of Grants Services
Address:
2939 Flowers Rd
Atlanta, GA 30341
Telephone:
404-498-4056
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Email:
jvr1@cdc.gov
For assistance with submission difficulties related to www.grants.gov, contact the Contact
Center by phone at 1-800-518-4726.
Hours of Operation: 24 hours a day, 7 days a week, except on federal holidays.
CDC Telecommunications for persons with hearing loss is available at: TTY 1-888-232-6348
H. Other Information
Following is a list of acceptable application attachments that can be submitted using PDF, Word,
or Excel file formats as part of their application at www.grants.gov. Applicants may not attach
documents other than those listed; if other documents are attached, applications will not be
reviewed.
• Project Abstract
• Project Narrative
• Budget Narrative
• Report on Programmatic, Budgetary and Commitment Overlap
• Table of Contents for Entire Submission
For international NOFOs:
• SF424
• SF424A
• Funding Preference Deliverables
Optional attachments, as determined by CDC programs:
Indirect Cost Rate, if applicable
Bona Fide Agent status documentation, if applicable
• Letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting
I. Glossary
Activities: The actual events or actions that take place as a part of the program.
Administrative and National Policy Requirements, Additional Requirements (ARs):
Administrative requirements found in 45 CFR Part 75 and other requirements mandated by
statute or CDC policy. All ARs are listed in the Template for CDC programs. CDC programs
must indicate which ARs are relevant to the NOFO; recipients must comply with the ARs listed
in the NOFO. To view brief descriptions of relevant provisions, see
https://www.cdc.gov/grants/additional-requirements/index.html. Note that 2 CFR 200 supersedes
the administrative requirements (A-110 & A-102), cost principles (A-21, A-87 & A-122) and
audit requirements (A-50, A-89 & A-133).
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Approved but Unfunded: Approved but unfunded refers to applications recommended for
approval during the objective review process; however, they were not recommended for funding
by the program office and/or the grants management office.
Assistance Listings: A government-wide collection of federal programs, projects, services, and
activities that provide assistance or benefits to the American public.
Assistance Listings Number: A unique number assigned to each program and NOFO
throughout its lifecycle that enables data and funding tracking and transparency
Award: Financial assistance that provides support or stimulation to accomplish a public purpose.
Awards include grants and other agreements (e.g., cooperative agreements) in the form of
money, or property in lieu of money, by the federal government to an eligible applicant.
Budget Period or Budget Year: The duration of each individual funding period within the
period of performance. Traditionally, budget periods are 12 months or 1 year.
Carryover: Unobligated federal funds remaining at the end of any budget period that, with the
approval of the GMO or under an automatic authority, may be carried over to another budget
period to cover allowable costs of that budget period either as an offset or additional
authorization. Obligated but liquidated funds are not considered carryover.
Community engagement: The process of working collaboratively with and through groups of
people to improve the health of the community and its members. Community engagement often
involves partnerships and coalitions that help mobilize resources and influence systems, improve
relationships among partners, and serve as catalysts for changing policies, programs, and
practices.
Competing Continuation Award: A financial assistance mechanism that adds funds to a grant
and adds one or more budget periods to the previously established period of performance (i.e.,
extends the “life” of the award).
Continuous Quality Improvement: A system that seeks to improve the provision of services
with an emphasis on future results.
Contracts: An award instrument used to acquire (by purchase, lease, or barter) property or
services for the direct benefit or use of the Federal Government.
Cooperative Agreement: A financial assistance award with the same kind of interagency
relationship as a grant except that it provides for substantial involvement by the federal agency
funding the award. Substantial involvement means that the recipient can expect federal
programmatic collaboration or participation in carrying out the effort under the award.
Cost Sharing or Matching: Refers to program costs not borne by the Federal Government but
by the recipients. It may include the value of allowable third-party, in-kind contributions, as well
as expenditures by the recipient.
Direct Assistance: A financial assistance mechanism, which must be specifically authorized by
statute, whereby goods or services are provided to recipients in lieu of cash. DA generally
involves the assignment of federal personnel or the provision of equipment or supplies, such as
vaccines. DA is primarily used to support payroll and travel expenses of CDC employees
assigned to state, tribal, local, and territorial (STLT) health agencies that are recipients of grants
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and cooperative agreements. Most legislative authorities that provide financial assistance to
STLT health agencies allow for the use of DA. https://www.cdc.gov/grants/additional-
requirements/index.html.
Equity: The consistent and systematic fair, just, and impartial treatment of all individuals,
including individuals who belong to underserved communities that have been denied such
treatment (from Executive Order 13985).
Evaluation (program evaluation): The systematic collection of information about the activities,
characteristics, and outcomes of programs (which may include interventions, policies, and
specific projects) to make judgments about that program, improve program effectiveness, and/or
inform decisions about future program development.
Evaluation Plan: A written document describing the overall approach that will be used to guide
an evaluation, including why the evaluation is being conducted, how the findings will likely be
used, and the design and data collection sources and methods. The plan specifies what will be
done, how it will be done, who will do it, and when it will be done. The NOFO evaluation plan is
used to describe how the recipient and/or CDC will determine whether activities are
implemented appropriately and outcomes are achieved.
Federal Funding Accountability and Transparency Act of 2006 (FFATA): Requires that
information about federal awards, including awards, contracts, loans, and other assistance and
payments, be available to the public on a single website at www.USAspending.gov.
Fiscal Year: The year for which budget dollars are allocated annually. The federal fiscal year
starts October 1 and ends September 30.
Grant: A legal instrument used by the federal government to transfer anything of value to a
recipient for public support or stimulation authorized by statute. Financial assistance may be
money or property. The definition does not include a federal procurement subject to the Federal
Acquisition Regulation; technical assistance (which provides services instead of money); or
assistance in the form of revenue sharing, loans, loan guarantees, interest subsidies, insurance, or
direct payments of any kind to a person or persons. The main difference between a grant and a
cooperative agreement is that in a grant there is no anticipated substantial programmatic
involvement by the federal government under the award.
Grants.gov: A "storefront" web portal for electronic data collection (forms and reports) for
federal grant-making agencies at www.grants.gov.
Grants Management Officer (GMO): The individual designated to serve as the HHS official
responsible for the business management aspects of a particular grant(s) or cooperative
agreement(s). The GMO serves as the counterpart to the business officer of the recipient
organization. In this capacity, the GMO is responsible for all business management matters
associated with the review, negotiation, award, and administration of grants and interprets grants
administration policies and provisions. The GMO works closely with the program or project
officer who is responsible for the scientific, technical, and programmatic aspects of the grant.
Grants Management Specialist (GMS): A federal staff member who oversees the business and
other non-programmatic aspects of one or more grants and/or cooperative agreements. These
activities include, but are not limited to, evaluating grant applications for administrative content
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and compliance with regulations and guidelines, negotiating grants, providing consultation and
technical assistance to recipients, post-award administration and closing out grants.
Health Disparities: Preventable differences in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged.
Health Equity: The state in which everyone has a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Health Inequities: Particular types of health disparities that stem from unfair and unjust
systems, policies, and practices and limit access to the opportunities and resources needed to live
the healthiest life possible.
Healthy People 2030: National health objectives aimed at improving the health of all Americans
by encouraging collaboration across sectors, guiding people toward making informed health
decisions, and measuring the effects of prevention activities.
Inclusion: The act of creating environments in which any individual or group can be and feel
welcomed, respected, supported, and valued to fully participate. An inclusive and welcoming
climate embraces differences and offers respect in words and actions for all people.
Indirect Costs: Costs that are incurred for common or joint objectives and not readily and
specifically identifiable with a particular sponsored project, program, or activity; nevertheless,
these costs are necessary to the operations of the organization. For example, the costs of
operating and maintaining facilities, depreciation, and administrative salaries generally are
considered indirect costs.
Letter of Intent (LOI): A preliminary, non-binding indication of an organization’s intent to
submit an application.
Lobbying: Direct lobbying includes any attempt to influence legislation, appropriations,
regulations, administrative actions, executive orders (legislation or other orders), or other similar
deliberations at any level of government through communication that directly expresses a view
on proposed or pending legislation or other orders, and which is directed to staff members or
other employees of a legislative body, government officials, or employees who participate in
formulating legislation or other orders. Grass roots lobbying includes efforts directed at inducing
or encouraging members of the public to contact their elected representatives at the federal, state,
or local levels to urge support of, or opposition to, proposed or pending legislative proposals.
Logic Model: A visual representation showing the sequence of related events connecting the
activities of a program with the programs’ desired outcomes and results.
Maintenance of Effort: A requirement contained in authorizing legislation, or applicable
regulations that a recipient must agree to contribute and maintain a specified level of financial
effort from its own resources or other non-government sources to be eligible to receive federal
grant funds. This requirement is typically given in terms of meeting a previous base-year dollar
amount.
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Memorandum of Understanding (MOU) or Memorandum of Agreement (MOA):
Document that describes a bilateral or multilateral agreement between parties expressing a
convergence of will between the parties, indicating an intended common line of action. It is often
used in cases where the parties either do not imply a legal commitment or cannot create a legally
enforceable agreement.
Nonprofit Organization: Any corporation, trust, association, cooperative, or other organization
that is operated primarily for scientific, educational, service, charitable, or similar purposes in the
public interest; is not organized for profit; and uses net proceeds to maintain, improve, or expand
the operations of the organization. Nonprofit organizations include institutions of higher
educations, hospitals, and tribal organizations (that is, Indian entities other than federally
recognized Indian tribal governments).
Notice of Award (NoA): The official document, signed (or the electronic equivalent of
signature) by a Grants Management Officer that: (1) notifies the recipient of the award of a grant;
(2) contains or references all the terms and conditions of the grant and Federal funding limits and
obligations; and (3) provides the documentary basis for recording the obligation of Federal funds
in the HHS accounting system.
Objective Review: A process that involves the thorough and consistent examination of
applications based on an unbiased evaluation of scientific or technical merit or other relevant
aspects of the proposal. The review is intended to provide advice to the persons responsible for
making award decisions.
Outcome: The results of program operations or activities; the effects triggered by the program.
For example, increased knowledge, changed attitudes or beliefs, reduced tobacco use, reduced
morbidity and mortality.
Performance Measurement: The ongoing monitoring and reporting of program
accomplishments, particularly progress toward pre-established goals, typically conducted by
program or agency management. Performance measurement 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 products and services (outcomes). A “program” may be any
activity, project, function, or policy that has an identifiable purpose or set of objectives.
Period of performance –formerly known as the project period - : The time during which the
recipient may incur obligations to carry out the work authorized under the Federal award. The
start and end dates of the period of performance must be included in the Federal award.
Period of Performance Outcome: An outcome that will occur by the end of the NOFO's
funding period
Plain Writing Act of 2010: The Plain Writing Act of 2010 requires that federal agencies use
clear communication that the public can understand and use. NOFOs must be written in clear,
consistent language so that any reader can understand expectations and intended outcomes of the
funded program. CDC programs should use NOFO plain writing tips when writing NOFOs.
Program Official: Person responsible for developing the NOFO; can be either a project officer,
program manager, branch chief, division leader, policy official, center leader, or similar staff
member.
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[Document continues — 1 more pages]

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Foa_Content_of_CDC-RFA-TP22-2201_122024.pdf

Centers for Disease Control and Prevention
Office of Public Health Preparedness and Response
Public Health Crisis Response Cooperative Agreement
CDC-RFA-TP22-2201
02/11/2027

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Table of Contents
A. Funding Opportunity Description ...............................................................................................3
B. Award Information ....................................................................................................................21
C. Eligibility Information ..............................................................................................................23
D. Application and Submission Information .................................................................................24
E. Review and Selection Process ...................................................................................................34
F. Award Administration Information ...........................................................................................37
G. Agency Contacts .......................................................................................................................43
H. Other Information .....................................................................................................................44
I. Glossary ......................................................................................................................................45
Part I. Overview
Applicants must go to the synopsis page of this announcement at www.grants.gov and click on
the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA-
TP22-2201. Applicants also must provide an e-mail address to www.grants.gov to receive
notifications of changes.
A. Federal Agency Name:
Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease
Registry (ATSDR)
B. Notice of Funding Opportunity (NOFO) Title:
Public Health Crisis Response Cooperative Agreement
C. Announcement Type: New - Type 1:
This announcement is only for non-research activities supported by CDC. If research is
proposed, the application will not be considered. For purposes of this NOFO, research is defined
as set forth in 45 CFR 75.2 and, for further clarity, as set forth in 42 CFR 52.2 (see eCFR :: 45
CFR 75.2 -- Definitions and https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-
2007-title42-vol1-sec52-2.pdf. In addition, for purposes of research involving human subjects
and available exceptions for public health activities, please see 45 CFR 46.102(l)
(https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-
46.102#p-46.102(l)).
New-Type 1
D. Agency Notice of Funding Opportunity Number:
CDC-RFA-TP22-2201
E. Assistance Listings Number:
93.354
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F. Dates:
1. Due Date for Letter of Intent (LOI):
09/21/2024
2. Due Date for Applications:
02/11/2027
11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.
3. Due Date for Informational Conference Call:
Please send inquiries regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov.
Be sure to include the NOFO number, TP22-2201, in the subject line of any inquiries.
G. Executive Summary:
1. Summary Paragraph
This CDC notice of funding opportunity (NOFO) seeks to enhance the nation’s ability to rapidly
mobilize, surge, and respond to a public health emergency (PHE) identified by CDC. This
NOFO is intended to establish a roster of approved but unfunded (ABU) applicants that may
receive rapid funding by CDC to respond to a PHE of such magnitude, complexity, or
significance that it would have an overwhelming impact upon, and exceed resources available to,
the jurisdictions. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a PHE exists or is considered
imminent and is contingent upon the availability and stipulations of appropriations. CDC will
provide additional guidance and information to those on the ABU list when this NOFO is
funded.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
a. Funding Instrument Type:
CA (Cooperative Agreement)
b. Approximate Number of Awards
113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
c. Total Period of Performance Funding:
$500,000,000
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
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d. Average One Year Award Amount:
$5,000,000
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
e. Total Period of Performance Length:
5 year(s)
f. Estimated Award Date:
January 06, 2025
g. Cost Sharing and / or Matching Requirements:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
Part II. Full Text
A. Funding Opportunity Description
1. Background
a. Overview
Note: Applicants must continue to use their DUNS number for this application. Applicants
should note an error in the guidance for completing the SF424. The NOFO states that
applicants should use their UEI number as an identifier. However, the version currently in
Grants.gov asks for the DUNS number and can’t be modified.
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions. Applicants will undergo an objective merit
review process, and entities that successfully meet the requirements for approval will be placed
on the ABU list. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a public health emergency exists
or is considered imminent and will be contingent upon the availability and stipulations of
appropriations. CDC will provide additional guidance and information to those on the ABU list
when this NOFO is funded.
COVID-19 public health response plans, such as plans funded under CDC-RFA-TP18-1802 in
2020 are acceptable for this purpose. This NOFO is not a capacity-building funding mechanism,
and it is not intended to create or establish new public health (PH) emergency management
programs. It may be used to re- establish capacity lost or diminished because of the public health
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crisis. It is designed to support the surge needs of existing programs responding to a significant
PHE. CDC will provide supplemental guidance to entities on the ABU list when this NOFO is
activated regarding specific activities intended to address the emergency.
CDC has strong relationships with governmental PH departments, community-based
organizations, and other domestic partners and supports them for planning, capacity-building,
preparedness, and response to PHEs. This NOFO complements these ongoing capacity-building
preparedness and response programs by providing a mechanism for CDC to rapidly mobilize and
fund PH organizations for specific response needs. Applicants must describe how this funding
will not duplicate or supplant other federal funding.
Upon occurrence of a PHE, CDC can rapidly fund specific applicants to accelerate public health
crisis response activities such as coordinating emergency operations, hiring surge staff, and
conducting needs assessments to determine the resources necessary to address the public health
crisis. The NOFO also provides funding for specialized public health emergency response
activities tailored to the specific public health crisis.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
b. Statutory Authorities
This program is authorized under section 317(a) of the Public Health Service Act (42 USC §
247(b)), subject to available funding and other requirements and limitations.
c. Healthy People 2030
This program addresses the “Healthy People 2030” (www.healthypeople.gov) focus areas of
Preparedness, Immunization and Infectious Diseases, Public Health Infrastructure,
Environmental Health, Health Communication and Health Information Technology.
d. Other National Public Health Priorities and Strategies
This NOFO supports the National Health Security Strategy of the United States of America
(NHSS), Global Health Security Agenda, Social Determinants of Health | CDC) and
International Health Regulations.
e. Relevant Work
CDC provides funding and technical assistance to public health agencies nationwide to build and
strengthen their abilities to plan and prepare for, respond to, and prevent or mitigate public health
threats. A variety of CDC cooperative agreements for public health emergencies provide separate
funding mechanisms to support capacity-building, planning, preparedness, and response to
public health problems, including emergencies such as pandemic events. In addition to this
funding opportunity, CDC provides scientific guidance, direct technical assistance and
coordination for jurisdictional public health authorities and other organizations to prepare and
respond to public health problems, including specific emergencies/events. CDC’s Public Health
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Emergency Preparedness and Response Capabilities provide national standards necessary to
advance state, tribal, local, and territorial public health preparedness and response capacity.
2. CDC Project Description
a. Approach
Bold indicates period of performance outcome.
CDC-RFA-TP22-2201 Logic Model: Public Health Crisis Response Cooperative
Agreement.
Bold indicates performance period outcome.
Logic Model
Strategies/ Short-term Intermediate Long-Term
PHEP Domains Outcomes Outcomes Outcomes
and Activities
Strengthen
Community Prioritized public Continuity of Prevent or
Resilience health services and essential public reduce
Strengthen resources sustained health services morbidity and
Incident throughout all and supply chain mortality from
Management for phases of during an public health
Early Crisis emergencies and emergency incidents
Response incidents response and whose scale,
Strengthen recovery rapid onset, or
Information unpredictabilit
Management Earliest possible y stresses the
Strengthen activation and Latest public public health
Countermeasure management of health system
emergency recommendation
s and Mitigation
operations s and control
Strengthen
measures quickly Earliest
Surge
adopted or possible
Management
Timely adapted and recovery and
Strengthen
communication of implemented return of the
Biosurveillance
risk and essential public health
elements of system to pre-
information Reduced incident levels
exposure to risk or improved
functioning
Timely
implementation of
intervention and
control measures
Timely coordination
and support of
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response activities
with partners
Earliest possible
identification and
investigation of an
incident
Continuous learning
and improvements
contain real-time
feedback loop
i. Purpose
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions.
ii. Outcomes
Funded recipients are expected to achieve the following short-term outcomes during the period
of performance to create a better prepared nation for public health emergencies. These are the
bolded outcomes in the first column of outcomes in the logic model. Jurisdictions should be able
to accomplish:
• Prioritize public health services and resources sustained throughout all phases of
emergencies and incidents
• Earliest possible activation and management of emergency operations
• Timely communication of risk and essential elements of information
• Timely implementation of intervention and control measures
• Timely coordination and support of response activities with partners
• Earliest possible identification and investigation of an incident
• Continuous learning and improvements contain real-time feedback loop
iii. Strategies and Activities
Strengthen Community Resilience
CDC will use this NOFO for the timeframe necessary to respond to the specific emergency.
Public health needs that shift from a response mode to recovery (e.g., from epidemic to endemic)
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may be addressed by this or another CDC NOFO. This NOFO may be used to re-establish
capacity lost or diminished as a result of the public health crisis. Recipients should collaborate
with public and private community partners to characterize and address the needs of
jurisdictional at-risk populations related to PHEs. This includes evaluating available services and
developing long-term plans to address potential needs for these populations such as follow-up
medical care and behavioral health services with a deliberate focus on improving and advancing
health equity for all communities. Following are specific activities to consider.
• Identifying populations at risk including individuals with access and functional needs
• Including populations at-risk in updated response and recovery plans through
coordination with local leaders from organizations who have established relationships
with diverse communities
• Engaging representative partners from communities with diverse and at-risk populations
to participate in exercise plans and drills
• Identifying gaps identified in training, exercises or real-world events to improve
operations and identify public health needs of at-risk populations who are
disproportionally affected by PHEs.
• Conducting assessments such as: Hazard Vulnerability (HVA)/Risk Assessment,
Jurisdictional Risk Assessment (JRA), resource, supply chain
• Establishing public and private partnerships including community groups.
• Developing response plans that address community-specific needs, vulnerable
populations, and underserved communities including access and functional needs.
• Coordinating training and exercises and continuous quality improvement.
Strengthen Incident Management for Early Crisis Response
Recipients must maintain open lines of communication between state, tribal, and local health
agencies as well as CDC to ensure they are prepared to receive updated guidance and must be
able to revise their proposals and tailor their activities based on the nature and scope of the crisis,
and the updated supplemental guidance. Upon occurrence of a PHE and receipt of funding under
this NOFO, recipients that are not in an active response phase should begin accelerated crisis
planning by identifying and assembling, if not already in place, a public health emergency
response incident management structure (IMS) that includes subject matter experts (SMEs) best
suited for responding to the particular PHE. When recipients are in an active response phase, the
incident manager should ensure PHE response activities are coordinated across the response’s
functional areas, including those funded by CDC, HHS, and other federal grant programs,
including, but not limited to, CDC's Public Health Emergency Preparedness (PHEP) and
Epidemiology and Laboratory Capacity (ELC) cooperative agreements, where applicable.
Following are emergency operations coordination activities applicants should consider.
• Appoint a senior representative to coordinate PHE response efforts and lead activation
and continuation of IMS structure.
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• Test, exercise, refine, and implement comprehensive PHE response plans for the funded
emergency event.
• Manage the response to align with CDC guidance on emergencies and any supplemental
guidance related to a specified emergency.
• Review and implement jurisdictional PHE protocols.
• Assess current capacity and capability and determine decision-making processes and
authorities for necessary public health activities.
• Provide technical assistance to state, local and tribal health departments, as applicable, on
development of PHE response plans and assist in the identification of resources.
• Review and implement administrative preparedness plans to ensure emergency rapid
hiring and expedited contracting processes are in place.
• Organize regular meetings between the PHE response incident manager and the
jurisdiction’s preparedness and response partners, both traditional and nontraditional
partners, to discuss plans and current progress and to ensure broadly understood decision-
making processes are in place.
• Review, or develop if needed, an infectious disease preparedness and response plan for
the specific event and tailor as appropriate for its impact on their jurisdiction.
• Diversify the workforce to ensure representation from diverse communities.
• Identify a health equity officer or team to ensure diversity, equity, and inclusion
considerations are included in response plans.
• Stand up emergency operations center.
• Establish call centers.
• Conduct needs assessment.
• Prepare staffing contracts.
• Update response and recovery plans.
Strengthen Information Management
• Recipients must plan and coordinate critical information sharing among public health
agency staff and ensure coordination across governments. Jurisdictional governments
must work together as appropriate, with key partners, the public, health care and other
providers including, but not limited to, clinicians. This includes developing, coordinating,
and disseminating information, alerts, warnings, and notifications regarding risks and
self-protective measures to the public, particularly with at-risk and vulnerable
populations, and incident management responders. CDC suggests that jurisdictions
consider targeting at a minimum, the public, travelers, and clinicians when developing
the information sharing and risk communication messaging activities. Informing the
public about PHEs is a critical component of a response. Following are specific activities
to consider.
• As appropriate for the funded PHE, work with clinicians and other health care partners to
mitigate the impact of the PHEs including the implementation of processes that indicate
how health care providers in the jurisdiction can exchange information with electronic
public health case reporting systems, syndromic surveillance systems, or immunization
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registries according to the Centers for Medicare and Medicaid Services (CMS) Electronic
Health Record Incentive Program rules and any additional applicable federal standards
• Coordinate with CDC, jurisdictional public health officials, and other stakeholders to
ensure jurisdictional personnel have the most up-to-date information on the specific
emergency. If the health department is not responsible for key activities, the health
department should ensure that the IMS structure and plans include communication and
coordination with those other departments (e.g., with public health emergency
management officials for emergencies such as pandemic events, etc.).
• Initiate a communications campaign to raise public awareness of PHEs funded under this
NOFO. Primary messaging should focus on awareness and specific actions the public can
take to protect themselves. Work with key partners and stakeholders to coordinate
communication messages, products, and programs for affected communities, travelers,
and clinicians.
• Update scripts for jurisdictional call centers with specific PHE messaging, including
alerts, warnings, and notifications, relevant to the funded emergency and engage trusted
community representatives in developing the material to ensure messages are relevant
and accessible to diverse audience within the communities.
• Monitor local news stories and social media postings to determine if information is
accurate, identify messaging gaps, and adjust communications as needed.
• Contract with local vendors for translation, if needed, printing, signage, public
announcements development and dissemination.
Strengthen Countermeasures and Mitigation
Recipients should conduct activities that build and maintain access to and administration of
medical and nonmedical countermeasures for pharmaceutical and nonpharmaceutical
interventions and strengthen mitigation strategies. During and following an emergency, effective
care cannot be delivered without available staff and appropriate countermeasures. Accordingly,
managing access to and administration of countermeasures and ensuring the safety and health of
clinical and nonclinical personnel are high priorities for preparedness and continuity. Following
are specific activities that should be considered.
• Manage access to and administration of pharmaceutical and nonpharmaceutical
interventions, prioritizing communities disproportionately impacted by PHEs.
• Administer and coordinate control measures.
• Ensure safety and health of responders.
• Operationalize response plans.
Strengthen Surge Management
Recipients should focus on activities that strengthen their ability to support and manage
increased demands for services, expansions of public health functions, increases in
administrative management requirements, and other emergency response surge needs created by
an emergency or incident.
The following four activities are commonly used to manage public health surge:
• Address mass care needs, including shelter monitoring and services for people with
access and functional needs.
• Address surge needs, including family reunification.
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• Prevent or mitigate diseases, injuries, and fatalities with a particular focus on historically
underserved populations and those disproportionally impacted by PHEs, such as tribal
communities, racial and ethnic minorities, LGBTQ community, people living with
disabilities, and people experiencing homelessness.
Strengthen Biosurveillance
Review, update, and/or implement existing surveillance plans. Identify activities that require
participation from other governmental entities, such as local or neighboring health departments
and other stakeholders in the public health emergency management sector and local communities
to identify and address potential gaps for a specific event. Ensure that existing electronic disease
surveillance systems, laboratory response networks, and laboratory testing capability are up to
date. The following activities are commonly used to strengthen biosurveillance:
• Review, test or exercise, update and implement existing surveillance plans.
• Identify activities that require involving other governmental entities, such as local or
neighboring health departments and other stakeholders in the public health emergency
management sector to identify and address potential gaps for a specific event.
• Ensure that existing electronic disease surveillance systems, laboratory response
networks, and laboratory testing capability are up to date.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
1. Collaborations
a. With other CDC projects and CDC-funded organizations:
Recipients are required to collaborate with various CDC programs to ensure that activities and
funding are coordinated with, complementary of, and not duplicative of efforts supported under
other CDC grant programs such as PHEP and ELC. During any particular emergency funded
under this NOFO, recipients should collaborate closely with CDC incident management and
relevant subject matter experts as well as other organizations funded by CDC to address
emergency response. This includes neighboring states and other jurisdictional entities, tribes,
territories, partner organizations, and national partner organizations such as the Association of
Public Health Laboratories (APHL), the Association of State and Territorial Health Officials
(ASTHO), the Council of State and Territorial Epidemiologists (CSTE), and the National
Association of County and City Officials (NACCHO). Others to consider are local or regional
organizations such as vector control entities, clinical and other health care institutions, or
businesses such as supply vendors. For questions regarding collaborating with CDC, please
contact Program Official, Noelle Anderson (xwq3@cdc.gov) for this NOFO.
b. With organizations not funded by CDC:
Recipients must collaborate with their jurisdictional laboratories, surveillance and epidemiology
leads, vector control programs, health care providers, blood safety organizations, and emergency
management partners or other relevant partners identified depending on the nature of the
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emergency. Recipients are encouraged to partner with other federal agencies and programs,
including but not limited to the Hospital Preparedness Program (HPP) administered by the HHS
Office of the Assistant Secretary for Preparedness and Response (ASPR), and other grants and
programs directed, managed, or supported by the Department of Homeland Security (DHS) and
other federal departments impacted or potentially impacted by the public health emergency for
which funds will be made available under this NOFO. In addition, collaborations with nonfederal
partners are essential in advancing health equity including, but not limited to, community-based
organizations, tribal and urban Indian organizations, and faith-based organizations.
2. Population(s) of Focus
This NOFO, including funding and eligibility, is not limited based on, and does not discriminate
on the basis of race, color, national origin, disability, age, sex (including gender identity, sexual
orientation, and pregnancy) or other constitutionally protected statuses.
a. Health Disparities
The goal of health equity is for everyone to have a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Broadly defined, social determinants of health are non-medical factors that influence health
outcomes. They are the conditions in which people are born, grow, work, live, and age, and the
wider set of forces and systems shaping the conditions of daily life. These forces (e.g., racism,
climate) and systems include economic policies and systems, development agendas, social
norms, social policies, and political systems. See content below and in other sections (e.g.,
Approach, Collaborations, Populations of Focus) for information on how this specific NOFO
affects social determinants of health.
A health disparity is a preventable difference in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged. Health disparities
are inextricably linked to a complex blend of social determinants that influence which
populations are most disproportionately affected by these diseases and conditions.
Applicants should have a plan to address health disparities and health equity by having
procedures in place to identify and be inclusive of populations with access and functional needs
that may be disproportionately impacted or have increased risk for various PHEs. This includes
but is not limited to populations with disabilities; non-English speaking or limited English
proficiency populations; people with limited health literacy; immunocompromised persons; older
adults; people with limited transportation; people experiencing homelessness; postpartum and
lactating women; pregnant women, children. Additionally, applicants should outline existing
strategies to address the needs of historically marginalized populations and populations that may
otherwise be overlooked by the program during PHEs including tribal communities, racial and
ethnic minority populations, and LGBTQ community.
See also Section iii, Strategies and Activities, Community Resilience, Information Management,
and Surge Management..
iv. Funding Strategy
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This NOFO is intended for applicants under section 317(a) of the Public Health Service Act (42
USC § 247(b)): states, political subdivisions of states, and other public entities. This NOFO is
designed to collect proposals from applicants eligible under section 317(a) of the Public Health
Service Act (42 USC § 247(b)). Applications will be subject to an objective merit review and
approved applications will be designated as “approved but unfunded” (ABU). The NOFO will
only be funded when a public health emergency (PHE) has occurred or is projected to impact the
U.S., and CDC decides to make awards under this NOFO for that specific emergency.
Depending on the nature of the emergency, specific applicants and specific components of their
applications may be selected for funding. These funding decisions will account for various
relevant factors such as geographic location of the emergency, expectations of spread (e.g., with
infectious disease- related emergencies), applicant’s capabilities, national priorities, impact of
the emergency on a jurisdiction, congressional language in the appropriation, etc. CDC’s ability
to understand the impact of the event on the approved applicant will facilitate the development
CDC supplemental guidance and funding strategies.
Since this NOFO is designed to collect applications prior to a PHE, applicants are encouraged to
submit work plans and budgets that demonstrate their ability to respond to a PHE. COVID-19
public health response plans, such as plans funded under CDC-RFA-TP18-1802 in 2020, are
acceptable for this purpose. If this NOFO is funded for a specific PHE, CDC will develop
supplemental guidance that outlines additional work plan and budget requirements tailored to the
emergency.
This NOFO provides funding for two components: Component A and Component B. Applicants
may be selected to receive initial funding for Component A to stand up emergency activities,
surge staffing, activate their EOCs, and conduct a needs assessment to determine the resources
needed to address the specific public health crisis. Component B will provide for tailored
emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Depending on
the unique needs and nature of the crisis, Components A and B can be issued independently or
simultaneously. In addition, if funded independently, either Component A or Component B may
include all six domains. Applicants are not expected to apply by component as components are
for the purpose of making awards. This NOFO will develop one ABU list, how each component
is time-based, and how funding decisions for Component B will be determined. Awards and
funding are subject to availability of funds. Award amounts may be established by population-
based formula or other criteria specified in the appropriations legislation.
Applicants that meet population requirements are listed in Attachment A. This announcement
will be open and continuous and remain on Grants.gov for new local and tribal applicants to
accommodate population changes over the application period.
b. Evaluation and Performance Measurement
i. CDC Evaluation and Performance Measurement Strategy
Evaluation and performance measurement help demonstrate achievement of program outcomes;
build a stronger evidence base for specific program strategies; clarify applicability of the
evidence base to different populations, settings, and contexts; and drive continuous program
improvement. Evaluation and performance measurement can also determine if program
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strategies are scalable and are effective at reaching target populations. CDC will use evaluation
findings and performance measures to demonstrate the value of this program and describe
effective implementation of the NOFO.
Evaluation and Performance Measure Strategy
Recipients will be responsible for data collection and reporting. Data collection and reporting
requirements will be limited to data that will be analyzed and used for program monitoring and
quality improvement. Recipients will submit to CDC the required data and other information
required under this NOFO. CDC will use these data and information to monitor indicators,
document progress, and generate feedback reports regarding program accomplishments related to
this NOFO.
At the core of the evaluation and performance measure strategy is a set of process measures and
program outputs to track implementation of the strategies and outcome measures to monitor
achievement of the outcomes expected in the performance period.
Process Measures and Outputs
The process measures for each strategy will based on the outputs presented in the logic model.
The component activities in each strategy are intended to lead to strong deliverables or outputs;
these, in turn, indicate that the strategy is being implemented successfully. The activities a
recipient conducts to address the strategies should be targeted to guidance related to achieve an
effective level of implementation to address the PHE. CDC has established a standard on which
to focus activities for the NOFO to produce the prioritized outcomes such as plans, trained
personnel, and equipment to respond to a PHE with funding from this mechanism.
Program Outputs
Recipient jurisdictions must have established, effective public health emergency management
programs across the six public health domains of the Public Health Emergency Preparedness and
Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health.
This funding depends upon expedited administrative preparedness in the event of an emergency
in these established programs. Evaluation for this NOFO will focus on the following response
elements of the preparedness cycle for each domain and funded capability:
• The development and updating of plans
• Personnel or access to personnel with requisite skills to implement plans
• Drills and exercises conducted to improve implementation of plans
• Necessary policies, processes, and equipment in place
Plans must be submitted to CDC upon request and made available during site visits. At the time
CDC implements this NOFO, it may issue a checklist for recipients that establishes which of the
response elements identified above will be included and which may be supplemented with
additional items as relevant to the response at the time of the emergency.
Process Measures: Outputs for Each Strategy that Align with PHEP Domains
As depicted in the logic model, each strategy is expected to produce key outputs. These outputs
serve as process measures, indicating that the strategy is being successfully implemented.
Following are outputs that jurisdictions may consider measuring:
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Strengthen Incident Management for Early Crisis Response:
• Emergency operation centers activated
• Incident management systems
• Continuity of operations (COOP) plans implemented
• Call centers established
• Needs assessments conducted
• Staffing contracts prepared
• Response plans operationalized
• Recovery plans operationalized
Strengthen Community Resilience:
• Assessments conducted, such as HVA/Risk, JRA, resource, supply chain
• Populations at risk identified
• Established public and private partnerships
• Response plans addressed community-specific needs and vulnerable populations
• Coordinated trainings and exercises and continuous quality improvement
Strengthen Information Management:
• Defined essential elements of information
• Risk communication systems initiated
• Risk communication materials developed
• Social media outlets monitored
• Trained risk communication staff
• Message and report templates created
Strengthen Countermeasures and Mitigation:
• Storage and distribution centers used
• Inventory management systems implemented
• Points of dispensing (PODs)/alternate nodes established
• Trained POD staff
• Personal protective equipment (PPE) made accessible
• Safety and “just in time” trainings conducted
Strengthen Surge Management:
• Electronic volunteer registry systems used
• Coordinated public health and health care agencies
• Population monitoring systems employed
• Implemented plans for crisis standards of care
Strengthen Biosurveillance:
• Electronic disease surveillance systems operationalized
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• Leveraged laboratory response networks
• Laboratory testing capability tested
• Integrated laboratory and epidemiology systems
Outcome Measures
In addition to evaluating the activities and outputs for response, CDC may also monitor
outcomes with measures specific to the PHE. CDC will provide additional information on
program and performance measure requirements when funding is made available for a specific
PHE. Examples may include but are not limited to:
Outcome: Earliest possible activation and management of emergency operations
• Program Measure: Percent of recipients that have reduced cycle time for contracting and
procurement during an incident (PHE)
o Recipient performance measure: Emergency procedures for allocating funds to
local jurisdictions, including tribal health departments, have been exercised
Outcome: Earliest possible identification and investigation of an incident
• Program Measure : Percent of recipients that meet reporting times for the specific PHE
funded under this NOFO
o Recipient Performance Measure: Percentage of selected reportable diseases
reports received by a public health agency within the recipient-required
timeframe.
• Program Measure : Percent of recipients that meet target response time for laboratory and
epidemiologic response activities required for this specific PHE.
o Recipient Performance Measure: Time to complete notification in both directions
between CDC and recipients.
Outcome: Timely implementation of intervention and control measures
• Program Measure : Percent of recipients that meet CDC-established target times to
initiate disease control methods for the specific PHE funded under this NOFO
o Recipient Performance Measure: Percentage of reports of the specific PHE under
this NOFO for which initial public health control measures were initiated within
the appropriate timeframe.
Outcome: Timely communication of risk and essential elements of information by partners
• Program Measure : Percent of recipients with identified vulnerable population partners in
place for risk communications
o Recipient Performance Measure: Number of partner organizations or community-
based organizations engaged in planning or response efforts
Outcome: Timely coordination and support of response activities with health care and other
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partners
• Program Measure : Percent of recipients that have executed their plans, processes, and
procedures to manage volunteers supporting an emergency or incident.
o Recipient Performance Measure: Plans, processes, and procedures that were
executed to achieve desired goals and objectives, as outlined in CDC’s updated
guidance, to manage volunteers who support an emergency or health incident.
• Program Measure : Percent of recipients that deploy volunteers within requested
timeframe.
o Recipient Performance Measure: Percentage of volunteers deployed to support the
specific public health emergency funded under this NOFO within requested
timeframe.
Additional measures may be developed in accordance with the actual PHE and will be provided
through supplemental guidance from CDC. Requirements for monitoring and reporting will also
be specified through supplemental guidance.
ii. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement,
including, as applicable to the award, how findings will contribute to reducing or
eliminating health disparities and inequities.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, and other relevant data information (e.g., performance measures proposed by the
applicant).
• How evaluation findings will be disseminated to communities and populations of interest
in a manner that is suitable to their needs.
• Plans for updating the Data Management Plan (DMP) as new pertinent information
becomes available. If applicable, throughout the lifecycle of the project. Updates to
DMP should be provided in annual progress reports. The DMP should provide a
description of the data that will be produced using these NOFO funds; access to data;
data standards ensuring released data have documentation describing methods of
collection, what the data represent, and data limitations; and archival and long-term data
preservation plans. For more information about CDC’s policy on the DMP, see
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
Where the applicant chooses to, or is expected to, take on specific evaluation studies, the
applicant should be directed to:
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• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan, including a DMP, if applicable, within the first 6 months of award, as described in the
Reporting Section of this NOFO.
Recipients may be required to submit a more detailed evaluation and performance measurement
plan, including a DMP, if applicable.
Applicants should develop their evaluation and performance measurement plans in concert with
CDC based on the nature of the event. These requirements will be specified by CDC in
supplemental, event-specific guidance.
c. Organizational Capacity of Recipients to Implement the Approach
Applicants must have existing and functional public health emergency management programs.
They must possess the organizational capacity and skills needed to implement the award during
both component phases A and B, including the capability to:
1. Monitor health status to identify community health problems;
2. Diagnose and investigate health problems and health hazards in the community;
3. Inform, educate, and empower people about health issues;
4. Mobilize community partnerships to identify and solve health problems;
5. Develop policies and plans that support individual and community health efforts;
6. Enforce laws and regulations that protect health and ensure safety;
7. Link people to needed personal health services and ensure the provision of health care
when otherwise unavailable;
8. Ensure a competent public health workforce;
9. Evaluate effectiveness, accessibility, and quality of population-based health services;
10. Adapt response activities based on new insights and develop innovative solutions to
health problems;
11. Implement and surge public health emergency management programs;
12. Identify and roster staff for incident management roles and response leadership;
13. Develop, execute, and revise program planning specific to an event;
14. Conduct program evaluation;
15. Conduct performance monitoring;
16. Conduct and submit financial reports;
17. Conduct budgeting, management, and administration activities;
18. Execute against administrative preparedness plans; and
19. Conduct personnel management activities.
In support of these capabilities, applicants must provide documentation of their capacity to
implement the required activities and provide information that:
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• Describes the organizational capacity and skills to implement a functional response to a
public health emergency, addressing public health emergency management, incident
management and response leadership, response planning, program evaluation,
performance monitoring, financial reporting, budget management and administration, and
personnel management.
• Describes existing organizational capacity, for example program and staffing
management; performance measurement, and evaluation systems; financial reporting
systems; communication, technological, and data systems required to implement the
activities of a response in an effective and expedited manner; physical infrastructure and
equipment; and workforce capacity, to successfully execute all proposed strategies and
activities based on the current described scenario.
• Describes the organizational capacity to manage partnerships with other state, tribal,
local, or territorial public health organizations in their jurisdictions to ensure a
coordinated response posture and execution.
• Depicts the current organizational chart for their public health emergency management
programs.
Recipients are expected to have the organizational capacity to:
(1) submit amended budgets within the timeframe specified in the funding guidance,
(2) meet spending and progress reporting requirements as established in supplemental guidance
for any awards made under this NOFO,
(3) rapidly procure equipment and services either through a General Services Administration
contract or other viable mechanism,
(4) rapidly hire or contract for temporary staffing, and
(5) execute contracts.
Acceptable documentation includes but is not limited to:
• letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting; and
• departmental organizational charts; or
• incident management structure organizational charts.
Organizational charts are required. Applicants should name the file 'Organizational Chart' and
upload the document as a pdf at www.grants.gov.
Applicants may describe their status in applying for public health department accreditation or
evidence of accreditation through the Public Health Accreditation Board (PHAB) or Project
Public Health Ready.
d. Work Plan
Planning Scenario: For planning purposes, applicants should develop their work plans to
address the public health preparedness and response capabilities required to respond to a scenario
involving an emerging infectious disease outbreak. CDC encourages applicants to submit their
crisis response fiscal year 2020 COVID-19 work plans and budgets to meet this requirement.
Work plans should address the initial response activities required for Component A, as well as
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the crisis-specific response activities required for Component B. Applicants should assume that
their current public health infrastructure and staff are unaffected and at working capacity. The
emerging infectious disease has multiple routes of transmission, a high attack and mortality rate,
and either a countermeasure, a pharmaceutical, a vector control, or an oral prophylaxes
component.
General Work Plan Guidance: Applicants must submit a high-level work plan that addresses
the proposed scenario, such as their COVID-19 public health response plans submitted to CDC
(or to a state health department) in the spring of 2020.
Applicants should review their existing public health emergency management program
capabilities and capacities and identify the areas that would be most likely to require surge
support. Applicants should use the domains, strategies, and activities within the logic model as
the basis for their work plan development.
• Applicants should provide at least one proposed output. The proposed output(s) should
directly relate to the expected results of completing the planned response activity.
Planned activities must be associated with functions or objectives related to the strategy.
• Applicants should provide subrecipient contracts, if applicable.
Component A Work Plan: This plan should address the first 120 days of incident command
capability and early crisis response activities for the emerging infectious disease planning
scenario and should include EOC activation, staffing contracts, needs assessments, accelerated
planning, and call center activation. Identified activities should describe specific actions that
support the completion of the domain activity. Applicants should explicitly identify what activity
will be completed and in what timeframe. These activities should lead to measurable outputs that
are linked to response activities and projected outcomes. Applicants are expected to aggregate
and document activities that support subrecipients.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19.
Applicant plans and activities related to Component A should be more developed and align with
the activities addressed in the logic model. Applicants will be able to revise their plans and
activities in their Component B work plans based on supplement guidance issued by CDC for an
identified PHE.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Component B Work Plan: Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
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Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
Depending on the unique needs and nature of the crisis, Components A and B can be issued
independently or simultaneously. In addition, if funded independently, either Component A or
Component B may include all six domains. Awards and funding are subject to availability of
funds.
After awards are made, recipients will be required to update their work plans and submit them to
CDC for review and approval. CDC will provide interim guidance documents and budget
summary forms to applicants within seven days of when funds are awarded. Applicants can use
the optional CDC work plan template to develop their plans.
e. CDC Monitoring and Accountability Approach
Monitoring activities include routine and ongoing communication between CDC and recipients,
site visits, and recipient reporting (including work plans, performance, and financial reporting).
Consistent with applicable grants regulations and policies, CDC expects the following to be
included in post-award monitoring for grants and cooperative agreements:
• Tracking recipient progress in achieving the desired outcomes.
• Ensuring the adequacy of recipient systems that underlie and generate data reports.
• Creating an environment that fosters integrity in program performance and results.
Monitoring may also include the following activities deemed necessary to monitor the award:
• Ensuring that work plans are feasible based on the budget and consistent with the intent
of the award.
• Ensuring that recipients are performing at a sufficient level to achieve outcomes within
stated timeframes.
• Working with recipients on adjusting the work plan based on achievement of outcomes,
evaluation results and changing budgets.
• Monitoring performance measures (both programmatic and financial) to assure
satisfactory performance levels.
Monitoring and reporting activities that assist grants management staff (e.g., grants management
officers and specialists, and project officers) in the identification, notification, and management
of high-risk recipients.
f. CDC Program Support to Recipients
In this cooperative agreement, CDC staff will be substantially involved in the program activities
above and beyond routine grant monitoring. CDC’s Division of State and Local Readiness
(DSLR) project officers and subject matter experts will work with other CDC subject matter
experts who may serve as technical monitors for specific activities, segments or aspects of a
specific PHE. DSLR will review or coordinate the review of applications to ensure activities are
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in scope and do not duplicate those funded by other CDC cooperative agreements. To assist
recipients in achieving the purpose of this award, CDC will conduct the following activities.
1. Provide ongoing guidance, programmatic support, training, and technical assistance as
related to activities outlined in this NOFO. Technical assistance resources include crisis
work plan and spend plan templates as needed.
2. Facilitate communication among recipients to advance the sharing of expertise on
response activities.
3. Coordinate planning and implementation activities with federal partners including the
Office of the Assistant Secretary for Preparedness and Response Department of
Homeland Security, and others based on the specific PHE.
B. Award Information
1. Funding Instrument Type:
CA (Cooperative Agreement)
CDC's substantial involvement in this program appears in the CDC Program Support to
Recipients Section.
2. Award Mechanism:
U90
Public Health Crisis Response Cooperative Agreement
3. Fiscal Year:
2024
4. Approximate Total Fiscal Year Funding:
$500,000,000
5. Total Period of Performance Funding:
$500,000,000
This amount is subject to the availability of funds.
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
Estimated Total Funding:
$500,000,000
6. Total Period of Performance Length:
5 year(s)
year(s)
7. Expected Number of Awards:
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113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
8. Approximate Average Award:
$5,000,000
Per Budget Period
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
9. Award Ceiling:
$5,000,000
Per Budget Period
This amount is subject to the availability of funds.
10. Award Floor:
$50,000
Per Budget Period
This amount is subject to the availability of funds.
11. Estimated Award Date:
January 06, 2025
12. Budget Period Length:
12 month(s)
Throughout the period of performance, CDC will continue the award based on the availability of
funds, the evidence of satisfactory progress by the recipient (as documented in required reports),
and the determination that continued funding is in the best interest of the federal government.
The total number of years for which federal support has been approved (period of performance)
will be shown in the “Notice of Award.” This information does not constitute a commitment by
the federal government to fund the entire period. The total period of performance comprises the
initial competitive segment and any subsequent non-competitive continuation award(s).
13. Direct Assistance
Direct Assistance (DA) is available through this NOFO.
Additional information about the availability of DA and how to request DA will be included in
supplemental guidance for the specific PHE.
If you are successful and receive a Notice of Award, in accepting the award, you agree that the
award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in
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effect or implemented during the period of the award, other Department regulations and policies
in effect at the time of the award, and applicable statutory provisions.
C. Eligibility Information
1. Eligible Applicants
Eligibility Category:
00 (State governments)
01 (County governments)
02 (City or township governments)
04 (Special district governments)
07 (Native American tribal governments (Federally recognized))
25 (Others (see text field entitled "Additional Information on Eligibility" for clarification))
2. Additional Information on Eligibility
This NOFO is intended for states, political subdivisions of states, and other public entities as
specified in section 317(a) of the Public Health Service Act (42 USC § 247(b)). It targets public
health organizations that serve state, tribal, local, and territorial populations and are
constitutionally empowered to protect the health and welfare of their respective communities,
focused on executing emergency preparedness and response services.
To demonstrate existing capacity for public health emergency management, applicants must
submit their response organizational charts and work plans. If these documents are not
submitted, the application will be considered non-responsive and will receive no further review.
Local government organizations or their bona fide agents must:
• Serve a county population of 2 million or more or serve a city population of 400,000 or
more. Populations for county and city jurisdictions are based on the following 2021 U.S.
Census resources:
o City and Town Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates of the Resident Population for Incorporated Places, Ranked by July 1,
2021, Population: April 1, 2020, to July 1, 2021
o County Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates for 2021
• Sources may be updated as census data change over time
Local jurisdictions that meet population requirements are listed in Attachment A.
Tribal governments or their bona fide agents must be federally recognized and:
• Serve a population of 50,000 or more.
CDC will reopen this announcement periodically over the five-year NOFO period to
accommodate population changes and ensure we maintain a current roster of eligible
jurisdictions for emergency response. Sources for future postings of this NOFO will be based on
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the latest census data and may change over time.
The anticipated dates for reposting are noted below. Applicants will have 60 days to submit an
application.
• July 2024
• July 2025
• July 2026
3. Justification for Less than Maximum Competition
4. Cost Sharing or Matching
Cost Sharing / Matching Requirement:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
5. Maintenance of Effort
Maintenance of effort is not required for this program.
D. Application and Submission Information
1. Required Registrations
An organization must be registered at the three following locations before it can submit an
application for funding at www.grants.gov.
PLEASE NOTE: Effective April 4, 2022, applicants must have a Unique Entity Identifier
(UEI) at the time of application submission (SF-424, field 8c). The UEI is generated as part of
SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and
can view it in SAM.gov and Grants.gov. Additional information is available on the GSA website,
SAM.gov, and Grants.gov- Finding the UEI.
a. Unique Entity Identifier (UEI):
All applicant organizations must obtain a Unique Entity Identifier (UEI) number associated with
your organization’s physical location prior to submitting an application. A UEI number is a
unique twelve-digit identification number assigned through SAM.gov registration. Some
organizations may have multiple UEI numbers. Use the UEI number associated with the
location of the organization receiving the federal funds.
b. System for Award Management (SAM):
The SAM is the primary registrant database for the federal government and the repository into
which an entity must submit information required to conduct business as a recipient. All
applicant organizations must register with SAM, and will be assigned a SAM number and a
Unique Entity Identifier (UEI). All information relevant to the SAM number must be current at
all times during which the applicant has an application under consideration for funding by CDC.
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If an award is made, the SAM information must be maintained until a final financial report is
submitted or the final payment is received, whichever is later. The SAM registration process can
require 10 or more business days, and registration must be renewed annually. Additional
information about registration procedures may be found at SAM.gov and the SAM.gov
Knowledge Base.
c. Grants.gov:
The first step in submitting an application online is registering your organization at
www.grants.gov, the official HHS E-grant Web site. Registration information is located at the
"Applicant Registration" option at www.grants.gov.
All applicant organizations must register at www.grants.gov. The one-time registration process
usually takes not more than five days to complete. Applicants should start the registration
process as early as possible.
S
t
System Requirements Duration Follow Up
e
p
1. Go to SAM.gov and
For SAM
create an Electronic
Customer
Business Point of Contact
System for 7-10 Business Days but Service
(EBiz POC). You will need
Award may take longer and Contact
1 to have an active SAM
Management must be renewed once a https://fsd.gov/
account before you can
(SAM) year fsd-gov/
register on grants.gov).
home.do Calls:
The UEI is generated as
866-606-8220
part of your registration.
1. Set up an account in
Grants.gov, then add a
profile by adding the
Allow at least one
organization's new UEI
business day (after you
number.
enter the EBiz POC Register early!
2. The EBiz POC can
name and EBiz POC
designate user roles,
2 Grants.gov email in SAM) to receive Applicants can
including Authorized
a UEI (SAM) which will register within
Organization
allow you to register with minutes.
Representative (AOR).
Grants.gov and apply for
3. AOR is authorized to
federal funding.
submit applications on
behalf of the organization
in their workspace.
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2. Request Application Package
Applicants may access the application package at www.grants.gov. Additional information
about applying for CDC grants and cooperative agreements can be found here:
https://www.cdc.gov/grants/applying/pre-award.html
3. Application Package
Applicants must download the SF-424, Application for Federal Assistance, package associated
with this notice of funding opportunity at www.grants.gov.
4. Submission Dates and Times
If the application is not submitted by the deadline published in the NOFO, it will not be
processed. Office of Grants Services (OGS) personnel will notify the applicant that their
application did not meet the deadline. The applicant must receive pre-approval to submit a paper
application (see Other Submission Requirements section for additional details). If the applicant is
authorized to submit a paper application, it must be received by the deadline provided by OGS.
a. Letter of Intent Deadline (must be emailed)
Number Of Days from Publication 30
09/21/2024
b. Application Deadline
Due Date for Applications 02/11/2027
02/11/2027
11:59 pm U.S. Eastern Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive
applications, and circumstances preclude advance notification of an extension, then applications
must be submitted by the first business day on which Grants.gov operations resume.
Due Date for Information Conference Call
Please send inquiries regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov.
Be sure to include the NOFO number, TP22-2201, in the subject line of any inquiries.
5. Pre-Award Assessments
Duplication of Efforts
Applicants are responsible for reporting if this application will result in programmatic,
budgetary, or commitment overlap with another application or award (i.e. grant, cooperative
agreement, or contract) submitted to another funding source in the same fiscal year.
Programmatic overlap occurs when (1) substantially the same project is proposed in more than
one application or is submitted to two or more funding sources for review and funding
consideration or (2) a specific objective and the project design for accomplishing the objective
are the same or closely related in two or more applications or awards, regardless of the funding
source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g.,
equipment, salaries) are requested in an application but already are provided by another source.
Commitment overlap occurs when an individual’s time commitment exceeds 100 percent,
whether or not salary support is requested in the application. Overlap, whether programmatic,
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budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.
Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.
Report Submission: The applicant must upload the report in Grants.gov under “Other
Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary,
and Commitment Overlap.”
6. Content and Form of Application Submission
Applicants are required to include all of the following documents with their application package
at www.grants.gov.
7. Letter of Intent
LOI not required.
8. Table of Contents
(There is no page limit. The table of contents is not included in the project narrative page limit.):
The applicant must provide, as a separate attachment, the “Table of Contents” for the entire
submission package.
Provide a detailed table of contents for the entire submission package that includes all of the
documents in the application and headings in the "Project Narrative" section. Name the file
"Table of Contents" and upload it as a PDF, Word, or Excel file format under "Other Attachment
Forms" at www.grants.gov.
9. Project Abstract Summary
A project abstract is included on the mandatory documents list and must be submitted at
www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed
project including the purpose and outcomes. This summary must not include any proprietary or
confidential information. Applicants must enter the summary in the "Project Abstract Summary"
text box at www.grants.gov.
10. Project Narrative
(Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12
point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the
specified page number will not be reviewed.)
Applicants must submit a Project Narrative with the application forms. Applicants must name
this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include
all of the following headings (including subheadings): Background, Approach, Applicant
Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to
Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-
explanatory, and in the order outlined in this section. It must address outcomes and activities to
be conducted over the entire period of performance as identified in the CDC Project Description
section. Applicants should use the federal plain language guidelines and Clear Communication
Index to respond to this Notice of Funding Opportunity. Note that recipients should also use
these tools when creating public communication materials supported by this NOFO. Failure to
follow the guidance and format may negatively impact scoring of the application.
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a. Background
Applicants must provide a description of relevant background information that includes the
context of the problem (See CDC Background).
b. Approach
i. Purpose
Applicants must describe in 2-3 sentences specifically how their application will address the
public health problem as described in the CDC Background section.
ii. Outcomes
Applicants must clearly identify the outcomes they expect to achieve by the end of the period of
performance, as identified in the logic model in the Approach section of the CDC Project
Description. Outcomes are the results that the program intends to achieve and usually indicate
the intended direction of change (e.g., increase, decrease).
iii. Strategies and Activities
Applicants must provide a clear and concise description of the strategies and activities they will
use to achieve the period of performance outcomes. Applicants must select existing evidence-
based strategies that meet their needs, or describe in the Applicant Evaluation and Performance
Measurement Plan how these strategies will be evaluated over the course of the period of
performance. See the Strategies and Activities section of the CDC Project Description.
1. Collaborations
Applicants must describe how they will collaborate with programs and organizations either
internal or external to CDC. Applicants must address the Collaboration requirements as
described in the CDC Project Description.
2. Population(s) of Focus and Health Disparities
Applicants must describe the specific population(s) of focus in their jurisdiction and explain how
to achieve the goals of the award and/or alleviate health disparities. The applicants must also
address how they will include specific populations that can benefit from the program that is
described in the Approach section. Applicants must address the Population(s) of Focus and
Health Disparities requirements as described in the CDC Project Description, including (as
applicable to this award) how to address health disparities in the design and implementation of
the proposed program activities.
c. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
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• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement. The
Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities
involving information collections (e.g., surveys, questionnaires, applications, audits, data
requests, reporting, recordkeeping and disclosure requirements) from 10 or more
individuals or non-Federal entities, including State and local governmental agencies, and
funded or sponsored by the Federal Government are subject to review and approval by
the Office of Management and Budget. For further information about CDC’s
requirements under PRA see
https://www.cdc.gov/os/integrity/reducepublicburden/index.htm.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, data management plan (DMP), and other relevant data information (e.g.,
performance measures proposed by the applicant).
Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should
be directed to:
• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan (including the DMP elements) within the first 6 months of award, as described in the
Reporting Section of this NOFO.
d. Organizational Capacity of Applicants to Implement the Approach
Applicants must address the organizational capacity requirements as described in the CDC
Project Description.
11. Work Plan
(Included in the Project Narrative’s page limit)
Applicants must prepare a work plan consistent with the CDC Project Description Work Plan
section. The work plan integrates and delineates more specifically how the recipient plans to
carry out achieving the period of performance outcomes, strategies and activities, evaluation and
performance measurement.
12. Budget Narrative
Applicants must submit an itemized budget narrative. When developing the budget narrative,
applicants must consider whether the proposed budget is reasonable and consistent with the
purpose, outcomes, and program strategy outlined in the project narrative. The budget must
include:
• Salaries and wages
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• Fringe benefits
• Consultant costs
• Equipment
• Supplies
• Travel
• Other categories
• Contractual costs
• Total Direct costs
• Total Indirect costs
Indirect costs could include the cost of collecting, managing, sharing and preserving data.
Indirect costs on grants awarded to foreign organizations and foreign public entities and
performed fully outside of the territorial limits of the U.S. may be paid to support the costs of
compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of
tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000.
Negotiated indirect costs may be paid to the American University, Beirut, and the World Health
Organization.
If applicable and consistent with the cited statutory authority for this announcement, applicant
entities may use funds for activities as they relate to the intent of this NOFO to meet national
standards or seek health department accreditation or reaccreditation through the Public Health
Accreditation Board (see: http://www.phaboard.org). Applicant entities to whom this provision
applies include state, local, territorial governments (including the District of Columbia, the
Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna
Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the
Marshall Islands, and the Republic of Palau), or their bona fide agents, political subdivisions of
states (in consultation with states), federally recognized or state-recognized American Indian or
Alaska Native tribal governments, and American Indian or Alaska Native tribally designated
organizations. Activities include those that enable a public health organization to deliver
essential public health services and ensure foundational capabilities are in place, such as
activities that ensure a capable and qualified workforce, strengthen information systems and
organizational competencies, build attention to equity, and advance the capability to assess and
respond to public health needs. Use of these funds must focus on achieving a minimum of one
national standard that supports the intent of the NOFO. Proposed activities must be included in
the budget narrative and must indicate which standards will be addressed.
Vital records data, including births and deaths, are used to inform public health program and
policy decisions. If applicable and consistent with the cited statutory authority for this NOFO,
applicant entities are encouraged to collaborate with and support their jurisdiction’s vital records
office (VRO) to improve vital records data timeliness, quality and access, and to advance public
health goals. These goals may include supporting vital records offices participating in the Vital
Records and Health Statistics Accreditation Program, certifying vital records offices to meet
industry standards. Recipients may, for example, use funds to support efforts to build VRO
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capacity through partnerships; provide technical and/or financial assistance to improve vital
records timeliness, quality or access; provide financial assistance to support accreditation related
fees and/or support staff time to coordinate accreditation activities; or support vital records
improvement efforts, as approved by CDC.
Applicants must name this file “Budget Narrative” and can upload it as a PDF, Word, or Excel
file format at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect
cost-rate agreement is required. If the indirect costs are requested, include a copy of the current
negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for those
Recipients under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it
at www.grants.gov.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19. Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
13. Funds Tracking
Proper fiscal oversight is critical to maintaining public trust in the stewardship of federal funds.
Effective October 1, 2013, a new HHS policy on subaccounts requires the CDC to set up
payment subaccounts within the Payment Management System (PMS) for all new grant awards.
Funds awarded in support of approved activities and drawdown instructions will be identified on
the Notice of Award in a newly established PMS subaccount (P subaccount). Recipients will be
required to draw down funds from award-specific accounts in the PMS. Ultimately, the
subaccounts will provide recipients and CDC a more detailed and precise understanding of
financial transactions. The successful applicant will be required to track funds by P-accounts/sub
accounts for each project/cooperative agreement awarded. Applicants are encouraged to
demonstrate a record of fiscal responsibility and the ability to provide sufficient and effective
oversight. Financial management systems must meet the requirements as described 45 CFR 75
which include, but are not limited to, the following:
• Records that identify adequately the source and application of funds for federally-funded
activities.
• Effective control over, and accountability for, all funds, property, and other assets.
• Comparison of expenditures with budget amounts for each Federal award.
• Written procedures to implement payment requirements.
• Written procedures for determining cost allowability.
• Written procedures for financial reporting and monitoring.
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14. Employee Whistleblower Rights and Protections
Employee Whistleblower Rights and Protections: All recipients of an award under this NOFO
will be subject to a term and condition that applies the requirements set out in 41 U.S.C. § 4712,
“Enhancement of contractor protection from reprisal for disclosure of certain information” and
48 Code of Federal Regulations (CFR) section 3.9 to the award, which includes a requirement
that recipients and subrecipients inform employees in writing (in the predominant native
language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. §
4712. For more information see: https://oig.hhs.gov/fraud/whistleblower/.
15. Copyright Interests Provisions
This provision is intended to ensure that the public has access to the results and accomplishments
of public health activities funded by CDC. Pursuant to applicable grant regulations and CDC’s
Public Access Policy, Recipient agrees to submit into the National Institutes of Health (NIH)
Manuscript Submission (NIHMS) system an electronic version of the final, peer-reviewed
manuscript of any such work developed under this award upon acceptance for publication, to be
made publicly available no later than 12 months after the official date of publication. Also at the
time of submission, Recipient and/or the Recipient’s submitting author must specify the date the
final manuscript will be publicly accessible through PubMed Central (PMC). Recipient and/or
Recipient’s submitting author must also post the manuscript through PMC within twelve (12)
months of the publisher's official date of final publication; however the author is strongly
encouraged to make the subject manuscript available as soon as possible. The recipient must
obtain prior approval from the CDC for any exception to this provision.
The author's final, peer-reviewed manuscript is defined as the final version accepted for journal
publication, and includes all modifications from the publishing peer review process, and all
graphics and supplemental material associated with the article. Recipient and its submitting
authors working under this award are responsible for ensuring that any publishing or copyright
agreements concerning submitted articles reserve adequate right to fully comply with this
provision and the license reserved by CDC. The manuscript will be hosted in both PMC and the
CDC Stacks institutional repository system. In progress reports for this award, recipient must
identify publications subject to the CDC Public Access Policy by using the applicable NIHMS
identification number for up to three (3) months after the publication date and the PubMed
Central identification number (PMCID) thereafter.
16. Funding Restrictions
Restrictions that must be considered while planning the programs and writing the budget are:
• Recipients may not use funds for research.
• Recipients may not use funds for clinical care except as allowed by law.
• Recipients may use funds only for reasonable program purposes, including personnel,
travel, supplies, and services.
• Generally, recipients may not use funds to purchase furniture or equipment. Any such
proposed spending must be clearly identified in the budget.
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• Reimbursement of pre-award costs generally is not allowed, unless the CDC provides
written approval to the recipient.
• Other than for normal and recognized executive-legislative relationships, no funds may
be used for:
o publicity or propaganda purposes, for the preparation, distribution, or use of any
material designed to support or defeat the enactment of legislation before any
legislative body
o the salary or expenses of any grant or contract recipient, or agent acting for such
recipient, related to any activity designed to influence the enactment of
legislation, appropriations, regulation, administrative action, or Executive order
proposed or pending before any legislative body
• See Additional Requirement (AR) 12 for detailed guidance on this prohibition and
additional guidance on anti-lobbying restrictions for CDC recipients.
• The direct and primary recipient in a cooperative agreement program must perform a
substantial role in carrying out project outcomes and not merely serve as a conduit for an
award to another party or provider who is ineligible.
17. Data Management Plan
As identified in the Evaluation and Performance Measurement section, applications involving
data collection or generation must include a Data Management Plan (DMP) as part of their
evaluation and performance measurement plan unless CDC has stated that CDC will take on the
responsibility of creating the DMP. The DMP describes plans for assurance of the quality of the
public health data through the data's lifecycle and plans to deposit the data in a repository to
preserve and to make the data accessible in a timely manner. See web link for additional
information:
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
18. Intergovernmental Review
This NOFO is not subject to executive order 12372, Intergovernmental Review of Federal
Programs. No action is needed.
19. Other Submission Requirements
a. Electronic Submission:
Applications must be submitted electronically by using the forms and instructions posted for this
notice of funding opportunity at www.grants.gov. Applicants can complete the application
package using Workspace, which allows forms to be filled out online or offline. Application
attachments can be submitted using PDF, Word, or Excel file formats. Instructions and training
for using Workspace can be found at www.grants.gov under the "Workspace Overview" option.
b. Tracking Number: Applications submitted through www.grants.gov are time/date stamped
electronically and assigned a tracking number. The applicant’s Authorized Organization
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Representative (AOR) will be sent an e-mail notice of receipt when www.grants.gov receives the
application. The tracking number documents that the application has been submitted and initiates
the required electronic validation process before the application is made available to CDC.
c. Validation Process: Application submission is not concluded until the validation process is
completed successfully. After the application package is submitted, the applicant will receive a
“submission receipt” e-mail generated by www.grants.gov. A second e-mail message to
applicants will then be generated by www.grants.gov that will either validate or reject the
submitted application package. This validation process may take as long as two business days.
Applicants are strongly encouraged to check the status of their application to ensure that
submission of their package has been completed and no submission errors have occurred.
Applicants also are strongly encouraged to allocate ample time for filing to guarantee that their
application can be submitted and validated by the deadline published in the NOFO. Non-
validated applications will not be accepted after the published application deadline date.
If you do not receive a “validation” e-mail within two business days of application submission,
please contact www.grants.gov. For instructions on how to track your application, refer to the e-
mail message generated at the time of application submission or review the Applicants section on
www.grants.gov.
d. Technical Difficulties: If technical difficulties are encountered at www.grants.gov, applicants
should contact Customer Service at www.grants.gov. The www.grants.gov Contact Center is
available 24 hours a day, 7 days a week, except federal holidays. The Contact Center is available
by phone at 1-800-518-4726 or by e-mail at support@grants.gov. Application submissions sent
by e-mail or fax, or on CDs or thumb drives will not be accepted. Please note that
www.grants.gov is managed by HHS.
e. Paper Submission: If technical difficulties are encountered at www.grants.gov, applicants
should call the www.grants.gov Contact Center at 1-800-518-4726 or e-mail them at
support@grants.gov for assistance. After consulting with the Contact Center, if the technical
difficulties remain unresolved and electronic submission is not possible, applicants may e-mail
CDC GMO/GMS, before the deadline, and request permission to submit a paper application.
Such requests are handled on a case-by-case basis.
An applicant’s request for permission to submit a paper application must:
1. Include the www.grants.gov case number assigned to the inquiry
2. Describe the difficulties that prevent electronic submission and the efforts taken with the
www.grants.gov Contact Center to submit electronically; and
3. Be received via e-mail to the GMS/GMO listed below at least three calendar days before
the application deadline. Paper applications submitted without prior approval will not be
considered.
If a paper application is authorized, OGS will advise the applicant of specific instructions
for submitting the application via email.
E. Review and Selection Process
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1. Review and Selection Process: Applications will be reviewed in three
phases
a. Phase 1 Review
All applications will be initially reviewed for eligibility and completeness by CDC Office of
Grants Services. Complete applications will be reviewed for responsiveness by the Grants
Management Officials and Program Officials. Non-responsive applications will not advance to
Phase II review. Applicants will be notified that their applications did not meet eligibility and/or
published submission requirements.
b. Phase II Review
NOFO reviewers will follow CDC’s merit review process by evaluating eligible and responsive
applications in accordance with the criteria below. Reviewers may be external to the federal
government (non-federal personnel), federal personnel, or a mix of federal and non-federal
personnel.
i. Approach
ii. Evaluation and Performance Measurement
iii. Applicant’s Organizational Capacity to Implement the Approach
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
i. Approach
Maximum Points: 33
An objective review process will evaluate complete, eligible applications in accordance with the
criteria below. Complete applications should respond to elements in both components A and B.
Identification of gaps:
• To what extent does the work plan identify and quantify existing operational gaps and the
root cause of the gaps to be addressed?
• For each identified topic area, to what extent has the applicant included estimated
timelines for completion of all performance and work plan activities as well as obligation
and liquidation of funds within the budget and project period? Timelines should be
consistent with cycle times identified in recipient jurisdiction’s current HPP-PHEP
administrative preparedness plan.
ii. Evaluation and Performance Measurement
Maximum Points: 33
• For each identified topic area, to what extent does the expected outcomes align with
successfully addressing the problem or gap? What evidence is provided that any expected
changes or improvements to the public health or to the community, such as awareness,
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knowledge, attitudes, skills, opinion, behavior, policies, or health improvement, will be
demonstrated during the period of performance?
• To what extent does the evidence provided demonstrate that the activities, deliverables
(outputs), and outcomes can be achieved during the period of performance?
iii. Applicant's Organizational Capacity to Implement the Approach
Maximum Points: 34
• To what extent does the applicant demonstrate the organizational capacity and skills to
implement a functional response to a public health emergency, addressing public health
emergency management, incident management and response leadership, response
planning, program evaluation, performance monitoring, financial reporting, budget
management and administration, and personnel management?
• To what extent does the applicant demonstrate experience and capacity to implement the
evaluation plan?
• To what extent has the applicant included an organizational chart?
Budget
Maximum Points: 0
To what extent is the proposed budget adequately justified and consistent with this program
announcement and the applicant’s proposed activities? Is the itemized budget for conducting the
project and justification reasonable and consistent with stated objectives and planned program
activities?
c. Phase III Review
CDC’s Office of Grant Services will review applications for eligibility and responsiveness
criteria. An objective review will be conducted to recommend approval.
Review of risk posed by applicants.
Prior to making a Federal award, CDC is required by 31 U.S.C. 3321 and 41 U.S.C. 2313 to
review information available through any OMB-designated repositories of government-wide
eligibility qualification or financial integrity information as appropriate. See also suspension and
debarment requirements at 2 CFR parts 180 and 376.
In accordance 41 U.S.C. 2313, CDC is required to review the non-public segment of the OMB-
designated integrity and performance system accessible through SAM prior to making a Federal
award where the Federal share is expected to exceed the simplified acquisition threshold, defined
in 41 U.S.C. 134, over the period of performance. At a minimum, the information in the system
for a prior Federal award recipient must demonstrate a satisfactory record of executing programs
or activities under Federal grants, cooperative agreements, or procurement awards; and integrity
and business ethics. CDC may make a Federal award to a recipient who does not fully meet these
standards, if it is determined that the information is not relevant to the current Federal award
under consideration or there are specific conditions that can appropriately mitigate the effects of
the non-Federal entity's risk in accordance with 45 CFR §75.207. CDC’s review of risk may
impact award eligibility.
In evaluating risks posed by applicants, CDC will use a risk-based approach and may consider
any items such as the following:
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(1) Financial stability;
(2) Quality of management systems and ability to meet the management standards prescribed in
this part;
(3) History of performance. The applicant's record in managing Federal awards, if it is a prior
recipient of Federal awards, including timeliness of compliance with applicable reporting
requirements, conformance to the terms and conditions of previous Federal awards, and if
applicable, the extent to which any previously awarded amounts will be expended prior to future
awards;
(4) Reports and findings from audits performed under subpart F 45 CFR 75 or the reports and
findings of any other available audits; and
(5) The applicant's ability to effectively implement statutory, regulatory, or other requirements
imposed on non-Federal entities.
Additionally, we may ask for additional information prior to the award based on the results of the
CDC’s risk review.
CDC must comply with the guidelines on government-wide suspension and debarment in 2 CFR
part 180, and require non-Federal entities to comply with these provisions. These provisions
restrict Federal awards, subawards and contracts with certain parties that are debarred, suspended
or otherwise excluded from or ineligible for participation in Federal programs or activities.
2. Announcement and Anticipated Award Dates
December 31, 2024
F. Award Administration Information
1. Award Notices
Recipients will receive an electronic copy of the Notice of Award (NOA) from CDC OGS. The
NOA shall be the only binding, authorizing document between the recipient and CDC. The
NOA will be signed by an authorized GMO and emailed to the Recipient Business Officer listed
in application and the Program Director.
Any applicant awarded funds in response to this Notice of Funding Opportunity will be subject
to annual SAM Registration and Federal Funding Accountability And Transparency Act Of 2006
(FFATA) requirements.
Unsuccessful applicants will receive notification of these results by e-mail with delivery receipt.
2. Administrative and National Policy Requirements
Recipients must comply with the administrative and public policy requirements outlined in 45
CFR Part 75 and the HHS Grants Policy Statement, as appropriate.
Brief descriptions of relevant provisions are available at https://www.cdc.gov/grants/additional-
requirements/index.html.
The HHS Grants Policy Statement is available at
http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
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If you receive an award, you must follow all applicable nondiscrimination laws. You agree to
this when you register in SAM.gov. You must also submit an Assurance of Compliance (HHS-
690). To learn more, see the HHS Office for Civil Rights website.
3. Reporting
Reporting provides continuous program monitoring and identifies successes and challenges that
recipients encounter throughout the period of performance. Also, reporting is a requirement for
recipients who want to apply for yearly continuation of funding. Reporting helps CDC and
recipients because it:
• Helps target support to recipients;
• Provides CDC with periodic data to monitor recipient progress toward meeting the Notice
of Funding Opportunity outcomes and overall performance;
• Allows CDC to track performance measures and evaluation findings for continuous
quality and program improvement throughout the period of performance 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 NOFO.
The table below summarizes required and optional reports. All required reports must be sent
electronically to GMS listed in the “Agency Contacts” section of the NOFO copying the CDC
Project Officer.
Report When? Required?
Recipient Evaluation and 6 months into award Yes
Performance Measurement
Plan, including Data
Management Plan (DMP)
Annual Performance Report No later than 120 days before Yes
(APR) end of budget period. Serves as
yearly continuation application.
Data on Performance Measures CDC program determines. Only No
if program wants more frequent
performance measure reporting
than annually in APR.
Federal Financial Reporting 90 days after the end of the budget period Yes
Forms
Final Performance and 90 days after end of period of performance Yes
Financial Report
Payment Management System Quarterly reports due January Yes
(PMS) Reporting 30; April 30; July
30; and October 30
Additional reporting requirements will be determined once the funding is issued.
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a. Recipient Evaluation and Performance Measurement Plan (required)
With support from CDC, recipients must elaborate on their initial applicant evaluation and
performance measurement plan. This plan must be no more than 20 pages; recipients must
submit the plan 6 months into the award. HHS/CDC will review and approve the recipient’s
monitoring and evaluation plan to ensure that it is appropriate for the activities to be undertaken
as part of the agreement, for compliance with the monitoring and evaluation guidance established
by HHS/CDC, or other guidance otherwise applicable to this Agreement.
Recipient Evaluation and Performance Measurement Plan (required): This plan should provide
additional detail on the following:
Performance Measurement
• Performance measures and targets
• The frequency that performance data are to be collected.
• How performance data will be reported.
• How quality of performance data will be assured.
• How performance measurement will yield findings to demonstrate progress towards achieving
NOFO goals (e.g., reaching specific populations or achieving expected outcomes).
• Dissemination channels and audiences.
• Other information requested as determined by the CDC program.
Evaluation
• The types of evaluations to be conducted (e.g. process or outcome evaluations).
• The frequency that evaluations will be conducted.
• How evaluation reports will be published on a publicly available website.
• How evaluation findings will be used to ensure continuous quality and program improvement.
• How evaluation will yield findings to demonstrate the value of the NOFO (e.g., effect on
improving public health outcomes, effectiveness of NOFO, cost-effectiveness or cost-benefit).
• Dissemination channels and audiences.
HHS/CDC or its designee will also undertake monitoring and evaluation of the defined activities
within the agreement. The recipient must ensure reasonable access by HHS/CDC or its designee
to all necessary sites, documentation, individuals and information to monitor, evaluate and verify
the appropriate implementation the activities and use of HHS/CDC funding under this
Agreement.
b. Annual Performance Report (APR) (required)
The recipient must submit the APR via www.Grantsolutions.gov no later than 120 days prior to
the end of the budget period. This report must not exceed 45 pages excluding administrative
reporting. Attachments are not allowed, but web links are allowed.
This report must include the following:
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• Performance Measures: Recipients must report on performance measures for each
budget period and update measures, if needed.
• Evaluation Results: Recipients must report evaluation results for the work completed to
date (including findings from process or outcome evaluations).
• Work Plan: Recipients must update work plan each budget period to reflect any changes
in period of performance outcomes, activities, timeline, etc.
• Successes
o Recipients must report progress on completing activities and progress towards
achieving the period of performance outcomes described in the logic model and
work plan.
o Recipients must describe any additional successes (e.g. identified through
evaluation results or lessons learned) achieved in the past year.
o Recipients must describe success stories.
• Challenges
o Recipients must describe any challenges that hindered or might hinder their
ability to complete the work plan activities and achieve the period of performance
outcomes.
o Recipients must describe any additional challenges (e.g., identified through
evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Recipients
o Recipients must describe how CDC could help them overcome challenges to
complete activities in the work plan and achieving period of performance
outcomes.
• Administrative Reporting (No page limit)
o SF-424A Budget Information-Non-Construction Programs.
o Budget Narrative – Must use the format outlined in "Content and Form of
Application Submission, Budget Narrative" section.
o Indirect Cost Rate Agreement.
The recipients must submit the Annual Performance Report via www.Grantsolutions.gov no
later than 120 days prior to the end of the budget period.
c. Performance Measure Reporting (optional)
CDC programs may require more frequent reporting of performance measures than annually in
the APR. If this is the case, CDC programs must specify reporting frequency, data fields, and
format for recipients at the beginning of the award period.
d. Federal Financial Reporting (FFR) (required)
The annual FFR form (SF-425) is required and must be submitted 90 days after the end of the
budget period through the Payment Management System (PMS). The report must include only
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those funds authorized and disbursed during the timeframe covered by the report. The final FFR
must indicate the exact balance of unobligated funds, and may not reflect any unliquidated
obligations. There must be no discrepancies between the final FFR expenditure data and the
Payment Management System’s (PMS) cash transaction data. Failure to submit the required
information by the due date may adversely affect the future funding of the project. If the
information cannot be provided by the due date, recipients are required to submit a letter of
explanation to OGS and include the date by which the Grants Officer will receive information.
e. Final Performance and Financial Report (required)
The Final Performance Report is due 120 days after the end of the period of performance. The
Final FFR is due 120 days after the end of the period of performance and must be submitted
through the Payment Management System (PMS). CDC programs must indicate that this report
should not exceed 40 pages. This report covers the entire period of performance and can include
information previously reported in APRs. At a minimum, this report must include the following:
• Performance Measures – Recipients must report final performance data for all process
and outcome performance measures.
• Evaluation Results – Recipients must report final evaluation results for the period of
performance for any evaluations conducted.
• Impact/Results/Success Stories – Recipients must use their performance measure results
and their evaluation findings to describe the effects or results of the work completed over
the period of performance, and can include some success stories.
• A final Data Management Plan that includes the location of the data collected during the
funded period, for example, repository name and link data set(s)
• Additional forms as described in the Notice of Award (e.g., Equipment Inventory Report,
Final Invention Statement).
4. Federal Funding Accountability and Transparency Act of 2006 (FFATA)
Federal Funding Accountability and Transparency Act of 2006 (FFATA), P.L. 109–282, as
amended by section 6202 of P.L. 110–252 requires full disclosure of all entities and
organizations receiving Federal funds including awards, contracts, loans, other assistance, and
payments through a single publicly accessible Web site, http://www.USASpending.gov.
Compliance with this law is primarily the responsibility of the Federal agency. However, two
elements of the law require information to be collected and reported by applicants: 1)
information on executive compensation when not already reported through the SAM, and 2)
similar information on all sub-awards/subcontracts/consortiums over $30,000.
For the full text of the requirements under the FFATA and HHS guidelines, go to:
• https://www.gpo.gov/fdsys/pkg/PLAW-109publ282/pdf/PLAW-109publ282.pdf,
• https://www. fsrs.gov/documents /ffata_legislation_ 110_252.pdf
• http://www.hhs.gov/grants/grants/grants-policies-regulations/index.html#FFATA.
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5. Reporting of Foreign Taxes (International/Foreign projects only)
A. Valued Added Tax (VAT) and Customs Duties – Customs and import duties, consular fees,
customs surtax, valued added taxes, and other related charges are hereby authorized as an
allowable cost for costs incurred for non-host governmental entities operating where no
applicable tax exemption exists. This waiver does not apply to countries where a bilateral
agreement (or similar legal document) is already in place providing applicable tax exemptions
and it is not applicable to Ministries of Health. Successful applicants will receive information on
VAT requirements via their Notice of Award.
B. The U.S. Department of State requires that agencies collect and report information on the
amount of taxes assessed, reimbursed and not reimbursed by a foreign government against
commodities financed with funds appropriated by the U.S. Department of State, Foreign
Operations and Related Programs Appropriations Act (SFOAA) (“United States foreign
assistance funds”). Outlined below are the specifics of this requirement:
1) Annual Report: The recipient must submit a report on or before November 16 for each foreign
country on the amount of foreign taxes charged, as of September 30 of the same year, by a
foreign government on commodity purchase transactions valued at 500 USD or more financed
with United States foreign assistance funds under this grant during the prior United States fiscal
year (October 1 – September 30), and the amount reimbursed and unreimbursed by the foreign
government. [Reports are required even if the recipient did not pay any taxes during the reporting
period.]
2) Quarterly Report: The recipient must quarterly submit a report on the amount of foreign taxes
charged by a foreign government on commodity purchase transactions valued at 500 USD or
more financed with United States foreign assistance funds under this grant. This report shall be
submitted no later than two weeks following the end of each quarter: April 15, July 15, October
15 and January 15.
3) Terms: For purposes of this clause:
“Commodity” means any material, article, supplies, goods, or equipment;
“Foreign government” includes any foreign government entity;
“Foreign taxes” means value-added taxes and custom duties assessed by a foreign government
on a commodity. It does not include foreign sales taxes.
4) Where: Submit the reports to the Director and Deputy Director of the CDC office in the
country(ies) in which you are carrying out the activities associated with this cooperative
agreement. In countries where there is no CDC office, send reports to VATreporting@cdc.gov.
5) Contents of Reports: The reports must contain:
a. recipient name;
b. contact name with phone, fax, and e-mail;
c. agreement number(s) if reporting by agreement(s);
d. reporting period;
e. amount of foreign taxes assessed by each foreign government;
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f. amount of any foreign taxes reimbursed by each foreign government;
g. amount of foreign taxes unreimbursed by each foreign government.
6) Subagreements. The recipient must include this reporting requirement in all applicable
subgrants and other subagreements.
6. Termination
CDC may impose other enforcement actions in accordance with 45 CFR 75.371- Remedies for
Noncompliance, as appropriate.
The Federal award may be terminated in whole or in part as follows:
(1) By the HHS awarding agency or pass-through entity, if the non-Federal entity fails to comply
with the terms and conditions of the award;
(2) By the HHS awarding agency or pass-through entity for cause;
(3) By the HHS awarding agency or pass-through entity with the consent of the non-Federal
entity, in which case the two parties must agree upon the termination conditions, including the
effective date and, in the case of partial termination, the portion to be terminated; or
(4) By the non-Federal entity upon sending to the HHS awarding agency or pass-through entity
written notification setting forth the reasons for such termination, the effective date, and, in the
case of partial termination, the portion to be terminated. However, if the HHS awarding agency
or pass-through entity determines in the case of partial termination that the reduced or modified
portion of the Federal award or subaward will not accomplish the purposes for which the Federal
award was made, the HHS awarding agency or pass-through entity may terminate the Federal
award in its entirety.
G. Agency Contacts
CDC encourages inquiries concerning this notice of funding opportunity.
Program Office Contact
For programmatic technical assistance, contact:
First Name:
Noelle
Last Name:
Anderson
Project Officer
Department of Health and Human Services
Centers for Disease Control and Prevention
Address:
Telephone:
Email:
DSLRCrisisCoag@cdc.gov
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Grants Staff Contact
For financial, awards management, or budget assistance, contact:
First Name:
Angel
Last Name:
Winters
Grants Management Specialist
Department of Health and Human Services
Office of Grants Services
Address:
2939 Flowers Rd
Atlanta, GA 30341
Telephone:
404-498-4056
Email:
jvr1@cdc.gov
For assistance with submission difficulties related to www.grants.gov, contact the Contact
Center by phone at 1-800-518-4726.
Hours of Operation: 24 hours a day, 7 days a week, except on federal holidays.
CDC Telecommunications for persons with hearing loss is available at: TTY 1-888-232-6348
H. Other Information
Following is a list of acceptable application attachments that can be submitted using PDF, Word,
or Excel file formats as part of their application at www.grants.gov. Applicants may not attach
documents other than those listed; if other documents are attached, applications will not be
reviewed.
• Project Abstract
• Project Narrative
• Budget Narrative
• Report on Programmatic, Budgetary and Commitment Overlap
• Table of Contents for Entire Submission
For international NOFOs:
• SF424
• SF424A
• Funding Preference Deliverables
Optional attachments, as determined by CDC programs:
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Indirect Cost Rate, if applicable
Bona Fide Agent status documentation, if applicable
• Letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting
I. Glossary
Activities: The actual events or actions that take place as a part of the program.
Administrative and National Policy Requirements, Additional Requirements (ARs):
Administrative requirements found in 45 CFR Part 75 and other requirements mandated by
statute or CDC policy. All ARs are listed in the Template for CDC programs. CDC programs
must indicate which ARs are relevant to the NOFO; recipients must comply with the ARs listed
in the NOFO. To view brief descriptions of relevant provisions, see
https://www.cdc.gov/grants/additional-requirements/index.html. Note that 2 CFR 200 supersedes
the administrative requirements (A-110 & A-102), cost principles (A-21, A-87 & A-122) and
audit requirements (A-50, A-89 & A-133).
Approved but Unfunded: Approved but unfunded refers to applications recommended for
approval during the objective review process; however, they were not recommended for funding
by the program office and/or the grants management office.
Assistance Listings: A government-wide collection of federal programs, projects, services, and
activities that provide assistance or benefits to the American public.
Assistance Listings Number: A unique number assigned to each program and NOFO
throughout its lifecycle that enables data and funding tracking and transparency
Award: Financial assistance that provides support or stimulation to accomplish a public purpose.
Awards include grants and other agreements (e.g., cooperative agreements) in the form of
money, or property in lieu of money, by the federal government to an eligible applicant.
Budget Period or Budget Year: The duration of each individual funding period within the
period of performance. Traditionally, budget periods are 12 months or 1 year.
Carryover: Unobligated federal funds remaining at the end of any budget period that, with the
approval of the GMO or under an automatic authority, may be carried over to another budget
period to cover allowable costs of that budget period either as an offset or additional
authorization. Obligated but liquidated funds are not considered carryover.
Community engagement: The process of working collaboratively with and through groups of
people to improve the health of the community and its members. Community engagement often
involves partnerships and coalitions that help mobilize resources and influence systems, improve
relationships among partners, and serve as catalysts for changing policies, programs, and
practices.
Competing Continuation Award: A financial assistance mechanism that adds funds to a grant
and adds one or more budget periods to the previously established period of performance (i.e.,
extends the “life” of the award).
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Continuous Quality Improvement: A system that seeks to improve the provision of services
with an emphasis on future results.
Contracts: An award instrument used to acquire (by purchase, lease, or barter) property or
services for the direct benefit or use of the Federal Government.
Cooperative Agreement: A financial assistance award with the same kind of interagency
relationship as a grant except that it provides for substantial involvement by the federal agency
funding the award. Substantial involvement means that the recipient can expect federal
programmatic collaboration or participation in carrying out the effort under the award.
Cost Sharing or Matching: Refers to program costs not borne by the Federal Government but
by the recipients. It may include the value of allowable third-party, in-kind contributions, as well
as expenditures by the recipient.
Direct Assistance: A financial assistance mechanism, which must be specifically authorized by
statute, whereby goods or services are provided to recipients in lieu of cash. DA generally
involves the assignment of federal personnel or the provision of equipment or supplies, such as
vaccines. DA is primarily used to support payroll and travel expenses of CDC employees
assigned to state, tribal, local, and territorial (STLT) health agencies that are recipients of grants
and cooperative agreements. Most legislative authorities that provide financial assistance to
STLT health agencies allow for the use of DA. https://www.cdc.gov/grants/additional-
requirements/index.html.
Equity: The consistent and systematic fair, just, and impartial treatment of all individuals,
including individuals who belong to underserved communities that have been denied such
treatment (from Executive Order 13985).
Evaluation (program evaluation): The systematic collection of information about the activities,
characteristics, and outcomes of programs (which may include interventions, policies, and
specific projects) to make judgments about that program, improve program effectiveness, and/or
inform decisions about future program development.
Evaluation Plan: A written document describing the overall approach that will be used to guide
an evaluation, including why the evaluation is being conducted, how the findings will likely be
used, and the design and data collection sources and methods. The plan specifies what will be
done, how it will be done, who will do it, and when it will be done. The NOFO evaluation plan is
used to describe how the recipient and/or CDC will determine whether activities are
implemented appropriately and outcomes are achieved.
Federal Funding Accountability and Transparency Act of 2006 (FFATA): Requires that
information about federal awards, including awards, contracts, loans, and other assistance and
payments, be available to the public on a single website at www.USAspending.gov.
Fiscal Year: The year for which budget dollars are allocated annually. The federal fiscal year
starts October 1 and ends September 30.
Grant: A legal instrument used by the federal government to transfer anything of value to a
recipient for public support or stimulation authorized by statute. Financial assistance may be
money or property. The definition does not include a federal procurement subject to the Federal
Acquisition Regulation; technical assistance (which provides services instead of money); or
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assistance in the form of revenue sharing, loans, loan guarantees, interest subsidies, insurance, or
direct payments of any kind to a person or persons. The main difference between a grant and a
cooperative agreement is that in a grant there is no anticipated substantial programmatic
involvement by the federal government under the award.
Grants.gov: A "storefront" web portal for electronic data collection (forms and reports) for
federal grant-making agencies at www.grants.gov.
Grants Management Officer (GMO): The individual designated to serve as the HHS official
responsible for the business management aspects of a particular grant(s) or cooperative
agreement(s). The GMO serves as the counterpart to the business officer of the recipient
organization. In this capacity, the GMO is responsible for all business management matters
associated with the review, negotiation, award, and administration of grants and interprets grants
administration policies and provisions. The GMO works closely with the program or project
officer who is responsible for the scientific, technical, and programmatic aspects of the grant.
Grants Management Specialist (GMS): A federal staff member who oversees the business and
other non-programmatic aspects of one or more grants and/or cooperative agreements. These
activities include, but are not limited to, evaluating grant applications for administrative content
and compliance with regulations and guidelines, negotiating grants, providing consultation and
technical assistance to recipients, post-award administration and closing out grants.
Health Disparities: Preventable differences in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged.
Health Equity: The state in which everyone has a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Health Inequities: Particular types of health disparities that stem from unfair and unjust
systems, policies, and practices and limit access to the opportunities and resources needed to live
the healthiest life possible.
Healthy People 2030: National health objectives aimed at improving the health of all Americans
by encouraging collaboration across sectors, guiding people toward making informed health
decisions, and measuring the effects of prevention activities.
Inclusion: The act of creating environments in which any individual or group can be and feel
welcomed, respected, supported, and valued to fully participate. An inclusive and welcoming
climate embraces differences and offers respect in words and actions for all people.
Indirect Costs: Costs that are incurred for common or joint objectives and not readily and
specifically identifiable with a particular sponsored project, program, or activity; nevertheless,
these costs are necessary to the operations of the organization. For example, the costs of
operating and maintaining facilities, depreciation, and administrative salaries generally are
considered indirect costs.
Letter of Intent (LOI): A preliminary, non-binding indication of an organization’s intent to
submit an application.
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Lobbying: Direct lobbying includes any attempt to influence legislation, appropriations,
regulations, administrative actions, executive orders (legislation or other orders), or other similar
deliberations at any level of government through communication that directly expresses a view
on proposed or pending legislation or other orders, and which is directed to staff members or
other employees of a legislative body, government officials, or employees who participate in
formulating legislation or other orders. Grass roots lobbying includes efforts directed at inducing
or encouraging members of the public to contact their elected representatives at the federal, state,
or local levels to urge support of, or opposition to, proposed or pending legislative proposals.
Logic Model: A visual representation showing the sequence of related events connecting the
activities of a program with the programs’ desired outcomes and results.
Maintenance of Effort: A requirement contained in authorizing legislation, or applicable
regulations that a recipient must agree to contribute and maintain a specified level of financial
effort from its own resources or other non-government sources to be eligible to receive federal
grant funds. This requirement is typically given in terms of meeting a previous base-year dollar
amount.
Memorandum of Understanding (MOU) or Memorandum of Agreement (MOA):
Document that describes a bilateral or multilateral agreement between parties expressing a
convergence of will between the parties, indicating an intended common line of action. It is often
used in cases where the parties either do not imply a legal commitment or cannot create a legally
enforceable agreement.
Nonprofit Organization: Any corporation, trust, association, cooperative, or other organization
that is operated primarily for scientific, educational, service, charitable, or similar purposes in the
public interest; is not organized for profit; and uses net proceeds to maintain, improve, or expand
the operations of the organization. Nonprofit organizations include institutions of higher
educations, hospitals, and tribal organizations (that is, Indian entities other than federally
recognized Indian tribal governments).
Notice of Award (NoA): The official document, signed (or the electronic equivalent of
signature) by a Grants Management Officer that: (1) notifies the recipient of the award of a grant;
(2) contains or references all the terms and conditions of the grant and Federal funding limits and
obligations; and (3) provides the documentary basis for recording the obligation of Federal funds
in the HHS accounting system.
Objective Review: A process that involves the thorough and consistent examination of
applications based on an unbiased evaluation of scientific or technical merit or other relevant
aspects of the proposal. The review is intended to provide advice to the persons responsible for
making award decisions.
Outcome: The results of program operations or activities; the effects triggered by the program.
For example, increased knowledge, changed attitudes or beliefs, reduced tobacco use, reduced
morbidity and mortality.
Performance Measurement: The ongoing monitoring and reporting of program
accomplishments, particularly progress toward pre-established goals, typically conducted by
program or agency management. Performance measurement may address the type or level of
program activities conducted (process), the direct products and services delivered by a program
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(outputs), or the results of those products and services (outcomes). A “program” may be any
activity, project, function, or policy that has an identifiable purpose or set of objectives.
Period of performance –formerly known as the project period - : The time during which the
recipient may incur obligations to carry out the work authorized under the Federal award. The
start and end dates of the period of performance must be included in the Federal award.
Period of Performance Outcome: An outcome that will occur by the end of the NOFO's
funding period
Plain Writing Act of 2010: The Plain Writing Act of 2010 requires that federal agencies use
clear communication that the public can understand and use. NOFOs must be written in clear,
consistent language so that any reader can understand expectations and intended outcomes of the
funded program. CDC programs should use NOFO plain writing tips when writing NOFOs.
Program Official: Person responsible for developing the NOFO; can be either a project officer,
program manager, branch chief, division leader, policy official, center leader, or similar staff
member.
Program Strategies: Strategies are groupings of related activities, usually expressed as general
headers (e.g., Partnerships, Assessment, Policy) or as brief statements (e.g., Form partnerships,
Conduct assessments, Formulate policies).
Public Health Accreditation Board (PHAB): A nonprofit organization that works to promote
and protect the health of the public by advancing the quality and performance of public health
departments in the U.S. through national public health department accreditation
http://www.phaboard.org.
Social Determinants of Health: The non-medical factors that influence health outcomes. The
conditions in which people are born, grow, work, live, and age, and the wider set of forces and
systems shaping the conditions of daily life. These forces (e.g., racism, climate) and systems
include economic policies and systems, development agendas, social norms, social policies, and
political systems. https://www.cdc.gov/about/sdoh/index.html
Statute: An act of the legislature; a particular law enacted and established by the will of the
legislative department of government, expressed with the requisite formalities. In foreign or civil
law any particular municipal law or usage, though resting for its authority on judicial decisions,
or the practice of nations.
Statutory Authority: Authority provided by legal statute that establishes a federal financial
assistance program or award.
System for Award Management (SAM): The primary vendor database for the U.S. federal
government. SAM validates applicant information and electronically shares secure and encrypted
data with federal agencies' finance offices to facilitate paperless payments through Electronic
Funds Transfer (EFT). SAM stores organizational information, allowing www.grants.gov to
verify identity and pre-fill organizational information on grant applications.
Technical Assistance: Advice, assistance, or training pertaining to program development,
implementation, maintenance, or evaluation that is provided by the funding agency.
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Foa_Content_of_CDC-RFA-TP22-2201_Modified_8.22.24.pdf

Centers for Disease Control and Prevention
Office of Public Health Preparedness and Response
Public Health Crisis Response Cooperative Agreement
CDC-RFA-TP22-2201
11/19/2024

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Table of Contents
A. Funding Opportunity Description ...............................................................................................3
B. Award Information ....................................................................................................................21
C. Eligibility Information ..............................................................................................................23
D. Application and Submission Information .................................................................................24
E. Review and Selection Process ...................................................................................................34
F. Award Administration Information ...........................................................................................37
G. Agency Contacts .......................................................................................................................43
H. Other Information .....................................................................................................................44
I. Glossary ......................................................................................................................................45
Part I. Overview
Applicants must go to the synopsis page of this announcement at www.grants.gov and click on
the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA-
TP22-2201. Applicants also must provide an e-mail address to www.grants.gov to receive
notifications of changes.
A. Federal Agency Name:
Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease
Registry (ATSDR)
B. Notice of Funding Opportunity (NOFO) Title:
Public Health Crisis Response Cooperative Agreement
C. Announcement Type: New - Type 1:
This announcement is only for non-research activities supported by CDC. If research is
proposed, the application will not be considered. For purposes of this NOFO, research is defined
as set forth in 45 CFR 75.2 and, for further clarity, as set forth in 42 CFR 52.2 (see eCFR :: 45
CFR 75.2 -- Definitions and https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-
2007-title42-vol1-sec52-2.pdf. In addition, for purposes of research involving human subjects
and available exceptions for public health activities, please see 45 CFR 46.102(l)
(https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-46/subpart-A/section-
46.102#p-46.102(l)).
New-Type 1
D. Agency Notice of Funding Opportunity Number:
CDC-RFA-TP22-2201
E. Assistance Listings Number:
93.354
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F. Dates:
1. Due Date for Letter of Intent (LOI):
12/28/2023
2. Due Date for Applications:
11/19/2024
11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.
3. Due Date for Informational Conference Call:
Please send inquiries regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov.
Be sure to include the NOFO number, TP22-2201, in the subject line of any inquiries.
G. Executive Summary:
1. Summary Paragraph
This CDC notice of funding opportunity (NOFO) seeks to enhance the nation’s ability to rapidly
mobilize, surge, and respond to a public health emergency (PHE) identified by CDC. This
NOFO is intended to establish a roster of approved but unfunded (ABU) applicants that may
receive rapid funding by CDC to respond to a PHE of such magnitude, complexity, or
significance that it would have an overwhelming impact upon, and exceed resources available to,
the jurisdictions. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a PHE exists or is considered
imminent and is contingent upon the availability and stipulations of appropriations. CDC will
provide additional guidance and information to those on the ABU list when this NOFO is
funded.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
a. Funding Instrument Type:
CA (Cooperative Agreement)
b. Approximate Number of Awards
113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
c. Total Period of Performance Funding:
$500,000,000
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
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d. Average One Year Award Amount:
$5,000,000
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
e. Total Period of Performance Length:
5 year(s)
f. Estimated Award Date:
December 31, 2024
g. Cost Sharing and / or Matching Requirements:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
Part II. Full Text
A. Funding Opportunity Description
1. Background
a. Overview
Note: Applicants must continue to use their DUNS number for this application. Applicants
should note an error in the guidance for completing the SF424. The NOFO states that
applicants should use their UEI number as an identifier. However, the version currently in
Grants.gov asks for the DUNS number and can’t be modified.
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions. Applicants will undergo an objective merit
review process, and entities that successfully meet the requirements for approval will be placed
on the ABU list. CDC will use this ABU list for emergencies that require federal support to
effectively respond to, manage, and address identified public health threats. CDC will make
funding related to this NOFO available once it has determined a public health emergency exists
or is considered imminent and will be contingent upon the availability and stipulations of
appropriations. CDC will provide additional guidance and information to those on the ABU list
when this NOFO is funded.
COVID-19 public health response plans, such as plans funded under CDC-RFA-TP18-1802 in
2020 are acceptable for this purpose. This NOFO is not a capacity-building funding mechanism,
and it is not intended to create or establish new public health (PH) emergency management
programs. It may be used to re- establish capacity lost or diminished because of the public health
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crisis. It is designed to support the surge needs of existing programs responding to a significant
PHE. CDC will provide supplemental guidance to entities on the ABU list when this NOFO is
activated regarding specific activities intended to address the emergency.
CDC has strong relationships with governmental PH departments, community-based
organizations, and other domestic partners and supports them for planning, capacity-building,
preparedness, and response to PHEs. This NOFO complements these ongoing capacity-building
preparedness and response programs by providing a mechanism for CDC to rapidly mobilize and
fund PH organizations for specific response needs. Applicants must describe how this funding
will not duplicate or supplant other federal funding.
Upon occurrence of a PHE, CDC can rapidly fund specific applicants to accelerate public health
crisis response activities such as coordinating emergency operations, hiring surge staff, and
conducting needs assessments to determine the resources necessary to address the public health
crisis. The NOFO also provides funding for specialized public health emergency response
activities tailored to the specific public health crisis.
Applicants may be selected to receive initial funding for Component A to stand up emergency
activities, surge staffing, activate their EOCs, and conduct a needs assessment to determine the
resources needed to address the specific public health crisis. Component B will provide for
tailored emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Awards and
funding are subject to availability of funds.
b. Statutory Authorities
This program is authorized under section 317(a) of the Public Health Service Act (42 USC §
247(b)), subject to available funding and other requirements and limitations.
c. Healthy People 2030
This program addresses the “Healthy People 2030” (www.healthypeople.gov) focus areas of
Preparedness, Immunization and Infectious Diseases, Public Health Infrastructure,
Environmental Health, Health Communication and Health Information Technology.
d. Other National Public Health Priorities and Strategies
This NOFO supports the National Health Security Strategy of the United States of America
(NHSS), Global Health Security Agenda, Social Determinants of Health | CDC) and
International Health Regulations.
e. Relevant Work
CDC provides funding and technical assistance to public health agencies nationwide to build and
strengthen their abilities to plan and prepare for, respond to, and prevent or mitigate public health
threats. A variety of CDC cooperative agreements for public health emergencies provide separate
funding mechanisms to support capacity-building, planning, preparedness, and response to
public health problems, including emergencies such as pandemic events. In addition to this
funding opportunity, CDC provides scientific guidance, direct technical assistance and
coordination for jurisdictional public health authorities and other organizations to prepare and
respond to public health problems, including specific emergencies/events. CDC’s Public Health
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Emergency Preparedness and Response Capabilities provide national standards necessary to
advance state, tribal, local, and territorial public health preparedness and response capacity.
2. CDC Project Description
a. Approach
Bold indicates period of performance outcome.
CDC-RFA-TP22-2201 Logic Model: Public Health Crisis Response Cooperative
Agreement.
Bold indicates performance period outcome.
Logic Model
Strategies/ Short-term Intermediate Long-Term
PHEP Domains Outcomes Outcomes Outcomes
and Activities
Strengthen
Community Prioritized public Continuity of Prevent or
Resilience health services and essential public reduce
Strengthen resources sustained health services morbidity and
Incident throughout all and supply chain mortality from
Management for phases of during an public health
Early Crisis emergencies and emergency incidents
Response incidents response and whose scale,
Strengthen recovery rapid onset, or
Information unpredictabilit
Management Earliest possible y stresses the
Strengthen activation and Latest public public health
Countermeasure management of health system
emergency recommendation
s and Mitigation
operations s and control
Strengthen
measures quickly Earliest
Surge
adopted or possible
Management
Timely adapted and recovery and
Strengthen
communication of implemented return of the
Biosurveillance
risk and essential public health
elements of system to pre-
information Reduced incident levels
exposure to risk or improved
functioning
Timely
implementation of
intervention and
control measures
Timely coordination
and support of
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response activities
with partners
Earliest possible
identification and
investigation of an
incident
Continuous learning
and improvements
contain real-time
feedback loop
i. Purpose
CDC seeks to enhance the nation’s ability to rapidly mobilize, surge, and respond to public
health emergencies (PHEs) as identified by CDC by establishing a roster of approved but
unfunded (ABU) applicants that may receive rapid funding to respond to PHEs of such
magnitude, complexity, or significance that they would have an overwhelming impact upon, and
exceed resources available to, the jurisdictions.
ii. Outcomes
Funded recipients are expected to achieve the following short-term outcomes during the period
of performance to create a better prepared nation for public health emergencies. These are the
bolded outcomes in the first column of outcomes in the logic model. Jurisdictions should be able
to accomplish:
• Prioritize public health services and resources sustained throughout all phases of
emergencies and incidents
• Earliest possible activation and management of emergency operations
• Timely communication of risk and essential elements of information
• Timely implementation of intervention and control measures
• Timely coordination and support of response activities with partners
• Earliest possible identification and investigation of an incident
• Continuous learning and improvements contain real-time feedback loop
iii. Strategies and Activities
Strengthen Community Resilience
CDC will use this NOFO for the timeframe necessary to respond to the specific emergency.
Public health needs that shift from a response mode to recovery (e.g., from epidemic to endemic)
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may be addressed by this or another CDC NOFO. This NOFO may be used to re-establish
capacity lost or diminished as a result of the public health crisis. Recipients should collaborate
with public and private community partners to characterize and address the needs of
jurisdictional at-risk populations related to PHEs. This includes evaluating available services and
developing long-term plans to address potential needs for these populations such as follow-up
medical care and behavioral health services with a deliberate focus on improving and advancing
health equity for all communities. Following are specific activities to consider.
• Identifying populations at risk including individuals with access and functional needs
• Including populations at-risk in updated response and recovery plans through
coordination with local leaders from organizations who have established relationships
with diverse communities
• Engaging representative partners from communities with diverse and at-risk populations
to participate in exercise plans and drills
• Identifying gaps identified in training, exercises or real-world events to improve
operations and identify public health needs of at-risk populations who are
disproportionally affected by PHEs.
• Conducting assessments such as: Hazard Vulnerability (HVA)/Risk Assessment,
Jurisdictional Risk Assessment (JRA), resource, supply chain
• Establishing public and private partnerships including community groups.
• Developing response plans that address community-specific needs, vulnerable
populations, and underserved communities including access and functional needs.
• Coordinating training and exercises and continuous quality improvement.
Strengthen Incident Management for Early Crisis Response
Recipients must maintain open lines of communication between state, tribal, and local health
agencies as well as CDC to ensure they are prepared to receive updated guidance and must be
able to revise their proposals and tailor their activities based on the nature and scope of the crisis,
and the updated supplemental guidance. Upon occurrence of a PHE and receipt of funding under
this NOFO, recipients that are not in an active response phase should begin accelerated crisis
planning by identifying and assembling, if not already in place, a public health emergency
response incident management structure (IMS) that includes subject matter experts (SMEs) best
suited for responding to the particular PHE. When recipients are in an active response phase, the
incident manager should ensure PHE response activities are coordinated across the response’s
functional areas, including those funded by CDC, HHS, and other federal grant programs,
including, but not limited to, CDC's Public Health Emergency Preparedness (PHEP) and
Epidemiology and Laboratory Capacity (ELC) cooperative agreements, where applicable.
Following are emergency operations coordination activities applicants should consider.
• Appoint a senior representative to coordinate PHE response efforts and lead activation
and continuation of IMS structure.
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• Test, exercise, refine, and implement comprehensive PHE response plans for the funded
emergency event.
• Manage the response to align with CDC guidance on emergencies and any supplemental
guidance related to a specified emergency.
• Review and implement jurisdictional PHE protocols.
• Assess current capacity and capability and determine decision-making processes and
authorities for necessary public health activities.
• Provide technical assistance to state, local and tribal health departments, as applicable, on
development of PHE response plans and assist in the identification of resources.
• Review and implement administrative preparedness plans to ensure emergency rapid
hiring and expedited contracting processes are in place.
• Organize regular meetings between the PHE response incident manager and the
jurisdiction’s preparedness and response partners, both traditional and nontraditional
partners, to discuss plans and current progress and to ensure broadly understood decision-
making processes are in place.
• Review, or develop if needed, an infectious disease preparedness and response plan for
the specific event and tailor as appropriate for its impact on their jurisdiction.
• Diversify the workforce to ensure representation from diverse communities.
• Identify a health equity officer or team to ensure diversity, equity, and inclusion
considerations are included in response plans.
• Stand up emergency operations center.
• Establish call centers.
• Conduct needs assessment.
• Prepare staffing contracts.
• Update response and recovery plans.
Strengthen Information Management
• Recipients must plan and coordinate critical information sharing among public health
agency staff and ensure coordination across governments. Jurisdictional governments
must work together as appropriate, with key partners, the public, health care and other
providers including, but not limited to, clinicians. This includes developing, coordinating,
and disseminating information, alerts, warnings, and notifications regarding risks and
self-protective measures to the public, particularly with at-risk and vulnerable
populations, and incident management responders. CDC suggests that jurisdictions
consider targeting at a minimum, the public, travelers, and clinicians when developing
the information sharing and risk communication messaging activities. Informing the
public about PHEs is a critical component of a response. Following are specific activities
to consider.
• As appropriate for the funded PHE, work with clinicians and other health care partners to
mitigate the impact of the PHEs including the implementation of processes that indicate
how health care providers in the jurisdiction can exchange information with electronic
public health case reporting systems, syndromic surveillance systems, or immunization
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registries according to the Centers for Medicare and Medicaid Services (CMS) Electronic
Health Record Incentive Program rules and any additional applicable federal standards
• Coordinate with CDC, jurisdictional public health officials, and other stakeholders to
ensure jurisdictional personnel have the most up-to-date information on the specific
emergency. If the health department is not responsible for key activities, the health
department should ensure that the IMS structure and plans include communication and
coordination with those other departments (e.g., with public health emergency
management officials for emergencies such as pandemic events, etc.).
• Initiate a communications campaign to raise public awareness of PHEs funded under this
NOFO. Primary messaging should focus on awareness and specific actions the public can
take to protect themselves. Work with key partners and stakeholders to coordinate
communication messages, products, and programs for affected communities, travelers,
and clinicians.
• Update scripts for jurisdictional call centers with specific PHE messaging, including
alerts, warnings, and notifications, relevant to the funded emergency and engage trusted
community representatives in developing the material to ensure messages are relevant
and accessible to diverse audience within the communities.
• Monitor local news stories and social media postings to determine if information is
accurate, identify messaging gaps, and adjust communications as needed.
• Contract with local vendors for translation, if needed, printing, signage, public
announcements development and dissemination.
Strengthen Countermeasures and Mitigation
Recipients should conduct activities that build and maintain access to and administration of
medical and nonmedical countermeasures for pharmaceutical and nonpharmaceutical
interventions and strengthen mitigation strategies. During and following an emergency, effective
care cannot be delivered without available staff and appropriate countermeasures. Accordingly,
managing access to and administration of countermeasures and ensuring the safety and health of
clinical and nonclinical personnel are high priorities for preparedness and continuity. Following
are specific activities that should be considered.
• Manage access to and administration of pharmaceutical and nonpharmaceutical
interventions, prioritizing communities disproportionately impacted by PHEs.
• Administer and coordinate control measures.
• Ensure safety and health of responders.
• Operationalize response plans.
Strengthen Surge Management
Recipients should focus on activities that strengthen their ability to support and manage
increased demands for services, expansions of public health functions, increases in
administrative management requirements, and other emergency response surge needs created by
an emergency or incident.
The following four activities are commonly used to manage public health surge:
• Address mass care needs, including shelter monitoring and services for people with
access and functional needs.
• Address surge needs, including family reunification.
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• Prevent or mitigate diseases, injuries, and fatalities with a particular focus on historically
underserved populations and those disproportionally impacted by PHEs, such as tribal
communities, racial and ethnic minorities, LGBTQ community, people living with
disabilities, and people experiencing homelessness.
Strengthen Biosurveillance
Review, update, and/or implement existing surveillance plans. Identify activities that require
participation from other governmental entities, such as local or neighboring health departments
and other stakeholders in the public health emergency management sector and local communities
to identify and address potential gaps for a specific event. Ensure that existing electronic disease
surveillance systems, laboratory response networks, and laboratory testing capability are up to
date. The following activities are commonly used to strengthen biosurveillance:
• Review, test or exercise, update and implement existing surveillance plans.
• Identify activities that require involving other governmental entities, such as local or
neighboring health departments and other stakeholders in the public health emergency
management sector to identify and address potential gaps for a specific event.
• Ensure that existing electronic disease surveillance systems, laboratory response
networks, and laboratory testing capability are up to date.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
1. Collaborations
a. With other CDC projects and CDC-funded organizations:
Recipients are required to collaborate with various CDC programs to ensure that activities and
funding are coordinated with, complementary of, and not duplicative of efforts supported under
other CDC grant programs such as PHEP and ELC. During any particular emergency funded
under this NOFO, recipients should collaborate closely with CDC incident management and
relevant subject matter experts as well as other organizations funded by CDC to address
emergency response. This includes neighboring states and other jurisdictional entities, tribes,
territories, partner organizations, and national partner organizations such as the Association of
Public Health Laboratories (APHL), the Association of State and Territorial Health Officials
(ASTHO), the Council of State and Territorial Epidemiologists (CSTE), and the National
Association of County and City Officials (NACCHO). Others to consider are local or regional
organizations such as vector control entities, clinical and other health care institutions, or
businesses such as supply vendors. For questions regarding collaborating with CDC, please
contact Program Official, Noelle Anderson (xwq3@cdc.gov) for this NOFO.
b. With organizations not funded by CDC:
Recipients must collaborate with their jurisdictional laboratories, surveillance and epidemiology
leads, vector control programs, health care providers, blood safety organizations, and emergency
management partners or other relevant partners identified depending on the nature of the
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emergency. Recipients are encouraged to partner with other federal agencies and programs,
including but not limited to the Hospital Preparedness Program (HPP) administered by the HHS
Office of the Assistant Secretary for Preparedness and Response (ASPR), and other grants and
programs directed, managed, or supported by the Department of Homeland Security (DHS) and
other federal departments impacted or potentially impacted by the public health emergency for
which funds will be made available under this NOFO. In addition, collaborations with nonfederal
partners are essential in advancing health equity including, but not limited to, community-based
organizations, tribal and urban Indian organizations, and faith-based organizations.
2. Population(s) of Focus
This NOFO, including funding and eligibility, is not limited based on, and does not discriminate
on the basis of race, color, national origin, disability, age, sex (including gender identity, sexual
orientation, and pregnancy) or other constitutionally protected statuses.
a. Health Disparities
The goal of health equity is for everyone to have a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Broadly defined, social determinants of health are non-medical factors that influence health
outcomes. They are the conditions in which people are born, grow, work, live, and age, and the
wider set of forces and systems shaping the conditions of daily life. These forces (e.g., racism,
climate) and systems include economic policies and systems, development agendas, social
norms, social policies, and political systems. See content below and in other sections (e.g.,
Approach, Collaborations, Populations of Focus) for information on how this specific NOFO
affects social determinants of health.
A health disparity is a preventable difference in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged. Health disparities
are inextricably linked to a complex blend of social determinants that influence which
populations are most disproportionately affected by these diseases and conditions.
Applicants should have a plan to address health disparities and health equity by having
procedures in place to identify and be inclusive of populations with access and functional needs
that may be disproportionately impacted or have increased risk for various PHEs. This includes
but is not limited to populations with disabilities; non-English speaking or limited English
proficiency populations; people with limited health literacy; immunocompromised persons; older
adults; people with limited transportation; people experiencing homelessness; postpartum and
lactating women; pregnant women, children. Additionally, applicants should outline existing
strategies to address the needs of historically marginalized populations and populations that may
otherwise be overlooked by the program during PHEs including tribal communities, racial and
ethnic minority populations, and LGBTQ community.
See also Section iii, Strategies and Activities, Community Resilience, Information Management,
and Surge Management..
iv. Funding Strategy
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This NOFO is intended for applicants under section 317(a) of the Public Health Service Act (42
USC § 247(b)): states, political subdivisions of states, and other public entities. This NOFO is
designed to collect proposals from applicants eligible under section 317(a) of the Public Health
Service Act (42 USC § 247(b)). Applications will be subject to an objective merit review and
approved applications will be designated as “approved but unfunded” (ABU). The NOFO will
only be funded when a public health emergency (PHE) has occurred or is projected to impact the
U.S., and CDC decides to make awards under this NOFO for that specific emergency.
Depending on the nature of the emergency, specific applicants and specific components of their
applications may be selected for funding. These funding decisions will account for various
relevant factors such as geographic location of the emergency, expectations of spread (e.g., with
infectious disease- related emergencies), applicant’s capabilities, national priorities, impact of
the emergency on a jurisdiction, congressional language in the appropriation, etc. CDC’s ability
to understand the impact of the event on the approved applicant will facilitate the development
CDC supplemental guidance and funding strategies.
Since this NOFO is designed to collect applications prior to a PHE, applicants are encouraged to
submit work plans and budgets that demonstrate their ability to respond to a PHE. COVID-19
public health response plans, such as plans funded under CDC-RFA-TP18-1802 in 2020, are
acceptable for this purpose. If this NOFO is funded for a specific PHE, CDC will develop
supplemental guidance that outlines additional work plan and budget requirements tailored to the
emergency.
This NOFO provides funding for two components: Component A and Component B. Applicants
may be selected to receive initial funding for Component A to stand up emergency activities,
surge staffing, activate their EOCs, and conduct a needs assessment to determine the resources
needed to address the specific public health crisis. Component B will provide for tailored
emergency response activities. Components A and B can be issued independently or
simultaneously based upon the unique needs and nature of the specific emergency. Depending on
the unique needs and nature of the crisis, Components A and B can be issued independently or
simultaneously. In addition, if funded independently, either Component A or Component B may
include all six domains. Applicants are not expected to apply by component as components are
for the purpose of making awards. This NOFO will develop one ABU list, how each component
is time-based, and how funding decisions for Component B will be determined. Awards and
funding are subject to availability of funds. Award amounts may be established by population-
based formula or other criteria specified in the appropriations legislation.
Applicants that meet population requirements are listed in Attachment A. This announcement
will be open and continuous and remain on Grants.gov for new local and tribal applicants to
accommodate population changes over the application period.
b. Evaluation and Performance Measurement
i. CDC Evaluation and Performance Measurement Strategy
Evaluation and performance measurement help demonstrate achievement of program outcomes;
build a stronger evidence base for specific program strategies; clarify applicability of the
evidence base to different populations, settings, and contexts; and drive continuous program
improvement. Evaluation and performance measurement can also determine if program
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strategies are scalable and are effective at reaching target populations. CDC will use evaluation
findings and performance measures to demonstrate the value of this program and describe
effective implementation of the NOFO.
Evaluation and Performance Measure Strategy
Recipients will be responsible for data collection and reporting. Data collection and reporting
requirements will be limited to data that will be analyzed and used for program monitoring and
quality improvement. Recipients will submit to CDC the required data and other information
required under this NOFO. CDC will use these data and information to monitor indicators,
document progress, and generate feedback reports regarding program accomplishments related to
this NOFO.
At the core of the evaluation and performance measure strategy is a set of process measures and
program outputs to track implementation of the strategies and outcome measures to monitor
achievement of the outcomes expected in the performance period.
Process Measures and Outputs
The process measures for each strategy will based on the outputs presented in the logic model.
The component activities in each strategy are intended to lead to strong deliverables or outputs;
these, in turn, indicate that the strategy is being implemented successfully. The activities a
recipient conducts to address the strategies should be targeted to guidance related to achieve an
effective level of implementation to address the PHE. CDC has established a standard on which
to focus activities for the NOFO to produce the prioritized outcomes such as plans, trained
personnel, and equipment to respond to a PHE with funding from this mechanism.
Program Outputs
Recipient jurisdictions must have established, effective public health emergency management
programs across the six public health domains of the Public Health Emergency Preparedness and
Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health.
This funding depends upon expedited administrative preparedness in the event of an emergency
in these established programs. Evaluation for this NOFO will focus on the following response
elements of the preparedness cycle for each domain and funded capability:
• The development and updating of plans
• Personnel or access to personnel with requisite skills to implement plans
• Drills and exercises conducted to improve implementation of plans
• Necessary policies, processes, and equipment in place
Plans must be submitted to CDC upon request and made available during site visits. At the time
CDC implements this NOFO, it may issue a checklist for recipients that establishes which of the
response elements identified above will be included and which may be supplemented with
additional items as relevant to the response at the time of the emergency.
Process Measures: Outputs for Each Strategy that Align with PHEP Domains
As depicted in the logic model, each strategy is expected to produce key outputs. These outputs
serve as process measures, indicating that the strategy is being successfully implemented.
Following are outputs that jurisdictions may consider measuring:
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Strengthen Incident Management for Early Crisis Response:
• Emergency operation centers activated
• Incident management systems
• Continuity of operations (COOP) plans implemented
• Call centers established
• Needs assessments conducted
• Staffing contracts prepared
• Response plans operationalized
• Recovery plans operationalized
Strengthen Community Resilience:
• Assessments conducted, such as HVA/Risk, JRA, resource, supply chain
• Populations at risk identified
• Established public and private partnerships
• Response plans addressed community-specific needs and vulnerable populations
• Coordinated trainings and exercises and continuous quality improvement
Strengthen Information Management:
• Defined essential elements of information
• Risk communication systems initiated
• Risk communication materials developed
• Social media outlets monitored
• Trained risk communication staff
• Message and report templates created
Strengthen Countermeasures and Mitigation:
• Storage and distribution centers used
• Inventory management systems implemented
• Points of dispensing (PODs)/alternate nodes established
• Trained POD staff
• Personal protective equipment (PPE) made accessible
• Safety and “just in time” trainings conducted
Strengthen Surge Management:
• Electronic volunteer registry systems used
• Coordinated public health and health care agencies
• Population monitoring systems employed
• Implemented plans for crisis standards of care
Strengthen Biosurveillance:
• Electronic disease surveillance systems operationalized
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• Leveraged laboratory response networks
• Laboratory testing capability tested
• Integrated laboratory and epidemiology systems
Outcome Measures
In addition to evaluating the activities and outputs for response, CDC may also monitor
outcomes with measures specific to the PHE. CDC will provide additional information on
program and performance measure requirements when funding is made available for a specific
PHE. Examples may include but are not limited to:
Outcome: Earliest possible activation and management of emergency operations
• Program Measure: Percent of recipients that have reduced cycle time for contracting and
procurement during an incident (PHE)
o Recipient performance measure: Emergency procedures for allocating funds to
local jurisdictions, including tribal health departments, have been exercised
Outcome: Earliest possible identification and investigation of an incident
• Program Measure : Percent of recipients that meet reporting times for the specific PHE
funded under this NOFO
o Recipient Performance Measure: Percentage of selected reportable diseases
reports received by a public health agency within the recipient-required
timeframe.
• Program Measure : Percent of recipients that meet target response time for laboratory and
epidemiologic response activities required for this specific PHE.
o Recipient Performance Measure: Time to complete notification in both directions
between CDC and recipients.
Outcome: Timely implementation of intervention and control measures
• Program Measure : Percent of recipients that meet CDC-established target times to
initiate disease control methods for the specific PHE funded under this NOFO
o Recipient Performance Measure: Percentage of reports of the specific PHE under
this NOFO for which initial public health control measures were initiated within
the appropriate timeframe.
Outcome: Timely communication of risk and essential elements of information by partners
• Program Measure : Percent of recipients with identified vulnerable population partners in
place for risk communications
o Recipient Performance Measure: Number of partner organizations or community-
based organizations engaged in planning or response efforts
Outcome: Timely coordination and support of response activities with health care and other
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partners
• Program Measure : Percent of recipients that have executed their plans, processes, and
procedures to manage volunteers supporting an emergency or incident.
o Recipient Performance Measure: Plans, processes, and procedures that were
executed to achieve desired goals and objectives, as outlined in CDC’s updated
guidance, to manage volunteers who support an emergency or health incident.
• Program Measure : Percent of recipients that deploy volunteers within requested
timeframe.
o Recipient Performance Measure: Percentage of volunteers deployed to support the
specific public health emergency funded under this NOFO within requested
timeframe.
Additional measures may be developed in accordance with the actual PHE and will be provided
through supplemental guidance from CDC. Requirements for monitoring and reporting will also
be specified through supplemental guidance.
ii. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement,
including, as applicable to the award, how findings will contribute to reducing or
eliminating health disparities and inequities.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, and other relevant data information (e.g., performance measures proposed by the
applicant).
• How evaluation findings will be disseminated to communities and populations of interest
in a manner that is suitable to their needs.
• Plans for updating the Data Management Plan (DMP) as new pertinent information
becomes available. If applicable, throughout the lifecycle of the project. Updates to
DMP should be provided in annual progress reports. The DMP should provide a
description of the data that will be produced using these NOFO funds; access to data;
data standards ensuring released data have documentation describing methods of
collection, what the data represent, and data limitations; and archival and long-term data
preservation plans. For more information about CDC’s policy on the DMP, see
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
Where the applicant chooses to, or is expected to, take on specific evaluation studies, the
applicant should be directed to:
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• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan, including a DMP, if applicable, within the first 6 months of award, as described in the
Reporting Section of this NOFO.
Recipients may be required to submit a more detailed evaluation and performance measurement
plan, including a DMP, if applicable.
Applicants should develop their evaluation and performance measurement plans in concert with
CDC based on the nature of the event. These requirements will be specified by CDC in
supplemental, event-specific guidance.
c. Organizational Capacity of Recipients to Implement the Approach
Applicants must have existing and functional public health emergency management programs.
They must possess the organizational capacity and skills needed to implement the award during
both component phases A and B, including the capability to:
1. Monitor health status to identify community health problems;
2. Diagnose and investigate health problems and health hazards in the community;
3. Inform, educate, and empower people about health issues;
4. Mobilize community partnerships to identify and solve health problems;
5. Develop policies and plans that support individual and community health efforts;
6. Enforce laws and regulations that protect health and ensure safety;
7. Link people to needed personal health services and ensure the provision of health care
when otherwise unavailable;
8. Ensure a competent public health workforce;
9. Evaluate effectiveness, accessibility, and quality of population-based health services;
10. Adapt response activities based on new insights and develop innovative solutions to
health problems;
11. Implement and surge public health emergency management programs;
12. Identify and roster staff for incident management roles and response leadership;
13. Develop, execute, and revise program planning specific to an event;
14. Conduct program evaluation;
15. Conduct performance monitoring;
16. Conduct and submit financial reports;
17. Conduct budgeting, management, and administration activities;
18. Execute against administrative preparedness plans; and
19. Conduct personnel management activities.
In support of these capabilities, applicants must provide documentation of their capacity to
implement the required activities and provide information that:
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• Describes the organizational capacity and skills to implement a functional response to a
public health emergency, addressing public health emergency management, incident
management and response leadership, response planning, program evaluation,
performance monitoring, financial reporting, budget management and administration, and
personnel management.
• Describes existing organizational capacity, for example program and staffing
management; performance measurement, and evaluation systems; financial reporting
systems; communication, technological, and data systems required to implement the
activities of a response in an effective and expedited manner; physical infrastructure and
equipment; and workforce capacity, to successfully execute all proposed strategies and
activities based on the current described scenario.
• Describes the organizational capacity to manage partnerships with other state, tribal,
local, or territorial public health organizations in their jurisdictions to ensure a
coordinated response posture and execution.
• Depicts the current organizational chart for their public health emergency management
programs.
Recipients are expected to have the organizational capacity to:
(1) submit amended budgets within the timeframe specified in the funding guidance,
(2) meet spending and progress reporting requirements as established in supplemental guidance
for any awards made under this NOFO,
(3) rapidly procure equipment and services either through a General Services Administration
contract or other viable mechanism,
(4) rapidly hire or contract for temporary staffing, and
(5) execute contracts.
Acceptable documentation includes but is not limited to:
• letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting; and
• departmental organizational charts; or
• incident management structure organizational charts.
Organizational charts are required. Applicants should name the file 'Organizational Chart' and
upload the document as a pdf at www.grants.gov.
Applicants may describe their status in applying for public health department accreditation or
evidence of accreditation through the Public Health Accreditation Board (PHAB) or Project
Public Health Ready.
d. Work Plan
Planning Scenario: For planning purposes, applicants should develop their work plans to
address the public health preparedness and response capabilities required to respond to a scenario
involving an emerging infectious disease outbreak. CDC encourages applicants to submit their
crisis response fiscal year 2020 COVID-19 work plans and budgets to meet this requirement.
Work plans should address the initial response activities required for Component A, as well as
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the crisis-specific response activities required for Component B. Applicants should assume that
their current public health infrastructure and staff are unaffected and at working capacity. The
emerging infectious disease has multiple routes of transmission, a high attack and mortality rate,
and either a countermeasure, a pharmaceutical, a vector control, or an oral prophylaxes
component.
General Work Plan Guidance: Applicants must submit a high-level work plan that addresses
the proposed scenario, such as their COVID-19 public health response plans submitted to CDC
(or to a state health department) in the spring of 2020.
Applicants should review their existing public health emergency management program
capabilities and capacities and identify the areas that would be most likely to require surge
support. Applicants should use the domains, strategies, and activities within the logic model as
the basis for their work plan development.
• Applicants should provide at least one proposed output. The proposed output(s) should
directly relate to the expected results of completing the planned response activity.
Planned activities must be associated with functions or objectives related to the strategy.
• Applicants should provide subrecipient contracts, if applicable.
Component A Work Plan: This plan should address the first 120 days of incident command
capability and early crisis response activities for the emerging infectious disease planning
scenario and should include EOC activation, staffing contracts, needs assessments, accelerated
planning, and call center activation. Identified activities should describe specific actions that
support the completion of the domain activity. Applicants should explicitly identify what activity
will be completed and in what timeframe. These activities should lead to measurable outputs that
are linked to response activities and projected outcomes. Applicants are expected to aggregate
and document activities that support subrecipients.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19.
Applicant plans and activities related to Component A should be more developed and align with
the activities addressed in the logic model. Applicants will be able to revise their plans and
activities in their Component B work plans based on supplement guidance issued by CDC for an
identified PHE.
Domains specific to Component A include: • Strengthen Incident Management for Early Crisis
Response • Strengthen Jurisdictional Recovery
Component B Work Plan: Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
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Domains specific to Component B include: • Strengthen Biosurveillance • Strengthen
Information Management • Strengthen Countermeasures and Mitigation • Strengthen Surge
Management
Depending on the unique needs and nature of the crisis, Components A and B can be issued
independently or simultaneously. In addition, if funded independently, either Component A or
Component B may include all six domains. Awards and funding are subject to availability of
funds.
After awards are made, recipients will be required to update their work plans and submit them to
CDC for review and approval. CDC will provide interim guidance documents and budget
summary forms to applicants within seven days of when funds are awarded. Applicants can use
the optional CDC work plan template to develop their plans.
e. CDC Monitoring and Accountability Approach
Monitoring activities include routine and ongoing communication between CDC and recipients,
site visits, and recipient reporting (including work plans, performance, and financial reporting).
Consistent with applicable grants regulations and policies, CDC expects the following to be
included in post-award monitoring for grants and cooperative agreements:
• Tracking recipient progress in achieving the desired outcomes.
• Ensuring the adequacy of recipient systems that underlie and generate data reports.
• Creating an environment that fosters integrity in program performance and results.
Monitoring may also include the following activities deemed necessary to monitor the award:
• Ensuring that work plans are feasible based on the budget and consistent with the intent
of the award.
• Ensuring that recipients are performing at a sufficient level to achieve outcomes within
stated timeframes.
• Working with recipients on adjusting the work plan based on achievement of outcomes,
evaluation results and changing budgets.
• Monitoring performance measures (both programmatic and financial) to assure
satisfactory performance levels.
Monitoring and reporting activities that assist grants management staff (e.g., grants management
officers and specialists, and project officers) in the identification, notification, and management
of high-risk recipients.
f. CDC Program Support to Recipients
In this cooperative agreement, CDC staff will be substantially involved in the program activities
above and beyond routine grant monitoring. CDC’s Division of State and Local Readiness
(DSLR) project officers and subject matter experts will work with other CDC subject matter
experts who may serve as technical monitors for specific activities, segments or aspects of a
specific PHE. DSLR will review or coordinate the review of applications to ensure activities are
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in scope and do not duplicate those funded by other CDC cooperative agreements. To assist
recipients in achieving the purpose of this award, CDC will conduct the following activities.
1. Provide ongoing guidance, programmatic support, training, and technical assistance as
related to activities outlined in this NOFO. Technical assistance resources include crisis
work plan and spend plan templates as needed.
2. Facilitate communication among recipients to advance the sharing of expertise on
response activities.
3. Coordinate planning and implementation activities with federal partners including the
Office of the Assistant Secretary for Preparedness and Response Department of
Homeland Security, and others based on the specific PHE.
B. Award Information
1. Funding Instrument Type:
CA (Cooperative Agreement)
CDC's substantial involvement in this program appears in the CDC Program Support to
Recipients Section.
2. Award Mechanism:
U90
Public Health Crisis Response Cooperative Agreement
3. Fiscal Year:
2024
4. Approximate Total Fiscal Year Funding:
$500,000,000
5. Total Period of Performance Funding:
$500,000,000
This amount is subject to the availability of funds.
This period of performance funding is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). CDC may establish award amounts when a public health emergency requires
this NOFO to be activated.
Estimated Total Funding:
$500,000,000
6. Total Period of Performance Length:
5 year(s)
year(s)
7. Expected Number of Awards:
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113
The number of recipients may change with each funded PHE. For information on eligibility,
please refer to the Funding Strategy and Eligibility Information sections.
8. Approximate Average Award:
$5,000,000
Per Budget Period
This average one year award amount is an estimate for both components. It is not possible to
approximate an amount of funding due to the nature of this NOFO (the intent to establish a quick
funding mechanism for pre-approved recipients faced with a public health emergency or
imminent threat). Award amounts may be established by population-based formula or other
criteria specified in the appropriations legislation.
9. Award Ceiling:
$5,000,000
Per Budget Period
This amount is subject to the availability of funds.
10. Award Floor:
$50,000
Per Budget Period
This amount is subject to the availability of funds.
11. Estimated Award Date:
December 31, 2024
12. Budget Period Length:
12 month(s)
Throughout the period of performance, CDC will continue the award based on the availability of
funds, the evidence of satisfactory progress by the recipient (as documented in required reports),
and the determination that continued funding is in the best interest of the federal government.
The total number of years for which federal support has been approved (period of performance)
will be shown in the “Notice of Award.” This information does not constitute a commitment by
the federal government to fund the entire period. The total period of performance comprises the
initial competitive segment and any subsequent non-competitive continuation award(s).
13. Direct Assistance
Direct Assistance (DA) is available through this NOFO.
Additional information about the availability of DA and how to request DA will be included in
supplemental guidance for the specific PHE.
If you are successful and receive a Notice of Award, in accepting the award, you agree that the
award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in
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effect or implemented during the period of the award, other Department regulations and policies
in effect at the time of the award, and applicable statutory provisions.
C. Eligibility Information
1. Eligible Applicants
Eligibility Category:
00 (State governments)
01 (County governments)
02 (City or township governments)
04 (Special district governments)
07 (Native American tribal governments (Federally recognized))
25 (Others (see text field entitled "Additional Information on Eligibility" for clarification))
2. Additional Information on Eligibility
This NOFO is intended for states, political subdivisions of states, and other public entities as
specified in section 317(a) of the Public Health Service Act (42 USC § 247(b)). It targets public
health organizations that serve state, tribal, local, and territorial populations and are
constitutionally empowered to protect the health and welfare of their respective communities,
focused on executing emergency preparedness and response services.
To demonstrate existing capacity for public health emergency management, applicants must
submit their response organizational charts and work plans. If these documents are not
submitted, the application will be considered non-responsive and will receive no further review.
Local government organizations or their bona fide agents must:
• Serve a county population of 2 million or more or serve a city population of 400,000 or
more. Populations for county and city jurisdictions are based on the following 2021 U.S.
Census resources:
o City and Town Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates of the Resident Population for Incorporated Places, Ranked by July 1,
2021, Population: April 1, 2020, to July 1, 2021
o County Population Totals: 2020-2021 (census.gov) U.S. Census – Annual
Estimates for 2021
• Sources may be updated as census data change over time
Local jurisdictions that meet population requirements are listed in Attachment A.
Tribal governments or their bona fide agents must be federally recognized and:
• Serve a population of 50,000 or more.
CDC will reopen this announcement periodically over the five-year NOFO period to
accommodate population changes and ensure we maintain a current roster of eligible
jurisdictions for emergency response. Sources for future postings of this NOFO will be based on
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the latest census data and may change over time.
The anticipated dates for reposting are noted below. Applicants will have 60 days to submit an
application.
• July 2024
• July 2025
• July 2026
3. Justification for Less than Maximum Competition
4. Cost Sharing or Matching
Cost Sharing / Matching Requirement:
No
Cost sharing or matching funds are not required for this program. Although no statutory
matching requirement for this NOFO exists, CDC strongly encourages leveraging other
resources and related ongoing efforts to promote sustainability.
5. Maintenance of Effort
Maintenance of effort is not required for this program.
D. Application and Submission Information
1. Required Registrations
An organization must be registered at the three following locations before it can submit an
application for funding at www.grants.gov.
PLEASE NOTE: Effective April 4, 2022, applicants must have a Unique Entity Identifier
(UEI) at the time of application submission (SF-424, field 8c). The UEI is generated as part of
SAM.gov registration. Current SAM.gov registrants have already been assigned their UEI and
can view it in SAM.gov and Grants.gov. Additional information is available on the GSA website,
SAM.gov, and Grants.gov- Finding the UEI.
a. Unique Entity Identifier (UEI):
All applicant organizations must obtain a Unique Entity Identifier (UEI) number associated with
your organization’s physical location prior to submitting an application. A UEI number is a
unique twelve-digit identification number assigned through SAM.gov registration. Some
organizations may have multiple UEI numbers. Use the UEI number associated with the
location of the organization receiving the federal funds.
b. System for Award Management (SAM):
The SAM is the primary registrant database for the federal government and the repository into
which an entity must submit information required to conduct business as a recipient. All
applicant organizations must register with SAM, and will be assigned a SAM number and a
Unique Entity Identifier (UEI). All information relevant to the SAM number must be current at
all times during which the applicant has an application under consideration for funding by CDC.
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If an award is made, the SAM information must be maintained until a final financial report is
submitted or the final payment is received, whichever is later. The SAM registration process can
require 10 or more business days, and registration must be renewed annually. Additional
information about registration procedures may be found at SAM.gov and the SAM.gov
Knowledge Base.
c. Grants.gov:
The first step in submitting an application online is registering your organization at
www.grants.gov, the official HHS E-grant Web site. Registration information is located at the
"Applicant Registration" option at www.grants.gov.
All applicant organizations must register at www.grants.gov. The one-time registration process
usually takes not more than five days to complete. Applicants should start the registration
process as early as possible.
S
t
System Requirements Duration Follow Up
e
p
1. Go to SAM.gov and
For SAM
create an Electronic
Customer
Business Point of Contact
System for 7-10 Business Days but Service
(EBiz POC). You will need
Award may take longer and Contact
1 to have an active SAM
Management must be renewed once a https://fsd.gov/
account before you can
(SAM) year fsd-gov/
register on grants.gov).
home.do Calls:
The UEI is generated as
866-606-8220
part of your registration.
1. Set up an account in
Grants.gov, then add a
profile by adding the
Allow at least one
organization's new UEI
business day (after you
number.
enter the EBiz POC Register early!
2. The EBiz POC can
name and EBiz POC
designate user roles,
2 Grants.gov email in SAM) to receive Applicants can
including Authorized
a UEI (SAM) which will register within
Organization
allow you to register with minutes.
Representative (AOR).
Grants.gov and apply for
3. AOR is authorized to
federal funding.
submit applications on
behalf of the organization
in their workspace.
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2. Request Application Package
Applicants may access the application package at www.grants.gov. Additional information
about applying for CDC grants and cooperative agreements can be found here:
https://www.cdc.gov/grants/applying/pre-award.html
3. Application Package
Applicants must download the SF-424, Application for Federal Assistance, package associated
with this notice of funding opportunity at www.grants.gov.
4. Submission Dates and Times
If the application is not submitted by the deadline published in the NOFO, it will not be
processed. Office of Grants Services (OGS) personnel will notify the applicant that their
application did not meet the deadline. The applicant must receive pre-approval to submit a paper
application (see Other Submission Requirements section for additional details). If the applicant is
authorized to submit a paper application, it must be received by the deadline provided by OGS.
a. Letter of Intent Deadline (must be emailed)
Number Of Days from Publication 30
12/28/2023
b. Application Deadline
Due Date for Applications 11/19/2024
11/19/2024
11:59 pm U.S. Eastern Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive
applications, and circumstances preclude advance notification of an extension, then applications
must be submitted by the first business day on which Grants.gov operations resume.
Due Date for Information Conference Call
Please send inquiries regarding the NOFO to the program office at DSLRCrisisCoAg@cdc.gov.
Be sure to include the NOFO number, TP22-2201, in the subject line of any inquiries.
5. Pre-Award Assessments
Duplication of Efforts
Applicants are responsible for reporting if this application will result in programmatic,
budgetary, or commitment overlap with another application or award (i.e. grant, cooperative
agreement, or contract) submitted to another funding source in the same fiscal year.
Programmatic overlap occurs when (1) substantially the same project is proposed in more than
one application or is submitted to two or more funding sources for review and funding
consideration or (2) a specific objective and the project design for accomplishing the objective
are the same or closely related in two or more applications or awards, regardless of the funding
source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g.,
equipment, salaries) are requested in an application but already are provided by another source.
Commitment overlap occurs when an individual’s time commitment exceeds 100 percent,
whether or not salary support is requested in the application. Overlap, whether programmatic,
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budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.
Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.
Report Submission: The applicant must upload the report in Grants.gov under “Other
Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary,
and Commitment Overlap.”
6. Content and Form of Application Submission
Applicants are required to include all of the following documents with their application package
at www.grants.gov.
7. Letter of Intent
LOI not required.
8. Table of Contents
(There is no page limit. The table of contents is not included in the project narrative page limit.):
The applicant must provide, as a separate attachment, the “Table of Contents” for the entire
submission package.
Provide a detailed table of contents for the entire submission package that includes all of the
documents in the application and headings in the "Project Narrative" section. Name the file
"Table of Contents" and upload it as a PDF, Word, or Excel file format under "Other Attachment
Forms" at www.grants.gov.
9. Project Abstract Summary
A project abstract is included on the mandatory documents list and must be submitted at
www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed
project including the purpose and outcomes. This summary must not include any proprietary or
confidential information. Applicants must enter the summary in the "Project Abstract Summary"
text box at www.grants.gov.
10. Project Narrative
(Unless specified in the "H. Other Information" section, maximum of 20 pages, single spaced, 12
point font, 1-inch margins, number all pages. This includes the work plan. Content beyond the
specified page number will not be reviewed.)
Applicants must submit a Project Narrative with the application forms. Applicants must name
this file “Project Narrative” and upload it at www.grants.gov. The Project Narrative must include
all of the following headings (including subheadings): Background, Approach, Applicant
Evaluation and Performance Measurement Plan, Organizational Capacity of Applicants to
Implement the Approach, and Work Plan. The Project Narrative must be succinct, self-
explanatory, and in the order outlined in this section. It must address outcomes and activities to
be conducted over the entire period of performance as identified in the CDC Project Description
section. Applicants should use the federal plain language guidelines and Clear Communication
Index to respond to this Notice of Funding Opportunity. Note that recipients should also use
these tools when creating public communication materials supported by this NOFO. Failure to
follow the guidance and format may negatively impact scoring of the application.
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a. Background
Applicants must provide a description of relevant background information that includes the
context of the problem (See CDC Background).
b. Approach
i. Purpose
Applicants must describe in 2-3 sentences specifically how their application will address the
public health problem as described in the CDC Background section.
ii. Outcomes
Applicants must clearly identify the outcomes they expect to achieve by the end of the period of
performance, as identified in the logic model in the Approach section of the CDC Project
Description. Outcomes are the results that the program intends to achieve and usually indicate
the intended direction of change (e.g., increase, decrease).
iii. Strategies and Activities
Applicants must provide a clear and concise description of the strategies and activities they will
use to achieve the period of performance outcomes. Applicants must select existing evidence-
based strategies that meet their needs, or describe in the Applicant Evaluation and Performance
Measurement Plan how these strategies will be evaluated over the course of the period of
performance. See the Strategies and Activities section of the CDC Project Description.
1. Collaborations
Applicants must describe how they will collaborate with programs and organizations either
internal or external to CDC. Applicants must address the Collaboration requirements as
described in the CDC Project Description.
2. Population(s) of Focus and Health Disparities
Applicants must describe the specific population(s) of focus in their jurisdiction and explain how
to achieve the goals of the award and/or alleviate health disparities. The applicants must also
address how they will include specific populations that can benefit from the program that is
described in the Approach section. Applicants must address the Population(s) of Focus and
Health Disparities requirements as described in the CDC Project Description, including (as
applicable to this award) how to address health disparities in the design and implementation of
the proposed program activities.
c. Applicant Evaluation and Performance Measurement Plan
Applicants must provide an evaluation and performance measurement plan that demonstrates
how the recipient will fulfill the requirements described in the CDC Evaluation and Performance
Measurement and Project Description sections of this NOFO. At a minimum, the plan must
describe:
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• How applicant will collect the performance measures, respond to the evaluation
questions, and use evaluation findings for continuous program quality improvement. The
Paperwork Reduction Act of 1995 (PRA): Applicants are advised that any activities
involving information collections (e.g., surveys, questionnaires, applications, audits, data
requests, reporting, recordkeeping and disclosure requirements) from 10 or more
individuals or non-Federal entities, including State and local governmental agencies, and
funded or sponsored by the Federal Government are subject to review and approval by
the Office of Management and Budget. For further information about CDC’s
requirements under PRA see
https://www.cdc.gov/os/integrity/reducepublicburden/index.htm.
• How key program partners will participate in the evaluation and performance
measurement planning processes.
• Available data sources, feasibility of collecting appropriate evaluation and performance
data, data management plan (DMP), and other relevant data information (e.g.,
performance measures proposed by the applicant).
Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should
be directed to:
• Describe the type of evaluations (i.e., process, outcome, or both).
• Describe key evaluation questions to be addressed by these evaluations.
• Describe other information (e.g., measures, data sources).
Recipients will be required to submit a more detailed Evaluation and Performance Measurement
plan (including the DMP elements) within the first 6 months of award, as described in the
Reporting Section of this NOFO.
d. Organizational Capacity of Applicants to Implement the Approach
Applicants must address the organizational capacity requirements as described in the CDC
Project Description.
11. Work Plan
(Included in the Project Narrative’s page limit)
Applicants must prepare a work plan consistent with the CDC Project Description Work Plan
section. The work plan integrates and delineates more specifically how the recipient plans to
carry out achieving the period of performance outcomes, strategies and activities, evaluation and
performance measurement.
12. Budget Narrative
Applicants must submit an itemized budget narrative. When developing the budget narrative,
applicants must consider whether the proposed budget is reasonable and consistent with the
purpose, outcomes, and program strategy outlined in the project narrative. The budget must
include:
• Salaries and wages
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• Fringe benefits
• Consultant costs
• Equipment
• Supplies
• Travel
• Other categories
• Contractual costs
• Total Direct costs
• Total Indirect costs
Indirect costs could include the cost of collecting, managing, sharing and preserving data.
Indirect costs on grants awarded to foreign organizations and foreign public entities and
performed fully outside of the territorial limits of the U.S. may be paid to support the costs of
compliance with federal requirements at a fixed rate of eight percent of MTDC exclusive of
tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000.
Negotiated indirect costs may be paid to the American University, Beirut, and the World Health
Organization.
If applicable and consistent with the cited statutory authority for this announcement, applicant
entities may use funds for activities as they relate to the intent of this NOFO to meet national
standards or seek health department accreditation or reaccreditation through the Public Health
Accreditation Board (see: http://www.phaboard.org). Applicant entities to whom this provision
applies include state, local, territorial governments (including the District of Columbia, the
Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna
Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the
Marshall Islands, and the Republic of Palau), or their bona fide agents, political subdivisions of
states (in consultation with states), federally recognized or state-recognized American Indian or
Alaska Native tribal governments, and American Indian or Alaska Native tribally designated
organizations. Activities include those that enable a public health organization to deliver
essential public health services and ensure foundational capabilities are in place, such as
activities that ensure a capable and qualified workforce, strengthen information systems and
organizational competencies, build attention to equity, and advance the capability to assess and
respond to public health needs. Use of these funds must focus on achieving a minimum of one
national standard that supports the intent of the NOFO. Proposed activities must be included in
the budget narrative and must indicate which standards will be addressed.
Vital records data, including births and deaths, are used to inform public health program and
policy decisions. If applicable and consistent with the cited statutory authority for this NOFO,
applicant entities are encouraged to collaborate with and support their jurisdiction’s vital records
office (VRO) to improve vital records data timeliness, quality and access, and to advance public
health goals. These goals may include supporting vital records offices participating in the Vital
Records and Health Statistics Accreditation Program, certifying vital records offices to meet
industry standards. Recipients may, for example, use funds to support efforts to build VRO
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capacity through partnerships; provide technical and/or financial assistance to improve vital
records timeliness, quality or access; provide financial assistance to support accreditation related
fees and/or support staff time to coordinate accreditation activities; or support vital records
improvement efforts, as approved by CDC.
Applicants must name this file “Budget Narrative” and can upload it as a PDF, Word, or Excel
file format at www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect
cost-rate agreement is required. If the indirect costs are requested, include a copy of the current
negotiated federal indirect cost rate agreement or a cost allocation plan approval letter for those
Recipients under such a plan. Applicants must name this file “Indirect Cost Rate” and upload it
at www.grants.gov.
Applicants must include high-level object class budgets for early emergency activation activities.
Costs should be estimated using real, rather than budgeted, costs from previous responses such as
H1N1, Ebola, Zika, or COVID-19. Applicants should consider the budget required to plan for a
significant increase in public health infrastructure or staff that would be required to address the
emerging infectious disease scenario. Applicants must include high-level object class budgets for
crisis-specific response activities in each of the logic model domains. Costs should be estimated
using real, rather than budgeted, costs from previous responses such as H1N1, Ebola, Zika, or
COVID-19.
13. Funds Tracking
Proper fiscal oversight is critical to maintaining public trust in the stewardship of federal funds.
Effective October 1, 2013, a new HHS policy on subaccounts requires the CDC to set up
payment subaccounts within the Payment Management System (PMS) for all new grant awards.
Funds awarded in support of approved activities and drawdown instructions will be identified on
the Notice of Award in a newly established PMS subaccount (P subaccount). Recipients will be
required to draw down funds from award-specific accounts in the PMS. Ultimately, the
subaccounts will provide recipients and CDC a more detailed and precise understanding of
financial transactions. The successful applicant will be required to track funds by P-accounts/sub
accounts for each project/cooperative agreement awarded. Applicants are encouraged to
demonstrate a record of fiscal responsibility and the ability to provide sufficient and effective
oversight. Financial management systems must meet the requirements as described 45 CFR 75
which include, but are not limited to, the following:
• Records that identify adequately the source and application of funds for federally-funded
activities.
• Effective control over, and accountability for, all funds, property, and other assets.
• Comparison of expenditures with budget amounts for each Federal award.
• Written procedures to implement payment requirements.
• Written procedures for determining cost allowability.
• Written procedures for financial reporting and monitoring.
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14. Employee Whistleblower Rights and Protections
Employee Whistleblower Rights and Protections: All recipients of an award under this NOFO
will be subject to a term and condition that applies the requirements set out in 41 U.S.C. § 4712,
“Enhancement of contractor protection from reprisal for disclosure of certain information” and
48 Code of Federal Regulations (CFR) section 3.9 to the award, which includes a requirement
that recipients and subrecipients inform employees in writing (in the predominant native
language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. §
4712. For more information see: https://oig.hhs.gov/fraud/whistleblower/.
15. Copyright Interests Provisions
This provision is intended to ensure that the public has access to the results and accomplishments
of public health activities funded by CDC. Pursuant to applicable grant regulations and CDC’s
Public Access Policy, Recipient agrees to submit into the National Institutes of Health (NIH)
Manuscript Submission (NIHMS) system an electronic version of the final, peer-reviewed
manuscript of any such work developed under this award upon acceptance for publication, to be
made publicly available no later than 12 months after the official date of publication. Also at the
time of submission, Recipient and/or the Recipient’s submitting author must specify the date the
final manuscript will be publicly accessible through PubMed Central (PMC). Recipient and/or
Recipient’s submitting author must also post the manuscript through PMC within twelve (12)
months of the publisher's official date of final publication; however the author is strongly
encouraged to make the subject manuscript available as soon as possible. The recipient must
obtain prior approval from the CDC for any exception to this provision.
The author's final, peer-reviewed manuscript is defined as the final version accepted for journal
publication, and includes all modifications from the publishing peer review process, and all
graphics and supplemental material associated with the article. Recipient and its submitting
authors working under this award are responsible for ensuring that any publishing or copyright
agreements concerning submitted articles reserve adequate right to fully comply with this
provision and the license reserved by CDC. The manuscript will be hosted in both PMC and the
CDC Stacks institutional repository system. In progress reports for this award, recipient must
identify publications subject to the CDC Public Access Policy by using the applicable NIHMS
identification number for up to three (3) months after the publication date and the PubMed
Central identification number (PMCID) thereafter.
16. Funding Restrictions
Restrictions that must be considered while planning the programs and writing the budget are:
• Recipients may not use funds for research.
• Recipients may not use funds for clinical care except as allowed by law.
• Recipients may use funds only for reasonable program purposes, including personnel,
travel, supplies, and services.
• Generally, recipients may not use funds to purchase furniture or equipment. Any such
proposed spending must be clearly identified in the budget.
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• Reimbursement of pre-award costs generally is not allowed, unless the CDC provides
written approval to the recipient.
• Other than for normal and recognized executive-legislative relationships, no funds may
be used for:
o publicity or propaganda purposes, for the preparation, distribution, or use of any
material designed to support or defeat the enactment of legislation before any
legislative body
o the salary or expenses of any grant or contract recipient, or agent acting for such
recipient, related to any activity designed to influence the enactment of
legislation, appropriations, regulation, administrative action, or Executive order
proposed or pending before any legislative body
• See Additional Requirement (AR) 12 for detailed guidance on this prohibition and
additional guidance on anti-lobbying restrictions for CDC recipients.
• The direct and primary recipient in a cooperative agreement program must perform a
substantial role in carrying out project outcomes and not merely serve as a conduit for an
award to another party or provider who is ineligible.
17. Data Management Plan
As identified in the Evaluation and Performance Measurement section, applications involving
data collection or generation must include a Data Management Plan (DMP) as part of their
evaluation and performance measurement plan unless CDC has stated that CDC will take on the
responsibility of creating the DMP. The DMP describes plans for assurance of the quality of the
public health data through the data's lifecycle and plans to deposit the data in a repository to
preserve and to make the data accessible in a timely manner. See web link for additional
information:
https://www.cdc.gov/grants/additional-requirements/ar-25.html.
18. Intergovernmental Review
This NOFO is not subject to executive order 12372, Intergovernmental Review of Federal
Programs. No action is needed.
19. Other Submission Requirements
a. Electronic Submission:
Applications must be submitted electronically by using the forms and instructions posted for this
notice of funding opportunity at www.grants.gov. Applicants can complete the application
package using Workspace, which allows forms to be filled out online or offline. Application
attachments can be submitted using PDF, Word, or Excel file formats. Instructions and training
for using Workspace can be found at www.grants.gov under the "Workspace Overview" option.
b. Tracking Number: Applications submitted through www.grants.gov are time/date stamped
electronically and assigned a tracking number. The applicant’s Authorized Organization
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Representative (AOR) will be sent an e-mail notice of receipt when www.grants.gov receives the
application. The tracking number documents that the application has been submitted and initiates
the required electronic validation process before the application is made available to CDC.
c. Validation Process: Application submission is not concluded until the validation process is
completed successfully. After the application package is submitted, the applicant will receive a
“submission receipt” e-mail generated by www.grants.gov. A second e-mail message to
applicants will then be generated by www.grants.gov that will either validate or reject the
submitted application package. This validation process may take as long as two business days.
Applicants are strongly encouraged to check the status of their application to ensure that
submission of their package has been completed and no submission errors have occurred.
Applicants also are strongly encouraged to allocate ample time for filing to guarantee that their
application can be submitted and validated by the deadline published in the NOFO. Non-
validated applications will not be accepted after the published application deadline date.
If you do not receive a “validation” e-mail within two business days of application submission,
please contact www.grants.gov. For instructions on how to track your application, refer to the e-
mail message generated at the time of application submission or review the Applicants section on
www.grants.gov.
d. Technical Difficulties: If technical difficulties are encountered at www.grants.gov, applicants
should contact Customer Service at www.grants.gov. The www.grants.gov Contact Center is
available 24 hours a day, 7 days a week, except federal holidays. The Contact Center is available
by phone at 1-800-518-4726 or by e-mail at support@grants.gov. Application submissions sent
by e-mail or fax, or on CDs or thumb drives will not be accepted. Please note that
www.grants.gov is managed by HHS.
e. Paper Submission: If technical difficulties are encountered at www.grants.gov, applicants
should call the www.grants.gov Contact Center at 1-800-518-4726 or e-mail them at
support@grants.gov for assistance. After consulting with the Contact Center, if the technical
difficulties remain unresolved and electronic submission is not possible, applicants may e-mail
CDC GMO/GMS, before the deadline, and request permission to submit a paper application.
Such requests are handled on a case-by-case basis.
An applicant’s request for permission to submit a paper application must:
1. Include the www.grants.gov case number assigned to the inquiry
2. Describe the difficulties that prevent electronic submission and the efforts taken with the
www.grants.gov Contact Center to submit electronically; and
3. Be received via e-mail to the GMS/GMO listed below at least three calendar days before
the application deadline. Paper applications submitted without prior approval will not be
considered.
If a paper application is authorized, OGS will advise the applicant of specific instructions
for submitting the application via email.
E. Review and Selection Process
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1. Review and Selection Process: Applications will be reviewed in three
phases
a. Phase 1 Review
All applications will be initially reviewed for eligibility and completeness by CDC Office of
Grants Services. Complete applications will be reviewed for responsiveness by the Grants
Management Officials and Program Officials. Non-responsive applications will not advance to
Phase II review. Applicants will be notified that their applications did not meet eligibility and/or
published submission requirements.
b. Phase II Review
NOFO reviewers will follow CDC’s merit review process by evaluating eligible and responsive
applications in accordance with the criteria below. Reviewers may be external to the federal
government (non-federal personnel), federal personnel, or a mix of federal and non-federal
personnel.
i. Approach
ii. Evaluation and Performance Measurement
iii. Applicant’s Organizational Capacity to Implement the Approach
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
i. Approach
Maximum Points: 33
An objective review process will evaluate complete, eligible applications in accordance with the
criteria below. Complete applications should respond to elements in both components A and B.
Identification of gaps:
• To what extent does the work plan identify and quantify existing operational gaps and the
root cause of the gaps to be addressed?
• For each identified topic area, to what extent has the applicant included estimated
timelines for completion of all performance and work plan activities as well as obligation
and liquidation of funds within the budget and project period? Timelines should be
consistent with cycle times identified in recipient jurisdiction’s current HPP-PHEP
administrative preparedness plan.
ii. Evaluation and Performance Measurement
Maximum Points: 33
• For each identified topic area, to what extent does the expected outcomes align with
successfully addressing the problem or gap? What evidence is provided that any expected
changes or improvements to the public health or to the community, such as awareness,
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knowledge, attitudes, skills, opinion, behavior, policies, or health improvement, will be
demonstrated during the period of performance?
• To what extent does the evidence provided demonstrate that the activities, deliverables
(outputs), and outcomes can be achieved during the period of performance?
iii. Applicant's Organizational Capacity to Implement the Approach
Maximum Points: 34
• To what extent does the applicant demonstrate the organizational capacity and skills to
implement a functional response to a public health emergency, addressing public health
emergency management, incident management and response leadership, response
planning, program evaluation, performance monitoring, financial reporting, budget
management and administration, and personnel management?
• To what extent does the applicant demonstrate experience and capacity to implement the
evaluation plan?
• To what extent has the applicant included an organizational chart?
Budget
Maximum Points: 0
To what extent is the proposed budget adequately justified and consistent with this program
announcement and the applicant’s proposed activities? Is the itemized budget for conducting the
project and justification reasonable and consistent with stated objectives and planned program
activities?
c. Phase III Review
CDC’s Office of Grant Services will review applications for eligibility and responsiveness
criteria. An objective review will be conducted to recommend approval.
Review of risk posed by applicants.
Prior to making a Federal award, CDC is required by 31 U.S.C. 3321 and 41 U.S.C. 2313 to
review information available through any OMB-designated repositories of government-wide
eligibility qualification or financial integrity information as appropriate. See also suspension and
debarment requirements at 2 CFR parts 180 and 376.
In accordance 41 U.S.C. 2313, CDC is required to review the non-public segment of the OMB-
designated integrity and performance system accessible through SAM prior to making a Federal
award where the Federal share is expected to exceed the simplified acquisition threshold, defined
in 41 U.S.C. 134, over the period of performance. At a minimum, the information in the system
for a prior Federal award recipient must demonstrate a satisfactory record of executing programs
or activities under Federal grants, cooperative agreements, or procurement awards; and integrity
and business ethics. CDC may make a Federal award to a recipient who does not fully meet these
standards, if it is determined that the information is not relevant to the current Federal award
under consideration or there are specific conditions that can appropriately mitigate the effects of
the non-Federal entity's risk in accordance with 45 CFR §75.207. CDC’s review of risk may
impact award eligibility.
In evaluating risks posed by applicants, CDC will use a risk-based approach and may consider
any items such as the following:
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(1) Financial stability;
(2) Quality of management systems and ability to meet the management standards prescribed in
this part;
(3) History of performance. The applicant's record in managing Federal awards, if it is a prior
recipient of Federal awards, including timeliness of compliance with applicable reporting
requirements, conformance to the terms and conditions of previous Federal awards, and if
applicable, the extent to which any previously awarded amounts will be expended prior to future
awards;
(4) Reports and findings from audits performed under subpart F 45 CFR 75 or the reports and
findings of any other available audits; and
(5) The applicant's ability to effectively implement statutory, regulatory, or other requirements
imposed on non-Federal entities.
Additionally, we may ask for additional information prior to the award based on the results of the
CDC’s risk review.
CDC must comply with the guidelines on government-wide suspension and debarment in 2 CFR
part 180, and require non-Federal entities to comply with these provisions. These provisions
restrict Federal awards, subawards and contracts with certain parties that are debarred, suspended
or otherwise excluded from or ineligible for participation in Federal programs or activities.
2. Announcement and Anticipated Award Dates
December 31, 2024
F. Award Administration Information
1. Award Notices
Recipients will receive an electronic copy of the Notice of Award (NOA) from CDC OGS. The
NOA shall be the only binding, authorizing document between the recipient and CDC. The
NOA will be signed by an authorized GMO and emailed to the Recipient Business Officer listed
in application and the Program Director.
Any applicant awarded funds in response to this Notice of Funding Opportunity will be subject
to annual SAM Registration and Federal Funding Accountability And Transparency Act Of 2006
(FFATA) requirements.
Unsuccessful applicants will receive notification of these results by e-mail with delivery receipt.
2. Administrative and National Policy Requirements
Recipients must comply with the administrative and public policy requirements outlined in 45
CFR Part 75 and the HHS Grants Policy Statement, as appropriate.
Brief descriptions of relevant provisions are available at https://www.cdc.gov/grants/additional-
requirements/index.html.
The HHS Grants Policy Statement is available at
http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
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If you receive an award, you must follow all applicable nondiscrimination laws. You agree to
this when you register in SAM.gov. You must also submit an Assurance of Compliance (HHS-
690). To learn more, see the HHS Office for Civil Rights website.
3. Reporting
Reporting provides continuous program monitoring and identifies successes and challenges that
recipients encounter throughout the period of performance. Also, reporting is a requirement for
recipients who want to apply for yearly continuation of funding. Reporting helps CDC and
recipients because it:
• Helps target support to recipients;
• Provides CDC with periodic data to monitor recipient progress toward meeting the Notice
of Funding Opportunity outcomes and overall performance;
• Allows CDC to track performance measures and evaluation findings for continuous
quality and program improvement throughout the period of performance 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 NOFO.
The table below summarizes required and optional reports. All required reports must be sent
electronically to GMS listed in the “Agency Contacts” section of the NOFO copying the CDC
Project Officer.
Report When? Required?
Recipient Evaluation and 6 months into award Yes
Performance Measurement
Plan, including Data
Management Plan (DMP)
Annual Performance Report No later than 120 days before Yes
(APR) end of budget period. Serves as
yearly continuation application.
Data on Performance Measures CDC program determines. Only No
if program wants more frequent
performance measure reporting
than annually in APR.
Federal Financial Reporting 90 days after the end of the budget period Yes
Forms
Final Performance and 90 days after end of period of performance Yes
Financial Report
Payment Management System Quarterly reports due January Yes
(PMS) Reporting 30; April 30; July
30; and October 30
Additional reporting requirements will be determined once the funding is issued.
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a. Recipient Evaluation and Performance Measurement Plan (required)
With support from CDC, recipients must elaborate on their initial applicant evaluation and
performance measurement plan. This plan must be no more than 20 pages; recipients must
submit the plan 6 months into the award. HHS/CDC will review and approve the recipient’s
monitoring and evaluation plan to ensure that it is appropriate for the activities to be undertaken
as part of the agreement, for compliance with the monitoring and evaluation guidance established
by HHS/CDC, or other guidance otherwise applicable to this Agreement.
Recipient Evaluation and Performance Measurement Plan (required): This plan should provide
additional detail on the following:
Performance Measurement
• Performance measures and targets
• The frequency that performance data are to be collected.
• How performance data will be reported.
• How quality of performance data will be assured.
• How performance measurement will yield findings to demonstrate progress towards achieving
NOFO goals (e.g., reaching specific populations or achieving expected outcomes).
• Dissemination channels and audiences.
• Other information requested as determined by the CDC program.
Evaluation
• The types of evaluations to be conducted (e.g. process or outcome evaluations).
• The frequency that evaluations will be conducted.
• How evaluation reports will be published on a publicly available website.
• How evaluation findings will be used to ensure continuous quality and program improvement.
• How evaluation will yield findings to demonstrate the value of the NOFO (e.g., effect on
improving public health outcomes, effectiveness of NOFO, cost-effectiveness or cost-benefit).
• Dissemination channels and audiences.
HHS/CDC or its designee will also undertake monitoring and evaluation of the defined activities
within the agreement. The recipient must ensure reasonable access by HHS/CDC or its designee
to all necessary sites, documentation, individuals and information to monitor, evaluate and verify
the appropriate implementation the activities and use of HHS/CDC funding under this
Agreement.
b. Annual Performance Report (APR) (required)
The recipient must submit the APR via www.Grantsolutions.gov no later than 120 days prior to
the end of the budget period. This report must not exceed 45 pages excluding administrative
reporting. Attachments are not allowed, but web links are allowed.
This report must include the following:
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• Performance Measures: Recipients must report on performance measures for each
budget period and update measures, if needed.
• Evaluation Results: Recipients must report evaluation results for the work completed to
date (including findings from process or outcome evaluations).
• Work Plan: Recipients must update work plan each budget period to reflect any changes
in period of performance outcomes, activities, timeline, etc.
• Successes
o Recipients must report progress on completing activities and progress towards
achieving the period of performance outcomes described in the logic model and
work plan.
o Recipients must describe any additional successes (e.g. identified through
evaluation results or lessons learned) achieved in the past year.
o Recipients must describe success stories.
• Challenges
o Recipients must describe any challenges that hindered or might hinder their
ability to complete the work plan activities and achieve the period of performance
outcomes.
o Recipients must describe any additional challenges (e.g., identified through
evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Recipients
o Recipients must describe how CDC could help them overcome challenges to
complete activities in the work plan and achieving period of performance
outcomes.
• Administrative Reporting (No page limit)
o SF-424A Budget Information-Non-Construction Programs.
o Budget Narrative – Must use the format outlined in "Content and Form of
Application Submission, Budget Narrative" section.
o Indirect Cost Rate Agreement.
The recipients must submit the Annual Performance Report via www.Grantsolutions.gov no
later than 120 days prior to the end of the budget period.
c. Performance Measure Reporting (optional)
CDC programs may require more frequent reporting of performance measures than annually in
the APR. If this is the case, CDC programs must specify reporting frequency, data fields, and
format for recipients at the beginning of the award period.
d. Federal Financial Reporting (FFR) (required)
The annual FFR form (SF-425) is required and must be submitted 90 days after the end of the
budget period through the Payment Management System (PMS). The report must include only
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those funds authorized and disbursed during the timeframe covered by the report. The final FFR
must indicate the exact balance of unobligated funds, and may not reflect any unliquidated
obligations. There must be no discrepancies between the final FFR expenditure data and the
Payment Management System’s (PMS) cash transaction data. Failure to submit the required
information by the due date may adversely affect the future funding of the project. If the
information cannot be provided by the due date, recipients are required to submit a letter of
explanation to OGS and include the date by which the Grants Officer will receive information.
e. Final Performance and Financial Report (required)
The Final Performance Report is due 120 days after the end of the period of performance. The
Final FFR is due 120 days after the end of the period of performance and must be submitted
through the Payment Management System (PMS). CDC programs must indicate that this report
should not exceed 40 pages. This report covers the entire period of performance and can include
information previously reported in APRs. At a minimum, this report must include the following:
• Performance Measures – Recipients must report final performance data for all process
and outcome performance measures.
• Evaluation Results – Recipients must report final evaluation results for the period of
performance for any evaluations conducted.
• Impact/Results/Success Stories – Recipients must use their performance measure results
and their evaluation findings to describe the effects or results of the work completed over
the period of performance, and can include some success stories.
• A final Data Management Plan that includes the location of the data collected during the
funded period, for example, repository name and link data set(s)
• Additional forms as described in the Notice of Award (e.g., Equipment Inventory Report,
Final Invention Statement).
4. Federal Funding Accountability and Transparency Act of 2006 (FFATA)
Federal Funding Accountability and Transparency Act of 2006 (FFATA), P.L. 109–282, as
amended by section 6202 of P.L. 110–252 requires full disclosure of all entities and
organizations receiving Federal funds including awards, contracts, loans, other assistance, and
payments through a single publicly accessible Web site, http://www.USASpending.gov.
Compliance with this law is primarily the responsibility of the Federal agency. However, two
elements of the law require information to be collected and reported by applicants: 1)
information on executive compensation when not already reported through the SAM, and 2)
similar information on all sub-awards/subcontracts/consortiums over $30,000.
For the full text of the requirements under the FFATA and HHS guidelines, go to:
• https://www.gpo.gov/fdsys/pkg/PLAW-109publ282/pdf/PLAW-109publ282.pdf,
• https://www. fsrs.gov/documents /ffata_legislation_ 110_252.pdf
• http://www.hhs.gov/grants/grants/grants-policies-regulations/index.html#FFATA.
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5. Reporting of Foreign Taxes (International/Foreign projects only)
A. Valued Added Tax (VAT) and Customs Duties – Customs and import duties, consular fees,
customs surtax, valued added taxes, and other related charges are hereby authorized as an
allowable cost for costs incurred for non-host governmental entities operating where no
applicable tax exemption exists. This waiver does not apply to countries where a bilateral
agreement (or similar legal document) is already in place providing applicable tax exemptions
and it is not applicable to Ministries of Health. Successful applicants will receive information on
VAT requirements via their Notice of Award.
B. The U.S. Department of State requires that agencies collect and report information on the
amount of taxes assessed, reimbursed and not reimbursed by a foreign government against
commodities financed with funds appropriated by the U.S. Department of State, Foreign
Operations and Related Programs Appropriations Act (SFOAA) (“United States foreign
assistance funds”). Outlined below are the specifics of this requirement:
1) Annual Report: The recipient must submit a report on or before November 16 for each foreign
country on the amount of foreign taxes charged, as of September 30 of the same year, by a
foreign government on commodity purchase transactions valued at 500 USD or more financed
with United States foreign assistance funds under this grant during the prior United States fiscal
year (October 1 – September 30), and the amount reimbursed and unreimbursed by the foreign
government. [Reports are required even if the recipient did not pay any taxes during the reporting
period.]
2) Quarterly Report: The recipient must quarterly submit a report on the amount of foreign taxes
charged by a foreign government on commodity purchase transactions valued at 500 USD or
more financed with United States foreign assistance funds under this grant. This report shall be
submitted no later than two weeks following the end of each quarter: April 15, July 15, October
15 and January 15.
3) Terms: For purposes of this clause:
“Commodity” means any material, article, supplies, goods, or equipment;
“Foreign government” includes any foreign government entity;
“Foreign taxes” means value-added taxes and custom duties assessed by a foreign government
on a commodity. It does not include foreign sales taxes.
4) Where: Submit the reports to the Director and Deputy Director of the CDC office in the
country(ies) in which you are carrying out the activities associated with this cooperative
agreement. In countries where there is no CDC office, send reports to VATreporting@cdc.gov.
5) Contents of Reports: The reports must contain:
a. recipient name;
b. contact name with phone, fax, and e-mail;
c. agreement number(s) if reporting by agreement(s);
d. reporting period;
e. amount of foreign taxes assessed by each foreign government;
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f. amount of any foreign taxes reimbursed by each foreign government;
g. amount of foreign taxes unreimbursed by each foreign government.
6) Subagreements. The recipient must include this reporting requirement in all applicable
subgrants and other subagreements.
6. Termination
CDC may impose other enforcement actions in accordance with 45 CFR 75.371- Remedies for
Noncompliance, as appropriate.
The Federal award may be terminated in whole or in part as follows:
(1) By the HHS awarding agency or pass-through entity, if the non-Federal entity fails to comply
with the terms and conditions of the award;
(2) By the HHS awarding agency or pass-through entity for cause;
(3) By the HHS awarding agency or pass-through entity with the consent of the non-Federal
entity, in which case the two parties must agree upon the termination conditions, including the
effective date and, in the case of partial termination, the portion to be terminated; or
(4) By the non-Federal entity upon sending to the HHS awarding agency or pass-through entity
written notification setting forth the reasons for such termination, the effective date, and, in the
case of partial termination, the portion to be terminated. However, if the HHS awarding agency
or pass-through entity determines in the case of partial termination that the reduced or modified
portion of the Federal award or subaward will not accomplish the purposes for which the Federal
award was made, the HHS awarding agency or pass-through entity may terminate the Federal
award in its entirety.
G. Agency Contacts
CDC encourages inquiries concerning this notice of funding opportunity.
Program Office Contact
For programmatic technical assistance, contact:
First Name:
Noelle
Last Name:
Anderson
Project Officer
Department of Health and Human Services
Centers for Disease Control and Prevention
Address:
Telephone:
Email:
DSLRCrisisCoag@cdc.gov
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Grants Staff Contact
For financial, awards management, or budget assistance, contact:
First Name:
Angel
Last Name:
Winters
Grants Management Specialist
Department of Health and Human Services
Office of Grants Services
Address:
2939 Flowers Rd
Atlanta, GA 30341
Telephone:
404-498-4056
Email:
jvr1@cdc.gov
For assistance with submission difficulties related to www.grants.gov, contact the Contact
Center by phone at 1-800-518-4726.
Hours of Operation: 24 hours a day, 7 days a week, except on federal holidays.
CDC Telecommunications for persons with hearing loss is available at: TTY 1-888-232-6348
H. Other Information
Following is a list of acceptable application attachments that can be submitted using PDF, Word,
or Excel file formats as part of their application at www.grants.gov. Applicants may not attach
documents other than those listed; if other documents are attached, applications will not be
reviewed.
• Project Abstract
• Project Narrative
• Budget Narrative
• Report on Programmatic, Budgetary and Commitment Overlap
• Table of Contents for Entire Submission
For international NOFOs:
• SF424
• SF424A
• Funding Preference Deliverables
Optional attachments, as determined by CDC programs:
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Indirect Cost Rate, if applicable
Bona Fide Agent status documentation, if applicable
• Letters signed by the applicants’ public health directors on departmental letterhead
attesting to the existing capacity and capability for rapid procurement, hiring, and
contracting
I. Glossary
Activities: The actual events or actions that take place as a part of the program.
Administrative and National Policy Requirements, Additional Requirements (ARs):
Administrative requirements found in 45 CFR Part 75 and other requirements mandated by
statute or CDC policy. All ARs are listed in the Template for CDC programs. CDC programs
must indicate which ARs are relevant to the NOFO; recipients must comply with the ARs listed
in the NOFO. To view brief descriptions of relevant provisions, see
https://www.cdc.gov/grants/additional-requirements/index.html. Note that 2 CFR 200 supersedes
the administrative requirements (A-110 & A-102), cost principles (A-21, A-87 & A-122) and
audit requirements (A-50, A-89 & A-133).
Approved but Unfunded: Approved but unfunded refers to applications recommended for
approval during the objective review process; however, they were not recommended for funding
by the program office and/or the grants management office.
Assistance Listings: A government-wide collection of federal programs, projects, services, and
activities that provide assistance or benefits to the American public.
Assistance Listings Number: A unique number assigned to each program and NOFO
throughout its lifecycle that enables data and funding tracking and transparency
Award: Financial assistance that provides support or stimulation to accomplish a public purpose.
Awards include grants and other agreements (e.g., cooperative agreements) in the form of
money, or property in lieu of money, by the federal government to an eligible applicant.
Budget Period or Budget Year: The duration of each individual funding period within the
period of performance. Traditionally, budget periods are 12 months or 1 year.
Carryover: Unobligated federal funds remaining at the end of any budget period that, with the
approval of the GMO or under an automatic authority, may be carried over to another budget
period to cover allowable costs of that budget period either as an offset or additional
authorization. Obligated but liquidated funds are not considered carryover.
Community engagement: The process of working collaboratively with and through groups of
people to improve the health of the community and its members. Community engagement often
involves partnerships and coalitions that help mobilize resources and influence systems, improve
relationships among partners, and serve as catalysts for changing policies, programs, and
practices.
Competing Continuation Award: A financial assistance mechanism that adds funds to a grant
and adds one or more budget periods to the previously established period of performance (i.e.,
extends the “life” of the award).
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Continuous Quality Improvement: A system that seeks to improve the provision of services
with an emphasis on future results.
Contracts: An award instrument used to acquire (by purchase, lease, or barter) property or
services for the direct benefit or use of the Federal Government.
Cooperative Agreement: A financial assistance award with the same kind of interagency
relationship as a grant except that it provides for substantial involvement by the federal agency
funding the award. Substantial involvement means that the recipient can expect federal
programmatic collaboration or participation in carrying out the effort under the award.
Cost Sharing or Matching: Refers to program costs not borne by the Federal Government but
by the recipients. It may include the value of allowable third-party, in-kind contributions, as well
as expenditures by the recipient.
Direct Assistance: A financial assistance mechanism, which must be specifically authorized by
statute, whereby goods or services are provided to recipients in lieu of cash. DA generally
involves the assignment of federal personnel or the provision of equipment or supplies, such as
vaccines. DA is primarily used to support payroll and travel expenses of CDC employees
assigned to state, tribal, local, and territorial (STLT) health agencies that are recipients of grants
and cooperative agreements. Most legislative authorities that provide financial assistance to
STLT health agencies allow for the use of DA. https://www.cdc.gov/grants/additional-
requirements/index.html.
Equity: The consistent and systematic fair, just, and impartial treatment of all individuals,
including individuals who belong to underserved communities that have been denied such
treatment (from Executive Order 13985).
Evaluation (program evaluation): The systematic collection of information about the activities,
characteristics, and outcomes of programs (which may include interventions, policies, and
specific projects) to make judgments about that program, improve program effectiveness, and/or
inform decisions about future program development.
Evaluation Plan: A written document describing the overall approach that will be used to guide
an evaluation, including why the evaluation is being conducted, how the findings will likely be
used, and the design and data collection sources and methods. The plan specifies what will be
done, how it will be done, who will do it, and when it will be done. The NOFO evaluation plan is
used to describe how the recipient and/or CDC will determine whether activities are
implemented appropriately and outcomes are achieved.
Federal Funding Accountability and Transparency Act of 2006 (FFATA): Requires that
information about federal awards, including awards, contracts, loans, and other assistance and
payments, be available to the public on a single website at www.USAspending.gov.
Fiscal Year: The year for which budget dollars are allocated annually. The federal fiscal year
starts October 1 and ends September 30.
Grant: A legal instrument used by the federal government to transfer anything of value to a
recipient for public support or stimulation authorized by statute. Financial assistance may be
money or property. The definition does not include a federal procurement subject to the Federal
Acquisition Regulation; technical assistance (which provides services instead of money); or
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assistance in the form of revenue sharing, loans, loan guarantees, interest subsidies, insurance, or
direct payments of any kind to a person or persons. The main difference between a grant and a
cooperative agreement is that in a grant there is no anticipated substantial programmatic
involvement by the federal government under the award.
Grants.gov: A "storefront" web portal for electronic data collection (forms and reports) for
federal grant-making agencies at www.grants.gov.
Grants Management Officer (GMO): The individual designated to serve as the HHS official
responsible for the business management aspects of a particular grant(s) or cooperative
agreement(s). The GMO serves as the counterpart to the business officer of the recipient
organization. In this capacity, the GMO is responsible for all business management matters
associated with the review, negotiation, award, and administration of grants and interprets grants
administration policies and provisions. The GMO works closely with the program or project
officer who is responsible for the scientific, technical, and programmatic aspects of the grant.
Grants Management Specialist (GMS): A federal staff member who oversees the business and
other non-programmatic aspects of one or more grants and/or cooperative agreements. These
activities include, but are not limited to, evaluating grant applications for administrative content
and compliance with regulations and guidelines, negotiating grants, providing consultation and
technical assistance to recipients, post-award administration and closing out grants.
Health Disparities: Preventable differences in the burden of disease, injury, violence, or
opportunities to achieve optimal health that are experienced by populations that have been
socially, economically, geographically, and environmentally disadvantaged.
Health Equity: The state in which everyone has a fair and just opportunity to attain their highest
level of health. Achieving this requires focused and ongoing societal efforts to address historical
and contemporary injustices; overcome economic, social, and other obstacles to health and
healthcare; and eliminate preventable health disparities.
Health Inequities: Particular types of health disparities that stem from unfair and unjust
systems, policies, and practices and limit access to the opportunities and resources needed to live
the healthiest life possible.
Healthy People 2030: National health objectives aimed at improving the health of all Americans
by encouraging collaboration across sectors, guiding people toward making informed health
decisions, and measuring the effects of prevention activities.
Inclusion: The act of creating environments in which any individual or group can be and feel
welcomed, respected, supported, and valued to fully participate. An inclusive and welcoming
climate embraces differences and offers respect in words and actions for all people.
Indirect Costs: Costs that are incurred for common or joint objectives and not readily and
specifically identifiable with a particular sponsored project, program, or activity; nevertheless,
these costs are necessary to the operations of the organization. For example, the costs of
operating and maintaining facilities, depreciation, and administrative salaries generally are
considered indirect costs.
Letter of Intent (LOI): A preliminary, non-binding indication of an organization’s intent to
submit an application.
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Lobbying: Direct lobbying includes any attempt to influence legislation, appropriations,
regulations, administrative actions, executive orders (legislation or other orders), or other similar
deliberations at any level of government through communication that directly expresses a view
on proposed or pending legislation or other orders, and which is directed to staff members or
other employees of a legislative body, government officials, or employees who participate in
formulating legislation or other orders. Grass roots lobbying includes efforts directed at inducing
or encouraging members of the public to contact their elected representatives at the federal, state,
or local levels to urge support of, or opposition to, proposed or pending legislative proposals.
Logic Model: A visual representation showing the sequence of related events connecting the
activities of a program with the programs’ desired outcomes and results.
Maintenance of Effort: A requirement contained in authorizing legislation, or applicable
regulations that a recipient must agree to contribute and maintain a specified level of financial
effort from its own resources or other non-government sources to be eligible to receive federal
grant funds. This requirement is typically given in terms of meeting a previous base-year dollar
amount.
Memorandum of Understanding (MOU) or Memorandum of Agreement (MOA):
Document that describes a bilateral or multilateral agreement between parties expressing a
convergence of will between the parties, indicating an intended common line of action. It is often
used in cases where the parties either do not imply a legal commitment or cannot create a legally
enforceable agreement.
Nonprofit Organization: Any corporation, trust, association, cooperative, or other organization
that is operated primarily for scientific, educational, service, charitable, or similar purposes in the
public interest; is not organized for profit; and uses net proceeds to maintain, improve, or expand
the operations of the organization. Nonprofit organizations include institutions of higher
educations, hospitals, and tribal organizations (that is, Indian entities other than federally
recognized Indian tribal governments).
Notice of Award (NoA): The official document, signed (or the electronic equivalent of
signature) by a Grants Management Officer that: (1) notifies the recipient of the award of a grant;
(2) contains or references all the terms and conditions of the grant and Federal funding limits and
obligations; and (3) provides the documentary basis for recording the obligation of Federal funds
in the HHS accounting system.
Objective Review: A process that involves the thorough and consistent examination of
applications based on an unbiased evaluation of scientific or technical merit or other relevant
aspects of the proposal. The review is intended to provide advice to the persons responsible for
making award decisions.
Outcome: The results of program operations or activities; the effects triggered by the program.
For example, increased knowledge, changed attitudes or beliefs, reduced tobacco use, reduced
morbidity and mortality.
Performance Measurement: The ongoing monitoring and reporting of program
accomplishments, particularly progress toward pre-established goals, typically conducted by
program or agency management. Performance measurement may address the type or level of
program activities conducted (process), the direct products and services delivered by a program
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(outputs), or the results of those products and services (outcomes). A “program” may be any
activity, project, function, or policy that has an identifiable purpose or set of objectives.
Period of performance –formerly known as the project period - : The time during which the
recipient may incur obligations to carry out the work authorized under the Federal award. The
start and end dates of the period of performance must be included in the Federal award.
Period of Performance Outcome: An outcome that will occur by the end of the NOFO's
funding period
Plain Writing Act of 2010: The Plain Writing Act of 2010 requires that federal agencies use
clear communication that the public can understand and use. NOFOs must be written in clear,
consistent language so that any reader can understand expectations and intended outcomes of the
funded program. CDC programs should use NOFO plain writing tips when writing NOFOs.
Program Official: Person responsible for developing the NOFO; can be either a project officer,
program manager, branch chief, division leader, policy official, center leader, or similar staff
member.
Program Strategies: Strategies are groupings of related activities, usually expressed as general
headers (e.g., Partnerships, Assessment, Policy) or as brief statements (e.g., Form partnerships,
Conduct assessments, Formulate policies).
Public Health Accreditation Board (PHAB): A nonprofit organization that works to promote
and protect the health of the public by advancing the quality and performance of public health
departments in the U.S. through national public health department accreditation
http://www.phaboard.org.
Social Determinants of Health: The non-medical factors that influence health outcomes. The
conditions in which people are born, grow, work, live, and age, and the wider set of forces and
systems shaping the conditions of daily life. These forces (e.g., racism, climate) and systems
include economic policies and systems, development agendas, social norms, social policies, and
political systems. https://www.cdc.gov/about/sdoh/index.html
Statute: An act of the legislature; a particular law enacted and established by the will of the
legislative department of government, expressed with the requisite formalities. In foreign or civil
law any particular municipal law or usage, though resting for its authority on judicial decisions,
or the practice of nations.
Statutory Authority: Authority provided by legal statute that establishes a federal financial
assistance program or award.
System for Award Management (SAM): The primary vendor database for the U.S. federal
government. SAM validates applicant information and electronically shares secure and encrypted
data with federal agencies' finance offices to facilitate paperless payments through Electronic
Funds Transfer (EFT). SAM stores organizational information, allowing www.grants.gov to
verify identity and pre-fill organizational information on grant applications.
Technical Assistance: Advice, assistance, or training pertaining to program development,
implementation, maintenance, or evaluation that is provided by the funding agency.
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Attachment A-List of Applicants Meeting Population Criteria Based on 2022 U.S. Census Data_FINAL.docx

Attachment A: List of Applicants Meeting Population Criteria Based on 2022 U.S. Census Data

50 State Health Departments

Local Health Departments Serving a County or City with a Population of Greater Than 2 Million

Arizona

Maricopa County Department of Public Health

California

County of Riverside Department of Public Health

County of San Diego Health and Human Services Agency

Los Angeles County Department of Public Health

Orange County Health Care Agency

San Bernardino County Department of Public Health

Florida

Florida Department of Health in Miami-Dade County

Illinois

Chicago Department of Public Health

Cook County Public Health Department

Nevada

Southern Nevada Health District

New York

New York City Department of Health and Mental Hygiene

Texas

Dallas County Health and Human Services

Harris County Public Health (HCPH)

Houston Health Department

San Antonio Metropolitan Health District

Tarrant County Public Health

Washington

Public Health – Seattle and King County

Local Health Departments Serving a City with a Population of 400,000 or More but Less Than 2 Million Arizona

Pima County Health Department

California

Alameda County Health Department

Fresno County Department of Public Health

Kern County Health Department

Long Beach Health Department

Sacramento County Health Department

San Francisco Department of Public Health

Santa Clara County Health Department

Colorado

Denver Department of Public Health & Environment

El Paso County Public Health

Florida

Duval County Health Department

Georgia

Fulton County Board of Health

Indiana

Marion County Public Health Department

Kentucky

Louisville Metro Department of Public Health and Wellness

Maryland

Baltimore City Health Department

Massachusetts

Boston Public Health Commission

Michigan

Detroit Health Department

Minnesota

Minneapolis Health Department

Missouri

City of Kansas City Health Department

Nebraska

Douglas County Health Department

New Mexico

Albuquerque City Environmental Health Department

North Carolina

Mecklenburg County Health Department

Wake County Health Department

Ohio

Columbus Public Health

Oklahoma

Oklahoma City (OKC) County Health Department Tulsa Health Department

Oregon

Multnomah County Health Department

Pennsylvania

Philadelphia Department of Public Health

Tennessee

Metro Public Health Department Nashville and Davidson County

Shelby County Health Department

Texas

Austin Public Health

City of El Paso Department of Public Health

Washington, D.C.

DC Department of Health

Virginia

Virginia Beach Department of Public Health

Wisconsin

City of Milwaukee Health Department

U.S. Territories and Freely Associated States

American Samoa Department of Health

Government of the Federated States of Micronesia

Guam Department of Public Health and Social Services

Northern Mariana Islands Commonwealth Health Corporation

Puerto Rico Department of Health

Republic of the Marshall Islands Ministry of Health

Republic of Palau Ministry of Health

United States Virgin Islands Department of Health

Federally Recognized Tribal Governments That Serve a Population of 50,000 or More