Centers for Disease Control and Prevention

Collaborative Partnerships in Cancer Prevention and Control Programs for American Indian/Alaska Native People


Announcement Type: New

Funding Opportunity Number:  DP07-711

Catalog of Federal Domestic Assistance Number:  93.283

 Key Dates:

Application Deadline:  August 6, 2007


I. Funding Opportunity Description


Authority:  This program is authorized under sections 301(a), 317(k)(2) of the Public Health Service Act [42 U.S.C. 241(a) and 247b(k)(2)], as amended. 


Purpose:  The goal of the program is to develop/strengthen collaborative partnerships among 1) American Indian/Alaska Native health facilities/ tribal organizations, 2) state/local health departments and 3) organizations working with cancer control which will result in improved screening access and outcomes.  This program will benefit two Division of Cancer Prevention and Control programs:  1) the National Comprehensive Cancer Control Program (NCCCP) and 2) the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).  Historically many state health departments do not have strong collaborative relationships with tribal health organizations.  Also AI/AN women may be reluctant to access screening services because of cultural reasons, lack of a female provider, culturally insensitive providers, fear of cancer, etc.    Both of these problems may result in barriers that a non American Indian/Alaska Native health professional may not be able to identify or to find a successful solution.   


CDC’s new policy on tribal consultation mandates that working relationship between CDC and tribes and between state health departments and tribal health organizations be developed through a tribal consultation plan when possible.  DCPC is committed to assisting in the development/strengthening of CDC/tribal and state/tribal governmental relationships and honoring this policy.  American Indian/Alaska Native leaders have requested CDC that they would prefer Technical Assistance for American Indian//Alaska Native programs be provided by qualified American Indians wherever possible.  DCPC has honored this request with successful results.  In the past three years, the NBCCEDP has demonstrated that technical assistance provided by American Indian health professionals to American Indian programs and to state health departments has resulted in doubling the number of American Indian women screened in 5 states.  Providers, state health departments and cancer coalitions have learned effective and culturally appropriate ways of establishing relationships.  Technical assistance for coalition building and cultural competency training has been two of the chief mechanisms for achieving these results.


In this program, coalition building, cultural sensitivity training and technical assistance provided by American Indian Health Professionals to American Indian tribal health organizations, state comprehensive cancer collations and organizations working with cancer control) inclusive partnerships (e.g. health facilities, tribal entities and tribal people on and off the reservations) will be developed and more eligible American Indian women will be reached for screening for breast and cervical cancer. 

This program addresses the "Healthy People 2010" focus area of cancer. 


 Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP): 1) Increase early detection of breast and cervical cancer by building nationwide programs in breast and cervical cancer prevention, especially among high risk, underserved American Indian/Alaska Native women (AI/AN);  2) Expand community-based breast and cervical cancer screening and diagnostic services to low income, medically under-served AI/AN  women; 3)Assure access to treatment services for AI/AN women diagnosed with cancer or pre-cancer. This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be reviewed.  For the definition of research, please see the CDC Web site at the following Internet address: http://www.cdc.gov/od/ads/opspoll1.htm



Awardee activities related to American Indian/Alaska Native health facilities/ tribes/tribal organizations, state/local health departments, NBCCEDP programs, NCCCP programs and other appropriate organizations are as follows:

Objective 1:  To establish collaborative partnerships in 3-5 states among  1) American Indian/Alaska Native health facilities/tribal governments/organizations, 2) state/local health departments, and 3) other appropriate organizations (may include, but not be limited to  the American Cancer Society, Indian Health Service, and cancer coalitions) to increase breast and cervical cancer screening of uninsured, under-served AI/AN women.

Activities may include, but are not limited to:


Objective 2:  Respond to specific needs as identified collaboratively between the program director and their CDC program consultant

Activities may include, but are not limited to:


Objective 3:  Provide/participate in a minimum, of 4 trainings annually

Activities may include, but are not limited to:



In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring.

CDC activities for this program are as follows:

·   Providing orientation for grantee about the unique requirements of the NCCC and NBCCEDP programs.

·   Setting priorities for consultation and technical assistance to: tribal grantees, Urban Indian Health clinics, State NBCCEDP grantees, and State NCCCP grantees based on available data:

o       Identifying NCCCP & NBCCEDP states with no AI/AN coalition members.

o       Reviewing MDEs and identifying where greatest unmet need breast and cervical cancer screening of AI/AN is located, including approximate number eligible.

o       Identifying location of Urban Indian Health clinics that provide breast and cervical cancer screening services.

·   Identifying appropriate venues for providing training and facilitation:

o       Cultural competency training for state programs wanting the training cultural competency training for CDC requests for technical assistance from American Indian grantees, and when deemed necessary and appropriate by CDC ask grantee to assist in providing technical assistance.  Review requests and provide a telephone conference call or web-based training to states on how to conduct tribal consultation at the state level.


II. Award Information

Type of Award: Cooperative Agreement. CDC’s involvement in this program is listed in the Activities Section above.

Award Mechanism: U57

Fiscal Year Funds: 2007

Approximate Current Fiscal Year Funding: $ 350,000

Approximate Total Project Period Funding: $1,050,000 (This amount is an estimate, and is subject to availability of funds.)  Indirect costs are permitted

Approximate Number of Awards: 1

Approximate Average Award: $ 350,000 (This amount is for the first 12-month budget period, and includes both direct and indirect costs.)

Floor of Individual Award Range: $350,000

Ceiling of Individual Award Range: $350,000 total costs (This ceiling is for the first 12-month budget period.)

Anticipated Award Date:  September 30, 2007

Budget Period Length: 12 months

Project Period Length: 3 years


Throughout the project period, CDC’s commitment to continuation of awards will be conditioned on the availability of funds, 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.


III. Eligibility Information

III.1. Eligible Applicants

Non-profit organizations with experience and expertise in addressing the health care needs of urban Indian populations and providing culturally competent services to them.  These include, but are not limited to organizations such as:

III.2. Cost Sharing or Matching

Matching funds are not required for this program.


III.3. Other

If a funding amount greater than the ceiling of the award range is requested, the application will be considered non-responsive and will not be entered into the review process.  The applicant will be notified that the application did not meet the submission requirements.


Special Requirements:

If the application is incomplete or non-responsive to the special requirements listed in this section, it will not be entered into the review process.  The applicant will be notified the application did not meet submission requirements.


Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting a grant, loan, or an award.


IV. Application and Submission Information

IV.1. Address to Request Application Package

To apply for this funding opportunity use application form PHS 5161-1.


Electronic Submission:

CDC strongly encourages the applicant to submit the application electronically by utilizing the forms and instructions posted for this announcement on www.Grants.gov, the official Federal agency wide E-grant Web site.  Only applicants who apply on-line are permitted to forego paper copy submission of all application forms.


Registering your organization through www.Grants.gov is the first step in submitting applications online. Registration information is located in the “Get Started” screen of www.Grants.gov. While application submission through www.Grants.gov is optional, we strongly encourage you to use this online tool.


Please visit www.Grants.gov at least 30 days prior to filing your application to familiarize yourself with the registration and submission processes. Under “Get Started,” the one-time registration process will take three to five days to complete. We suggest submitting electronic applications prior to the closing date so if difficulties are encountered, you can submit a hard copy of the application prior to the deadline.


Paper Submission:

Application forms and instructions are available on the CDC Web site, at the following Internet address: http://www.cdc.gov/od/pgo/funding/forms.htm


If access to the Internet is not available, or if there is difficulty accessing the forms on-line, contact the CDC Procurement and Grants Office Technical Information Management Section (PGO-TIM) staff at 770-488-2700 and the application forms can be mailed.


IV.2. Content and Form of Submission



A Project Abstract must be submitted with the application forms.  The abstract must be submitted in the following format:

The Project Abstract must contain a summary of the proposed activity suitable for dissemination to the public.  It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed.  It should be informative to other persons working in the same or related fields and insofar as possible understandable to a technically literate lay reader.  This Abstract must not include any proprietary/confidential information. 


A project narrative must be submitted with the application forms.  The narrative must be submitted in the following format:

The narrative should address activities to be conducted over the entire project period and must include the following items in the order listed:

Work Plan

The applicant should provide a clear, concise written summary to include:

·          Detailed objectives, activities, data sources, time line and person(s) responsible for the first year and in general for the subsequent 2 years.

·        Outline the objectives, activities, data needed, time line and person responsible  developing collaborative relationships including, but not limited to:

o        Identification of the major activities proposed to develop or implement a technical assistance/coalition building program

o       Providing cultural competency training

o       Establishing base for sustainability

o       Providing TA on an ad hoc basis

o       Activities and the experience of the staff to provide coalition and partnership building

·        Requested amount of Federal funding.

·        Applicant’s capability to conduct the activities.


The applicant should describe:

·        The unique health care structure for the AI/AN populations in relationship to Urban Indian Health facilities, IHS, local and state health departments.

·        The historical context which demonstrates the need for unique technical assistance to States for successful AI/AN breast and cervical cancer screening and for coalition building.

·        Relevant experiences in coordination and collaboration between and among existing programs and in cultural competency training.

·        Existing initiatives, capacity, and infrastructure within which AI/AN screening and CCC coalition and partnership building will occur.

Management Plan

·        Submit a management plan that includes a description of proposed management structure, organizational chart, internal and external communication systems and a system for sound fiscal management.

·        Provide a description of the proposed or existing linkages with tribal health facilities, IHS, state health departments and national AI/AN organizations.

·        Provide (in the appendices) curriculum vitae and job descriptions of all staff funded through this announcement.

·        Provide a detailed work plan that describes how the activities will be carried out.  It should include the following:

o       Goals and objectives for Year 01

o       Activities planned to achieve objectives

o       Data that will be used to assess program activities

o       Time line for assessing progress

o       The person or persons responsible for activities Overall measures of effectiveness.  These measures must be objective/quantitative and must measure the intended outcome.

Itemized Budget and Justification

·        A detailed budget with supporting justification must be provided and should be related to objectives that are stated in the applicant’s work plan.


Additional information may be included in the application appendices.  The appendices will not be counted toward the narrative page limit.  This additional information includes:

Additional information submitted via Grants.gov should be labeled:

No more than 40 pages of electronic attachments should be uploaded per application.


The agency or organization is required to have a Dun and Bradstreet Data Universal Numbering System (DUNS) number to apply for a grant or cooperative agreement from the Federal government.  The DUNS number is a nine-digit identification number, which uniquely identifies business entities.  Obtaining a DUNS number is easy and there is no charge.  To obtain a DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-5711. 


Additional requirements that may request submittal of additional documentation with the application are listed in section “VI.2.  Administrative and National Policy Requirements.”


IV.3. Submission Dates and Times

Application Deadline Date: August 6, 2007

Explanation of Deadlines:  Applications must be received in the CDC Procurement and Grants Office by 4:00 p.m. Eastern Time on the deadline date. 


Applications may be submitted electronically at www.Grants.gov.  Applications completed on-line through Grants.gov are considered formally submitted when the applicant organization’s Authorizing Official electronically submits the application to www.Grants.gov.  Electronic applications will be considered as having met the deadline if the application has been submitted electronically by the applicant organization’s Authorizing Official to Grants.gov on or before the deadline date and time.


If submittal of the application is done electronically through Grants.gov (http://www.grants.gov), the application will be electronically time/date stamped, which will serve as receipt of submission.  Applicants will receive an e-mail notice of receipt when HHS/CDC receives the application.


If submittal of the application is by the United States Postal Service or commercial delivery service, the applicant must ensure that the carrier will be able to guarantee delivery by the closing date and time.  The applicant will be given the opportunity to submit documentation of the carrier’s guarantee, if HHS/CDC receives the submission after the closing date due to: (1) carrier error, when the carrier accepted the package with a guarantee for delivery by the closing date and time; or (2) significant weather delays or natural disasters.  If the documentation verifies a carrier problem, HHS/CDC will consider the submission as having been received by the deadline. 


If a hard copy application is submitted, HHS/CDC will not notify the applicant upon receipt of the submission.  If questions arise on the receipt of the application, the applicant should first contact the carrier.  If the applicant still has questions, contact the PGO-TIM staff at (770) 488-2700.  The applicant should wait two to three days after the submission deadline before calling.  This will allow time for submissions to be processed and logged.


This announcement is the definitive guide on LOI and application content, submission address, and deadline.  It supersedes information provided in the application instructions.  If the application submission does not meet the deadline above, it will not be eligible for review, and will be discarded by HHS/CDC.  The applicant will be notified the application did not meet the submission requirements. 


IV.4. Intergovernmental Review of Applications

Executive Order 12372 does not apply to this program.


IV.5. Funding Restrictions

Restrictions, which must be taken into account while writing the budget, are as follows:


If requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required.  If the indirect cost rate is a provisional rate, the agreement should be less than 12 months of age.


The recommended guidance for completing a detailed justified budget can be found on the CDC Web site, at the following Internet address:



IV.6. Other Submission Requirements

Electronic Submission:

HHS/CDC strongly encourages applicants to submit applications electronically at www.Grants.gov.  The application package can be downloaded from www.Grants.gov.  Applicants are able to complete it off-line, and then upload and submit the application via the Grants.gov Web site.  E-mail submissions will not be accepted.  If the applicant has technical difficulties in Grants.gov, customer service can be reached by E-mail at http://www.grants.gov/CustomerSupport or by phone at 1-800-518-4726 (1-800-518-GRANTS).  The Customer Support Center is open from 7:00a.m. to 9:00p.m. Eastern Time, Monday through Friday. 


HHS/CDC recommends that submittal of the application to Grants.gov should be early to resolve any unanticipated difficulties prior to the deadline.  Applicants may also submit a back-up paper submission of the application.  Any such paper submission must be received in accordance with the requirements for timely submission detailed in Section IV.3. of the grant announcement. The paper submission must be clearly marked:  “BACK-UP FOR ELECTRONIC SUBMISSION.”  The paper submission must conform to all requirements for non-electronic submissions.  If both electronic and back-up paper submissions are received by the deadline, the electronic version will be considered the official submission.


The applicant must submit all application attachments using a PDF file format when submitting via Grants.gov.  Directions for creating PDF files can be found on the Grants.gov Web site.  Use of file formats other than PDF may result in the file being unreadable by staff.




Paper Submission:

Applicants should submit the original and two hard copies of the application by mail or express delivery service to:

            Technical Information Management – DP07-711

            Department of Health and Human Services       

CDC Procurement and Grants Office

2920 Brandywine Road

            Atlanta, GA 30341


V. Application Review Information

V.1. Criteria

Applicants are required to provide measures of effectiveness that will demonstrate the accomplishment of the various identified objectives of the cooperative agreement.  Measures of effectiveness must relate to the performance goals stated in the “Purpose” section of this announcement.  Measures must be objective and quantitative and must measure the intended outcome.  The measures of effectiveness must be submitted with the application and will be an element of evaluation.


The application will be evaluated against the following criteria:

Work plan (40 Points)

Is the plan adequate to carry out the proposed activities  Is the development of collaborative relationships to include American Indian/Alaska Native tribal health organizational representation on state health department coalitions adequately described?  (15 pts)  Has providing cultural competency training been included? (5 pts)   Has a plan for long term sustainability of American Indian involvement in coalitions been described? (5pts)   Are the goals clear, objectives specific, measurable, achievable, realistic and time-phased and the activities clear and specific? (15 pts)

Management Plan (25Points)

Does the organization have the organizational capacity and program management skills and experience to develop and manage the program? (9 pts) Are proposed staff qualified and do they possess capacity to perform the technical assistance described? (8 points) Does staff have expertise working with AI/AN populations in developing partnerships and coalitions between tribal health organizations and state health departments? (8 points)

Evaluation Plan (25 Points)

Will the evaluation plan monitor both the progress toward meeting project objectives and their impact?  Are baseline criteria established at the beginning for state’s approach to AI/AN communities (state use of consultation policy format, state visit to AI/AN community, inclusion in setting training agenda’s and venue, outcomes specific for AI/AN community) (10pts),   Is training outcome oriented (pre and post testing on cultural competency training, 6 month follow up on action plans at NCCCP Leadership Institute Workshop been included (5 points)?  Is the foundation for long term sustainability of American Indian involvement in coalitions planned in year 01?  (10 pts)   

Background (10 Points)

Does the application identify the: 1) need for American Indian/Alaska Native participation in NBCCEDP and NCCCP coalitions and current barriers; 2) Issues of sustainability and approaches to overcome them  2)the unique health care system for AI/AN and its limitations 3) need for culturally appropriate technical assistance and training for tribal grantees,

Budget (not weighted)

Is each line-item budget and narrative justification reasonable and consistent with the purpose and objectives of the program? (Not weighted)


V.2. Review and Selection Process

Applications will be reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness jointly by NCCDPHP and PGO. Incomplete applications and applications that are non-responsive to the eligibility criteria will not advance through the review process.  Applicants will be notified the application did not meet submission requirements.


V.2. Review and Selection Process

Applications will be reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness jointly by NCCDPHP and PGO. Incomplete applications and applications that are non-responsive to the eligibility criteria will not advance through the review process.  Applicants will be notified the application did not meet submission requirements.


An objective review panel will evaluate complete and responsive applications according to the criteria listed in the “V.1.  Criteria” section above.  An objective review panel will evaluate complete and responsive applications according to the criteria listed above.  The objective review process will follow the policy requirements as stated in the GPD 2.04 at


Applications will be funded in order by score and rank determined by the review panel.

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


V.3. Anticipated Announcement Award Dates

August 2007


VI. Award Administration Information

VI.1. Award Notices

Successful applicants will receive a Notice of Award (NoA) from the CDC Procurement and Grants Office.  The NoA shall be the only binding, authorizing document between the recipient and CDC.  The NoA will be signed by an authorized Grants Management Officer and emailed to the program director and a hard copy mailed to the recipient fiscal officer identified in the application.


Unsuccessful applicants will receive notification of the results of the application review by mail.


VI.2. Administrative and National Policy Requirements

Successful applicants must comply with the administrative requirements outlined in 45 CFR Part 74 and Part 92, as appropriate.  The following additional requirements apply to this project:


Additional information on the requirements can be found on the CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/Addtl_Reqmnts.htm.


For more information on the Code of Federal Regulations, see the National Archives and Records Administration at the following Internet address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html


VI.3. Reporting Requirements

The applicant must provide CDC with an original, plus two hard copies of the following reports:

1.  Interim progress report, due no less than 90 days before the end of the budget period.  The progress report will serve as the non-competing continuation application, and must contain the following elements:

a.       Current Budget Period Activities Objectives.

b.      Current Budget Period Financial Progress.

c.       New Budget Period Program Proposed Activity Objectives.

d.      Budget.

e.       Measures of Effectiveness.

f.        Additional Requested Information.

2. Annual progress report, due 90 days after the end of the budget period

3. Financial status report, no more than 90 days after the end of the budget period.

    Final performance and Financial Status reports, no more than 90 days after the end of the project period.


The reports must be mailed to the Grants Management Specialist listed in the “Agency Contacts” section of this announcement.


VII. Agency Contacts

CDC encourages inquiries concerning this announcement.

For general questions, contact:

            Technical Information Management Section

   Department of Health and Human Services

            CDC Procurement and Grants Office

            2920 Brandywine Road

            Atlanta, GA 30341

            Telephone: 770-488-2700


For program technical assistance, contact:

Annie Voigt, Project Officer

Department of Health and Human Services


4770 Buford Hwy NE, Mailstop K-57

Atlanta, GA, 30341

Telephone Number: (770) 488-4707

Fax: (770) 488-3230

E-mail address:  anv1@cdc.gov



For financial, grants management, or budget assistance, contact:

  Stephanie Lankford, Grants Management Specialist 

  Department of Health and Human Services

            CDC Procurement and Grants Office

            2920 Brandywine Road, Mail stop: E-14

            Atlanta, GA 30341

            Telephone: 770-488-2936

            E-mail: fzi8@cdc.gov


CDC Telecommunications for the hearing impaired or disabled is available at: TTY 770-488-2783.


VIII. Other Information

Other CDC funding opportunity announcements can be found on the CDC Web site, Internet address: http://www.cdc.gov/od/pgo/funding/FOAs.htm.


CDC Home Page: http://www.cdc.gov

CDC Funding Web Page: http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm

CDC Forms Web Page: http://www.cdc.gov/od/pgo/funding/grants/app_and_forms.shtm