U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

State-Based Oral Disease Prevention Program

Notice of Availability of Funds

 

Announcement Type: New – Type 1

Funding Opportunity Number: CDC-RFA-DP08-802

Catalog of Federal Domestic Assistance Number: 93.283 Centers for Disease Control and Prevention

Key Date: Application Deadline: May 27, 2008

 

Special Guidelines for Technical Assistance Conference Call:

Technical assistance will be available for potential applicants on a conference call. Please connect to web-based CDC Sitescape for conference call dates and times and passcode.  (See information below on how to connect to Sitescape.)

Potential applicants are requested to call in using only one telephone line. Participation in this conference call is not mandatory. At the time of the call, if you have problems accessing the call, contact: Danielle Stewart at (770) 488-6056.The purpose of the conference call is to help potential applicants to:

1. Understand the scope and intent of the Program Announcement for State Oral Disease Prevention Programs and;

2. Be familiar with the HHS-CDC funding policies and application and review procedures.

 

Special Guidelines for Technical Assistance on CDC Sitescape:

Reporting requirements, future funding information, guidelines and other technical assistance will be provided on the web-based CDC Sitescape. To become a user, send an email requesting Sitescape link information to: Bridgette Smith at bns0@cdc.gov.  Sitescape information will also include reference information pertaining to the announcement and other information pertinent to the cooperative agreement application.

 

Funding Opportunity Description

Authority: This program is authorized under section and 317(k) (2) of the Public Health Services Act, [42 U.S.C.  section247b (k) (2), as amended].

Background:

Strong state oral health programs are critical to the oral health of the U.S.  Despite national improvements in oral health, significant disease burden exists across all age groups, especially for people with lower incomes and lower educational levels and for certain racial and ethnic groups. CDC through its work with the Association of State and Territorial Disease Directors (ASTDD), state oral health programs, and national experts, has established eight components essential to developing infrastructure and capacity of state oral health programs. State programs funded under the State-Based Oral Disease Prevention Program, Program Announcement 03022 [2003–2008] have provided evidence that building state oral health program infrastructure and capacity helps states to prevent oral diseases and promote oral health by establishing systems that provide disease surveillance, coalition-building, and partnerships to leverage resources and increased promotion and coordination of effective public health preventive interventions such as school-based or -linked dental sealant programs and community water fluoridation. Oral health is an essential and integral component of health throughout life.  For more information about the CDC, Division of Oral Health; visit http://www.cdc.gov/oralhealth. See also Healthy People goals: http://www.healthypeople.gov/document/HTML/Volume2/21Oral.htm.  Essential components include establishing the Healthy People focus area: Chapter 21: Oral Health. and Building Infrastructure and Capacity in State and Territorial Oral Health Programs at http://www.astdd.org.

 

 

Purpose:

The purpose of this program is to assist States or Territorial Health Departments to establish, strengthen, and enhance the infrastructure and capacity of states to plan, implement, and evaluate population-based oral disease prevention and promotion programs, prioritizing populations based on oral disease burden.

Process Objectives: (By the end of the funding period)

 

Outcome Objectives (Long Term – beyond period of funding) (based on documented oral disease burden):

State-Based Oral Disease Prevention Programs will develop activities in order to increase oral disease prevention in the following CDC Division of Oral Health priority areas, as supported by the Guide to Community Preventive Services systematic review of interventions to prevent oral diseases http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5021a1.htm:

Recipient Activities are divided into Core and Additional Activities.   Core activities are those that are related to building the infrastructure necessary to move a program toward implementation of programs focused on community-based prevention.  Additional activities are those that may be undertaken once the core performance measures have been met according to CDC evaluation measures. Measurable outcomes of the program will be in alignment with the following health protection goal for the National Center for Chronic Disease Prevention and Health Promotion: “Healthy People in Every Stage of Life.  All people, and especially those at greater risk of health disparities, will achieve their optimal lifespan with the best possible quality of health in every stage of life.” See: http://intranet.cdc.gov/od/osi/health_protection/people/index.

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 http://www.cdc.gov/od/science/regs/hrpp/researchDefinition..

 

Recipient Activities:

Recipient Activities are numbered 1 through 8 and are divided into core recipient activities and additional recipient activities.  The core recipient activities are described first. Because these form the “core” components related to building infrastructure and capacity and are necessary to developing a successful oral health program, all of the core recipient activity performance measures must be met, according to CDC evaluation measures before an awardee may apply resources to the additional recipient activities listed in this announcement.  .  The additional recipient activities are discussed starting on page 18

 

For all recipient activities and performance measures, applicants may refer to CDC guidance available at the web-based CDC Sitescape.  DOH will provide further guidance in cooperative agreement years 1 through 5.   To apply to become a CDC Sitescape user, please contact Bridgette Smith by email at bns0@cdc.gov  or by phone at 770-488-6072. 

 

Core Activities and Performance Measures:

1. Program Infrastructure - Staffing, Management and Support

 Minimum staffing requirements must be met; additional staff may be added based on the size and complexity of the program.

Performance Measures

  a)         Demonstrate program infrastructure that will enhance the State Oral Health Program’s capacity to address oral disease prevention by:

(1) employing program management staff to include one full-time dental director and .5 FTE program coordinator;

(2) employing a one-half time epidemiologist.;

(3) establishing and maintaining sources of skilled people for carrying out

activities under this cooperative agreement including .5 FTE in dental sealant program coordination,  .5 FTE in water fluoridation engineering/specialist or coordinator, .25 FTE in program evaluation, .25 FTE in health education/communication and appropriate administrative support.  ( Non-management positions may be shared in accordance with agency personnel policies.)

2.  Data Collection and Surveillance

Describing the oral disease burden in a state allows the state program to share information about the state's oral health needs with state policy makers, the public health community, and other stakeholders and interested parties.

Performance Measures:

a)                  Develop a surveillance plan within the first two years of funding that clearly outlines the data needed, the sources from which the data will come, and a systematic plan for collecting and reporting the data over the 5 year period of the cooperative agreement;

b)         Complete a burden of oral disease document within the first two years of funding that describes the status of oral diseases in a state, including any disparities in oral disease status among population groups;  

c)         Submit data annually to ASTDD’s State Synopses and to the National Oral Health Surveillance System, including a Basic Screening Survey of third-grade children. State data should be updated at least every 5 years. See CDC website for information on national and state data system requirements;

d)         Monitor and report on a monthly basis water fluoridation data, consistent with the Water Fluoridation Reporting System. Submit WFRS report number 510 (as explained in the WFRS reporting system) with Interim Progress Report according to RA 5b;

e)         Complete a needs assessment of school-based sealant capacity and priority populations according to RA 5a (School Sealant Program); and

f)          See RA 7(Program Evaluation) for evaluation requirements associated with this surveillance activity.

3. Strategic Planning – The State Oral Health Plan

This is not the state oral health program plan or the state oral health coalition plan. Having a state plan will give the state the ability to compete more effectively for resources and opportunities as they arise.

Performance Measures:

 a)       Develop a state oral health plan that has as its goal reducing the prevalence of oral diseases and includes specific objectives related to oral health promotion, disease prevention and control, and specified risk factors.  

(1) As the plan is being developed, collaborate with a diverse group of stakeholders (see RA 4. Collaboration with Partners) to develop a plan that addresses at a minimum the goals, objectives, and priority area activities of CDC/DOH covered in the Purpose section of this announcement;

            b)         Make the plan available to the public;

            c)         Update the plan every 3-5 years; and

            d)         See RA 7 for evaluation requirements.

4. Partnerships and Coalitions:

A partnership is comprised of organizations that share a common focus and combine resources to implement joint activities. Partnerships may be included in state oral health coalitions.  A Coalition is a diverse group of individuals and public and private organizations who work together to reach a common goal.

 4a. Partnerships

Performance Measures:

a)  Collaborate with partners, inside and outside of state health department, such as statewide and local entities or other state agencies. Provide evidence of collaboration with a Memo of Understanding (MOU), e-mail, or letter;

b)         Identify and leverage opportunities to integrate oral health efforts by working with other programs that address related chronic diseases or risk factors; and

            c)         See RA 7 for required evaluation activities.

4b. Statewide Oral Health Coalition:

Performance Measures:

a)                  Develop, enhance, and sustain an active, independent statewide oral health coalition. Coalition membership should be diverse and representative of stakeholders from organizations and groups internal and external to state government;  

            b)         Focus coalition efforts toward oral health infrastructure development and sustainability, state oral health plan development, community water fluoridation efforts, and school-based/linked dental sealant programs;

            c)         Take steps to facilitate coalition sustainability; and

            d)         See RA 7 for required evaluation activities.

5. Access to and Utilization of Preventive Interventions

5a. School-Based or School-Linked Dental Sealant Programs

School-based or school-linked dental sealant programs are to be developed, coordinated, and implemented in two phases.

Performance Measures:

a)         Phase 1

(1) First, create a sealant plan;  

(2) Second, implement a demonstration project; and

(3) Third, evaluate the demonstration or pilot project as appropriate to the sealant plan.

b)         Phase 2:

      (1) Develop and coordinate school based/linked dental sealant programs;

      (2) Report the percent and number of children in funded programs receiving at least one permanent molar sealant; proportion of eligible schools participating in program; and proportion of children participating in free and reduced-cost lunch program receiving at least one sealant; and

(3) Conduct a cost-analysis for school-based or school-linked dental sealant programs using the SEALS software or its equivalent to include: baseline measures of mean pit and fissure caries severity and a cost-analysis report published and submitted to ASTDD Best Practices Project; and

(4) See RA 7 for required evaluation activities.

5b. Community Water Fluoridation (CWF)

The collective efforts of promoting and implementing a state fluoridation program and maintaining consistency of fluoridation efforts within a state can be characterized as a community water fluoridation program. Oversight and management of fluoridation activities is a state responsibility and this function may be jointly managed by the state oral health program and the state agency responsible for the drinking water program. Basic community water fluoridation program management is to be coordinated and implemented in 2 phases.

Performance Measures:

a)         Phase 1

      (1)  Develop a state fluoridation plan and submit annual status reports;

      (2)  Conduct and report monthly monitoring consistent with the Water Fluoridation Reporting System (WFRS). Submit 510 report with interim reports;

     (3)  Track progress toward incorporating into practice the CDC Engineering and Administrative Recommendations for Water Fluoridation (EARWF);

      (4)  Report on water systems receiving new or replacement fluoridation equipment and the communities and populations affected; and

      (5)  Measure and report progress towards reaching or exceeding Healthy People objective of 75 percent of population on public water supplies receiving fluoridated water.

            b)         Phase 2

              (1) Establish a CWF quality control program;

                  (2) Provide appropriate education and promotion of CWF;

                           (3) Identify communities that, if fluoridated, would enable state to meet or exceed the Healthy People objective;

                           (4)  Identify communities and populations requiring replacement fluoridation equipment and develop replacement plan by funding source; and

                  (5)  Participate in the CDC Lab Proficiency Testing Program or equivalent

c)         Maintain all activities from phases 1 and 2 and: enhance or expand existing community water fluoridation program management to a comprehensive level that meets or exceeds Healthy People objectives.

6. Policy Development

Periodic assessment of policy (laws and regulations and administrative policies) and systems-level strategies (system changes) offer the potential to reduce oral diseases..

Performance Measures:

            a)         Conduct a periodic assessment of policy and systems level strategies with potential to reduce oral diseases;

b)         Develop a policy action plan and implement a set of activities that include the priorities established from the assessment process; and

c)         See evaluation activities in RA 7.

7. Evaluation

It is important to integrate evaluation from the very beginning of program development to assess whether the state is meeting its goals and seeks ways to improve the program instead of waiting until the activity is completed.

Performance Measures:

a)         Develop within the first year, with technical assistance from CDC, a comprehensive written 5-year evaluation plan;

b)         Report completely and accurately in the DOH electronic Management Information System: MOLAR: (Management Overview for Logistics Analysis and Reporting). Document compliance with national evaluation efforts and collection of standard indicators; and

c)         Submit at least two success stories per year (beginning in year 2 of the cooperative agreement) that meet CDC criteria. 

8. Program Collaboration

States funded under this cooperative agreement are encouraged to collaborate with other CDC-funded programs.  State health departments may determine how best to facilitate coordination and cooperation among existing categorical program activities allowing individual programs to maintain integrity and identity.  Program size and complexity may influence the extent of the state’s ability to use existing resources for collaboration efforts. 

Performance Measures:

As awardee agency personnel policies permit:

a)                  Share staff positions that provide cross-cutting program services such as evaluation, epidemiology, health education and communication;

b)                  Coordinate activities that support oral disease prevention as well as other chronic disease conditions such as diabetes, obesity, healthy aging, tobacco cessation, heart disease etc.;

c)         Facilitate collaborated strategic planning to address disparities, and disease burden issues;

d)         Facilitate information sharing and training opportunities across programs; and

e)         Participate in data collection and reporting across programs e.g., nutrition and oral health.

 

Additional Activities and Performance Measures:

Additional activities and performance measures are focused on improving or enhancing a component.  Additional recipient activities and performance measures are to be provided only after the core recipient activities are met according to CDC evaluation measures.

Core and Additional Performance Measures are numbered sequentially throughout this Announcement e.g., 2. Data Collection and Surveillance  a) b) c) d) e) f) on pages 6,7 followed by Additional performance measures numbered 2. Data Collection and Surveillance g) h).  See below.

1. Program Infrastructure - Staffing, Management and Support

Performance Measures:

(b)        Other  program staff: Shared capacity of a fiscal coordinator and a grant writer.

2. Data Collection and Surveillance

Performance Measures:

            g)         Enhance the oral health surveillance system. Update annually, maintain and sustain the surveillance plan and subsequent surveillance system; and

h)         Conduct or support original data collection and analysis and submit a report of findings. This may be done in partnership with academia or other health agency partners.

3. Strategic Planning – The State Oral Health Plan

            Performance Measures:

e)         Enhance the state oral health plan by including a written and published action plan;

f)          Enhance the state plan by providing guidance for major policy development initiatives (see RA 6 Policy Development);

g)         Market the plan as the guiding document for oral health initiatives in the state; and

h)   Increase support and stakeholder engagement in the implementation of the plan.

4. Partnerships and Coalitions:

4a. Partnerships

            Performance Measures:

            d)         Increase the number of  partnerships that sustain and support the oral health program, improve or extend oral disease prevention activities, and institutionalize or encourage integration of oral health into overall/general health; and

            e)         Create opportunities for enhancing partnerships such as: campaigns and summits to promote oral health, commitments to promote oral health, collaboration on policy change and in-kind or other support for oral health activities.

4b. Statewide Oral Health Coalition:

            Performance Measures:

            e)         Expand the statewide oral health coalition and address independent institutionalization and sustainability.

f)          Expand coalition activities through demonstrated outcomes linked to an action plan(s); and

            g)         Acquire dedicated support staff;

5. Access to and Utilization of Preventive Interventions

5a. School-Based or School-Linked Dental Sealant Programs

            Performance Measures:

b)         Phase 2:

                              (5)  Maintain all activities and enhance school-based or school-linked dental sealant programs statewide to meet and exceed the Healthy People objective;

                              (6) Report data analysis demonstrating progress toward reaching or exceeding Healthy People goal of school-based or school-linked sealant programs in all eligible schools in urban and rural areas; and ;

                              (7)  Report data analysis demonstrating significant progress toward increasing the proportion of eligible schools participating in program; and the proportion of children in funded programs (schools participating in the federal free and reduced-cost lunch program) receiving at least one sealant;

(8)   Report analysis using SEALS or its equivalent to report cost-effectiveness of program;

(9)   Provide leadership in training and technical assistance to community sealant programs, providers and other types of sealant programs;

(10) Submit sealant best practice to ASTDD for sharing with other programs;

(11) Report progress toward sustainability and institutionalization of sealant program through leveraging of dollars, partnership participation, billing Medicaid and/or SCHIP or other sources of support; and

(12) Report analysis of program quality assurance measures such as sealant retention data collection.

5b. Community Water Fluoridation (CWF)      

            Performance Measures:

b)         Phase 2:

                  (6)  Maintain all activities from phases 1 and 2 and: enhance or expand existing community water fluoridation program management to a comprehensive level that meets or exceeds Healthy People objectives;

                              (7)  Encourage attendance by state fluoridation coordinator, engineers and/or specialists at CDC fluoridation training or equivalent within 5 years;

(8)   Conduct comprehensive inspections of all adjusted fluoridated water systems every three years to assure that all the technical recommendations, including the safety requirements of EARWF, are followed;

(9)   Increase percent of fluoridated water systems consistently maintaining optimal levels of fluoride as defined by State and consistent with recommendations outlined in EARWF; and

                        (10) Promote fluoridation to policymakers and the public as appropriate.

6. Policy Development

            Performance Measures:

d)         Implement policies that support evidence-based, population-based strategies consistent with the state oral health plan and the oral health program strategic plan. Examples may be oral health policies, legislation, regulations, ordinances, guidelines and standards that promote optimal oral health such as water fluoridation, and school-based or linked dental sealant programs; statutory authority for the state oral health program and/or state dental director position;

e)         Increase the extent to which population-based interventions address established objectives that are informed by surveillance data and prioritized from the state oral health plan, the policy action plan, or the program strategic plan; and

f)                    Evaluate impact of and lessons learned from implementation of policies.

7. Evaluation

            Performance Measures:

d)         Maintain all activities and: expand and sustain a system of routine systematic evaluation practices for program improvement, decision making, and sharing of lessons learned; and

e)         Maintain all activities and design and implement a public health practice evaluation system that collects and analyzes information to be used to measure program progress, community capacity changes, short-term and distal outcomes.

8. Program Collaboration

There are no additional performance objectives for this Recipient Activity.

 

e)      CDC Activities for this Program:

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

1.      Update and provide information (e.g.,program guidance, Burden of Oral Disease Tool, Success Story Guidelines and other reference texts and materials)related to the purposes and/or objectives of the program announcement related to recipient activities ;

2.      Provide programmatic and technical assistance for recipients and their stakeholders and partners through programmatic and technical consultation, , annual national training workshops, web-based program listserve and web board information exchanges, quarterly web conferences,  and other forms of guidance, assistance and information sharing to assist the recipient in the development, coordination and enhancement of the recipient activities;

3.      Support awardee program development through cooperative agreements with national organizations such as Oral Health America, the Association of State and Territorial Dental Directors and the Children’s Dental Health Foundation to provide assistance with coalition-building and policy development.

4.      Provide epidemiological support for awardee programs through analysis and reporting of national and state data relevant to program planning and policy development.

 

II. Award Information

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

Award Mechanism: U58 

Fiscal Year Funds: FY 08

Approximate Current Fiscal Year Funding: $4,400,000

Approximate Total Project Period Funding: $22,000,000 (This amount is an estimate, and is subject to availability of funds.) and includes direct and indirect costs.

Approximate Number of Awards: Up to 15 awards

Approximate Average Award: $250,000. Awards are expected to range between $100,000 and $400,000. Funding estimates may vary and are subject to change. (This amount is for the first 12-month budget period, and includes both direct and indirect costs.) No funding is available during FY 08 beyond core recipient activities. Pending available funding resources, continuation applications will be accepted in years 2 through 5 of the project period.

Floor of Individual Award Range: $100,000

Ceiling of Individual Award Range: $400,000 (This ceiling is for the first 12-month budget period and includes both direct and indirect costs.)

Anticipated Award Date: July 31, 2008

Budget Period Length: 12 months

Project Period Length: 5 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.  Awardee states or territories may apply for additional funds in the continuation application prior to the start of each new project year. Funding is dependent on the level of progress demonstrated toward the performance measures in this announcement and provided by DOH guidance throughout the cooperative agreement 5 year project period.

 

III. Eligibility Information

Eligible Applicants:

Eligibility is limited to State or Territorial Health Departments because they are uniquely qualified with the dental professional and epidemiological expertise to define the oral disease burden throughout the State or Territory and to provide the statewide oral health professional leadership to plan and develop statewide strategies to reduce the burden of disease.  State or Territorial Health Departments are uniquely situated within government structures at the state or territorial level to have access to statewide partnerships such as the state dental association and resources and to provide state leadership for oral health initiatives.  Specific focus areas include statewide surveillance or oral disease, reporting the burden of disease, facilitating the development and implementation of a statewide oral health coalition, a state oral health plan, statewide dental sealant programs, and community water fluoridation coordination, as well as management of program capacity and infrastructure to sustain a state oral health program.

 

Previous to this announcement, twelve states and one territory were funded to develop and implement the activities listed above.  The new cooperative agreement will build on the experience gained from work with these states and territory to continue to evaluate the intermediate and long term outcomes of this approach.

Direct Assistance:

You may request federal personnel as direct assistance in years 2 through 5, in lieu of a portion of financial assistance.

To request new direct-assistance assignees, include:

·                    Number of assignees requested.

·                    Description of the position and proposed duties.

·                    Ability or inability to hire locally with financial Assistance.

·                    Justification for request.

·                    Organizational chart and name of intended supervisor opportunities for training, education, and work.

·                    Opportunities for training, education, and work experience for assignees.

·                    Description of assignee's access to computer equipment for communication with CDC (e.g., personal computer at home, personal computer at workstation, shared computer at workstation on site, shared computer at a central office).

      Special Requirements:

1. 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.

2. 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. Late applications will be considered non-responsive. The applicant will be notified the application did not meet submission requirements.

3.Grantees must acknowledge the Centers for Disease Control and Prevention’s (CDC) support of this program whenever Federal funds are used to pay for either the entire or partial cost of publications, services, and materials developed under this cooperative agreement.  The following statement must be visible for public notification:

“Funding was made possible (in part) by (grant or cooperative agreement CDC DP08-802) from the Centers for Disease Control and Prevention (CDC).”  

4. CDC reserves a royalty-free right, nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for Federal Government purposes: the copyright in any work that may be developed or purchased ownership of using cooperative agreement funds by awardees, contractors, subcontractors, vendors, or consultants (DHHS grants reg. 45CFR Part 92.34 Copyrights).

 

IV. Application and Submission Information

Address to Request Application Package

To apply for this funding opportunity use the application forms package posted in Grants.gov.

Content and Form of Submission

Electronic Submission

CDC strongly encourages the applicant to submit the application electronically by using 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 online are permitted to forgo 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 Registered” 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 Registered,” the one-time registration process will take 3 to 5 days; however, as part of the Grants.gov registration process, registering your organization with the Central Contractor Registry (CCR) annually, could take an additional 1 to 2 days. 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/grants/app_and_forms.shtm.

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

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

            Technical Information Management - CDC-RFA-DP08-802

            Department of Health and Human Services       

       CDC Procurement and Grants Office

       2920 Brandywine Road, MS E-14

            Atlanta, GA 30341

 

If you submit the application through the U.S. Postal Service or commercial delivery service, you must ensure that the carrier will be able to guarantee delivery by the closing date and time. You will be given the opportunity to submit documentation of the carrier’s guarantee, if HHS/CDC receives the submission after the closing date because of 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 you submit a hard-copy application, HHS/CDC will not notify you upon receipt of the submission. If you want to know whether the application has arrived, you should first contact the carrier. If you still have questions, contact the PGOTIMS staff at (770) 488-2700. You should wait 2 to 3 days after the submission deadline before calling. This will allow time for submissions to be processed and logged.

Letter of Intent:  A letter of intent does not apply to this cooperative agreement.

 

This announcement is the definitive guide on 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. The application face page will be returned by HHS/CDC with a written explanation of the reason for non-acceptance. You will be notified the application did not meet the submission requirements.

IV. Application:

 Applicants must submit 3 items in the content of the application:

·        Project Abstract

·        Work Plans

·        Budget

 

A. Format:  All electronic abstracts, work plans and budgets must be uploaded in a PDF file format when submitting via Grants.gov.  The maximum number of pages for the abstract and work plans is 75 pages.  The budget is not counted in the page limitation. If you exceed the page limitation, only the first pages will which are within the page limit will be reviewed.  Required formatting for specific items follow:

 

1. Project Abstract

Format: All electronic project abstracts must be uploaded in a PDF file format when submitting via Grants.gov. The abstract must be submitted in the following format, if submitting a paper application:

·                    Maximum of 2–3 paragraphs.

·                    Font size: 12 point unreduced, Times New Roman.

·                    Single-spaced.

·                    Paper size: 8.5 by 11 inches.

·                    Page margin size: One inch.

Content: 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 people 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.

2. Work Plans:

Format: Provide two work plans. See work plan template examples in attachments  on web-based CDC Sitescape.

·                     Font size:  within table: 11 point, Times New Roman.

·                    Single-spaced.

·                    Paper size: 8.5 by 11 inches, Landscape orientation.

·                    Page margin size: 0.7 inch

Content:

(1) One-year Work Plan: Provide a detailed and comprehensive work plan for the first year of the project using the template example given in the attachment and on CDC Sitescape.  Demonstrate how the program will address each recipient activity and its respective performance measures.  List the experience and capacity that is being brought to each performance measure. Write S.M.A.R.T. (Specific, Measurable, Achievable, Relevant and Time-framed) objectives.  List activities that pertain to each of these and persons responsible for caring them out. Attach evidence to support your work plan objectives and activities and projected capacity for carrying out the work plan.

(2) Five-year Work Plan: Provide a  work plan for the state oral health program for each recipient activity and its respective performance measures that describes general S.M.A.R.T.objectives, over the 5-year project timeline

o                   Note to Reviewers: Project evaluation plan is included as RA7 in work plans. 

 

3. Itemized Budget and Justification (not counted in 75-page limit):

Format: Submit a detailed budget and line-item justification that is consistent with the recipient activities, performance measures and the proposed project objectives and activities, using the format of the sample budget provided at http://www.cdc.gov/od/pgo/funding/grants/Budget_Guidelines.doc.

Content: To the extent necessary, applicants are encouraged to include travel for:

(1) Up to four people associated with this project to each annually attend up to two technical assistance workshops (for the initial funding period, budget for the workshops, training courses, and technical assistance meetings to be held in Atlanta, Georgia); and

            (2) Two staff to annually participate in the National Oral Health Conference (for the purpose of the initial funding period, applicant should budget for the 2009 National Oral Health Conference).

 

4. Evidence (documents) to Support Application:

Additional information may be included in the application appendices, (see work plan template instructions) such as position descriptions, curricula vitae, relevant publications, and letters of support that specify the nature and extent of involvement by partners. The appendices will not be counted toward the narrative page limit, but including extensive materials is not recommended.

Additional information submitted via Grants.gov should be uploaded in a PDF file format, and should be labeled as follows: Label each page with: Name of Applicant, Oral Health, Section or Document Title, Page Number

 

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 free. To obtain a DUNS number, access the Dun and Bradstreet website or call 1-866-705-5711.

Circumstances under which additional documentation may be requested with the application are listed the section, “Administrative and National Policy Requirements” In “VI. Award Administration Information.”

 

Submission Dates and Times:

Application Deadline Date: May 27, 2008

 Explanation of Deadlines: Applications must be received in the CDC Procurement and Grants Office by 5:00 p.m. Eastern Time on the deadline date.

 

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

When submission of the application is done electronically through Grants.gov (http://www.grants.gov), the application will be electronically time/date stamped and a tracking number will be assigned, which will serve as receipt of submission. The AOR will receive an e-mail notice of receipt when HHS/CDC receives the application.

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. The application face page will be returned by HHS/CDC with a written explanation of the reason for non-acceptance. The applicant will be notified the application did not meet the submission requirements.

Intergovernmental Review of Applications

Executive Order 12372 does not apply to this program.

Funding Restrictions

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

a) Recipients may not use funds for research.

b) Recipients may not use funds for the purchase of dental services, dental sealant delivery equipment or dental sealant materials.

c) Recipients may not use funds to supplant oral health program funds from local, state, or federal sources.

d) Recipients must maintain current levels of support dedicated to oral health from other funding sources.

e) Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual.

f) Awardees may not generally use HHS/CDC/ATSDR funding for the purchase of furniture or equipment. Any such proposed spending must be identified in the budget.

g) The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project objectives and not merely serve as a conduit for an award to another party or provider who is ineligible.

h) Reimbursement of pre-award costs is not allowed.

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 old. The indirect cost rate agreement should be uploaded as a PDF file with “Other Attachment Forms” when submitting via Grants.gov. The recommended guidance for completing a detailed justified budget can be found on the CDC Web site at  http://www.cdc.gov/od/pgo/funding/grants/Budget_Guidelines.doc.

V. Application Review Information

Criteria

Applications will be evaluated individually against the following criteria by an independent objective review group appointed by CDC. The possible points available in the review score total 100 points.  Each of the following criteria is based on an item of the same title in the Application Content of the Announcement.  Refer to the Application Content sections of the same name in this announcement for information on each of the criteria that follow.

1.  Work Plans (total available points: 100):

a) One-year work plan (total points available: 90) . The extent to which the work plan addresses all components of the work plan including: the experience and capacity applied, S.M.A.R.T. objectives, activities and persons responsible for them as well as evidence to support information provided in the work plan. Each of the recipient activities 1-8 and their respective performance measures must be addressed. The work plan should demonstrates that activities are specific, measurable, achievable, realistic and time framed and align with budget projections and justifications.  Points will be given to each Recipient Activity within the one year work plan as follows:

RA 1 Staffing, Management and Support: 15 points

RA 7: Evaluation : 15 points

RA 2 through 6 and RA 8: 10 points each

 

b) Five-year work plan (total points available: 10) The extent to which the work plan addresses RA 1-8 and performance measures over the entire 5 year project period. Objectives detail S.M.A.R.T. descriptions and address performance measures but in a more general way than the one year work plan.

 

2. Budget (not scored) The extent to which the budget and budget justification are reasonable and consistent with recipient activities and performance measures.

 

3. Evidence (documents) to Support Application: These will be included in the work plans.  See section descriptions and instructions for completing the work plan templates.  Supporting documentation will affect scoring for the recipient activities within the work plans.  Supporting documents may be uploaded as attachments in Grants.gov.

 

 Review and Selection Process

Applications will be reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness jointly by the National Center for Chronic Disease and Health Promotion (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 “Criteria” section of “V. Application Review Information,” above. The panel will consist of HHS employees, all of whom will be outside the Division of Oral Health and at least 51% of whom will be from outside the National Center for Chronic Disease Prevention and Health Promotion. The objective review process will follow the policy requirements as stated in the GPD 2.04 at http://198.102.218.46/doc/gpd204.doc. Applications will be funded in order by basic and rank determined by the review panel. CDC will provide justification for any decision to fund out of rank order.

 

 Anticipated Announcement Award Dates: July 31, 2008

 

VI. Award Administration Information

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 e-mailed 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.

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:

·                    AR-8               Public Health System Reporting Requirements

·                    AR-9               Paperwork Reduction Act Requirements

·                    AR-10                         Smoke-Free Workplace Requirements

·                    AR-11                         Healthy People

·                    AR-12                         Lobbying Restrictions

·                    AR-14                         Accounting System Requirements

·                    AR-23                         States and Faith-Based Organizations

·                    AR-24                         Health Insurance Portability and Accountability Act Requirements

·                    AR-25             Release and Sharing of Data

·                    AR-26             National Historic Preservation Act of 1966

·                    AR-27             Conference Disclaimer and Use of Logos

 

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

CDC Assurances and Certifications can be found on the CDC Web site at http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm

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

 

 Reporting Requirements:

The applicant must provide CDC with progress reports using the electronic management system (MIS), MOLAR and submitted via www.grants.gov.

·                    The interim progress report is due no less than 90 days before the end of the budget period or March 15. The progress report will serve as the non-competing continuation application, and must contain the following elements:

o                   Standard Form (“SF”) 424S.

o                   SF-424A Budget Information–Non-Construction Programs.

o                   Budget narrative.

o                   Indirect cost rate agreement.

o                   Project narrative.

o                   All components per electronic management information system: MOLAR.

·                    The annual progress report financial status reports are due 90 days after the end of the budget period or September 30.  Follow DOH guidance.

·                    The final performance report including a comprehensive evaluation report is due no more than 90 days after the end of the 5 year project period or September 30, 2013.

 

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, MS E-14

            Atlanta, GA 30341

            Telephone: 770-488-2700

 

For program technical assistance, contact:

            William Bailey, DDS, MPH

       Program and Services Team

       Centers for Disease Control and Prevention

       Division of Oral Health

       4770 Buford Hwy MS F-10

       Atlanta, Georgia 30341

      Telephone: 770-488-6075

      Fax: 770-488-5575

      Email: wdb9@cdc.gov

 

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

        Teresa Belcher, Grants Management Specialist

        Department of Health and Human Services

            CDC Procurement and Grants Office

            2920 Brandywine Road, MS K 75

            Atlanta, GA 30341

            Telephone: 770-488-2919

            E-mail:  fwx2@cdc.gov