Frequently Asked Questions
Updated May 22, 2020
Thank you for your interest in the Notice of Funding Announcement (NOFO) for BOLD Public Health Programs to Address Alzheimer’s Disease and Related Dementias (CDC-RFA-DP20-2004). As a reminder, any questions about this NOFO should be emailed to: BOLDProgramsNOFO@cdc.gov.
1. Question: Can I apply for this? I am attaching my detailed resume.
Answer: Please review the eligibility criteria for this NOFO, found on page 22 and 23 when deciding if you are eligible to apply. Additionally, this NOFO is to fund public health programs within the United States. It is not a hiring mechanism for individuals.
2. Question: Does my organization qualify for and should we apply for the Enhanced or the Core Capacity funding option?
Answer: We cannot advise you on whether you should apply for the Core Capacity or Enhanced awards of this funding opportunity. In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, as well as the information on pages 12, 18, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed.
3. Question: If we applied for the Enhanced and not funded, would we automatically be considered for the Core Capacity option?
Answer: No. If you apply for an Enhanced award and are deemed ineligible or are not funded, your application will not be automatically considered for Core Capacity. Applicants can only apply for one type of award—Core Capacity or Enhanced. Please review the eligibility and evaluation criteria carefully as you make your decision.
4. Question: Can my organization be the primary applicant on one application and a subcontract on other applications?
Answer: Yes. An applicant can apply as primary recipient for only one award. An applicant may, however, be subcontracted on one or more other applications.
1. Question: Assuming a three-year budget, can you tell me if you allow automatic carry-over from one year to the next, such that any unobligated/unspent money from, say Year 1, can be rolled over to add to the Year 2 budget (much as we are allowed to do with NIH funding). Or do we lose any money from each year that is not spent?
I did not see any reference to this in: “The annual FFR form (SF-425) is required and must be submitted 90 days after the end of the budget period. 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.”
Answer: CDC anticipates that recipients may need to make post-award changes to their award budgets, or other aspects of their approved applications, in order to accomplish programmatic objectives. Under expanded authority for carryover, the recipient may spend unobligated funds in a following budget period for any approved cost that falls within the scope and objectives of the project. More information can be found here pdf icon[PDF 190 – KB].
2. Question: On page 21 the Total Period of Performance Length is listed as ‘3’. Is this a 3-year or a 5-year funding cycle?
Answer: This NOFO has a 3-year period of performance
3. Question: Can external sources of funding and in-kind support – such as a foundation or non-profit organization – count toward the match requirement for the Enhanced component?
Answer: Yes, 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. The source of matching contributions may be funds from a non-federal source, (e.g., state or local government, private non-profit foundation, private individual).
4. Question: With the required cash or in-kind match, can the match come from someone other than the applicant? For example, the state Health Department might be able to provide $75,000, while their partner organization, the state Division of Aging, might be willing to supply the other $75,000.
Answer: Yes, 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. The source of matching contributions may be funds from a non-federal source, (e.g., state or local government, private non-profit foundation, private individual).
5. Question: Can any research-related programmatic activity be used for in-kind match?
Answer: No. This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.pdf iconexternal icon [PDF 121-KB]
Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.htmlexternal icon (See section 45 CFR 46.102(d)). Since matching funds are to be used to support program activities, the matching funds must also not be from research-related activities.
6. Question: If applying for an Enhanced award, can we include staffing in the budget proposal?
Answer: You can include staffing in your budget.
7. Question: Are we allowed to budget money for BRFSS for 2021 CDC caregiver or cognitive decline optional modules?
Answer: Yes, you can budget for BRFSS optional modules for caregiving and/or cognitive decline.
8. Question: If a health department has partners interested in paying a match on behalf of applicant, is that okay, or do funds have come from health department?
Answer: Yes. 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. The source of matching contributions may be funds from a non-federal source, (e.g., state or local government, private non-profit foundation, private individual).
9. Question: If there are other CDC-funded activities, could those be used as part of the match?
Answer: No, matching funds must be non-federal sources such as state or local government, private non-profits, or individuals. See Question 9, above.
10. Question: When applying for an Enhanced award, can we use money for staffing? On page 35 of the application, under funding restrictions, recipient is responsible for personnel, travel, supplies–are there restrictions for Core or Enhanced or both?
Answer: Funds can be used for staffing. Please refer to Phase 2 Evaluation Criteria and note they will be reviewed by criteria listed.
11. Question: Is there a minimum award for the Capacity Awards? Is there a maximum? I see that the average is $200,000 per year.
Answer: CDC will issue average awards of $200,000 for Core Capacity, per awardee, with a floor of $150,000 and ceiling of $350,000. The average award will be $300,000 for Enhanced, per awardee, with a floor of $225,000 and ceiling of $500,000. CDC will consider any application requesting an award higher than the ceiling of $350,000 for Core Capacity awards or $500,000 for Enhanced awards as non-responsive and it will receive no further review. Please review pages 21-22 of the NOFO.
12. Question: Can you clarify the exact dates for the three-year funding period of this NOFO?
Answer: The anticipated start date for the awards under this mechanism is September 30, 2020. However, the actual award date may be earlier. Upon initiation, each budget year is 12 months long. While the anticipated project period is 3 years, CDC will continue to award funding annually based on the availability of funds.
13. Question. In [our] state statute is an annual direct appropriation of ADRD funding to award research grants. Can these recurring, direct appropriation (state funding) be used as match? I understand that this NOFO is NOT for research. The question is whether these state funds could be used for match. The link is provided below. Please advise.
Answer: Matching funds are to be used to support and augment proposed activities under this NOFO. You must determine if the proposed source of matching funds can be used for non-research, specific to your state requirements. Research is defined at the following link: https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdfpdf iconexternal icon [PDF 122-KB]external icon Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.htmlexternal icon (See section 45 CFR 46.102(d)). Please note the requirement that the 30% match must be clearly itemized in the proposed budget.
14. Question: Is CDC granting hardship waivers for the matching requirement?
Answer: All Enhanced applications should include the 30% match requirement in the proposed budget. The NOFO refers to Public Law 115-406 which states that “the Secretary may waive all of part of the matching requirement described in subsection (d) for any fiscal year…if the Secretary determines that applying such matching requirements would result in serious hardship or an inability to carry out the purposes of the cooperative agreement.” Should an award be made, any awardee with the match requirement may subsequently apply for a waiver. 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. The source of matching contributions may be funds or in-kind contributions from a non-federal source, (e.g., state or local government, private non-profit foundation, private individual).
15. Question: Is the budget narrative in the outline and the budget attachment the same document?
Answer: Yes. Please refer to page 31 “Budget Narrative”, page 48 of the NOFO “Other Information”, and CDC Budget Preparation Guidelines pdf icon[PDF 415-KB] for additional information.
For additional financial, awards management, or budget assistance, contact:
Monica Walker, Grants Management Specialist
Department of Health and Human Services
Office of Grants Services
2939 Flowers Rd. S
Chamblee, GA 30341
Telephone: (404) 718-8841
16. Question: Can funds could be used to purchase promotional items?
Answer: Applicants should review the HHS Grants Policy Statement pdf icon[PDF 1.32 MB]external iconon the HHS website. It provides specific details on allowable costs on pages II-30 through II-43.
17. Question: Do you prefer that we provide you with only a 12 month budget, or provide you with our three year proposed budget?
Answer: A detailed budget is only required for budget period 1. An applicant will need to provide an estimated funding amount for year 2-5. For guidance on completing a detailed budget, see Budget Preparation Guidelines at: https://www.cdc.gov/grants/applying/application-resources.html. This website also gives you other useful information for applying for a NOFO.
1. Question: On page 6 of 57 for CDC-RFA-DP20-2004, the logic model includes:
“Proportion of new Medicare beneficiaries who use the Welcome to Medicare benefit within time interval of enrollment”
The Welcome to Medicareexternal icon benefit is limited to Medicare Part D beneficiaries within the first 12 months of enrollment. Would another relevant impact/long-term outcome be use of the Medicare Annual Wellness Visitexternal icon which all Medicare beneficiaries can receive once a year?
Answer: Long-term Outcomes listed in the logic model were obtained directly from the Healthy People 2020 goals. These goals were chosen to show the relation of the NOFO’s activities to long-term national goals as well as to guide recipient actions toward common long-term goals. Because the long-term outcomes are not expected to be achieved during the period of performance, you may choose to focus in on a more specific long-term goal. To clarify, the Welcome to Medicare benefit is limited to Medicare Part B beneficiaries.
2. Question: Can you define direct services? Are awardees prohibited from doing direct services? Would caregiver interventions or online support or training be considered a direct service?
Answer: In order to avoid duplication of effort, including the activities and mission of other federally funded programs, the funds awarded under this NOFO are not to be used to provide direct services, supports or health care, or training to individuals or duplicate other federal funding opportunities. However, coordinating with other entities in your state or jurisdiction that do provide these direct services is expected. Input regarding current efforts, including gaps and successful interventions, will be valuable in enhancing their efforts through state/jurisdiction wide systematic approaches.
Not allowed: 1:1 services or training to individuals, or small groups.
Allowed: Systematic approaches to evidence-informed training that reach audiences state/jurisdiction-wide or system-wide (such as an entire health system, provider group or accreditation body).
Not allowed: Education or flyers at a health fair or other limited audience
Allowed: Education campaigns that reach an audience state/jurisdiction wide or system wide (such as statewide media campaigns or education targeted to change the practices of many individuals or professionals).
Not allowed: Health fairs at local establishments.
Allowed: Health information campaigns that reach broad, yet targeted, audiences with the intent to change behavior or practice.
Not Allowed: Funding research activities.
Allowed: Translating research findings into public health, systematic approaches for broad application and/or changes to systems, environments and policies.
3. Question: Who do you consider healthcare professionals?
Answer: Please refer to the State and Local Road Mappdf icon [PDF 19,794-KB] Section on “Assure a Competent Workforce” on page 28 as well as the Educating and Training Professionals Road Map Issue map for more information.
4. Question: For the activities from the Road Map for Year 1, if we’re funded for subsequent years, are we expected to stick with those Road Map items?
Answer: You would be expected to continue the Road Map action items P-1 and M-3. For other actions and in subsequent years, CDC will provide further guidance to funded applicants.
5. Question: Is there a compendium of interventions for home activity in P1?
Answer: Please refer to our webpage at www.cdc.gov/aging/healthybrain/roadmap.htm for more information, program spotlights, and other resources to plan your activities. There is no official list or compendium that must be used. Please refer to Strategies and Activities question 2, above, regarding the types of allowable and not allowable activities.
6. Question: Page 10 of the NOFO, under Enhanced, refers to “Increase impact in the areas of dementia risk reduction (primary prevention), early diagnosis of ADRD (secondary prevention), prevention and management of comorbidities and avoidable hospitalizations (tertiary prevention).” Do you expect applicants to cover all three prevention models? If yes, what areas in the Road Map do you want covered, or do you want additional activities?
Answer: Yes, this NOFO supports a “public health approach (including changes to systems, environments and policies)” which includes dementia risk reduction (primary prevention), early diagnosis of ADRD (secondary prevention), prevention and treatment of comorbidities and avoidable hospitalizations (tertiary prevention). Applicants must consider this approach, and all three levels of prevention activities, as they propose activities. For example: When planning for P-1 Activities, consider including efforts that address risk reduction, early detection and avoidable hospitalization. This activity does not replace or duplicate current programs or activities currently underway in your state. You would use the opportunity to augment current activities to ensure a comprehensive, state/jurisdiction-wide approach, focusing on changes to systems, environments, and policies.
7. Question: We are interested in applying for a Core Capacity award. Under W- Ensure a Competent Workforce, can we target students? Then the core grant planning over the 3 years would focus on securing partnerships with the different colleges and universities statewide, and integrating dementia capability curriculum within their current course offerings and programs.
Answer: Core Capacity awards are intended for applicants who need additional planning time to develop infrastructure, hire staff, convene a statewide coalition, and develop Alzheimer’s Disease and Related Dementias strategic plans. Implementation of training or other Road Map actions should not happen before these steps have taken place.
Core Capacity activities must include developing a broad-based representation of priorities and partners to address all areas of ADRD, including primary, secondary and tertiary prevention. Activities for implementing training would only occur if you have already created and published a statewide plan, which involved input from a broad coalition of partners representing all these levels of prevention. Regarding training students, please refer to the State and Local Road Mappdf icon [PDF 19,794 KB] Section on “Assure a Competent work force” on page 28 as well as the Educating and Training Professionals Road Map Issue map for more information.
8. Question: Should the logic model be listed under the outcomes or strategies and activities section?
Answer: If you include a logic model, please include it in the “Outcomes” section to demonstrate the outcomes you expect to achieve.
9. Question: For the Core Capacity awards, is creating a strategic plan a year 1 activity with implementation of strategic plan priorities occurring in years 2 and 3 of the cooperative agreement?
Answer: Core Capacity awards have a 3-year project period. The primary intent of these awards is for planning and developing a statewide infrastructure. If a recipient of Core Capacity funds accomplishes the Core Capacity activities in less than 3 years, then the recipient can discuss with CDC additional activities for the remainder of the project period that might include implementation activities.
10. Question: Are there particular metrics states will be held accountable for in Years 1, 2 or 3? Can you describe these?
Answer: CDC does not currently have recommended tools for the purpose of this NOFO. Applicants are encouraged to seek out and use assessments and tools that are appropriate for their goals.
11. Question: For Core Capacity awards, we understand that we need to incorporate at least 4 of the RM elements into the ADRD state plan. The choice of the additional strategies (above and beyond the required 2) happens through the planning process itself and not something we pick now and include in the narrative? We want to confirm if we are supposed to choose the RM elements now.
Answer: In developing a plan, during a Core Capacity 3 year award, the requirement of “at least 4 Roadmap Actions” is a minimum requirement. With the Core Capacity application, you are not required at this time to name the additional Road Map elements that will be incorporated into the new/revised plan. Please refer to the Evaluation criteria on page 38 of the NOFO for more information.
1. Question: Can you recommend assessment or measurement tool(s) for assessing outreach and awareness of ADRD among communities?
Answer: CDC does not have recommended tools for the purpose of this NOFO. Applicants are encouraged to seek out and use assessments and tools that are appropriate for their goals.
2. Question: For each of the required strategies and long term outcomes, are there recommended/validated assessment or measurement tools for assessing baseline and improvements over time for each?
Answer: CDC does not have recommended tools for the purpose of this NOFO. Applicants are encouraged to seek out and use assessments and tools that are appropriate for their goals.
1. Question: Regarding the Letter of Intent: if submitting a Letter of Intent, do you have to do the required registration first?
Answer: No, the registrations are not required prior to submitting a Letter of Intent. Required registrations must be completed prior to submission of the application.
2. Question: Is there a preferred template for the Resumes/CVs (e.g., NIH Biosketch template)?
Answer: There is no preferred template for resumes or CVs.
3. Question: Regarding formatting requirements, is there a preferred font type (e.g., Times New Roman)? Also, can page numbers appear in the 1-inch margin?
Answer: Please refer to the “Other Information”. Text should be single spaced, 12 point font, 1-inch margins, and number all pages. Page numbers can be in the margin.
4. Question: Should the attachments: Resume/CV, Letters of Support, CDC Assurances and Certifications, and Risk Assessment Questionnaire, be uploaded via the “Other Attachments Form?” If not, how should they be uploaded?
Answer: Please refer to the “Other Information” for more information on attachments applicants can upload as PDF files as part of their application at www.grants.govexternal iconexternal icon.
5. Question: Do you allow those applying for this funding to schedule a phone call to get clarification on questions?
Answer: All questions must be submitted through the NOFO email. If you have additional questions after receiving a response, please submit a follow-up email for clarification. All questions and answers are posted on the cdc.gov/aging FAQ page.
6. Question: Is there a preferred style for citations/references, and are footnotes allowable? If footnotes are not allowable, does the reference list count toward the 25 page narrative page limit?
Answer: There is no preferred style for citations/references but if you are using references, please use a consistent standard style throughout (e.g. AMA, APA, etc.). Footnotes may be used. The reference list will not count toward the 25 page limit for the project narrative.
7. Question: Is there a page limit for Budget Narrative document?
8. Question: Are there page limits associated with CV’s and Letters of Support (both individual CV, and total page limit of the “CV/Resumes” attachment)
9. Question: I am having technical problems registering and inputting information into Grants.gov. Can you help?
Answer: For assistance with technical difficulties with the Grants.gov system, please contact:
GRANTS.GOV Applicant Support
10. Question: Is there a preferred template for the Report on Programmatic, Budgetary, and Commitment Overlap?
Answer: No, there is no preferred template. However, please see CDC Budget Preparation Guidelines pdf icon[PDF – 415 KB] for additional information
11. Question: In addition to the PD/PI(s), does the Report on Programmatic, Budgetary, and Commitment Overlap include information on current awards and pending applications submitted to another funding source in the same fiscal year by other senior/key personnel, such as Co-Investigators and Consortium PIs?
Answer: This is applicable to the current awards and should not exceed 100 percent on all federal funding as the percentage of effort for all key personnel, such as Co Investigators and Consortium PI’s.
12. Question: Do the formatting requirements of single-spacing, 12-point font, and 1-inch margins, and page numbering apply to the combined Letters of Support attachment?
Answer: There is no requirement in the NOFO for spacing, font, margins, page numbers for the Letters of Support.
13. Question: Do you have a template for the “staffing plan”?
Answer: There is no template for the staffing plan.
14. Question: For some grant applications the applicant is supposed to submit a Personal Biography. I don’t see this listed anywhere in the application. Is this something you would like the applicant to do (in addition to submitting a resume or CV)?
Answer: A resume or CV is acceptable.
15. Question: What is an Application Control No? The Grants.gov application requests this, but the term is not listed in their glossary. (Project Abstract Summary page of the Grants.gov application}
Answer: Please leave the Applicant Control number blank as this is only relevant for revised or continuation applications.
16. Question: Is the Applicant name the actual name of the person applying or the state agency name? (Project Abstract Summary page of the Grants.gov application}
Answer: The name should be the Applicant (i.e. State Agency name, organization name). Awards are not made to individuals.
17. Question: What is the Applicant Identifier (Reference –Form: SF-424)
Answer: The Applicant Identifier is the same as the Applicant name.
18. Question: If you are a state agency are you still supposed to have a Federal Identifier or a Federal Award Identifier? (Reference–Form: SF-424).
Answer: Please leave this blank as this is only relevant for revised or continuation applications.
19. Question: What is the Date Received BY State? (Reference —Form: SF-424)
Answer: This section is for state use only; it is only applicable when a state agency has to do a review/approval prior to you submitting the grant application to the Federal government.
20. Question: What is the State Application Identifier? (Reference —Form: SF-424)
Answer: This section is for state use, but only when you have to submit your application to a state agency before sending it to the Federal funding agency.
21. Question: In addition to the Annual Report (due 4 months, 120 days, prior to end of year — so really a 2/3 of year report), the RFA mentioned, ” 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.
”Can you tell me if there will be more frequent reports required — such as quarterly or semi-annual progress reports? That would help us better gauge the administrative management burden would we need to anticipate and plan for
Answer: At this time, CDC has not determined further reporting requirements other than what is listed in the NOFO.
22. Question: Is there a required Outline of the Narrative?
Answer: Please refer to “Project Narrative” starting on page 29 for information required in the Project Narrative. No outline of the project narrative is required. Per this section, the applicant must provide, as a separate attachment, the “Table of Contents” for the entire submission package. The applicant must provide a detailed table of contents for the entire submission package that includes all the documents in the application and headings in the “Project Narrative” section. Name the file “Table of Contents” and upload it as a PDF file under “Other Attachment Forms” at www.grants.govexternal icon.
23. Question: On page 29 it states in underline, bold, “Please disregard the page limit information described above”. Could you please confirm:
- The 25-page limit is for both Core and Enhanced applications?
- The 25-page limit includes the workplan?
Answer: Yes, both the Core Capacity and Enhanced applications have a page limit of 25 pages. The 25 page limit includes the Work plan.
24. Question: Although it states that the narrative must be in 12-point font, often CDC allows the workplan to be in a smaller font (e.g., 11 point). Can we use a smaller font for the workplan text?
Answer: Please refer to the “Other Information” section on page 48-49. Text should be single spaced, 12 point font, 1-inch margins, and number all pages. Page numbers can be in the margin.
25. Question: Does the ‘dedicated program coordinator’ need to be current or can it be TBD upon funding?
Answer: Per the Overview on page 3, “Core Capacity awards are intended for applicants who need extra planning time to develop infrastructure and ADRD strategic plans. Enhanced awards are intended for applicants who already have this infrastructure in place and are ready to implement actions.” For the intent of this NOFO, the term “Infrastructure” includes staffing, thus Core Capacity applicants would not need to have staffing currently in place, but the Enhanced applicants should already have this staffing in place. Please refer to the “Phase II Review” criteria on pages 38-42 for further information.
26. Question: Are there plans to move this to later date?
Answer: At this time, there are no plans to extend this NOFO application deadline to a later date. Please continue checking grants.gov for any modifications or changes to this NOFO.
27. Question: Some of the wording suggests that a state health department (vs. a state’s aging program) must be the applicant for these funds. In other places, it just says the applicant must be state government. Are both eligible as applicants, a state aging OR a state health department?
Answer: Consistent with the BOLD Act (PL 115-406), this NOFO is intended to support Public “Health Departments (of states, political subdivisions of states, and Indian [American Indian/Alaska Native] tribes and tribal organizations)”
28. Question: Can an application be generated for both the CDC-RFA-DP20-2004 and the CDC-RFA-DP20-2005 by the same organization?
Answer: Yes, as long as the organization meets the eligibility criteria specified in the NOFOs.
29. Question: We’re looking to apply for the Enhanced awards that are intended for applicants who already have this infrastructure in place, and are ready to implement, and possess a current Alzheimer’s Disease and Related Disorders (ADRD) strategic plan. At your earliest convenience, can you please confirm whether or not [our] State Plan for Alzheimer’s Disease would fulfill the application’s strategic plan requirements?
Answer: CDC will not review applicant materials prior to official submission. In making a decision to apply, potential applicants for the Enhanced awards should carefully review the eligibility information on page 23 in the NOFO, as well as the information on pages 12, 18, and the Phase II review section on page 41 of this NOFO that describes the evaluation of the organizational capacity to implement the approach.
30. Question: Can we apply for both CDC-RFA-DP20-2005, BOLD Public Health Centers of Excellence to Address Alzheimer’s Disease and Related Dementias and CDC-RFA-DP20-2004, BOLD Public Health Programs to Address Alzheimer’s Disease and Related Dementias?
Answer: If you are an eligible organization for both NOFOs, you can apply for both. Please refer to this NOFO for specific Eligibility criteria, which starts on Page 22 of the NOFO.
31. Question: If you don’t have staff in place, does that mean you can apply? Set up a coalition?
Answer: In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, as well as the information on pages 12, 18, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed.
32. Question: Would you clarify the evidence needed for an existing advisory board, such as minutes of meetings? What period? If there’s not an adequate number of meetings, would we need to apply for Core?
Answer: In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed.
33. Question: Our state is primed to apply for an Enhanced award; however, it was decided to update our existing plan 6 months ago. Since we’re in the process [of updating], can we apply for an Enhanced award?
Answer: In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, as well as the information on pages 12, 18, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed. Applicants for Enhanced awards must include an ADRD state/tribal/local strategic plan published and made publicly available as evidenced by an external facing URL/web link, as stated on page 23 of the NOFO.
34. Question: Our advisory committee is in place, but over the last year it has evolved and instead of being part of an ADRD committee for chronic disease prevention, it’s now established its own focus area and board on AD. If we can show continuity and evaluation of boards, would that suffice?
Answer: In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed. The name of your ADRD coalition or subcommittee is not evaluated.
35. Question: Regarding a statewide plan, could you clarify—if a county government is applying, does the plan created have to be for the state, or just their jurisdiction?
Answer: It is jurisdiction-wide plan; however, we highly encourage coordination with statewide efforts.
36. Question: Our state has had an ADRD strategic plan in place since 2016 and has had an active statewide ADRD Coalition (with meeting minutes and a membership list) for several years. Therefore, we believe that we should be applying for the Enhanced (not Core) award. The only issue we have with applying for the Enhanced award is that we would need to hire someone to specially focus on ADRD within DPH. Please let us know if we should move forward with applying for the award if we need to hire someone at DPH as the grant project manager.
Answer: We cannot advise you on whether you should move forward with applying for this funding opportunity. In making a decision to apply, potential applicants for this NOFO should carefully review the “Additional Information on Eligibility” section for both Core Capacity and Enhanced awards, on page 23 in the NOFO, as well as the information on pages 12, 18, and the “Review and Selection Process” section on page 38 of this NOFO that describes how your applications will be reviewed.
37. Question: Although our health department has a strong foundation to build upon, it does not have a program manager currently in place due to state budget constraints. Will our application get reviewed? Will not having a current full-time manager in place result in 0 points or very low score for the bullets under Core Capacity iii—Organizational Capacity to Implement the Approach?
Answer: If submitted, your application will be reviewed according to the eligibility criteria on page 23 of the NOFO, and the Phase I, II and II Review Criteria that begin on page 38 of this NOFO.
38. Question: My health dept. applied for the NOFO Grant CDC RFA DP20 2003 The National Brain Health Initiative. Notice of Awards are not expected until later this year. Since there is no guarantee of funding, would you recommend that an agency apply for this funding opportunity for Core Capacity?
Answer: We cannot advise you on whether you should move forward with applying for this funding opportunity. As long as your organization meets the eligibility criteria specified in this NOFO, you are eligible to apply.
39. Question: Can the May 26, 2020 deadline for submission can be extended due to the continuing challenges/circumstances taking place as a result of the coronavirus (COVID-19) pandemic?
Answer: This NOFO was announced on www.grants.govexternal icon on March 25, 2020. The NOFO states that the Due Date for Applications is 05/26/2020, 11:59 p.m. U.S. Eastern Standard Time. There will be no extensions to this due date.
40. Question: When an applicant agency is a state department of health services, which houses under one roof public health, Medicaid, and aging network programs among other systems, do you want to see a letter of support from each of those various divisions and bureaus? Or is the description in the narrative of the activities those areas will carry out through their involvement in the grant enough to demonstrate their support of the application?
Answer: Please review pages 14 and 49 of the NOFO for further information. Letters of Support are requested and encouraged to demonstrate commitment of partners to work with you toward common goals.
41. Question: We have an ADRD state plan with seven major goal areas and numerous strategies and recommendations. We have more than 4 RM Series actions included in the plan, but they are not worded exactly like the RM Series actions. If we are able to show that we have goals, strategies and activities with the same intent as those in the RM, but are not the exact wording, will these count?
Answer: Yes. Please be sure to demonstrate how the strategies and recommendations are similar in focus to the RM Series actions identified in the NOFO.
42. Question: Is the “Report on Programmatic, Budgetary and Commitment Overlap” required? Where do I find it?
Answer: Yes, it is required. There is no actual form, just a required statement. The statement you must submit needs to be titled, “Report on Programmatic, Budgetary, and Commitment Overlap,” and uploaded under “Other Attachment Forms” with your application in grants.gov
43. Question: Is the form “Funding Preference Deliverables” required?
Answer: No, it is not required for this NOFO. This form is for International NOFO’s
44. Question: I am having technical problems registering and inputting information into Grants.gov. Can you help?
Answer: For assistance with technical difficulties with the Grants.gov system, please contact:
GRANTS.GOV Applicant Support
45. Question: On page 19 of the NOFO under the category “Organizational Capacity of Recipients to Implement the Approach”, the CDC requests that applicants provide examples of prior successful work, name the file “Prior Successful Work,” and upload it as an attachment pdf. However, this attachment is not listed as an acceptable attachment on pages 49 and 50 of the NOFO. Can you confirm whether it is a required attachment for either or both Core and Enhanced applications?”
Answer: You may upload additional documents at Grants.gov under the “Optional Forms”, Other Attachments Form, “Other Attachment File(s)”, and click on the “Add Optional Other Attachment”
46. Question: Is there a standard template for the letters of support? To whom should the letters be addressed?
Answer: There is no standard template for the letters of support. Letters of support should clearly and uniquely describe the partnership with the applicant and how the organization will support the proposed program activities. Letters should be addressed to either the Program Office Contact or the Grants Management Office Contact and note the NOFO number clearly.
47. Question: Does the reference page count in the page limit?
Answer: You may decide how you prefer to include your references in your application. If included in the Project Narrative, the Project Narrative must be a maximum of 25 pages, including references.
48. Question: Can we include the references/citations as an attachment.
Answer: You may upload “other” attachments at Grants.gov under the “Optional Forms”, Other Attachments Form, “Other Attachment File(s)”.
49. Question: Is the table of contents included in the page limit?
Answer: No, please see page 48-49 for the list of attachments.
50. Question: Do the work plan and logic model need to be in Times New Roman 12 point font?
Answer: The work plan is considered part of the 25 page narrative and thus text should be single spaced, 12-point font, 1-inch margins, and number all pages.
51. Question: Please verify whether that EPMP must be within the 25 page limit of the narrative and not a separate document.
Answer: The Evaluation and Performance Measurement Plan is not included in the 25 page limit. This page limit is for the Project Narrative (including the work plan).
52. Question: Per the notice it seems that a Data Management Plan (DMP) is only required if data collection is undertaken. Please verify.
Answer: Please refer to page 18 of 57 of the DP20-2004 NOFO it states: “A DMP for this NOFO is not required”
53. Question: Regarding the “ADRD State/Tribal/Local Strategic Plan” and “Advisory Committee Minutes” attachments page limits are not mentioned (in section H. Other information). Are there page limits?
Answer: There are no page limits on these attachments.
Intentionally left blank.
1. Question: The workplan template has an area for “Period of Performance Outcomes”, “Outcome measures” and “Strategies and Activities”. The instructions say that objectives should be written in SMART format. Should the Period of Performance Outcomes and/or Outcomes Measures be written as SMART objectives? Should the strategies/activities be written in a SMART objective format?
Answer: Proposed workplan should include SMART objectives/activities/strategies. All proposed activities should be SMART, with the goal of being written in such a manner as to be able to evaluate successful outcomes. CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award. Please refer to page 19 of the NOFO for further information.
2. Question: There are four “strategies and activities” listed under core capacity in the logic model. Should they be modified to be state-specific as strategies with activities under each of the four strategies? Can you differentiate between strategies and activities or are they used interchangeably in this case?
Answer: The logic model is intended to provide a general overview of the NOFO goals. Please refer to the “Strategies and Activities” section on page 11-13 for further information about specific strategies and activities. As you plan for specific actions, sub-activities under these Road Map Actions, you should be specific to your own jurisdiction and planned efforts. CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award. Please refer to page 19 of the NOFO for further information.
3. Question: Should the high-level work plan for subsequent years be in table format with all the elements of the one-year plan or a more general narrative? Should the high-level work plan also have specific SMART objectives? Can you elaborate on what is intended in the high-level workplan?
Answer: The high-level work plan for subsequent years should provide enough detail so your proposed approach for the 3-year project period can be adequately evaluated. There is no preferred format. CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award. Please refer to page 19 of the NOFO for further information.
4. Question: Does each period of performance outcome need its own work plan?
Answer: No. The work plan is one document. However, it is organized by Period of Performance Outcome to demonstrate how each proposed strategy lines up with the expected outcomes for the entire Project. Please refer to page 19 of the NOFO and the FAQ’s at https://www.cdc.gov/aging/funding/php/faq.html for answers to these and other questions about the workplan.
5. Question: In the Workplan, can the first 2 period of performance outcomes be achieved in the work plan/activities for each of the Road Map actions?
Answer: Proposed workplans should include SMART (specific, measurable, achievable, realistic, timely) objectives/activities/strategies. All proposed activities should be SMART, with the goal of being written so that the outcomes can be adequately evaluated. CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award. Please refer to page 19 of the NOFO for further information.
6. Question: Are the “Period of Performance Outcomes” the strategies for the work plans or the intermediate outcomes for the work plan?
Answer: The Period of Performance Outcomes section of the work plan should include an Outcome from the Outcomes section or the logic model and reflect a long-term goal for this project. Applicants should provide a detailed work plan for the first year of the project and a high-level work plan for subsequent year. Objectives should be written in SMART (specific, measurable, achievable, realistic, timely) format so the approach proposed for this NOFO can be adequately evaluated. This work plan is expected to be augmented each year based on the needs of the target population. CDC will provide feedback and technical assistance to recipients to finalize the work plan post-award.
7. Question: What is meant by the period of performance outcome- is this one or three years?
Answer: Per the Glossary on page 54 of the NOFO, Period of Performance refers to the entire 3 year project period.
8. Question: Is the outcome measure on the work plan representing the period performance outcomes (3 years) or the year 1 outcomes (ie. SMART objectives)?
Answer: Period of Performance refers to the entire 3 year project period. The workplan should show how each strategy and activity works toward the Period of Performance Outcome. Please see page 19 of the NOFO for additional guidance.
9. Question: We are applying for the enhanced award. Is it acceptable and/or necessary to address in the application how we will accomplish tasks with current recommended safety practices in place?
Answer: It is expected that all activities undertaken under this NOFO will be undertaken with safety in mind. It is acceptable to include in your application plans to adapt to specific situations and still maintain progress toward stated outcomes.
Alzheimer’s Disease is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.
Alzheimer’s Disease and Healthy Aging Program (ADHAP) at the Centers for Disease Control and Prevention (CDC) houses the Healthy Brain Initiative (HBI). HBI provides data, information, and education to promote brain health, including information on Alzheimer’s disease and related dementias. Alzheimer’s disease is currently the fifth leading cause of death for persons over the age of 65.
Alzheimer’s disease and related dementias (ADRD) include Alzheimer’s disease as well as frontotemporal degeneration (FTD), Lewy body dementia (LBD), vascular contributions to cognitive impairment and dementia (VCID), and mixed etiology dementias (MED).
Alzheimer’s Disease and Related Dementias (ADRD) State/Tribal/Local Strategic Plans are created through a jurisdiction-wide, comprehensive and collaborative effort that includes a wide variety dementia stakeholders. An ADRD strategic plan helps to coordinate and support the work of private, non-profit, public entities, and other stakeholders throughout the jurisdiction. The ADRD strategic plan is intended to help the jurisdiction leverage limited resources and set priorities for action, with a focus on supportive, population based, policies, systems, and environments that will support widespread impact and address the needs identified by the jurisdiction-wide effort. The recommendations and strategies of the plan are meant to be accomplished through the joint efforts of private organizations, non-profit entities, state, tribal and local government agencies, as well as interested stakeholders and individuals.
Behavioral Risk Factor Surveillance System (BRFSS) is the nation’s premier system of health-related telephone surveys that collects state-level data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services. Established in 1984 with 15 states, BRFSS now collects data in all 50 states as well as the District of Columbia and three U.S. territories. BRFSS completes more than 400,000 adult interviews each year, making it the largest continuously conducted health survey system in the world. The BRFSS includes two optional modules related to the activities in this NOFO – Cognitive Decline and Caregiving. See More.
Brain Health is a concept that involves making the most of the brain’s capacity and helping to reduce some risks that occur with aging. Brain health refers to the ability to draw on the strengths of the brain to remember, learn, play, concentrate, and maintain a clear, active mind.
Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act (P.L. 115-406) is a law that creates an Alzheimer’s public health infrastructure across the country to implement effective Alzheimer’s interventions focused on public health issues such as increasing early detection and diagnosis, reducing risk, and preventing avoidable hospitalizations. The BOLD Infrastructure for Alzheimer’s Act will accomplish this by establishing Alzheimer’s and Related Dementias Public Health Centers of Excellence, providing funding to state, local, and tribal public health departments, and increasing data analysis and timely reporting.
Caregivers for persons with dementia are spouses, partners, adult children, other relatives, and friends providing unpaid help to persons living with dementia who have at least one limitation in their activities of daily living and reside in the community. Dementia caregivers often assist with diverse activities of daily living such as personal care, household management, medication and healthcare management, and coordination of financial matters.
Cognition is the mental function involved in attention, thinking, understanding, learning, remembering, solving problems, and making decisions. Cognition is a fundamental aspect of an individual’s ability to engage in activities, accomplish goals, and successfully negotiate the world. It can be viewed along a continuum—from optimal functioning to mild cognitive impairment to Alzheimer’s and severe dementia.
Cognitive Impairment is trouble remembering, learning new things, concentrating, or making decisions that affect everyday life.
Dementia is the loss of cognitive functioning—thinking, remembering, and reasoning—and behavioral abilities to such an extent that it interferes with a person’s daily life and activities. These functions include memory, language skills, visual perception, problem solving, self-management, and the ability to focus and pay attention. Alzheimer’s is the most common cause of dementia. Other types include vascular dementia, dementia with Lewy bodies, and frontotemporal dementia.
Dementia Caregivers are spouses, partners, adult children, other relatives, and friends providing unpaid help to persons living with dementia who have at least one limitation in their activities of daily living and reside in the community. Dementia caregivers often assist with diverse activities of daily living such as personal care, household management, medication and healthcare management, and coordination of financial matters.
Healthy Brain Initiative (HBI) envisions a nation in which public health embraces brain health and caregiving as vital components of health that are included in public health efforts. To advance public health activities in brain health, cognitive impairment, and caregiving, State and Local Public Health Partnerships to Address Dementia: The 2018—2023 Road Map was released in 2018 and the Road Map for Indian Country was released in 2019.
Intellectual and Developmental Disabilities (IDD) are disorders that are usually present at birth and that negatively affect the trajectory of the individual’s physical, intellectual, and/or emotional development. Many of these conditions affect multiple body parts or systems. Intellectual disability starts any time before a child turns 18 and is characterized by problems with both: (1) Intellectual functioning or intelligence, which include the ability to learn, reason, problem solve, and other skills; and (2) Adaptive behavior, which includes everyday social and life skills. The term “developmental disabilities” is a broader category of often lifelong disability that can be intellectual, physical, or both.
National Alzheimer’s Project Act (NAPA)external icon creates an important opportunity to build upon and leverage Department of Health and Human Services (HHS) programs and other federal efforts to help change the trajectory of Alzheimer’s disease and related dementias (ADRD). The law calls for a National Plan for ADRD with input from a public-private Advisory Council on Alzheimer’s Research, Care and Services. The Advisory Council makes recommendations to HHS for priority actions to expand, coordinate, and condense programs in order to improve the health outcomes of people with ADRD and reduce the financial burden of these conditions on those with the diseases, their families, and society.
Primary Prevention is intervening with risk reduction strategies before adverse health effects or conditions occur. These include altering modifiable behaviors (e.g., poor blood pressure control, obesity prevention and control, diabetes prevention and control, or tobacco use) to reduce the impact of dementia.
Risk Reduction is a comprehensive approach to your brain and cognitive wellness through prevention and treatment of diseases and/or conditions that may elevate your risk for dementia.
Road Map (Series) refers to the Healthy Brain Initiative’s (HBI) series of Road Map documents and supporting materials. These can be found at www.cdc.gov/aging, and include the State and Local Public Health Partnerships to Address Dementia, The 2018-2023 Road Mappdf icon and the Road Map for Indian Country and all related supporting materials such as RM implementation and dissemination guides, topic specific Issue Maps, 1 pagers and supporting messaging. The Road Map Series prepares all communities to act quickly and strategically by stimulating changes in policies, systems, and environments and can be incorporated efficiently into existing public health initiatives.
Secondary Prevention is the identification of dementia in the earliest stages within the disease process through early detection and diagnosis.
Subjective Cognitive Decline (SCD) is the self-reported experience of worsening or more frequent confusion or memory loss. It is a form of cognitive impairment and one of the earliest noticeable symptoms of Alzheimer’s disease and related dementias.
Tertiary Prevention includes the management of dementia to minimize complications of the disease through prevention, management of co-existing health conditions, care planning, developing advance directives, and caregiving support.
Informational Call: April 9, 2020, 1:00-2:00pm EST
Dial: 877-784-3232 Passcode: 7297115