DP20-2002: Questions and Answers Part 1

January 31st

Provide guidance for determining who is an acceptable signee for a letter of intent. Specifically, is the Principal Investigator the appropriate signee?

Because letters of intent are not required, there are no established guidelines. Therefore, the signature of the PI would be fine.

January 29th

What date are you convening the information call? January 29th or February 5th

The calls have been rescheduled to February 5, 2020 at 11 am and 3 pm EST. The same phone number will be used. The modifications to the Notice of Funding Opportunity override previously posted versions.

Is a Health System with an accountable care organization able to be the lead applicant on this award? Or does a Public Health Department have to be the lead applicant? Could the health system apply and have a letter of support from the health department as a commitment to partner?

All interested applicants who meet the eligibility criteria may apply as the lead or only entity. As described on page 11 under Part II.2.1 Collaborations, all applicants must provide a letter of support from either: (a) two primary care clinics, or (b) one health care system with at least two primary care sites and include the information described. Other letters of support from partners such as health departments may be included and should describe the organization’s proposed role in the implementation of the program and the expertise it will provide.

Is this the main federal grant that the Department of Health and Human Services (state) applies for yearly? We would not want to apply if that is the case.

Interested applicants may coordinate with other organizations to assess their level of interest in applying to this funding opportunity. This funding opportunity is open to all interested applicants who meet the eligibility criteria.

Since the information conference calls were moved to February 5th, will the due date for the Letter of Intent (LOI) be adjusted? Or will this still be due on the day of the call?

The requested receipt date is February 5, 2020. Letters of intent are not required. Therefore, interested applicants are requested to submit a letter of intent as soon as possible.

Could you please clarify eligibility for DP20-2002. On page 12 it states: “No more than one applicant per state, tribe, tribal organization, or U.S. territory will be awarded CRCCP funds, up to a maximum of 35 awards.” If a tribal organization would like to apply to work specifically with tribal primary care clinics, and the state in which the tribal organization is located is also planning on applying but working with other (non-tribal) primary care clinics, are both eligible to submit an application? Is there any penalty for having two applications from one state, even if one is the state department of health and the other is a tribal organization, and both propose to serve different populations and geographic areas?

Tribes/tribal organizations and states are considered separate entities. No more than one applicant per tribe or tribal organization will be awarded funds. Tribes or tribal organizations may be within one state, or cross multiple state borders. Funds may be awarded to a state and to a tribe or tribal organization within that state or that crosses the state’s border. No more than one applicant per state will be awarded funds.

On page 2, the average one-year award amount is $500,000. On page 19 it says the average award is $500,000 per project period. To me a project period is the full five years. Please clarify.

Page 19 states the average one-year award amount is $500,000. The award floor is $350,000 and the award ceiling is $900,000. Applications requesting more than the ceiling will be deemed non-responsive and will not be reviewed (page 20). The project period is one year. The total period of performance is 5 years. CDC will continue the award based on the availability of funds.

On page 12 it states, “No more than one applicant per state, tribe, tribal organization, or U.S. territory will be awarded Colorectal Cancer Control Program (CRCCP) funds, up to a maximum of 35 awards.” Does this mean that a tribal organization and another agency (non-tribal) from the same state can be funded or does it mean that only one award will be given per state regardless of organization type?

Tribes/tribal organizations and states are considered separate entities. No more than one applicant per tribe or tribal organization will be awarded funds. Tribes or tribal organizations may be within one state, or cross multiple state borders. Funds may be awarded to a state and to a tribe or tribal organization within that state or that crosses the state’s border. No more than one applicant per state will be awarded funds. Factors that also may affect funding decisions include the geographic diversity of applicants, the estimated number of unscreened adults age 50 to 75 years in the proposed geographic implementation area, the percentage of the population in the proposed geographic area living in urban or rural area, or frontier and remote areas.

Page 2 includes information about eligibility, type of grant, period of performance, etc. It looks like this differs from similar information on page 19. Are we talking about two different categories or grant opportunities?

This funding opportunity is open competition. Any entity that meets the eligibility requirements may apply. There is only one funding opportunity. Page 19 provides additional information for this Notice of Funding Opportunity.

The funding opportunity says recipients can use limited funds with CDC approval for follow-up colonoscopies. Is that approved on a client-by client basis, or based on plans laid out in the application to review and ensure any colonoscopies meet each of the outlined elements? And the Notice of Award (NOA) would be approval to pay for colonoscopies.

Budget decisions for funded recipients will take into account the recipient’s proposed activities and work plan and the availability of awarded funds. Recipients will receive additional information regarding processes to initiate payment for colonoscopies after funds are awarded.

Please clarify and confirm the project period for the grant is 5 years and the maximum we can request per year is $900,000 or a total 5-year amount of $4.5 million.

The project period is one year. The maximum award amount per project period is $900,000. The total period of performance is 5 years. The maximum award for the period of performance is $4.5 million, pending the availability of funds and assessment of recipient performance.

My agency is a national organization with multiple regional divisions. Is it allowable to have different regional divisions within our nonprofit apply for this opportunity?

Each organization may submit one application. If the regional divisions are considered to be a part of a single organization, then only one application may be submitted by either the regional division or on behalf of the entire national organization.

Can national organizations apply as a primary applicant in each state? Or can national organizations apply as primary in a state, and as a partner with a primary applicant in other states?

Each national organization may submit an application in one state, and serve as a partner to an applicant in another state(s). CDC expects the primary applicant to be responsible for and have sufficient expertise to implement and oversee the project.

If a partnership is established to support program implementation, will a Memorandum of Understanding in addition to the Letter of Support be required?

If a partnership is established, a Memorandum of Understanding is preferred and strongly encouraged, but not required. If partnerships are planned, a letter of support is required as detailed on pages 11 and 12.

January 27th

Would a coalition of agencies that serve only a collection of rural inland northern California counties that include both Native and non-Native patients, but have a very low colorectal cancer screening rate be able to compete with the State? We do not want to put in a lot of time and resources if the intent of the funding opportunity is to award the grant to an applicant that serves the entire state rather than just a segment of the state.

This funding opportunity is open to all applicants that meet the eligibility criteria as described in the announcement. As described on pages 11 and 12, the target population is average-risk adults age 50 to 75 years who are eligible for colorectal screening as recommended by the U.S. Preventive Services Task Force and have a colorectal screening rate that is lower than the average screening rate in the applicant’s proposed geographic area of implementation. The geographic area may be a state, a specific region of a state, a city, county, or other geographic unit. Each application will be reviewed by an objective panel and scored in accordance with the criteria described in Pat II.E Review and Selection Process (pages 33 through 37). Applications are not assessed or scored in comparison to other applications.

January 25th

Please clarify. Page 27, 10. Project Narrative section states, “The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire period of performance as identified in the CDC Project Description section”; however, the period of performance is not stated in the CDC Project Description section.

The total period of performance it indicated on page 2 (Part I.G.1.f) and on page 19 (Part II.B.6) and is 5 years.

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the Notice of Award. This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

Please clarify, Page 17 states, “At a minimum, the work plan must demonstrate how the strategies, activities, and staffing/partnerships work together to achieve program outcomes.” Are the Program Outcomes” mentioned here the outcomes indicated in the logic model on page 4, or are applicants expected to provide additional outcomes specific to their program as described in their work plan?

The primary outcome of the program is to increase clinic screening rates. As described on page 9 under Strategy and Activity 6, Data quality, program monitoring and evaluation (Part II.2.a.iii), recipients are expected to conduct process and outcome evaluation to assess all program activities, including clinic-level evidence-based intervention implementation and screening rate changes. Applicants are required to submit a detailed work plan that covers the first year of the period of performance and a high-level plan for subsequent years.

Letters of Support are required as indicated in the Notice of Funding Opportunity (NOFO) on pages 11 and 37; however, they are not listed in the optional attachments.

As stated on pages 11 and 12 of the NOFO, the Letters of Support should be uploaded as PDF files under “Other Attachment Forms” with the file name “Letters of Support”.

The Notice of Funding Opportunity states that “Applicant should allocate funds to support travel of at least 3 staff to annual reverse site visits at CDC in Atlanta, GA.” Can you provide length of the site visits to use in the budget? Will there be more than one site visit annually? Unclear since “visits” is plural.

A reverse site visit to Atlanta should be included in the proposed budget for three staff for one to two nights depending on the travel origination point. It is anticipated that funded recipients will include an annual reverse site visit in subsequent Annual Performance Report submissions.

Will the informational conference calls held on January 29, 2020 at 11:00am and 3:00pm Eastern Standard Time be recorded for later access?

The informational calls will not be recorded.

Is the logic model required to be included in the application, or is it expected that the logic model would be provided with the 6-month evaluation plan, post-award? Page 15 states, “The evaluation plan should include a program logic model specific to the recipient’s program….”. Please clarify.

The detailed Evaluation and Performance Measurement plan, including the program-specific logic model, is due within 6 months of award.

Is the workplan exempt from the 1-inch margin and spacing requirements?

While the work plan is part of the Project Narrative, the template does not fall under the formatting requirements. However, applicants are cautioned that making the margins too small may affect the printing of documents. Using small fonts may make it difficult to read.

Are there any parameters that should be used regarding the funding allocation limits pertaining to diagnostic colonoscopies for asymptomatic uninsured or underinsured adults age 50 to 75 who are screened for colorectal cancer by their partner clinics, e.g. percentage or portion of overall funding amount requested?

There are no specific parameters for funding allocation for diagnostic colonoscopies. CDC will review each funded recipient’s proposed budget to ensure that proposed activities are in-line with all program requirements.

Are there any parameters that should be used pertaining to diagnostic colonoscopies CPT (Current Procedural Terminology) codes allowed for asymptomatic uninsured or underinsured adults age 50 to 75 who are screened for colorectal cancer by their partner clinics, e.g. percentage or portion of overall funding amount requested?

Additional programmatic information and guidelines will be provided to funded recipients. Applicants should make their best estimate in their proposed budget.

If the evaluation position is vacant or will be contracted, is it sufficient to provide the required qualifications and criteria for selecting staff with appropriate experience to conduct program evaluation under Organizational Capacity?

Yes, it is sufficient to provide the required qualifications and criteria for selecting staff.

Does CDC have minimum data elements for evidence-based interventions?

Additional programmatic information and guidelines will be provided to funded recipients.

The “Applicant Evaluation and Performance Measurement Plan section, page 14 states, “Plans for updating the Data Management Plan (DMP), if applicable, for accuracy throughout the lifecycle of the project. The DMP should provide a description of the data that will be produced using these Notice of Funding Opportunity (NOFO) funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.”; however, on page 15 “A DMP will not be required”. Please clarify – is the “not” required for the application or is that specific to the 6-month evaluation plan?

Per page 15, a Data Management Plan is not a requirement under this NOFO.

Please clarify if utilization of patient navigators is required or optional. Page 8, Utilize patient navigation to support delivery of evidence-based interventions”, indicates they may be used.

Funded recipients should provide support to facilitate the completion of follow-up colonoscopies. Therefore, patient navigators may be used to facilitate screening and reduce identifies barriers to the completion of colonoscopies.

Letters of Support for health system/primary care clinics, page 11, states the letter should describe:

  1. The approximate number of adults age 50 to 75 years currently served by the clinic
    Question: How is “currently” defined? Last calendar year 2019, year to date, or most complete 12-month period as of the letter date?
  2. The clinic’s current CRC screening rate (the percentage of adults up-to-date with CRC screening);
    Question: is a specific time frame preferred, e.g. last calendar year 2019; Year To Date or most complete 12 month period as of the letter date?

It is up to the applicant and the health system/clinic to define the timeframe used to provide the information.

January 24th

For this funding opportunity, it indicates that a letter of intent (LOI) is due by February 5, 2020. For this letter, is there a specific format for grantees to follow? If so where can I find the format on the website?

There is no specific format or content requirements for the LOI. The LOI should be submitted to dp20-2002@cdc.gov.

January 19th

Requesting more information on this Colorectal Cancer Funding opportunity

The notice of funding opportunity for CDC-RFA-DP20-2002 Public Health and Health Systems Partnerships to Increase Colorectal Cancer Screening in Clinical Settings has been posted on grants.gov.external icon Specific questions about the information in the notice of funding opportunity may be directed to this email address (dp20-2002@cdc.gov).

January 16th

Would a large county hospital system be considered for a funding, or is this funding primarily targeting states for implementation?

Any entity that meets the eligibility criteria in Section C may apply; this opportunity is open competition. All applications are objectively reviewed and scored based on the criteria listed in Section E.1.b Phase II Review.

January 15th

Can you provide clarification on the partnerships required under the CDC-RFA-DP20-2002, Partnerships to Increase Colorectal Cancer Screening in Clinical Settings?

  • Is partnership required to be eligible for this funding?
  • What type of partnerships are allowed?

Any entity that meets the eligibility criteria listed in Section C may apply. All applications are objectively reviewed and scored based on the criteria provided in Section E.1.b Phase II Review.

We are the only health care provider in a 42,000 square mile region with 23 clinics throughout the region. There are no other clinics or providers in our region that would focus on colorectal cancer screenings.

  • Thus are we not eligible to apply since we don’t have the ability to form partnerships?
  • Or can we apply and have our own clinics be our partners?

Participating clinics may be a part of the entity applying. Organizations other than health care providers may serve as partners that support the implementation of evidence-based interventions.

January 14th

The guidance makes reference to the need for the recipient to partner with a health system, such as a federally qualified health center (FQHC). Can the applicant/recipient be a nonprofit FQHC (501(c)(3)) that is taking the lead in partnership with other entities, such as a health plan?

Yes. Any non-profit 501(c)(3) organization may apply, and may partner with any other health care entity.

Page last reviewed: February 18, 2020